STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

FISH RIVER RURAL HEALTH: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
FISH RIVER RURAL HEALTH (EIN 01-0452749)
Tax period
2019-07-01 to 2020-06-30
Filed
2020-10-02
IRS object ID
202042769349301409
Schema version
2019v5.0
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)
Return2020-10-02T14:23:56-05:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

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 Begin2019-07-01TaxPeriodBeginDt

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
Signature2020-08-27SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTIMOTHY P POITRASPreparerPersonNm
PTINP00542788PTIN
Phone2077643171PhoneNum
Preparation2020-10-02PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address64.89.241.30IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-10-02IPDt
IP Tm14:23:56IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdAF92E7A54F49D3DC554137C1AE83E941A1FFC4BBAtSubmissionCreationDeviceId
At Submission Filing Device IdAF92E7A54F49D3DC554137C1AE83E941A1FFC4BBAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOHN MARTINPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13318 AROOSTOOOK ROADAddressLine1Txt
CityEAGLE LAKECityNm
State AbbreviationMEStateAbbreviationCd
ZIP04739ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$8,219,917GrossReceiptsAmt
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 Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee83TotalEmployeeCnt
Total Volunteers25TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$2,182,533PYContributionsGrantsAmt
CY Contributions Grants$2,447,251CYContributionsGrantsAmt
PY Program Service Revenue$4,651,502PYProgramServiceRevenueAmt
CY Program Service Revenue$5,767,299CYProgramServiceRevenueAmt
PY Investment Income$6,335PYInvestmentIncomeAmt
CY Investment Income$5,367CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$6,840,370PYTotalRevenueAmt
CY Total Revenue$8,219,917CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,053,706PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,110,044CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,733,253PYOtherExpensesAmt
CY Other Expenses$1,774,332CYOtherExpensesAmt
PY Total Expenses$6,786,959PYTotalExpensesAmt
CY Total Expenses$7,884,376CYTotalExpensesAmt
PY Revenues Less Expenses$53,411PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$335,541CYRevenuesLessExpensesAmt
Total Assets BOY$6,740,522TotalAssetsBOYAmt
Total Assets EOY$8,090,758TotalAssetsEOYAmt
Total Liabilities BOY$2,790,425TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,805,120TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,950,097NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,285,638NetAssetsOrFundBalancesEOYAmt
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$6,313,894ExpenseAmt
Revenue$5,767,299RevenueAmt
DescTHE CENTER PROVIDES HEALTH CARE SERVICES FOR THE PEOPLE OF ALL AGES FROM THE SURROUNDING AREA.Desc
Total Program Service Expenses$6,313,894TotalProgramServiceExpensesAmt
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 Document10IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee83EmployeeCnt
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 Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
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 (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
DR CAMERON GRANGE
DOCTOR40.00Yes (X)$228,782$0$37,114
LUCIEN DAIGLE
DENTIST36.00Yes (X)$231,962$0$23,945
DR PAUL PELLETIER
DOCTOR50.00Yes (X)$209,747$0$19,823
HEATHER PELLETIER
EXECUTIVE DI50.00$179,441$0$37,114Yes (X)
ANTHONY PREISSLER
DENTIST/DMD40.00Yes (X)$183,438$0$13,003
JANE DUBOIS
DIRECTOR OF40.00$89,723$0$37,114Yes (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)
NORMAN FOURNIER
DIRECTOR1.00$0$0$0Yes (X)
PAULA GARDNER
TREASURER1.00$0$0$0Yes (X)Yes (X)
TROY JACKSON
DIRECTOR1.00$0$0$0Yes (X)
JOHN MARTIN
PRESIDENT1.00$0$0$0Yes (X)Yes (X)
ROBERT PARENT
VICE PRES.1.00$0$0$0Yes (X)Yes (X)
BETTY PELLETIER
DIRECTOR1.00$0$0$0Yes (X)
MICHELLE RAYMOND
DIRECTOR1.00$0$0$0Yes (X)
JARED ROY
DIRECTOR1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,123,093TotalReportableCompFromOrgAmt
Total Other Compensation$168,113TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Government Grants$2,428,619GovernmentGrantsAmt
All Other Contributions$18,632AllOtherContributionsAmt
Total Contributions$2,447,251TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SERVICE FEES$4,121,553$4,121,553
OTHER OPERATING INCOME$1,740,406$1,740,406
COST OF GOODS SOLD-$41,101-$41,101
REVENUE DEDUCTIONS & ADJUST-$53,559-$53,559
FieldValueIRS element (for citing)
Total Program Service Revenue$5,767,299TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,367TotalRevenueColumnAmt
Related Or Exempt Func Income$5,367RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,219,917TotalRevenueColumnAmt
Related Or Exempt Func Income$5,772,666RelatedOrExemptFuncIncomeAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,764,398TotalAmt
Program Services$3,910,728ProgramServicesAmt
Management And General$853,670ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,345,646TotalAmt
Program Services$1,004,369ProgramServicesAmt
Management And General$341,277ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,900TotalAmt
Management And General$1,900ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$24,998TotalAmt
Program Services$24,998ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$28,807TotalAmt
Program Services$28,010ProgramServicesAmt
Management And General$797ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$103,753TotalAmt
Program Services$35,390ProgramServicesAmt
Management And General$68,363ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$17,106TotalAmt
Program Services$14,949ProgramServicesAmt
Management And General$2,157ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$61,790TotalAmt
Program Services$8,048ProgramServicesAmt
Management And General$53,742ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$275,191TotalAmt
Program Services$216,167ProgramServicesAmt
Management And General$59,024ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$26,297TotalAmt
Management And General$26,297ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$606,783$494,690$112,093
CONTRACT SERVICES$231,071$230,731$340
EQUIPMENT REPAIRS/MAINT$125,652$119,034$6,618
DATA PROCESSING$58,166$55,280$2,886

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$212,818TotalAmt
Program Services$171,500ProgramServicesAmt
Management And General$41,318ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,884,376TotalAmt
Program Services$6,313,894ProgramServicesAmt
Management And General$1,570,482ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$430,255BOYAmt
EOY$1,860,321EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$466,022BOYAmt
EOY$499,950EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$355,340BOYAmt
EOY$289,614EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$30,917BOYAmt
EOY$45,148EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$33,972BOYAmt
EOY$12,908EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,426,631LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,095,114LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,424,016BOYAmt
EOY$5,331,517EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$51,300EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,740,522BOYAmt
EOY$8,090,758EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$654,374BOYAmt
EOY$684,069EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$301,230EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,136,051BOYAmt
EOY$2,819,821EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,790,425BOYAmt
EOY$3,805,120EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,766,953BOYAmt
EOY$3,144,589EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,183,144BOYAmt
EOY$1,141,049EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,950,097BOYAmt
EOY$4,285,638EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,740,522BOYAmt
EOY$8,090,758EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$335,541ReconcilationRevenueExpnssAmt
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$1,862,491CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,672,062CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,804,697CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,182,533CurrentTaxYearMinus1YearAmt
Current Tax Year$2,447,251CurrentTaxYearAmt
Total$10,969,034TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,862,491CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,672,062CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,804,697CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,182,533CurrentTaxYearMinus1YearAmt
Current Tax Year$2,447,251CurrentTaxYearAmt
Total$10,969,034TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$10,969,034PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,454CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,691CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,710CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,335CurrentTaxYearMinus1YearAmt
Current Tax Year$5,367CurrentTaxYearAmt
Total$50,557TotalAmt
FieldValueIRS element (for citing)
Total Support$11,019,591TotalSupportAmt
Gross Receipts Rltd Activities$14,362,276GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99540PublicSupportCY170Pct
Public Support PY1700.99450PublicSupportPY170Pct
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$5,295,525InvestmentCostOrOtherBasisAmt
Depreciation$533,159DepreciationAmt
Book Value$4,762,366BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$109,266InvestmentCostOrOtherBasisAmt
Depreciation$17,768DepreciationAmt
Book Value$91,498BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$751,840OtherCostOrOtherBasisAmt
Depreciation$461,187DepreciationAmt
Book Value$290,653BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$270,000OtherCostOrOtherBasisAmt
Depreciation$83,000DepreciationAmt
Book Value$187,000BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,331,517TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$8,219,917TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$8,219,917RevenueSubtotalAmt
Total Revenue Per Form990$8,219,917TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$7,884,376TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$7,884,376ExpensesSubtotalAmt
Total Expenses Per Form990$7,884,376TotalExpensesPerForm990Amt

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 OrgBaseCompensationFilingOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
DR CAMERON GRANGE
DOCTOR$228,782$37,114$265,896
LUCIEN DAIGLE
DENTIST$231,962$23,945$255,907
DR PAUL PELLETIER
DOCTOR$209,747$19,823$229,570
HEATHER PELLETIER
EXECUTIVE DIRECTOR$179,441$37,114$216,555
ANTHONY PREISSLER
DENTIST/DMD$183,438$13,003$196,441

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 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