REGIONAL MEDICAL CENTER AT LUBEC ME INC: Form 990, tax year 2015
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- Organization
- REGIONAL MEDICAL CENTER AT LUBEC ME INC (EIN 23-7146768)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-01-30
- IRS object ID
- 201740309349300004
- Schema version
- 2015v3.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-01-30T07:22:52-06:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 010242373 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MACPAGE LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE MARKET SQUARE | AddressLine1Txt |
| City | AUGUSTA | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04330 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237146768 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REGIONAL MEDICAL CENTER AT LUBEC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | REGI | BusinessNameControlTxt |
| Phone | 2077335541 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 43 SOUTH LUBEC ROAD | AddressLine1Txt |
| City | LUBEC | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04652 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROGER QUIRK | PersonNm |
| Person Title | CHAIRMAN | PersonTitleTxt |
| Phone | 2077335541 | PhoneNum |
| Signature | 2017-01-26 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ROBERT P DUBE JR | PreparerPersonNm |
| PTIN | P01231018 | PTIN |
| Phone | 2076224766 | PhoneNum |
| Preparation | 2017-01-26 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ROGER QUIRK | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 43 SOUTH LUBEC ROAD | AddressLine1Txt |
| City | LUBEC | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04652 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $4,255,382 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.RMCL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1971 | FormationYr |
| Legal Domicile State | ME | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE AND COORDINATE QUALITY HEALTH CARE AND SOCIAL SERVICES AND TO PROMOTE HEALTHY COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 77 | TotalEmployeeCnt |
| Total Volunteers | 18 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,595,286 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,694,028 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,624,991 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,560,076 | CYProgramServiceRevenueAmt |
| PY Investment Income | $804 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,278 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $4,221,081 | PYTotalRevenueAmt |
| CY Total Revenue | $4,255,382 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $310,337 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $194,175 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,841,724 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,801,423 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,055,823 | PYOtherExpensesAmt |
| CY Other Expenses | $1,025,364 | CYOtherExpensesAmt |
| PY Total Expenses | $4,207,884 | PYTotalExpensesAmt |
| CY Total Expenses | $4,020,962 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $13,197 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $234,420 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,605,373 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,791,576 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $466,834 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $418,617 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,138,539 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,372,959 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE AND COORDINATE QUALITY HEALTH CARE AND SOCIAL SERVICES AND TO PROMOTE HEALTHY COMMUNITIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $2,407,211 | ExpenseAmt |
| Revenue | $1,913,040 | RevenueAmt |
| Desc | BUREAU OF PRIMARY HEALTH CARE: GENERAL HEALTH SERVICES INCLUDING MEDICAL, DENTAL, PODIATRY, PATIENT EDUCATION, SUBSTANCE ABUSE AND MENTAL HEALTH COUNSELING. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $874,061 | ExpenseAmt |
| Grant | $182,935 | GrantAmt |
| Revenue | $467,592 | RevenueAmt |
| Desc | OTHER PROGRAM SERVICES: PROVIDES HOME HEALTH AND LONG-TERM CARE SERVICES, HIV OUTREACH SERVICES INCLUDING COUNSELING, TESTING, AND REFERRAL SERVICES. PROVIDE EDUCATION FOR CANCER SCREENING. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $159,490 | ExpenseAmt |
| Revenue | $144,879 | RevenueAmt |
| Desc | TELEMEDICINE PROGRAMS: TO PROVIDE DISTANCE COMMUNICATIONS, VIDEO CONFERENCING AND VIDEO EQUIPMENT, AND TECHNICAL ASSISTANCE TO HEALTH CARE ORGANIZATIONS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $37,482 | ExpenseAmt |
| Grant | $11,240 | GrantAmt |
| Revenue | $34,565 | RevenueAmt |
| Desc | COMMUNITY SERVICE PROGRAMS: COMMUNITY HEALTH EDUCATION AND OUTREACH PROGRAMS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $37,482 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $11,240 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $34,565 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $3,478,244 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 39 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 77 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Other Website | Yes (X) | OtherWebsiteInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RON BECKWITH CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2077335541 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 43 SOUTH LUBEC ROAD | AddressLine1Txt |
| City | LUBEC | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04652 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| BARBARA FRAZIER | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DAVID PRESSLEY | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JULIA BRADY | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JAMES DOHERTY | |||||||
| VICE CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JILL BELT | |||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MAUREEN LORD | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ROGER QUIRK | |||||||
| CHAIRMAN | 2.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SANDRA SAWTELLE | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARCIA JACKSON | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SARA MCCONNELL | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARILYN HUGHES | |||||||
| CEO | 47.40 | Yes (X) | $102,853 | $0 | $8,567 | ||
| MARY MACKAY | |||||||
| DENTIST | 40.60 | $137,297 | $0 | $8,684 | Yes (X) | ||
| ROBERT ABRAMS | |||||||
| PHYSICIAN/MEDICAL DIRECTOR | 43.00 | $161,593 | $0 | $26,803 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $401,743 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $44,054 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| DOWNEAST AIDS NETWORK | |||||
| 25 PINE STREET SUITE A | ELLSWORTH | ME | 04605 | CONTRACTED SERVICES RYAN WHITE PART C PR | $149,008 |
| MCKESSON MEDICAL-SURGICAL | |||||
| 9954 MAYLAND DRIVE SUITE 4000 | RICHMOND | VA | 23233 | MEDICAL SUPPLIES | $113,660 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,688,988 | GovernmentGrantsAmt |
| All Other Contributions | $5,040 | AllOtherContributionsAmt |
| Total Contributions | $1,694,028 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE | 621400 | $2,061,771 | $2,061,771 |
| CONTRACT REVENUE | 621400 | $471,770 | $471,770 |
| MISC PATIENT SERVICES | 621400 | $26,535 | $26,535 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,560,076 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,278 | TotalRevenueColumnAmt |
| Exclusion | $1,278 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,255,382 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,560,076 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,278 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $182,935 | TotalAmt |
| Program Services | $182,935 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,240 | TotalAmt |
| Program Services | $11,240 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $103,562 | TotalAmt |
| Management And General | $103,562 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,200,123 | TotalAmt |
| Program Services | $2,029,098 | ProgramServicesAmt |
| Management And General | $171,025 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $497,738 | TotalAmt |
| Program Services | $421,846 | ProgramServicesAmt |
| Management And General | $75,892 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,509 | TotalAmt |
| Program Services | $71,797 | ProgramServicesAmt |
| Management And General | $12,712 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,688 | TotalAmt |
| Program Services | $24,856 | ProgramServicesAmt |
| Management And General | $5,832 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,801 | TotalAmt |
| Program Services | $97,043 | ProgramServicesAmt |
| Management And General | $1,758 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,201 | TotalAmt |
| Program Services | $26,942 | ProgramServicesAmt |
| Management And General | $10,259 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CONTRACTUAL | $346,328 | $232,255 | $114,073 |
| SUPPLIES | $288,362 | $251,763 | $36,599 |
| UTILITIES | $68,959 | $68,959 | |
| TELEPHONE | $47,457 | $41,585 | $5,872 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,059 | TotalAmt |
| Program Services | $17,925 | ProgramServicesAmt |
| Management And General | $5,134 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,020,962 | TotalAmt |
| Program Services | $3,478,244 | ProgramServicesAmt |
| Management And General | $542,718 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $413,175 | BOYAmt |
| EOY | $566,537 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,516 | BOYAmt |
| EOY | $80,895 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $408,330 | BOYAmt |
| EOY | $473,450 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,773 | BOYAmt |
| EOY | $63,786 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,306,287 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,714,969 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $601,579 | BOYAmt |
| EOY | $591,318 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,000 | BOYAmt |
| EOY | $15,590 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,605,373 | BOYAmt |
| EOY | $1,791,576 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $457,068 | BOYAmt |
| EOY | $410,301 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,766 | BOYAmt |
| EOY | $8,316 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $466,834 | BOYAmt |
| EOY | $418,617 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,138,539 | BOYAmt |
| EOY | $1,301,776 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $71,183 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,138,539 | BOYAmt |
| EOY | $1,372,959 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,605,373 | BOYAmt |
| EOY | $1,791,576 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $234,420 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,655,609 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,374,855 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,530,510 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,595,286 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,694,028 | CurrentTaxYearAmt |
| Total | $7,850,288 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,655,609 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,374,855 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,530,510 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,595,286 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,694,028 | CurrentTaxYearAmt |
| Total | $7,850,288 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $7,850,288 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,510 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,161 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,807 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $804 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,278 | CurrentTaxYearAmt |
| Total | $24,560 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $7,874,848 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $12,908,251 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99690 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99630 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $179,707 | InvestmentCostOrOtherBasisAmt |
| Book Value | $179,707 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $1,496,355 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $1,359,204 | DepreciationAmt |
| Book Value | $137,151 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $343,100 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $293,093 | DepreciationAmt |
| Book Value | $50,007 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $1,287,125 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $1,062,672 | DepreciationAmt |
| Book Value | $224,453 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $591,318 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $4,255,382 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $4,255,382 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $4,255,382 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $4,020,962 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $4,020,962 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $4,020,962 | TotalExpensesPerForm990Amt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| COMMUNITY HEALTH & COUNSELING | |||||||
| PO BOX 425 | BANGOR | ME | 044020425 | 010211483 | 501(C)(3) | $14,944 | PROVIDE SERVICES TO HIV RYAN WHITE PROGRAM. |
| DOWNEAST AIDS NETWORK | |||||||
| 25 PINE STREET SUITE A | ELLSWORTH | ME | 04605 | 010441229 | 501(C)(3) | $123,079 | PROVIDE SERVICES TO HIV CDC, RYAN WHITE PROGRAMS. |
| EASTERN MAINE MEDICAL CENTER | |||||||
| PO BOX 404 | BANGOR | ME | 044020404 | 010211501 | 501(C)(3) | $16,085 | PROVIDE SERVICES TO HIV CDC AND RYAN WHITE PROGRAMS. |
| FAMILY PLANNING ASSOC OF MAINE | |||||||
| PO BOX 587 43 GABRIEL DR | AUGUSTA | ME | 043320587 | 010317679 | 501(C)(3) | $6,131 | PROVIDE SERVICES TO HIV CDC AND RYAN WHITE PROGRAMS. |
| WABANAKI HEALTH & WELLNESS | |||||||
| 157 PARK ST SUITE 5 | BANGOR | ME | 04401 | 043337456 | 501(C)(3) | $9,542 | PROVIDE SERVICES TO HIV CDC AND RYAN WHITE PROGRAMS. |
| LOUISE DESJARDINS KING | |||||||
| 151 STATE STREET | BANGOR | ME | 04401 | 753166038 | 501(C)(3) | $7,084 | PROVIDE SERVICES TO HIV RYAN WHITE PROGRAM. |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | HEALTH SUBSIDY, PREVENTION AND EDUCATION | GrantTypeTxt |
| Recipient | 2 | RecipientCnt |
| Cash Grant | $11,240 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | GRANT RECIPIENTS ENTER INTO CONTRACTS WITH THE CENTER. THIS CONTRACT INCLUDES SPECIFIC REQUIREMENTS THAT THE RECIPIENT MUST ADHERE TO, INCLUDING PROVIDING QUARTERLY PROGRAM AND FINANCIAL REPORTS AND AS NEEDED REPORTS TO THE CENTER FOR DATA COLLECTION AND PROGRESS TRACKING. THE AGREEMENT ALSO STATES THAT THE RECIPIENT AGREES TO EXPEND FUNDS ONLY FOR ALLOWABLE PROJECT COSTS AND TO EXPEND FUNDS IN ACCORDANCE WITH THE APPROVED BUDGET. THE CONTRACT ALSO INCLUDES A COPY OF THE PROGRAM OBJECTIVES. THESE CONTRACT ITEMS ALLOW THE CENTER TO MONITOR THEIR SUBRECIPIENTS USE OF GRANT FUNDS AND ENSURE COMPLIANCE WITH APPLICABLE GRANT REQUIREMENTS. THE CENTER EMPLOYS PROJECT MANAGERS THAT ARE ACTIVELY INVOLVED IN ADMINISTRATION OF THE GRANT PROGRAMS. THE CENTER'S PROGRAM MANAGERS CONDUCT INITIAL MEETINGS WITH GRANT RECIPIENTS TO COMMUNICATE APPLICABLE COMPLIANCE REQUIREMENTS AND DISCUSSIONS ON THE GOALS AND OBJECTIVES OF THE PROGRAMS. REGULAR FOLLOW UP WITH GRANT RECIPIENTS IS DONE BY PROGRAM MANAGERS TO ENSURE ADHERENCE WITH CONTRACTS AND COMPLIANCE WITH APPLICABLE GRANT REQUIREMENTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROBERT ABRAMS | PersonNm |
| Title | PHYSICIAN/MEDICAL DIRECTOR | TitleTxt |
| Base Compensation Filing Org | $161,593 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $0 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $26,803 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $188,396 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | LINE 11A EXPLANATION - THE FORM 990 WAS PROVIDED TO THE BOARD OF DIRECTORS FOR DISCUSSION, REVIEW AND APPROVAL BEFORE FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS AND OTHER KEY EMPLOYEES ARE REQUIRED TO READ AND SIGN CONFLICT OF INTEREST STATEMENTS ON AN ANNUAL BASIS. IN ADDITION, AS AN ONGOING EFFORT TO MONITOR POTENTIAL CONFLICTS, ALL BOARD OF DIRECTOR MEETINGS INCLUDE AN AGENDA ITEM WHERE BOARD MEMBERS ARE ASKED TO DISCLOSE ANY POTENTIAL CONFLICTS RELATED TO SPECIFIC ITEMS TO BE DISCUSSED DURING THE MEETING OR RELATED TO ANY OTHER ORGANIZATIONAL ISSUES. |
| FORM 990, PART VI, SECTION B, LINE 15 | INDUSTRY SALARY COMPARISONS AND SURVEY STUDIES ARE USED AS A BASE FOR DETERMINING COMPENSATION LEVELS. COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER AND OTHER KEY EMPLOYEES IS REVIEWED BY THE FINANCE COMMITTEE AND APPROVED ANNUALLY BY THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION C, LINE 19 | PRINT COPIES OF GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY COULD BE PICKED UP AT CENTER HEADQUARTERS. |
| FORM 990, PART XII, LINE 2C: | THE ORGANIZIATION'S BOARD OF DIRECTORS REVIEW AND APPROVE THE FINANCIAL STATEMENTS AND RELATED RESULTS. |