2015-03-09T07:38:35-05:00 2014-06-30 010511973 NICHOLSON MICHAUD & COMPANY 76 SILVER STREET WATERVILLE ME 04901 990 2013-07-01 454960453 PORTLAND COMMUNITY HEALTH CENTER PORT 2078742141 180 PARK AVENUE PORTLAND ME 04102 LESLIE CLARK CEO 2078742141 2015-02-21 1 P JAMES NICHOLSON CPA P00482325 2078727077 2015-02-21 2013 2016-02-25 16:41:14Z LESLIE CLARK 180 PARK AVE PORTLAND ME 041022957 2864505 0 X WWW.PORTLANDCOMMUNITYHEALTHCENTER.ORG X 2013 ME TO PROVIDE HIGH QUALITY, PATIENT-CENTERED HEALTHCARE THAT IS ACCESSIBLE, AFFORDABLE, AND CULTURALLY SENSITIVE. 13 13 54 20 0 0 538355 1640079 553787 1218878 0 0 303 5548 1092445 2864505 0 0 0 0 890610 2060085 0 0 0 464820 971196 1355430 3031281 -262985 -166776 565806 578270 415349 594589 150457 -16319 X TO PROVIDE HIGH QUALITY, PATIENT-CENTERED HEALTHCARE THAT IS ACCESSIBLE, AFFORDABLE, AND CULTURALLY SENSITIVE. 0 0 2142746 881587 THE ORGANIZATION PROVIDES A COMPREHENSIVE ARRAY OF PRIMARY CARE SERVICES TO ITS TARGET POPULATIONS ACROSS THE FULL LIFECYCLE - PEDIATRIC, ADOLESCENT, ADULT, AND GERIATRIC CARE. OUTREACH AND ENROLLMENT WORKERS 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 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. PLEASE SEE SCHEDULE O FOR ADDITIONAL DESCRIPTION OF PROGRAM SERVICES UNDERTAKEN DURING THE YEAR. 238083 342839 THE ORGNIZATION PROVIDED COMPREHENSIVE MENTAL HEALTH AND SUBSTANCE ABUSE COUNCELING SERVICES IN A FULLY INTEGRATED MANNER ON-SITE AT ITS PORTLAND, MAINE LOCATION.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. PLEASE SEE SCHEDULE O FOR A COMPREHENSIVE DESCRIPTION OF PROGRAM SERVICES UNDERTAKEN DURING THE YEAR. 2380829 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 14 0 1 54 1 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X ANN TUCKER CPFO 2078742141 180 PARK AVENUE PORTLAND ME 04102 KATHLEEN STOKES PRESIDENT 3.00 X X 0 0 0 KARIN ANDERSON VICE PRESIDENT 1.00 X X 0 0 0 ERIC RUSTAD TREASURER 1.00 X X 0 0 0 BRUNO YOMOAH SECRETARY 1.00 X X 0 0 0 VICTORIA CHICON DIRECTOR 0.50 X 0 0 0 VICTORIA FOLEY DIRECTOR 0.50 X 0 0 0 NANCY KELLEHER DIRECTOR 0.50 X 0 0 0 MAURICE NAMWIRA DIRECTOR 0.50 X 0 0 0 MICHAEL NELSON DIRECTOR 0.50 X 0 0 0 ADRIA MOYNIHAN RUSK DIRECTOR 0.50 X 0 0 0 JOYCE RACINE DIRECTOR 2.00 X 0 0 0 NADINE TWAGIRAYEZU DIRECTOR 0.50 X 0 0 0 GRETE ZEMANS DIRECTOR 0.50 X 0 0 0 LESLIE CLARK CEO 40.00 X 96604 0 16702 ANN TUCKER CPFO 40.00 X 78309 0 1175 RENEE FAY-LEBLANC CMO 40.00 X 0 0 0 174913 0 17877 0 0 0 0 0 1395003 245076 1640079 PATIENT SERVICE REVENU 621400 1176378 1176378 MEANINGFUL USE 621400 42500 42500 1218878 MISCELLANEOUS 621400 5548 5548 5548 2864505 1224426 0 0 210503 178928 31575 1519414 1259404 260010 2422 2011 411 175920 145890 30030 151826 126205 25621 26762 3216 23546 17776 2136 15640 4121 4121 18133 14942 3191 136947 131641 5306 158352 142517 15835 7520 7520 7678 7678 64449 57391 7058 31521 28369 3152 CONTRACTUAL SERVICES 224801 77620 147181 CONSULTING 64726 9709 55017 IMMUNIZATIONS 63176 63176 REPAIRS AND MAINTENANCE 39822 35840 3982 105412 90193 15219 3031281 2380829 650452 0 123818 145851 89086 100961 27613 33980 372452 94545 292566 277907 32723 19571 565806 578270 290233 368757 4240 143699 100888 82133 19988 0 415349 594589 X 114242 -51817 36215 35498 150457 -16319 565806 578270 -166776 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 187044 38923 148121 185408 55622 129786 277907 2864505 0 2864505 0 2864505 3031281 0 3031281 0 3031281 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 WAS PROVIDED TO THE BOARD OF DIRECTORS FOR DISCUSSION, REVIEW AND APPROVAL BEFORE FILING FORM 990, PART VI, SECTION B, 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, PART VI, SECTION B, LINE 15 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, PART VI, SECTION C, LINE 19 PRINT COPIES OF GOVERNING DOCUMENTS AND 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, PART XII, LINE 2C: THE ORGANIZATION HAS AN EXECUTIVE COMMITTEE AS A SUBCOMMITTEE OF THE BOARD, WHICH HAS OVERSIGHT OVER THE AUDIT AND SELECTION PROCESS.