2020-11-17T13:20:12-06:00 2020-03-31 010523282 Berry Dunn McNeil & Parker LLC 1000 Elm Street 4th Floor Manchester NH 03101 990 2019-04-01 010467073 St Croix Regional Family Health Center STCR 2077965503 136 Mill Street Princeton ME 04668 Michael Marshall Chair 2077965503 2020-11-17 1 Melissa Magoon CPA P01712842 6036697337 2020-11-17 69.49.157.66 2020-11-17 09:05:24 ES P D4A930D110CC79563DDC28EF5C9BEE4D9E824928 8B04EC08AF02322EA9ED1307B74D8AF8BDCA5114 2019 2021-01-29 14:40:06Z Michael Marshall 136 Mill Street Princeton ME 04668 4893314 0 X www.scrfhc.org X 1991 ME Primary health care services. 12 12 46 12 0 0 1481495 1726027 2989662 3144604 14451 22683 0 0 4485608 4893314 176871 174966 0 0 2436654 2596029 0 0 0 1274248 1308474 3887773 4079469 597835 813845 3801018 4510155 465115 360407 3335903 4149748 Primary health services. 0 0 2943290 174966 3144604 Providing medical and dental services for the residents of the downeast region of Maine. 2943290 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 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 9 0 1 46 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Beth Johnson 2077965503 136 Mill Street Princeton ME 04668 Michael Marshall Chair 2.00 X X 0 0 0 Charles Murphy Vice-Chair 2.00 X X 0 0 0 Susan Murphy Secretary 2.00 X X 0 0 0 Karen Sprague Treasurer 2.00 X X 0 0 0 Sandra Bailey Member 2.00 X 0 0 0 Linda Bailey Member 2.00 X 0 0 0 Nancy Marshall Member 2.00 X 0 0 0 Angela Hanson Member 2.00 X 0 0 0 Karen Chesebrough Member 2.00 X 0 0 0 Scott Chesebrough Member 2.00 X 0 0 0 Eryn Meeker Member 2.00 X 0 0 0 Stacey Connolly Member 2.00 X 0 0 0 John Lane Past Member 2.00 X 0 0 0 Beulah Lane Past Member 2.00 X 0 0 0 Corinne LaPlant Executive Director 40.00 X 129794 0 16457 Kristi Parker Past Financial Assistant 40.00 X 3495 0 994 Christopher Veach Past Financial Assistant 40.00 X 65404 0 6152 Tara Dwelley Family Nurse Practitioner 40.00 X 134570 0 16767 Sally Johnson Family Nurse Practitioner 40.00 X 128361 0 16585 Jane Ogembo Dentist 40.00 X 136765 0 9643 Christine White Psychiatrist 40.00 X 140478 0 12874 Janice Small Family Nurse Practitioner 40.00 X 106032 0 15236 844899 0 94708 6 0 1 0 0 1703027 23000 1726027 Patient Service Revenu 621110 3139028 3139028 Other Operating Revenu 561000 5576 5576 3144604 22683 22683 4893314 3144604 0 22683 X 174966 174966 222296 222296 1845094 1345393 499701 34099 24805 9294 117247 90361 26886 377293 248366 128927 32882 32882 421547 370079 51468 4055 4055 90214 59386 30828 81653 53751 27902 20305 13366 6939 7539 7539 5337 3513 1824 83214 54778 28436 17790 11711 6079 Program Supplies 394333 394333 Other Expenses 86882 57193 29689 Equipment Rental & Repa 34880 22961 11919 Telephone 19565 12879 6686 8278 5449 2829 4079469 2943290 1136179 0 X 842653 6341 1831421 3007875 37176 438000 243565 216065 14093 59855 2056931 1274912 832110 782019 3801018 4510155 340020 263551 125095 96856 465115 360407 X 3335903 4149748 3335903 4149748 3801018 4510155 813845 0 X 0 1 X 1 1 1 X 653511 1314878 1357851 1481495 1726027 6533762 1305190 1707565 2366068 2989662 3144604 11513089 1958701 3022443 3723919 4471157 4870631 18046851 0 0 0 18046851 1005 1193 820 14451 22683 40152 1005 1193 820 14451 22683 40152 1492 1492 1961198 3023636 3724739 4485608 4893314 18088495 0.99770 0.99850 0.00220 0.00120 X Schedule A, Part III, Line 12, Explanation of Other Income: Other - 2015 Amount: $ 1,492. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 22249 22249 1326082 716704 609378 552564 472009 80555 156036 86199 69837 782019 X 4893314 0 4893314 0 4893314 4079469 0 4079469 0 4079469 Part X, Line 2: The 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. 1 East Grand Health Center 201 Houlton Road Danforth ME 04424 010285920 501(c)(3) 174966 N/A N/A Primary health care services. 1 Part I, Line 2: St. 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. X X 0 0 0 0 0 0 0 0 0 Tara Dwelley Family Nurse Practitioner 134570 0 0 0 0 0 3893 0 12874 0 151337 0 0 0 Christine White Psychiatrist 140478 0 0 0 0 0 0 0 12874 0 153352 0 0 0 Part I, Line 3 SCRFHC 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. Tara CL Dwelley Daughter of the Executive Director 151337 Tara is a Nurse Practitioner for the St. Croix Family Health Center.;ListTotal 143824 0 Form 990, Part VI, Section A, line 2 Beulah and John Lane have a family relationship. Michael 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 11b The 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 12c Each 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 15 SCRFHC 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 19 All documents are available to the public. Form 990, Part IX, line 11g Contracted Medical Providers: Program service expenses 51,174. Management and general expenses 0. Fundraising expenses 0. Total expenses 51,174. 340B Contract Expenses: Program service expenses 219,756. Management and general expenses 0. Fundraising expenses 0. Total expenses 219,756. Other: Program service expenses 65,495. Management and general expenses 33,998. Fundraising expenses 0. Total expenses 99,493. Contracted IT: Program service expenses 33,654. Management and general expenses 17,470. Fundraising expenses 0. Total expenses 51,124. Form 990, Part X, Line 10: Land, Buildings & Equipment Section 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).