FURP.ORG / PUBLIC DATA EXPLORER

ST CROIX REGIONAL FAMILY HEALTH CENTER: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
ST CROIX REGIONAL FAMILY HEALTH CENTER (EIN 01-0467073)
Tax period
2020-04-01 to 2021-03-31
Filed
2022-01-21
IRS object ID
202200219349300060
Schema version
2020v4.1
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)
Return2022-01-21T08:05:53-06:00ReturnTs
Tax Period End2021-03-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010523282PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Berry Dunn McNeil & Parker LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11000 Elm Street 4th FloorAddressLine1Txt
CityManchesterCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03101ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-04-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN010467073EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1St Croix Regional Family Health CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTCRBusinessNameControlTxt
Phone2077965503PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1136 Mill StreetAddressLine1Txt
CityPrincetonCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04668ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMichael MarshallPersonNm
Person TitleBoard ChairmanPersonTitleTxt
Phone2077965503PhoneNum
Signature2022-01-18SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMichaelPersonFirstNm
Person LastMarshallPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMelissa Magoon CPAPreparerPersonNm
PTINP01712842PTIN
Phone6036697337PhoneNum
Preparation2022-01-18PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMichael MarshallPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1136 Mill StreetAddressLine1Txt
CityPrincetonCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04668ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$5,721,040GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.scrfhc.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1991FormationYr
Legal Domicile StateMELegalDomicileStateCd
Activity Or MissionPrimary health care services.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee51TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,726,027PYContributionsGrantsAmt
CY Contributions Grants$2,665,702CYContributionsGrantsAmt
PY Program Service Revenue$3,144,604PYProgramServiceRevenueAmt
CY Program Service Revenue$3,049,658CYProgramServiceRevenueAmt
PY Investment Income$22,683PYInvestmentIncomeAmt
CY Investment Income$5,680CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$4,893,314PYTotalRevenueAmt
CY Total Revenue$5,721,040CYTotalRevenueAmt
PY Grants And Similar Paid$174,966PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$342,897CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,596,029PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,069,129CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,308,474PYOtherExpensesAmt
CY Other Expenses$1,390,249CYOtherExpensesAmt
PY Total Expenses$4,079,469PYTotalExpensesAmt
CY Total Expenses$4,802,275CYTotalExpensesAmt
PY Revenues Less Expenses$813,845PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$918,765CYRevenuesLessExpensesAmt
Total Assets BOY$4,510,155TotalAssetsBOYAmt
Total Assets EOY$5,534,114TotalAssetsEOYAmt
Total Liabilities BOY$360,407TotalLiabilitiesBOYAmt
Total Liabilities EOY$465,601TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,149,748NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,068,513NetAssetsOrFundBalancesEOYAmt
MissionPrimary health services.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$3,562,125ExpenseAmt
Grant$342,897GrantAmt
Revenue$3,049,658RevenueAmt
DescProviding medical and dental services for the residents of the downeast region of Maine.Desc
Total Program Service Expenses$3,562,125TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document13IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee51EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Beth JohnsonBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2077965503PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1136 Mill StreetAddressLine1Txt
CityPrincetonCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04668ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Corinne LaPlant
Executive Director40.00Yes (X)$152,553$0$19,698
Tara Dwelley
Family Nurse Practitioner40.00$150,499$0$19,147Yes (X)
Christine White
Psychiatrist40.00$145,669$0$15,336Yes (X)
Sally Johnson
Family Nurse Practitioner40.00$133,586$0$18,737Yes (X)
Tina Bourgoin
Dentist40.00$142,252$0$2,964Yes (X)
Phylicia Bonavida
Family Nurse Practioner40.00$106,776$0$18,127Yes (X)
Beth Johnson
Finance Director40.00Yes (X)$47,440$0$8,620
Michael Marshall
Chairman2.00Yes (X)$0$0$0Yes (X)
Charles Murphy
Vice-Chairman2.00Yes (X)$0$0$0Yes (X)
Susan Murphy
Secretary2.00Yes (X)$0$0$0Yes (X)
Karen Sprague
Treasurer2.00Yes (X)$0$0$0Yes (X)
Sandra Bailey
Member2.00$0$0$0Yes (X)
Linda Bailey
Member2.00$0$0$0Yes (X)
Karen Chesebrough
Member2.00$0$0$0Yes (X)
Scott Chesebrough
Member2.00$0$0$0Yes (X)
Stacey Connolly
Member2.00$0$0$0Yes (X)
Angela Hanson
Member2.00$0$0$0Yes (X)
Nancy Marshall
Member2.00$0$0$0Yes (X)
Eryn Meeker
Member2.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$878,775TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$102,629TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K6IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$2,594,845GovernmentGrantsAmt
All Other Contributions$70,857AllOtherContributionsAmt
Total Contributions$2,665,702TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Revenu621110$3,036,743$3,036,743
Other Operating Revenu561000$12,915$12,915
FieldValueIRS element (for citing)
Total Program Service Revenue$3,049,658TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,680TotalRevenueColumnAmt
Exclusion$5,680ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,721,040TotalRevenueColumnAmt
Related Or Exempt Func Income$3,049,658RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$5,680ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$342,897TotalAmt
Program Services$342,897ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$251,360TotalAmt
Management And General$251,360ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,178,224TotalAmt
Program Services$1,643,457ProgramServicesAmt
Management And General$534,767ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$31,082TotalAmt
Program Services$24,950ProgramServicesAmt
Management And General$6,132ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$415,357TotalAmt
Program Services$303,128ProgramServicesAmt
Management And General$112,229ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$193,106TotalAmt
Program Services$132,376ProgramServicesAmt
Management And General$60,730ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$124TotalAmt
Management And General$124ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$35,024TotalAmt
Management And General$35,024ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$508,400TotalAmt
Program Services$430,440ProgramServicesAmt
Management And General$77,960ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,500TotalAmt
Management And General$1,500ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$26,841TotalAmt
Program Services$18,399ProgramServicesAmt
Management And General$8,442ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$136,868TotalAmt
Program Services$93,824ProgramServicesAmt
Management And General$43,044ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$79,352TotalAmt
Program Services$54,396ProgramServicesAmt
Management And General$24,956ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,029TotalAmt
Program Services$705ProgramServicesAmt
Management And General$324ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,359TotalAmt
Program Services$2,988ProgramServicesAmt
Management And General$1,371ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$71,117TotalAmt
Program Services$48,751ProgramServicesAmt
Management And General$22,366ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$19,902TotalAmt
Program Services$13,643ProgramServicesAmt
Management And General$6,259ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Program Supplies$335,423$335,423
Other Expenses$117,766$80,729$37,037
Equipment Rental & Repa$52,544$36,019$16,525

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,802,275TotalAmt
Program Services$3,562,125ProgramServicesAmt
Management And General$1,240,150ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,341BOYAmt
EOY$2,861EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,007,875BOYAmt
EOY$4,122,281EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$438,000BOYAmt
EOY$346,615EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$216,065BOYAmt
EOY$258,742EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$59,855BOYAmt
EOY$24,751EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,124,891LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,346,027LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$782,019BOYAmt
EOY$778,864EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,510,155BOYAmt
EOY$5,534,114EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$263,551BOYAmt
EOY$398,325EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$96,856BOYAmt
EOY$67,276EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$360,407BOYAmt
EOY$465,601EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,149,748BOYAmt
EOY$5,068,513EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,149,748BOYAmt
EOY$5,068,513EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,510,155BOYAmt
EOY$5,534,114EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$918,765ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,314,878CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,357,851CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,481,495CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,726,027CurrentTaxYearMinus1YearAmt
Current Tax Year$2,665,702CurrentTaxYearAmt
Total$8,545,953TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,707,565CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,366,068CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,989,662CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,144,604CurrentTaxYearMinus1YearAmt
Current Tax Year$3,049,658CurrentTaxYearAmt
Total$13,257,557TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,022,443CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,723,919CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,471,157CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,870,631CurrentTaxYearMinus1YearAmt
Current Tax Year$5,715,360CurrentTaxYearAmt
Total$21,803,510TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$21,803,510PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,193CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$820CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,451CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$22,683CurrentTaxYearMinus1YearAmt
Current Tax Year$5,680CurrentTaxYearAmt
Total$44,827TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,193CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$820CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,451CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$22,683CurrentTaxYearMinus1YearAmt
Current Tax Year$5,680CurrentTaxYearAmt
Total$44,827TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,023,636CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,724,739CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,485,608CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,893,314CurrentTaxYearMinus1YearAmt
Current Tax Year$5,721,040CurrentTaxYearAmt
Total$21,848,337TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99790PublicSupportCY509Pct
Public Support PY5090.99770PublicSupportPY509Pct
Investment Income CY0.00210InvestmentIncomeCYPct
Investment Income PY0.00220InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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$22,249OtherCostOrOtherBasisAmt
Book Value$22,249BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,367,832OtherCostOrOtherBasisAmt
Depreciation$762,049DepreciationAmt
Book Value$605,783BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$558,671OtherCostOrOtherBasisAmt
Depreciation$489,248DepreciationAmt
Book Value$69,423BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$176,139OtherCostOrOtherBasisAmt
Depreciation$94,730DepreciationAmt
Book Value$81,409BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$778,864TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$5,721,040TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$5,721,040RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$5,721,040TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$4,802,275TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$4,802,275ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$4,802,275TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationThe Organization is public charity under Section 501(c)(3) of the Internal Revenue Code. As a public charity, the Organization is exempt from state and federal income taxes on income earned in accordance with its tax-exempt purpose. Unrelated business income is subject to state and federal income tax. Management has evaluated the Organization's tax positions and concluded that the Organization has no unrelated business income or uncertain tax positions that require adjustment to the financial statements.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1East Grand Health CenterBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1201 Houlton RoadAddressLine1Txt
CityDanforthCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04424ZIPCd
FieldValueIRS element (for citing)
Recipient EIN010285920RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$342,897CashGrantAmt
Valuation Method UsedN/AValuationMethodUsedDesc
Non Cash AssistanceN/ANonCashAssistanceDesc
Purpose Of GrantPrimary health care services.PurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationSt. Croix Regional Family Health Center classifies transactions per grant at the time of initial accounting treatment and is thus able to recall transactions per grant for control and analysis.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Corinne LaPlant
Executive Director$152,553$0$0$0$0$0$4,362$0$15,336$0$172,251$0$0$0
Tara Dwelley
Family Nurse Practitioner$150,499$0$0$0$0$0$3,811$0$15,336$0$169,646$0$0$0
Christine White
Psychiatrist$145,669$0$0$0$0$0$0$0$15,336$0$161,005$0$0$0
Sally Johnson
Family Nurse Practitioner$133,586$0$0$0$0$0$3,401$0$15,336$0$152,323$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 3FormAndLineReferenceDesc
ExplanationSCRFHC participates in a wage study every two years that helps establish wage determination. In addition, any compensation packages/changes are brought to the board for approval which is documented in board minutes.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonTara CL DwelleyPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionDaughter of the Executive DirectorRelationshipDescriptionTxt
Transaction$169,646TransactionAmt
TransactionTara is a Nurse Practitioner for the St. Croix Family Health Center.;ListTotal 143824TransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 2Michael and Nancy Marshall have a family relationship. Charles and Susan Murphy have a family relationship. Karen and Scott Chesebrough have a family relationship.
Form 990, Part VI, Section B, line 11bThe Board Treasurer reviews the 990 and provides a copy to all the Board Members, before it is submitted to the IRS.
Form 990, Part VI, Section B, line 12cEach Board Member must read the conflict of interest policy and each Member must sign off that they understand the policy.
Form 990, Part VI, Section B, line 15SCRFHC participates in a wage study every two years that helps establish wage determination. In addition, any compensation packages/changes are brought to the board for approval which is documented in board minutes.
Form 990, Part VI, Section C, line 19All documents are available to the public.
Form 990, Part IX, line 11gContracted Medical Providers: Program service expenses 47,493. Management and general expenses 0. Fundraising expenses 0. Total expenses 47,493. 340B Contract Expenses: Program service expenses 213,015. Management and general expenses 0. Fundraising expenses 0. Total expenses 213,015. Other: Program service expenses 126,357. Management and general expenses 57,969. Fundraising expenses 0. Total expenses 184,326. Contracted IT: Program service expenses 43,575. Management and general expenses 19,991. Fundraising expenses 0. Total expenses 63,566.
Form 990, Part X, Line 10: Land, Buildings & EquipmentSection 1.263(a)-3(n) Election: St. Croix Regional Family Health Center 136 Mill Street Princeton, ME 04668 EIN: 01-0467073 St. Croix Regional Family Health Center is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).