PORTLAND COMMUNITY HEALTH CENTER: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- PORTLAND COMMUNITY HEALTH CENTER (EIN 45-4960453)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-03-02
- IRS object ID
- 201820619349300137
- Schema version
- 2016v3.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-03-02T17:18:56-05:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 010511973 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NICHOLSON MICHAUD & COMPANY | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 76 SILVER ST | AddressLine1Txt |
| City | WATERVILLE | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 049016528 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 454960453 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PORTLAND COMMUNITY HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PORT | BusinessNameControlTxt |
| Phone | 2078742141 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 180 PARK AVENUE | AddressLine1Txt |
| City | PORTLAND | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04102 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANN TUCKER | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 2078742141 | PhoneNum |
| Signature | 2018-02-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ERIK NADEAU CPA | PreparerPersonNm |
| PTIN | P00959193 | PTIN |
| Phone | 2078727077 | PhoneNum |
| Preparation | 2018-02-05 | PreparationDt |
Filing Security Information FilingSecurityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| At Submission Creation Device Id | B8BF1AAF05A33608B74AF350F9A536E2413A445D | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 4616E6369832AB792A5F1316DF1950A0BF6B5A78 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREATER PORTLAND HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ANN TUCKER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 180 PARK AVE | AddressLine1Txt |
| City | PORTLAND | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04102 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $7,543,856 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.GREATERPORTLANDHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2013 | FormationYr |
| Legal Domicile State | ME | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HIGH QUALITY, PATIENT-CENTERED HEALTHCARE THAT IS ACCESSIBLE, AFFORDABLE, AND CULTURALLY SENSITIVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 93 | TotalEmployeeCnt |
| Total Volunteers | 19 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $3,085,096 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,405,236 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,895,981 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $3,138,609 | CYProgramServiceRevenueAmt |
| PY Investment Income | $25 | PYInvestmentIncomeAmt |
| CY Investment Income | $11 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $4,981,102 | PYTotalRevenueAmt |
| CY Total Revenue | $7,543,856 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $3,261,858 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,718,658 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,582,931 | PYOtherExpensesAmt |
| CY Other Expenses | $2,319,789 | CYOtherExpensesAmt |
| PY Total Expenses | $4,844,789 | PYTotalExpensesAmt |
| CY Total Expenses | $7,038,447 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $136,313 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $505,409 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,102,113 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,922,537 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $791,816 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,106,831 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $310,297 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $815,706 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE HIGH QUALITY, PATIENT-CENTERED HEALTHCARE THAT IS ACCESSIBLE, AFFORDABLE, AND CULTURALLY SENSITIVE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $4,987,833 | ExpenseAmt |
| Revenue | $2,573,659 | RevenueAmt |
| Desc | THE ORGANIZATION PROVIDES A COMPREHENSIVE ARRAY OF PRIMARY CARE SERVICES TO ITS TARGET POPULATIONS ACROSS THE FULL LIFECYCLE - PEDIATRIC, ADOLESCENT, ADULT, AND GERIATRIC CARE. FINANCIAL ASSISTANCE COUNSELORS ASSISTED NEW AND PROSPECTIVE PATIENTS WITH ENROLLMENT IN THE AFFORDABLE CARE ACT MARKETPLACE FOR INSURANCE COVERAGE, AND ASSISTED WITH IDENTIFYING ELIGIBILITY AND ENROLLMENT FOR MEDICAID, MEDICARE, AND/OR OTHER ASSISTANCE PROGRAMS. THE ORGANIZATION PROVIDED ENABLING SERVICES AND PEER SUPPORT INCLUDING CASE MANAGEMENT,TRANSLATION SERVICES, AND TRANSPORTATION VOUCHERS TO ENSURE ACCESS TO CARE AND CONNECTION WITH NEEDED SOCIAL SERVICES AND BASIC NEEDS. REFERRALS FOR SPECIALTY CARE ARE FACILITATED BY A REFERRALS COORDINATOR, AND THROUGH FORMAL ARRANGEMENTS WITH LOCAL HOSPITALS AND SPECIALISTS WHO ACCEPT PORTLAND COMMUNITY HEALTH CENTER'S SLIDING FEE SCALE AND PROVIDE CHARITY CARE FOR THOSE PATIENTS UNABLE TO PAY. LABORATORY AND RADIOLOGY SERVICES ARE PROVIDED THROUGH LOCAL HOSPITAL SYSTEMS ON A SLIDING FEE SCALE THAT ENSURES THE SAME OR LOWER CHARGES FOR THE HEALTH CENTER'S PATIENTS. HEALTH FAIRS AND SCREENING CLINICS ARE PROVIDED AT LOCAL SCHOOLS, HOUSING AUTHORITY COMMUNITIES, LIBRARY, AND SOCIAL SERVICE AGENCIES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,094,891 | ExpenseAmt |
| Revenue | $564,950 | RevenueAmt |
| Desc | THE ORGNIZATION PROVIDED COMPREHENSIVE MENTAL HEALTH AND SUBSTANCE ABUSE COUNSELING SERVICES IN A FULLY INTEGRATED MANNER ON-SITE AT ITS PORTLAND AND SOUTH PORTLAND, MAINE LOCATIONS. LICENSED CLINICAL SOCIAL WORKERS ON EACH HEALTH CARE TEAM HELP PATIENTS MAKE NEEDED CHANGES THROUGH HEALTH COACHING AND PROVIDING BEHAVIORAL STRATEGIES THAT IMPROVE HEALTH AND REDUCE HARM. SOME OF THESE INCLUDE STRESS MANAGEMENT TECHNIQUES, SMOKING CESSATION, AND MOTIVATIONAL INTERVIEWING. SUPPORT GROUPS AND EDUCATIONAL SESSIONS ARE OFFERED ON SITE AT NOMINAL OR NO FEE. THESE INCLUDE NUTRITION CLASSES, SUPPORT GROUPS FOR NEW IMMIGRANTS, MEETINGS OF ALCOHOLICS ANONYMOUS, AND A VARIETY OF SPECIAL INTEREST TOPIC HEALTH SESSIONS, FOR EXAMPLE, DIABETES EDUCATION. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $6,082,724 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 12 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 93 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANN TUCKER | PersonNm |
| Phone | 2078742141 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 180 PARK AVENUE | AddressLine1Txt |
| City | PORTLAND | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04102 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|
| VICTORIA FOLEY | |||||||
| PRESIDENT | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| GRETE ZEMANS | |||||||
| VICE PRESIDE | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RICHARD WHITE | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| NADINE TWAGIRAYEZU | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CHAMIS OMAR | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| MAURICE NAMWIRA | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| ADRIA MOYNIHAN RUSK | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| EILEEN SKILLINGS | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| VICTORIA CHICON | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| AMY KUSTRA BARKSDALE | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| GLORIA HERBOLDSHEIMER | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| BRUNO YOMOAH | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| JOYCE RACINE | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| LESLIE CLARK | |||||||
| CEO | 40.00 | Yes (X) | $140,460 | $0 | $17,880 | ||
| ANN TUCKER | |||||||
| CFO | 40.00 | Yes (X) | $95,750 | $0 | $21,016 | ||
| ELIZABETH JACKSON | |||||||
| CQO | 40.00 | Yes (X) | $75,857 | $0 | $9,154 | ||
| RENEE FAY-LEBLANC | |||||||
| CMO | 40.00 | $190,460 | $0 | $25,282 | Yes (X) | ||
| SETH MILLER | |||||||
| MEDICAL DIRE | 40.00 | $165,620 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $668,147 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $73,332 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Government Grants | $4,185,856 | GovernmentGrantsAmt |
| All Other Contributions | $219,380 | AllOtherContributionsAmt |
| Total Contributions | $4,405,236 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| PATIENT SERVICE REVENUE | $3,096,109 | $3,096,109 |
| MEANINGFUL USE | $42,500 | $42,500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $3,138,609 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11 | TotalRevenueColumnAmt |
| Exclusion | $11 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,543,856 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,138,609 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $11 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $432,737 | TotalAmt |
| Program Services | $96,891 | ProgramServicesAmt |
| Management And General | $335,846 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,643,392 | TotalAmt |
| Program Services | $3,481,946 | ProgramServicesAmt |
| Management And General | $161,446 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $311,943 | TotalAmt |
| Program Services | $311,943 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $330,586 | TotalAmt |
| Program Services | $292,751 | ProgramServicesAmt |
| Management And General | $37,835 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,567 | TotalAmt |
| Program Services | $39,654 | ProgramServicesAmt |
| Management And General | $9,913 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,056 | TotalAmt |
| Program Services | $19,245 | ProgramServicesAmt |
| Management And General | $4,811 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,100 | TotalAmt |
| Program Services | $1,680 | ProgramServicesAmt |
| Management And General | $420 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,243 | TotalAmt |
| Program Services | $29,243 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,237 | TotalAmt |
| Program Services | $36,897 | ProgramServicesAmt |
| Management And General | $7,340 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $323,880 | TotalAmt |
| Program Services | $299,792 | ProgramServicesAmt |
| Management And General | $24,088 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $330,413 | TotalAmt |
| Program Services | $297,372 | ProgramServicesAmt |
| Management And General | $33,041 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,244 | TotalAmt |
| Program Services | $14,244 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,655 | TotalAmt |
| Management And General | $13,655 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $141,479 | TotalAmt |
| Program Services | $121,809 | ProgramServicesAmt |
| Management And General | $19,670 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,650 | TotalAmt |
| Program Services | $39,279 | ProgramServicesAmt |
| Management And General | $10,371 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CONTRACTUAL SERVICES | $554,090 | $324,705 | $229,385 |
| MEDICAL SUPPLIES | $175,083 | $175,083 | |
| SMALL EQUIPMENT PURCHASES | $154,552 | $141,332 | $13,220 |
| IMMUNIZATIONS | $134,446 | $134,446 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $279,094 | TotalAmt |
| Program Services | $224,412 | ProgramServicesAmt |
| Management And General | $54,682 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,038,447 | TotalAmt |
| Program Services | $6,082,724 | ProgramServicesAmt |
| Management And General | $955,723 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $187,694 | BOYAmt |
| EOY | $504,524 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $236,714 | BOYAmt |
| EOY | $162,637 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $197,020 | BOYAmt |
| EOY | $267,757 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,848 | BOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,495 | BOYAmt |
| EOY | $42,728 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $920,944 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $412,938 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $353,257 | BOYAmt |
| EOY | $508,006 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,085 | BOYAmt |
| EOY | $436,885 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,102,113 | BOYAmt |
| EOY | $1,922,537 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $529,681 | BOYAmt |
| EOY | $610,824 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,049 | BOYAmt |
| EOY | $233,396 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $221,086 | BOYAmt |
| EOY | $262,611 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $791,816 | BOYAmt |
| EOY | $1,106,831 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $286,194 | BOYAmt |
| EOY | $757,271 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,103 | BOYAmt |
| EOY | $58,435 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $310,297 | BOYAmt |
| EOY | $815,706 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,102,113 | BOYAmt |
| EOY | $1,922,537 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $505,409 | ReconcilationRevenueExpnssAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $54,638 | OtherCostOrOtherBasisAmt |
| Depreciation | $803 | DepreciationAmt |
| Book Value | $53,835 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $541,595 | OtherCostOrOtherBasisAmt |
| Depreciation | $233,303 | DepreciationAmt |
| Book Value | $308,292 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $324,711 | OtherCostOrOtherBasisAmt |
| Depreciation | $178,832 | DepreciationAmt |
| Book Value | $145,879 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $508,006 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER RECEIVABLES | $403,356 |
| SECURITY DEPOSITS | $29,903 |
| LOAN CLOSING COSTS, NET | $2,445 |
| INVESTMENT IN COMMUNITY CARE | $1,181 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $436,885 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| REFUNDABLE ADVANCES | $162,611 |
| LINE OF CREDIT | $100,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $262,611 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $7,543,856 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $7,543,856 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $7,543,856 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $7,038,447 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $7,038,447 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $7,038,447 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|
| LESLIE CLARK | ||||
| CEO | $140,460 | $10,400 | $7,480 | $158,340 |
| RENEE FAY-LEBLANC | ||||
| CMO | $190,460 | $18,000 | $7,282 | $215,742 |
| SETH MILLER | ||||
| MEDICAL DIRECTOR | $165,620 | $165,620 | ||
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4A | ACCESS TO CARE AND CONNECTION WITH NEEDED SOCIAL SERVICES AND BASIC NEEDS. REFERRALS FOR SPECIALTY CARE ARE FACILITATED BY A REFERRALS COORDINATOR, AND THROUGH FORMAL ARRANGEMENTS WITH LOCAL HOSPITALS AND SPECIALISTS WHO ACCEPT PORTLAND COMMUNITY HEALTH CENTER'S SLIDING FEE SCALE AND PROVIDE CHARITY CARE FOR THOSE PATIENTS UNABLE TO PAY. LABORATORY AND RADIOLOGY SERVICES ARE PROVIDED THROUGH LOCAL HOSPITAL SYSTEMS ON A SLIDING FEE SCALE THAT ENSURES THE SAME OR LOWER CHARGES FOR THE HEALTH CENTER'S PATIENTS. HEALTH FAIRS AND SCREENING CLINICS ARE PROVIDED AT LOCAL SCHOOLS, HOUSING AUTHORITY COMMUNITIES, LIBRARY, AND SOCIAL SERVICE AGENCIES. |
| FORM 990, PAGE 2, PART III, LINE 4B | NO FEE. THESE INCLUDE NUTRITION CLASSES, SUPPORT GROUPS FOR NEW IMMIGRANTS, MEETINGS OF ALCOHOLICS ANONYMOUS, AND A VARIETY OF SPECIAL INTEREST TOPIC HEALTH SESSIONS, FOR EXAMPLE, DIABETES EDUCATION. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FORM 990 WAS PROVIDED TO THE BOARD OF DIRECTORS FOR DISCUSSION, REVIEW AND APPROVAL BEFORE FILING. |
| FORM 990, PAGE 6, PART VI, LINE 12C | BOARD MEMBERS AND OTHER KEY EMPLOYEES ARE REQUIRED TO READ AND SIGN CONFLICT OF INTEREST STATEMENTS ON AN ANNUAL BASIS OR WHEN THERE IS A CHANGE IN BOARD MEMBER OR KEY OFFICER. |
| FORM 990, PAGE 6, PART VI, LINE 15A | SENIOR MANAGEMENT SALARIES ARE BASED ON NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS SALARY SURVEY INFORMATION THAT IS PROVIDED AND REVIEWED ANNUALLY BY THE FINANCE COMMITTEE AND BOARD OF DIRECTORS. COMPENSATION IN THE RANGE IS BASED ON REQUISITE EXPERIENCE. |
| FORM 990, PAGE 6, PART VI, LINE 15B | OTHER OFFICER AND KEY EMPLOYEE SALARIES ARE BASED ON NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS SALARY SURVEY INFORMATION THAT IS PROVIDED AND REVIEWED ANNUALLY BY THE FINANCE COMMITTEE AND BOARD OF DIRECTORS. COMPENSATION IN THE RANGE IS BASED ON REQUISITE EXPERIENCE. |
| FORM 990, PAGE 6, PART VI, LINE 19 | PRINTED COPIES OF GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE AT ORGANIZATION HEADQUARTERS. FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC; HOWEVER,PERTINENT ANNUAL FINANCIAL RESULTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PAGE 12, PART XII, LINE 2C | THERE HAS BEEN NO CHANGE TO THE PROCESS FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY CARE PARTNERSHIPS OF ME | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 103 MAINE AVE | AddressLine1Txt |
| Address Line2 | PO BOX 1358 | AddressLine2Txt |
| City | BANGOR | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 463666823 | EIN |
| Primary Activities | ACCT CARE | PrimaryActivitiesTxt |
| Legal Domicile State | ME | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PCHC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | -$5 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $1,176 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| General Or Managing Partner | false | GeneralOrManagingPartnerInd |
| Ownership | 0.03860 | OwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
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