2020-11-05T08:04:30-06:00 2020-06-30 010523282 Berry Dunn McNeil & Parker LLC 1000 Elm Street 4th Floor Manchester NH 03101 990 2019-07-01 010354589 Eastport Health Care Inc EAST 2078536001 30 Boynton Street Eastport ME 04631 Ellen Krajewski CEO 2078536001 2020-11-04 1 Melissa Magoon CPA P01712842 6036697337 2020-11-04 69.49.157.66 2020-11-04 15:48:14 ES P 824F5ECBA331AD829B06E5B89B87A04E1DCD6EE9 4E4854D6E8F439AFFC6B342DA192CB10EF694E45 2019 2021-01-29 14:40:06Z Ellen Krajewski 30 Boynton Street Eastport ME 04631 4950809 0 X www.eastporthealth.org X 1976 ME Health services to low income individuals in the area. 10 10 68 12 0 0 1513112 1518989 3944787 3398277 37850 33543 0 0 5495749 4950809 0 15500 0 0 3826397 3895491 0 0 0 1442907 1430583 5269304 5341574 226445 -390765 2795115 3354845 573774 1508692 2221341 1846153 Health services to low income individuals in the area. 0 0 4060483 3398277 To provide health care services to underserved populations in the downeast Maine area. Services are primarily provided to low income households. 15500 15500 0 Provide Scholarships to local students in the Organization's service area who are attending college to study the medical field. 4075983 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 21 0 1 68 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Wanda Matthews 2078536001 30 Boynton Street Eastport ME 04631 Suzanne O'Connor President 1.00 X X 0 0 0 John Venskus Vice President 1.00 X X 0 0 0 Stephanie Page Treasurer 1.00 X X 0 0 0 Molly McDonald Secretary 1.00 X X 0 0 0 John Foster Director 1.00 X 0 0 0 Brian Frutchey Director 1.00 X 0 0 0 John Hawkes Director 1.00 X 0 0 0 Megan Patterson Director 1.00 X 0 0 0 Christina Smith Director 1.00 X 0 0 0 Samuel Whitney Director 1.00 X 0 0 0 Tammy Denning Past Director 1.00 X 0 0 0 Ann Skriletz Past Vice President 1.00 X X 0 0 0 Holly Gartmayer-DeYoung Past CEO 40.00 X 128311 0 9343 Camela Deschene Past CFO 40.00 X 53817 0 4792 Ellen Krajewski CEO 40.00 X 17897 0 644 Wanda Matthews CFO 40.00 X 61833 0 7518 Laurie Churchill MD 40.00 X 205619 0 9057 Cynthia Sammis MD 40.00 X 224069 0 9230 Susan Luthin MD 40.00 X 195694 0 8851 Abhay Ektare DDS 40.00 X 170925 0 6508 1058165 0 55943 5 0 1 0 Cardinal Health 7000 Cardinal Place Dublin OH 43017 340B Services 123556 1 1518889 100 1518989 Patient Service Revenu 621300 2554733 2554733 340B Revenue 446110 876323 876323 Other Operating Revenu 621300 27986 27986 Provision for Bad Debt 621300 -60765 -60765 3398277 27746 27746 5797 0 5797 5797 5797 4950809 3398277 0 33543 15500 15500 284156 284156 3020463 2448561 571902 328324 264946 63378 262548 196439 66109 15000 15000 9023 9023 167743 147882 19861 10498 5177 5321 57740 25171 32569 160288 152513 7775 93368 77651 15717 14704 6397 8307 24912 12787 12125 18262 9461 8801 81366 47579 33787 35184 15294 19890 Supplies 344500 302349 42151 340B Expenses 259205 259205 Telecommunication Expen 50921 34381 16540 Recruitment 39831 37006 2825 48038 17684 30354 5341574 4075983 1265591 0 X 692754 877902 18119 657107 23564 22679 149432 129158 5250 29262 25413 2090273 1557706 592680 532567 1284054 1110019 2795115 3354845 241800 281462 176912 331974 273418 776900 573774 1508692 X 2035534 1675124 185807 171029 2221341 1846153 2795115 3354845 -390765 15577 0 X 0 1 X 1 1 1 X 1434844 1583503 1469205 1513112 1518989 7519653 1434844 1583503 1469205 1513112 1518989 7519653 7519653 0 86973 23911 37850 27746 176480 7696133 18204932 0.97710 0.97720 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 20245 20245 1301629 1011722 289907 710020 487605 222415 58379 58379 0 532567 X 4941863 15577 15577 4926286 9023 15500 24523 4950809 5317051 0 5317051 9023 15500 24523 5341574 Part X, Line 2: The Organization is a public charity under Section 501(c)(3) of the Internal Revenue Code. As a public charity, the Organization is exempt from state and federal income taxes on income earned in accordance with its tax exempt purpose. Unrelated business income is subject to state and federal income tax. Management has evaluated the Organization's tax positions and concluded that the Organization has no unrelated business income or uncertain tax positions that require adjustment to the financial statements. Part XI, Line 4b - Other Adjustments: Scholarships Paid 15,500. Part XII, Line 4b - Other Adjustments: Scholarships Paid 15,500. 1 Scholarships 15 15500 Part I, Line 2: All scholarship recipients must be enrolled full-time at a college to receive funds, copies of schedules are required to be furnished and transcripts are required to continue to receive funds. X 0 0 0 0 0 0 0 0 0 Laurie Churchill MD 205619 0 0 0 0 0 0 0 9057 0 214676 0 0 0 Cynthia Sammis MD 224069 0 0 0 0 0 0 0 9230 0 233299 0 0 0 Susan Luthin MD 195694 0 0 0 0 0 0 0 8851 0 204545 0 0 0 Abhay Ektare DDS 170925 0 0 0 0 0 0 0 6508 0 177433 0 0 0 Form 990, Part VI, Section B, line 11b The Form 990 is presented to the finance committee for review with the financial officer and when in agreement regarding the accuracy of said return it is presented to the full board of directors for their review and acceptance. Form 990, Part VI, Section B, line 12c Employees and Board members must advise the Board of any conflicts of interest and related issues. The Board then addresses the issues as a unit. Form 990, Part VI, Section B, line 15 Reviewed by independent persons, comparability data and substantiation of the deliberation and decision process. Form 990, Part VI, Section C, line 19 The Financial Statements and personnel policy handbooks are available to the public upon request. Form 990, Part X, Line 10: Land, Buildings, and Equipment: Section 1.263(a)-3(n) Election: Eastport Health Care, Inc. 30 Boynton Street Eastport, ME 04631 EIN: 01-0354589 Eastport Health Care, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).