SEBASTICOOK FAMILY DOCTORS: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
SEBASTICOOK FAMILY DOCTORS (EIN 01-0546327)
Tax period
2019-10-01 to 2020-09-30
Filed
2021-08-13
IRS object ID
202112259349300921
Schema version
2019v5.2
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)
Return2021-08-13T08:51:50-05:00ReturnTs
Tax Period End2020-09-30TaxPeriodEndDt

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 Line1PO BOX 1100AddressLine1Txt
CityPortlandCityNm
State AbbreviationMEStateAbbreviationCd
ZIP041041100ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN010546327EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Sebasticook Family DoctorsBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSEBABusinessNameControlTxt
Phone2073684213PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1118 Moosehead Trail No 5AddressLine1Txt
CityNewportCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04953ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRobin WinslowPersonNm
Person TitleCEOPersonTitleTxt
Phone2073684213PhoneNum
Signature2021-08-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMelissa Magoon CPAPreparerPersonNm
PTINP01712842PTIN
Phone2077752387PhoneNum
Preparation2021-08-11PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Hometown Health CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerRobin WinslowPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1118 Moosehead Trail No 5AddressLine1Txt
CityNewportCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04953ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$6,114,318GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.hometownhealthcenter.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2001FormationYr
Legal Domicile StateMELegalDomicileStateCd
Activity Or MissionProviding quality healthcare to the uninsured and under insured regardless of their ability to pay.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee87TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,173,215PYContributionsGrantsAmt
CY Contributions Grants$2,064,229CYContributionsGrantsAmt
PY Program Service Revenue$3,685,399PYProgramServiceRevenueAmt
CY Program Service Revenue$4,048,715CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$1,374CYInvestmentIncomeAmt
PY Other Revenue$17PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$5,858,631PYTotalRevenueAmt
CY Total Revenue$6,114,318CYTotalRevenueAmt
PY Grants And Similar Paid$5,734PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$5,556CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$3,290,573PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,682,695CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,574CYTotalFundraisingExpenseAmt
PY Other Expenses$2,035,208PYOtherExpensesAmt
CY Other Expenses$1,844,611CYOtherExpensesAmt
PY Total Expenses$5,331,515PYTotalExpensesAmt
CY Total Expenses$5,532,862CYTotalExpensesAmt
PY Revenues Less Expenses$527,116PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$581,456CYRevenuesLessExpensesAmt
Total Assets BOY$2,416,901TotalAssetsBOYAmt
Total Assets EOY$3,701,891TotalAssetsEOYAmt
Total Liabilities BOY$323,758TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,027,292TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,093,143NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,674,599NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe mission of Sebasticook Family Doctors (SFD) is to ensure that primary care, dental, and mental health services are available to those that live in and around communities in which SFD serves (Newport and Dexter) SFD is a Federally Qualified Health Center (FQHC) and provides health care services to those that would otherwise be unable to afford them.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,722,845ExpenseAmt
Revenue$3,578,256RevenueAmt
DescSebasticook Family Doctors, a Federally Qualified Health Center (FQHC), is a nonprofit organization located in Newport, Maine which operates a network of physician practices in the towns of Dexter and Newport. These practices provide, or assure access to primary care, specialty care, mental health and dental health care services to residents of communities in Penobscot, Piscataquis, Somerset, and Waldo Counties.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$97,135ExpenseAmt
Grant$5,556GrantAmt
Revenue$470,459RevenueAmt
DescSFD participates in the federal 340B Drug Discount Program. Under the program, prescription drugs are purchased at reduced rates and a discount prescription drug program is available to all patients, regardless of income levels. SFD contracts with a community pharmacy to dispense these drugs to qualified patients in Newport, Dexter, and Dover-Foxcroft.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$2,819,980TotalProgramServiceExpensesAmt
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 EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
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 Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
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 Mem0BusinessRlnWithFamMemInd
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 Document28IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee87EmployeeCnt
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 Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
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 Body0Form990ProvidedToGvrnBodyInd
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 Line1Robin WinslowBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2073684213PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1118 Moosehead Trail Suite 5AddressLine1Txt
CityNewportCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04953ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Jim Lemieux
Board President1.00Yes (X)Yes (X)$0$0$0
Dawn Gordon
Board Vice President1.00Yes (X)Yes (X)$0$0$0
Michael Wiers
Board Treasurer1.00Yes (X)Yes (X)$0$0$0
Jim Burns
Board Secretary1.00Yes (X)Yes (X)$0$0$0
John Parola
Board Member1.00Yes (X)$0$0$0
Deborah Wisdom
Board Member1.00Yes (X)$0$0$0
Debra Capilli
Board Member1.00Yes (X)$0$0$0
Dawn Huntt
Board Member1.00Yes (X)$0$0$0
Marjorie Downing
Board Member1.00Yes (X)$0$0$0
Jody Fernald
Board Member1.00Yes (X)$0$0$0
Robin Winslow
Chief Executive Officer40.00Yes (X)$151,991$0$41,202
Joshua Snowman
Chief Financial Officer40.00Yes (X)$96,943$0$19,646
Michael Macdonald
Medical Director40.00$227,900$0$22,166Yes (X)
Lindsay Norton
Assistant Medical Director40.00$144,624$0$1,521Yes (X)
Cynthia Levick
Past Nurse Practioner40.00$113,607$0$14,548Yes (X)
Victoria Donaldson
Past Chief Operating Officer40.00$102,766$0$14,115Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$837,831TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$113,198TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
OSIS
PO Box 772852ChicagoIL606772852EMR Maintenance and Consulting$290,654
Roundtable Technology
PO Box 2313LewistonME042412313IT Consultants and On-Site Support$185,528
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Government Grants$2,053,728GovernmentGrantsAmt
All Other Contributions$10,501AllOtherContributionsAmt
Total Contributions$2,064,229TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Fees621110$3,188,747$3,188,747
Drug Program Revenue621110$470,459$470,459
Other Revenue621110$355,495$355,495
Bad Debt Recoveries621110$34,014$34,014
FieldValueIRS element (for citing)
Total Program Service Revenue$4,048,715TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,374TotalRevenueColumnAmt
Exclusion$1,374ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,114,318TotalRevenueColumnAmt
Related Or Exempt Func Income$4,048,715RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,374ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$5,556TotalAmt
Program Services$5,556ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$667,177TotalAmt
Management And General$667,177ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,432,712TotalAmt
Program Services$1,828,062ProgramServicesAmt
Management And General$604,650ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$35,063TotalAmt
Program Services$15,008ProgramServicesAmt
Management And General$20,055ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$320,571TotalAmt
Program Services$147,430ProgramServicesAmt
Management And General$173,141ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$227,172TotalAmt
Program Services$133,757ProgramServicesAmt
Management And General$93,415ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$41,672TotalAmt
Management And General$41,672ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$18,834TotalAmt
Management And General$18,834ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$130,057TotalAmt
Program Services$83,100ProgramServicesAmt
Management And General$46,957ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$143,216TotalAmt
Program Services$7,681ProgramServicesAmt
Management And General$135,535ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$43,924TotalAmt
Management And General$43,924ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$626,032TotalAmt
Program Services$284,867ProgramServicesAmt
Management And General$341,165ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$286,835TotalAmt
Program Services$14,582ProgramServicesAmt
Management And General$272,253ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$118,251TotalAmt
Program Services$32,677ProgramServicesAmt
Management And General$85,574ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$17,992TotalAmt
Management And General$17,992ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$86,144TotalAmt
Program Services$26,488ProgramServicesAmt
Management And General$59,656ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$58,620TotalAmt
Management And General$58,620ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Program Supplies$120,908$120,908
Drug Program$97,135$97,135
Dues & Subscriptions$53,417$22,729$30,688
Miscellaneous$1,574$1,574

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,532,862TotalAmt
Program Services$2,819,980ProgramServicesAmt
Management And General$2,711,308ManagementAndGeneralAmt
Fundraising$1,574FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
EOY$867,769EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,006,365BOYAmt
EOY$537,092EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$275,330BOYAmt
EOY$858,554EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$502,134BOYAmt
EOY$495,921EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$10,036BOYAmt
EOY$28,429EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$74,360BOYAmt
EOY$157,086EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,728,356LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,195,725LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$414,411BOYAmt
EOY$532,631EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$98,219BOYAmt
EOY$189,955EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$9,447BOYAmt
EOY$13,331EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$26,599BOYAmt
EOY$21,123EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,416,901BOYAmt
EOY$3,701,891EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$251,328BOYAmt
EOY$365,775EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$72,430BOYAmt
EOY$46,517EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$615,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$323,758BOYAmt
EOY$1,027,292EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,086,277BOYAmt
EOY$2,665,188EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,866BOYAmt
EOY$9,411EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,093,143BOYAmt
EOY$2,674,599EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,416,901BOYAmt
EOY$3,701,891EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$581,456ReconcilationRevenueExpnssAmt
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$2,057,858CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,929,603CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,983,852CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,173,215CurrentTaxYearMinus1YearAmt
Current Tax Year$2,064,229CurrentTaxYearAmt
Total$10,208,757TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,717,781CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,735,033CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,463,582CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,685,416CurrentTaxYearMinus1YearAmt
Current Tax Year$4,048,715CurrentTaxYearAmt
Total$19,650,527TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,775,639CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,664,636CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,447,434CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,858,631CurrentTaxYearMinus1YearAmt
Current Tax Year$6,112,944CurrentTaxYearAmt
Total$29,859,284TotalAmt

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$29,859,284PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year$1,374CurrentTaxYearAmt
Total$1,374TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year$1,374CurrentTaxYearAmt
Total$1,374TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,775,639CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,664,636CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,447,434CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,858,631CurrentTaxYearMinus1YearAmt
Current Tax Year$6,114,318CurrentTaxYearAmt
Total$29,860,658TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5091.00000PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
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

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,866BeginningYearBalanceAmt
Contributions$8,101ContributionsAmt
Grants Or Scholarships$5,556GrantsOrScholarshipsAmt
End Year Balance$9,411EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,712BeginningYearBalanceAmt
Contributions$5,560ContributionsAmt
Grants Or Scholarships$5,734GrantsOrScholarshipsAmt
Administrative Expenses$672AdministrativeExpensesAmt
End Year Balance$6,866EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,893BeginningYearBalanceAmt
Contributions$6,768ContributionsAmt
Grants Or Scholarships$8,949GrantsOrScholarshipsAmt
End Year Balance$7,712EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,633BeginningYearBalanceAmt
Contributions$7,586ContributionsAmt
Grants Or Scholarships$7,326GrantsOrScholarshipsAmt
End Year Balance$9,893EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,633BeginningYearBalanceAmt
Contributions$5,408ContributionsAmt
Grants Or Scholarships$5,408GrantsOrScholarshipsAmt
End Year Balance$9,633EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY1.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$297,239OtherCostOrOtherBasisAmt
Depreciation$207,124DepreciationAmt
Book Value$90,115BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,431,117OtherCostOrOtherBasisAmt
Depreciation$988,601DepreciationAmt
Book Value$442,516BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$532,631TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescInterest in Community Care Partnership of Maine LLCDesc
Book Value$189,955BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$189,955TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescCARES Act FundingDesc
Amt$615,000Amt
FieldValueIRS element (for citing)
Total Liability$615,000TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$6,080,304TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$6,080,304RevenueSubtotalAmt
Other Revenues Not Included$34,014OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$34,014RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$6,114,318TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$5,498,848TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$5,498,848ExpensesSubtotalAmt
Other Expenses Not Included$34,014OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$34,014ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$5,532,862TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:The Organization's endowment funds consist entirely of the Hands of Giving Fund. The Hands of Giving Fund provides financial assistance to patients and staff members in need, and to the communities served by SFD. The Fund is fully funded by voluntary, direct deposits from SFD employees and other donations.
Part X, Line 2:The Organization is a 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.
Part XI, Line 4b - Other Adjustments:Bad Debt Recoveries 34,014.
Part XII, Line 4b - Other Adjustments:Bad Debt Recoveries 34,014.

Schedule I IRS990ScheduleI

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

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeHands of Giving FundsGrantTypeTxt
Recipient11RecipientCnt
Cash Grant$5,556CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationA patient or staff member of SFD who needs assistance shall fill out a form (the "outreach form") containing the following information (I) the name of the person in need (unless the request is made anonymously), (II) patient date of birth, (III) the amount of financial assistance requested, and (IV) the reason the financial assistance is needed. The Organization's campaign committee shall be responsible for (I) establishing the policies that govern the campaign, and (II) deciding which of the requests for assistance will be fulfilled. The outreach department will take the request and research resources for the patient. If the request can be fulfilled without Hands of Giving monies, the outreach department will handle this and will report this out at the quarterly campaign committee meeting. If the request cannot be fulfilled the outreach department will resent the request to the Hands of Giving committee. SFD also looks at needs in the community and donates to these programs, individuals, or families. Again, the same process is followed and the outreach department looks at resources and then the request goes through the committee to be voted upon.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
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 PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 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
Robin Winslow
Chief Executive Officer$145,991$0$6,000$0$0$0$6,080$0$35,122$0$193,193$0$0$0
Michael Macdonald
Medical Director$227,900$0$0$0$0$0$0$0$22,166$0$250,066$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 7FormAndLineReferenceDesc
ExplanationBonuses are determined based upon measurable goals and are encounter-based. Bonuses are discretionary in nature.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11bA draft of the Form 990 is reviewed by the Organization's finance committee before being submitted for final approval by the full board. Once approved, the Form is filed with the Internal Revenue Service.
Form 990, Part VI, Section B, line 12cAt the regular meetings of the board of directors, members are reminded about the importance of adhering to the conflict of interest policy, and, at that time, members are asked if any conflict of interest(s) exist. Any employee who is uncertain whether their conduct violates the conflict of interest policy is instructed to consult with the Organization's CEO. Any employee who has reason to believe that the conflict of interest has been violated by another employee is required to report such belief to their immediate supervisor who shall then report the matter to the CEO.
Form 990, Part VI, Section B, line 15The executive committee evaluates the compensation package of the Organization's CEO. Their evaluation is taken to the full board for final approval and a two- year contract is then signed. The committee reviews the CEO's compensation annually.
Form 990, Part VI, Section C, line 19The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.
Form 990, Part X, Line 10: Land, Buildings, and Equipment:Section 1.263(a)-3(n) Election: Sebasticook Family Doctors 118 Moosehead Trail No 5 Newport, ME 04953 EIN: 01-0546327 Sebasticook Family Doctors is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.