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HARRINGTON FAMILY HEALTH CENTER: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
HARRINGTON FAMILY HEALTH CENTER (EIN 01-0409494)
Tax period
2013-04-01 to 2014-03-31
Filed
2014-07-29
IRS object ID
201422109349300542
Schema version
2013v3.1
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)
Return2014-07-29T14:24:02-05:00ReturnTs
Tax Period End2014-03-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010463272PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1EDWARDS FAUST & SMITHBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1716 UNION STAddressLine1
CityBANGORCity
StateMEState
ZIP Code044013156ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-04-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN010409494EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HARRINGTON FAMILY HEALTH CENTERINCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlHARRBusinessNameControlTxt
Phone2074834502PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line150 EAST MAIN STREETAddressLine1
CityHARRINGTONCity
StateMEState
ZIP Code046430082ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLEE C UMPHREYPersonNm
Person TitleCEOPersonTitleTxt
Phone2074834502PhoneNum
Signature2014-07-29SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARK W CHELLISPreparerPersonNm
PTINP00435439PTIN
Phone2079474575PhoneNum
Preparation2014-07-29PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLEE C UMPHREYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line150 EAST MAIN STREETAddressLine1
CityHARRINGTONCity
StateMEState
ZIP Code046430082ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$2,197,239GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1984FormationYr
Legal Domicile StateMELegalDomicileStateCd
Activity Or MissionHARRINGTON FAMILY HEALTH CENTER'S MISSION IS TO CREATE A HEALTHIER COMMUNITY BY ENGAGING EACH PATIENT IN MAKING HEALTH CARE DECISIONS THAT REFLECT THE HIGHEST STANDARDS OF CARE IN CONJUNCTION WITH THE NEEDS AND DESIRES OF THE PATIENT AND HIS/HER FAMILY, AND BY MAKING THIS CARE AFFORDABLE BASED ON THE PATIENT'S ABILITY TO PAY.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee52TotalEmployeeCnt
Total Volunteers8TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$422,667PYContributionsGrantsAmt
CY Contributions Grants$505,674CYContributionsGrantsAmt
PY Program Service Revenue$1,729,189PYProgramServiceRevenueAmt
CY Program Service Revenue$1,683,017CYProgramServiceRevenueAmt
PY Investment Income$223PYInvestmentIncomeAmt
CY Investment Income$120CYInvestmentIncomeAmt
PY Other Revenue$3,513PYOtherRevenueAmt
CY Other Revenue$8,428CYOtherRevenueAmt
PY Total Revenue$2,155,592PYTotalRevenueAmt
CY Total Revenue$2,197,239CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,784,434PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,807,953CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$497,194PYOtherExpensesAmt
CY Other Expenses$526,065CYOtherExpensesAmt
PY Total Expenses$2,281,628PYTotalExpensesAmt
CY Total Expenses$2,334,018CYTotalExpensesAmt
PY Revenues Less Expenses-$126,036PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$136,779CYRevenuesLessExpensesAmt
Total Assets BOY$1,357,773TotalAssetsBOYAmt
Total Assets EOY$1,120,436TotalAssetsEOYAmt
Total Liabilities BOY$1,211,069TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,110,511TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$146,704NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$9,925NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionHARRINGTON FAMILY HEALTH CENTER'S MISSION IS TO CREATE A HEALTHIER COMMUNITY BY ENGAGING EACH PATIENT IN MAKING HEALTH CARE DECISIONS THAT REFLECT THE HIGHEST STANDARDS OF CARE IN CONJUNCTION WITH THE NEEDS AND DESIRES OF THE PATIENT AND HIS/HER FAMILY, AND BY MAKING THIS CARE AFFORDABLE BASED ON THE PATIENT'S ABILITY TO PAY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,647,472ExpenseAmt
DescTHE HARRINGTON FAMILY HEALTH CENTER'S THREE LARGEST PROGRAM SERVICES ARE PRIMARY CARE MEDICAL, DENTAL, MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES. THE HEALTH CENTER PROVIDES THESE PRIMARY CARE, PREVENTIVE AND EDUCATIONAL SERVICES TO THE CITIZENS OF WASHINGTON COUNTY, MAINE AND THE SURROUNDING AREAS. PATIENTS ARE SEEN AT THE HEALTH CENTER, REGARDLESS OF ABILITY TO PAY AND IN A NON-DISCRIMINATORY MANNER.Desc
Total Program Service Expenses$1,647,472TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
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 MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
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 Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee52EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
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 OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLEE UMPHREYPersonNm
Phone2074834502PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line150 EAST MAIN STREETAddressLine1
CityHARRINGTONCity
StateMEState
ZIP Code04643ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
SUSAN CORBETT
PRESIDENT (F1.00Yes (X)Yes (X)$0$0$0
ANGELA FOCHESATO
DIRECTOR1.00Yes (X)$0$0$0
MARGE WOLFORD
SECRETARY1.00Yes (X)Yes (X)$0$0$0
PETER ANDERSON
TREASURER1.00Yes (X)Yes (X)$0$0$0
MIKE PLUMMER
DIRECTOR1.00Yes (X)$0$0$0
BETSY FITZGERALD
VICE PRESIDE1.00Yes (X)$0$0$0
NICOLE GALANTE
DIRECTOR1.00Yes (X)$0$0$0
CATHY FARREN
DIRECTOR1.00Yes (X)$0$0$0
ELEANOR MCLAUGHLIN
DIRECTOR1.00Yes (X)$0$0$0
LEEANN COULTER
DIRECTOR1.00Yes (X)$0$0$0
KRYSTAL JORDAN
DIRECTOR1.00Yes (X)$0$0$0
WILLIS POTTER
DIRECTOR1.00Yes (X)$0$0$0
ERIC LINDQUIST
DIRECTOR1.00Yes (X)$0$0$0
BILL WYPYSKI
CEO40.00Yes (X)$96,770$0$6,143
LEE C UMPHREY
CEO40.00Yes (X)$11,201$0$1,206
JERRI JENSEN
EMPLOYEE40.00$179,183$0$0Yes (X)
LAILA DANTAS
EMPLOYEE40.00$106,903$0$7,800Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$394,057TotalReportableCompFromOrgAmt
Total Other Compensation$15,149TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Government Grants$505,274GovernmentGrantsAmt
All Other Contributions$400AllOtherContributionsAmt
Total Contributions$505,674TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
HEALTH CENTER VISITS$1,309,408$1,309,408
DENTAL CHARGES$536,902$536,902
MENTAL HEALTH CHARGES$221,227$221,227
EMR MEANINGFUL USE INCENTIVE$55,250$55,250
MEDICAID ADJ$51,921$51,921

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column-$491,691TotalRevenueColumnAmt
Related Or Exempt Func Income-$491,691RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,683,017TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$120TotalRevenueColumnAmt
Exclusion$120ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
MPCA$3,338$3,338
RECORDS COPYING INCOME$3,217$3,217
PCMH$1,873$1,873
FieldValueIRS element (for citing)
Other Revenue Total$8,428OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,197,239TotalRevenueColumnAmt
Related Or Exempt Func Income$1,688,228RelatedOrExemptFuncIncomeAmt
Exclusion$3,337ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$115,320TotalAmt
Management And General$115,320ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,443,802TotalAmt
Program Services$1,148,002ProgramServicesAmt
Management And General$295,800ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$123,184TotalAmt
Program Services$88,986ProgramServicesAmt
Management And General$34,198ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$125,647TotalAmt
Program Services$93,528ProgramServicesAmt
Management And General$32,119ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$19,218TotalAmt
Management And General$19,218ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$24,209TotalAmt
Management And General$24,209ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$10,778TotalAmt
Management And General$10,778ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,455TotalAmt
Management And General$1,455ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,417TotalAmt
Management And General$3,417ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$104,026TotalAmt
Program Services$19,904ProgramServicesAmt
Management And General$84,122ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$36,030TotalAmt
Program Services$36,030ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$4,028TotalAmt
Program Services$85ProgramServicesAmt
Management And General$3,943ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$6,154TotalAmt
Program Services$3,750ProgramServicesAmt
Management And General$2,404ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$41,658TotalAmt
Program Services$32,245ProgramServicesAmt
Management And General$9,413ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$104,726TotalAmt
Program Services$91,730ProgramServicesAmt
Management And General$12,996ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$14,506TotalAmt
Program Services$8,467ProgramServicesAmt
Management And General$6,039ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DEN - SUPPLIES$38,752$38,752
MED - SUPPLIES$32,007$32,007
FAC - MAINTENANCE$17,926$17,926
ADMIN - SUPPLIES$10,207$10,207

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$56,968TotalAmt
Program Services$36,060ProgramServicesAmt
Management And General$20,908ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,334,018TotalAmt
Program Services$1,647,472ProgramServicesAmt
Management And General$686,546ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$184,941BOYAmt
EOY$93,575EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$180,096BOYAmt
EOY$141,703EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,450BOYAmt
EOY$1,599EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,469,865LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,586,306LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$988,286BOYAmt
EOY$883,559EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,357,773BOYAmt
EOY$1,120,436EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$138,060BOYAmt
EOY$160,520EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$879,912BOYAmt
EOY$818,563EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$193,097BOYAmt
EOY$131,428EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,211,069BOYAmt
EOY$1,110,511EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$146,704BOYAmt
EOY$9,925EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$146,704BOYAmt
EOY$9,925EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,357,773BOYAmt
EOY$1,120,436EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$136,779ReconcilationRevenueExpnssAmt
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$565,712CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$509,324CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$589,485CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$422,667CurrentTaxYearMinus1YearAmt
Current Tax Year$505,674CurrentTaxYearAmt
Total$2,592,862TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$565,712CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$509,324CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$589,485CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$422,667CurrentTaxYearMinus1YearAmt
Current Tax Year$505,674CurrentTaxYearAmt
Total$2,592,862TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$2,592,862PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$975CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$605CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$350CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$223CurrentTaxYearMinus1YearAmt
Current Tax Year$120CurrentTaxYearAmt
Total$2,273TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$3,513CurrentTaxYearMinus1YearAmt
Current Tax Year$3,217CurrentTaxYearAmt
Total$6,730TotalAmt
FieldValueIRS element (for citing)
Total Support$2,601,865TotalSupportAmt
Gross Receipts Rltd Activities$1,688,228GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99650PublicSupportCY170Pct
Public Support PY1700.99680PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part IV Form990ScheduleAPartIVGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART II, LINE 10FormAndLineReferenceDesc
ExplanationOTHER INCOME 3,513ExplanationTxt

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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,000OtherCostOrOtherBasisAmt
Book Value$12,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,936,407OtherCostOrOtherBasisAmt
Depreciation$1,187,205DepreciationAmt
Book Value$749,202BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$521,458OtherCostOrOtherBasisAmt
Depreciation$399,101DepreciationAmt
Book Value$122,357BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$883,559TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$2,197,239TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$2,197,239RevenueSubtotalAmt
Total Revenue Per Form990$2,197,239TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,334,018TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$2,334,018ExpensesSubtotalAmt
Total Expenses Per Form990$2,334,018TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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

FieldValueIRS element (for citing)
PersonJERRI JENSENPersonNm
TitleEMPLOYEETitleTxt
Base Compensation Filing Org$171,383BaseCompensationFilingOrgAmt
Other Compensation Filing Org$7,800OtherCompensationFilingOrgAmt
Total Compensation Filing Org$179,183TotalCompensationFilingOrgAmt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AXIOM TECHNOLOGIESBusinessNameLine1
FieldValueIRS element (for citing)
Relationship DescriptionOWNERRelationshipDescriptionTxt
Transaction$34,312TransactionAmt
TransactionIT SERVICES & EQUIP.TransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSIONHARRINGTON FAMILY HEALTH CENTER'S MISSION IS TO CREATE A HEALTHIER COMMUNITY BY ENGAGING EACH PATIENT IN MAKING HEALTH CARE DECISIONS THAT REFLECT THE HIGHEST STANDARDS OF CARE IN CONJUNCTION WITH THE NEEDS AND DESIRES OF THE PATIENT AND HIS/HER FAMILY, AND BY MAKING THIS CARE AFFORDABLE BASED ON THE PATIENT'S ABILITY TO PAY.
FORM 990, PAGE 6, PART VI, LINE 11BREVIEWED AND APPROVED AT A BOARD MEETING.
FORM 990, PAGE 6, PART VI, LINE 12CANNUAL DISCLOSURE IS PART OF THE YEARLY BOARD WORK PLAN.
FORM 990, PAGE 6, PART VI, LINE 15ACURRENTLY IF THERE IS A VACANCY IN THE CEO POSITION, THE BOARD WOULD NORMALLY CONDUCT AN INFORMAL SURVEY OF THE SALARY PAID TO OTHER CEOS WITH SIMILAR RESPONSIBILITIES FROM NON-PROFIT ORGANIZATIONS OF SIMILAR SIZE AND COMPLEXITY. THIS IS DONE TO ESTABLISH A CURRENT SALARY RANGE FOR THE POSITION. INCREASES AFTER HIRE HAVE TRADITIONALLY BEEN DEPENDENT ON A COST OF LIVING ADJUSTMENT PROVIDED FUNDS ARE AVAILABLE.
FORM 990, PAGE 6, PART VI, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MAINTAINED IN THE OFFICE AND ARE AVAILABLE TO THE PUBLIC DURING STANDARD BUSINESS HOURS.