2019-12-16T14:16:16-06:00 2019-03-31 010523282 Berry Dunn McNeil & Parker LLC 1000 Elm Street 4th Floor Manchester NH 03101 990 2018-04-01 010467073 St Croix Regional Family Health Center STCR 2077965503 136 Mill Street Princeton ME 04668 Michael Marshall Chair 2077965503 2019-12-12 1 Melissa Magoon CPA P01712842 6036697337 2019-12-12 69.49.157.66 2019-12-12 09:17:09 ES P 8B04EC08AF02322EA9ED1307B74D8AF8BDCA5114 E262D3C9A45A77A46A0A2832CF74466488750570 2018 2020-04-17 16:48:07Z Michael Marshall 136 Mill Street Princeton ME 04668 4485608 0 X www.scrfhc.org X 1991 ME Primary health care services. 12 12 40 12 0 0 1357851 1481495 2366068 2989662 820 14451 0 0 3724739 4485608 191896 176871 0 0 2086034 2436654 0 0 0 1050114 1274248 3328044 3887773 396695 597835 3050330 3801018 400521 465115 2649809 3335903 Primary health services. 0 0 3057238 176871 2989662 Providing medical and dental services for the residents of the downeast region of Maine. 3057238 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 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 11 0 1 40 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 0 0 0 X Corinne LaPlant 2077965014 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 John Lane Member 2.00 X 0 0 0 Beulah Lane 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 Corinne LaPlant Executive Director 40.00 X 119347 0 12718 Kristi Parker Financial Assistant 40.00 X 37387 0 8789 Tara Dwelley Family Nurse Practitioner 40.00 X 130994 0 12830 Sally Johnson Family Nurse Practitioner 40.00 X 127691 0 13207 Jane Ogembo Dentist 40.00 X 171516 0 9689 Christine White Psychiatrist 40.00 X 126180 0 9705 Janice Small Family Nurse Practitioner 40.00 X 102316 0 9213 815431 0 76151 6 0 1 0 0 1425245 56250 1481495 Patient Service Revenu 621110 3001242 3001242 Other Operating Revenu 561000 22627 22627 Provision for Bad Debt 621110 -34207 -34207 2989662 14451 14451 4485608 2989662 0 14451 176871 176871 178241 178241 1739003 1374352 364651 28607 20739 7868 141387 118093 23294 349416 253316 96100 483 350 133 30379 22024 8355 368215 351036 17179 414304 414304 90488 65601 24887 101195 73363 27832 15173 11000 4173 10982 10982 6626 4804 1822 82939 60128 22811 17031 12347 4684 Other Expenses 63632 46131 17501 Equipment Rental & Repa 44217 32056 12161 Telephone 19489 14129 5360 Postage & Shipping 9095 6594 2501 3887773 3057238 830535 0 X 1947182 842653 1831421 0 37176 164178 243565 15508 14093 2023808 1191698 881241 832110 42221 0 3050330 3801018 248476 340020 152045 125095 400521 465115 X 2649809 3335903 2649809 3335903 3050330 3801018 597835 88259 0 X 0 1 X 0 1 1 X 559572 653511 1314878 1357851 1481495 5367307 757225 1305190 1707565 2366068 2989662 9125710 1316797 1958701 3022443 3723919 4471157 14493017 0 0 0 14493017 115 1005 1193 820 14451 17584 115 1005 1193 820 14451 17584 2415 1492 3907 1319327 1961198 3023636 3724739 4485608 14514508 0.99850 0.99920 0.00120 0.00030 X Schedule A, Part III, Line 12, Explanation of Other Income: Other - 2014 Amount: $ 2,415. 2015 Amount: $ 1,492. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 22249 22249 1326082 672709 653373 519441 444215 75226 156036 74774 81262 832110 4485608 0 4485608 0 4485608 3887773 0 3887773 0 3887773 1 East Grand Health Center 201 Houlton Road Danforth ME 04424 010285920 501(c)(3) 176871 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. 0 0 0 0 0 0 0 0 0 Jane Ogembo Dentist 171516 0 0 0 0 0 0 0 9689 0 181205 0 0 0 Tara CL Dwelley Daughter of the Executive Director 143824 Tara is a Nurse Practitioner for the St. Croix Family Health Center. 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. 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 C, line 19 All documents are available to the public. 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). Form 990, Part XI, Line 8 The Organization determined that revenue and expense related to the 340B program were not recorded on the accrual basis in accordance with U.S. GAAP. As a result of the adjustments, the amounts previously reported have been restated as of and for the year ended March 31, 2018.