FISH RIVER RURAL HEALTH: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- FISH RIVER RURAL HEALTH (EIN 01-0452749)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2017-09-27
- IRS object ID
- 201742709349300814
- Schema version
- 2016v3.0
- 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 | 2017-09-27T09:46:09-04:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 010411241 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHESTER M KEARNEY PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1550 | AddressLine1Txt |
| City | PRESQUE ISLE | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04769 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010452749 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FISH RIVER RURAL HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FISH | BusinessNameControlTxt |
| Phone | 2074445973 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 309 | AddressLine1Txt |
| City | EAGLE LAKE | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 047390309 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN MARTIN | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 2074445973 | PhoneNum |
| Signature | 2017-09-01 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TIMOTHY P POITRAS | PreparerPersonNm |
| PTIN | P00542788 | PTIN |
| Phone | 2077643171 | PhoneNum |
| Preparation | 2017-09-27 | PreparationDt |
Filing Security Information FilingSecurityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| At Submission Creation Device Id | 39C321A893462F4727E56BD4CA19E4124955AA28 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 39C321A893462F4727E56BD4CA19E4124955AA28 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOHN MARTIN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3318 AROOSTOOOK ROAD | AddressLine1Txt |
| City | EAGLE LAKE | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04739 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $5,366,320 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.FRRH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1990 | FormationYr |
| Legal Domicile State | ME | LegalDomicileStateCd |
| Activity Or Mission | THE 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 Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 59 | TotalEmployeeCnt |
| Total Volunteers | 25 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $1,862,491 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,672,062 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,230,339 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $3,679,567 | CYProgramServiceRevenueAmt |
| PY Investment Income | $12,454 | PYInvestmentIncomeAmt |
| CY Investment Income | $14,691 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $5,105,284 | PYTotalRevenueAmt |
| CY Total Revenue | $5,366,320 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $3,205,631 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,820,802 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,181,607 | PYOtherExpensesAmt |
| CY Other Expenses | $1,386,139 | CYOtherExpensesAmt |
| PY Total Expenses | $4,387,238 | PYTotalExpensesAmt |
| CY Total Expenses | $5,206,941 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $718,046 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $159,379 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,028,735 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,277,934 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,387,920 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,477,740 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,640,815 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,800,194 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE 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 Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $4,333,885 | ExpenseAmt |
| Revenue | $3,679,567 | RevenueAmt |
| Desc | THE CENTER PROVIDES HEALTH CARE SERVICES FOR THE PEOPLE OF ALL AGES FROM THE SURROUNDING AREA. | Desc |
| Total Program Service Expenses | $4,333,885 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 13 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 59 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JANE DUBOIS | PersonNm |
| Phone | 2074445973 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 309 | AddressLine1Txt |
| City | EAGLE LAKE | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04739 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| JOHN MARTIN | ||||||||
| PRESIDENT | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ROBERT PARENT | ||||||||
| VICE PRES. | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JAMES NADEAU | ||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DR PETER TOUSSAINT | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DANNY PINETTE | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| THERESA BEAULIEU | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LENA MICHAUD | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JUDY DOUSTOU | ||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| PAULA GARDNER | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BETTY PELLETIER | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SANDRA BERNSTEIN | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| RACHEL ALBERT | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHELLE RAYMOND | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| HEATHER PELLETIER | ||||||||
| EXECUTIVE DI | 50.00 | $129,972 | $36,247 | $0 | Yes (X) | |||
| LUCIEN DAIGLE | ||||||||
| DENTIST | 36.00 | $248,378 | $27,789 | $0 | Yes (X) | |||
| DR CAMERON GRANGE | ||||||||
| DOCTOR | 40.00 | $215,785 | $36,247 | $0 | Yes (X) | |||
| DR PAUL PELLETIER | ||||||||
| DOCTOR | 50.00 | $188,768 | $27,789 | $0 | Yes (X) | |||
| DR REBECCA REEVES | ||||||||
| DOCTOR | 40.00 | $153,373 | $36,247 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $936,276 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $164,319 | TotReportableCompRltdOrgAmt |
| Indiv Rcvd Greater Than100 K | 5 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| HARRIMAN | |||||
| 46 HARRIMAN DRIVE | AUBURN | ME | 04210 | ENGINEERING | $202,807 |
| HENRY SCHEIN | |||||
| BOX 371952 | PITTSBURG | PA | 15250 | MEDICAL SUPPLY | $171,550 |
| DAVID MITCHELL | |||||
| 6 PLEASANT STREET | FORT KENT | ME | 04743 | OPTOMETRY | $150,000 |
| DEVOE CONSTRUCTION | |||||
| PO BOX 190 | EAGLE LAKE | ME | 04739 | CONSTRUCTION | $121,803 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,672,062 | GovernmentGrantsAmt |
| Total Contributions | $1,672,062 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| SERVICE FEES | $2,992,843 | $2,992,843 |
| OTHER OPERATING INCOME | $743,999 | $743,999 |
| REVENUE DEDUCTIONS & ADJUST | -$57,275 | -$57,275 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $3,679,567 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,691 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $14,691 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,366,320 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,694,258 | RelatedOrExemptFuncIncomeAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,009,298 | TotalAmt |
| Program Services | $2,478,083 | ProgramServicesAmt |
| Management And General | $531,215 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $811,504 | TotalAmt |
| Program Services | $631,766 | ProgramServicesAmt |
| Management And General | $179,738 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $163 | TotalAmt |
| Program Services | $163 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,200 | TotalAmt |
| Program Services | $16,200 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,997 | TotalAmt |
| Program Services | $11,533 | ProgramServicesAmt |
| Management And General | $3,464 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $115,492 | TotalAmt |
| Program Services | $115,492 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,224 | TotalAmt |
| Program Services | $11,819 | ProgramServicesAmt |
| Management And General | $2,405 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,103 | TotalAmt |
| Program Services | $35,103 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,072 | TotalAmt |
| Program Services | $119,072 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,765 | TotalAmt |
| Program Services | $4,226 | ProgramServicesAmt |
| Management And General | $17,539 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $325,305 | $246,265 | $79,040 |
| CONTRACT SERVICES | $246,350 | $245,701 | $649 |
| EQUIPMENT REPAIRS/MAINT | $145,083 | $140,663 | $4,420 |
| TELEPHONE | $69,159 | $61,643 | $7,516 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $263,226 | TotalAmt |
| Program Services | $216,156 | ProgramServicesAmt |
| Management And General | $47,070 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,206,941 | TotalAmt |
| Program Services | $4,333,885 | ProgramServicesAmt |
| Management And General | $873,056 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $681,055 | BOYAmt |
| EOY | $467,455 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,125,370 | BOYAmt |
| EOY | $895,846 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $214,935 | BOYAmt |
| EOY | $268,548 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $53,119 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,539 | BOYAmt |
| EOY | $9,005 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,751,885 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $419,747 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,940,580 | BOYAmt |
| EOY | $2,332,138 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,256 | BOYAmt |
| EOY | $251,823 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,028,735 | BOYAmt |
| EOY | $4,277,934 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $498,862 | BOYAmt |
| EOY | $534,833 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $889,058 | BOYAmt |
| EOY | $942,907 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,387,920 | BOYAmt |
| EOY | $1,477,740 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,384,283 | BOYAmt |
| EOY | $2,551,328 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $256,532 | BOYAmt |
| EOY | $248,866 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,640,815 | BOYAmt |
| EOY | $2,800,194 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,028,735 | BOYAmt |
| EOY | $4,277,934 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $159,379 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | 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 | $1,193,335 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,164,648 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,462,513 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,862,491 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,672,062 | CurrentTaxYearAmt |
| Total | $7,355,049 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,193,335 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,164,648 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,462,513 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,862,491 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,672,062 | CurrentTaxYearAmt |
| Total | $7,355,049 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $7,355,049 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,798 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,645 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,193 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,454 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,691 | CurrentTaxYearAmt |
| Total | $51,781 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $7,406,830 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $3,694,258 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99300 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99180 | 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
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $2,005,690 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $262,466 | DepreciationAmt |
| Book Value | $1,743,224 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $40,816 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $1,361 | DepreciationAmt |
| Book Value | $39,455 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $435,379 | OtherCostOrOtherBasisAmt |
| Depreciation | $126,920 | DepreciationAmt |
| Book Value | $308,459 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $270,000 | OtherCostOrOtherBasisAmt |
| Depreciation | $29,000 | DepreciationAmt |
| Book Value | $241,000 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,332,138 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CONSTRUCTION IN PROGRESS | Desc |
| Book Value | $251,823 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $251,823 | TotalBookValueOtherAssetsAmt |
| Total Rev Etc Audited Fincl Stmt | $5,366,320 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $5,366,320 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $5,366,320 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $5,206,941 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $5,206,941 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $5,206,941 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt |
|---|---|---|---|---|
| HEATHER PELLETIER | ||||
| EXECUTIVE DIRECTOR | $129,972 | $36,247 | $129,972 | $36,247 |
| LUCIEN DAIGLE | ||||
| DENTIST | $248,378 | $27,789 | $248,378 | $27,789 |
| DR CAMERON GRANGE | ||||
| DOCTOR | $215,785 | $36,247 | $215,785 | $36,247 |
| DR PAUL PELLETIER | ||||
| DOCTOR | $188,768 | $27,789 | $188,768 | $27,789 |
| DR REBECCA REEVES | ||||
| DOCTOR | $153,373 | $36,247 | $153,373 | $36,247 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | THE 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 11B | FORM 990 IS REVIEWED BY THE BOARD OF DIRECTORS PRIOR TO FILING |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE 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 15A | COMPENSATION 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 15B | SEE 15.A. |
| FORM 990, PAGE 6, PART VI, LINE 19 | DOCUMENTS ARE MADE AVAILABLE UPON REQUEST |