2021-11-10T11:15:58-06:00 2021-06-30 010523282 Berry Dunn McNeil & Parker LLC 1000 Elm Street 4th Floor Manchester NH 03101 990 2020-07-01 010354589 Eastport Health Care Inc EAST 2078536001 30 Boynton Street Eastport ME 04631 Wanda Matthews CFO 2078536001 2021-11-08 1 Wanda Matthews 999009999 Melissa Magoon CPA P01712842 6036697337 2021-11-08 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z Ellen Krajewski 30 Boynton Street Eastport ME 04631 7330150 0 X www.eastporthealth.org X 1976 ME Health services to low income individuals in the area. 9 9 69 9 0 0 1518989 3461687 3398277 3482634 33543 56519 0 0 4950809 7000840 15500 8500 0 0 3895491 4111189 0 0 0 1430583 1431051 5341574 5550740 -390765 1450100 3354845 4149264 1508692 596611 1846153 3552653 Health services to low income individuals in the area. 0 0 4163986 3482634 To provide health care services to underserved populations in the downeast Maine area. Services are primarily provided to low income households. 8500 8500 Provide Scholarships to local students in the Organization's service area who are attending college to study the medical field. 4172486 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 27 0 1 69 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Wanda Matthews 2078536001 30 Boynton Street Eastport ME 04631 Cynthia Sammis MD 40.00 X 231574 0 12179 Laurie Churchill MD 40.00 X 219678 0 11900 Susan Luthin MD 40.00 X 193369 0 11341 Abhay Ektare DDS 40.00 X 179537 0 11141 Adam Simmons DPM 40.00 X 161495 0 19486 Ellen Krajewski CEO 40.00 X 132892 0 10166 Wanda Matthews CFO 40.00 X 79550 0 6085 Suzanne O'Connor President 1.00 X X 0 0 0 Brian Frutchey Vice President 1.00 X X 0 0 0 John Venskus Treasurer 1.00 X X 0 0 0 Samuel Whitney Secretary 1.00 X X 0 0 0 John Hawkes Director 1.00 X 0 0 0 Stephanie Page Director 1.00 X 0 0 0 Megan Patterson Director 1.00 X 0 0 0 Marilu Scott Director 1.00 X 0 0 0 Christina Smith Director 1.00 X 0 0 0 John Foster Past Director 1.00 X 0 0 0 Molly McDonald Past Secretary 1.00 X X 0 0 0 1198095 0 82298 7 0 1 0 Norther Light Healthcare 43 Whitting Hill Rd Ste 14 Brewer ME 04412 Behavioral Health 171543 Athena 311 Arsenal St Watertown MA 02472 Billing Service 124262 Valic PO Box 301104 Dallas TX 75303 Retirement 109324 3 3460737 950 3461687 Patient Service Revenu 621300 2658401 2658401 340B Revenue 446110 799851 799851 Other Operating Revenu 621300 24382 24382 3482634 19781 19781 366048 329310 36738 36738 36738 7000840 3482634 0 56519 8500 8500 228694 228694 3162381 2513607 648774 453756 344735 109021 266358 193457 72901 5175 5175 10541 10541 284566 202706 81860 5078 231 4847 64461 20009 44452 151622 145206 6416 92137 66750 25387 3799 3660 139 29024 17496 11528 8224 2872 5352 68378 45497 22881 35578 14422 21156 Supplies 388605 346751 41854 340B Expenses 163697 163697 Telecommunication Expen 51983 31573 20410 Other 49805 35883 13922 18378 15434 2944 5550740 4172486 1378254 0 X 877902 1280338 657107 685039 22679 98383 129158 165995 25413 42000 2126662 1626061 532567 500601 1110019 1376908 3354845 4149264 281462 364851 176912 0 273418 231760 776900 0 1508692 596611 X 1675124 3388691 171029 163962 1846153 3552653 3354845 4149264 1450100 256400 0 X 0 1 X 1 1 1 X 1583503 1469205 1513112 1518989 3461687 9546496 1583503 1469205 1513112 1518989 3461687 9546496 9546496 86973 23911 37850 27746 19781 196261 9742757 18274877 0.97990 0.97710 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 20245 20245 1307240 1045718 261522 740798 521964 218834 58379 58379 0 500601 X 7238199 256400 256400 6981799 10541 8500 19041 7000840 5531699 0 5531699 10541 8500 19041 5550740 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: Scholarships Paid 8,500. Part XII, Line 4b - Other Adjustments: Scholarships Paid 8,500. 1 Scholarships 9 8500 Part I, Line 2: All scholarship recipients must be enrolled full-time at a college to receive funds, copies of schedules are required to be furnished and transcripts are required to continue to receive funds. X 0 0 0 0 0 0 0 0 0 Cynthia Sammis MD 231574 0 0 0 0 0 0 0 12179 0 243753 0 0 0 Laurie Churchill MD 219678 0 0 0 0 0 0 0 11900 0 231578 0 0 0 Susan Luthin MD 193369 0 0 0 0 0 0 0 11341 0 204710 0 0 0 Abhay Ektare DDS 179537 0 0 0 0 0 0 0 11141 0 190678 0 0 0 Adam Simmons DPM 161495 0 0 0 0 0 0 0 19486 0 180981 0 0 0 Form 990, Part VI, Section B, line 11b The Form 990 is presented to the finance committee for review with the financial officer and when in agreement regarding the accuracy of said return it is presented to the full board of directors for their review and acceptance. Form 990, Part VI, Section B, line 12c Employees and Board members must advise the Board of any conflicts of interest and related issues. The Board then addresses the issues as a unit. Form 990, Part VI, Section B, line 15 Reviewed by independent persons, comparability data and substantiation of the deliberation and decision process. Form 990, Part VI, Section C, line 19 The Financial Statements and personnel policy handbooks are available to the public upon request. Form 990, Part X, Line 10: Land, Buildings, and Equipment: Section 1.263(a)-3(n) Election: Eastport Health Care, Inc. 30 Boynton Street Eastport, ME 04631 EIN: 01-0354589 Eastport Health Care, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).