HEALTHREACH COMMUNITY HEALTH CENTERS: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
HEALTHREACH COMMUNITY HEALTH CENTERS (EIN 01-6023664)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-07-09
IRS object ID
201341909349300104
Schema version
2012v2.1
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

FieldValueIRS element (for citing)
Timestamp2013-07-09T08:31:23-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN010523282EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Berry Dunn McNeil & Parker LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 1100AddressLine1
CityPortlandCity
StateMEState
ZIP Code041041100ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN016023664EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Healthreach Community Health CentersBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHEALNameControl
Phone2078725610Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line110 Water Street No 305AddressLine1
CityWatervilleCity
StateMEState
ZIP Code04901ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKevin BrooksName
TitleCFOTitle
Phone2078725610Phone
Date Signed2013-07-01DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBarbara J McGuan CPAName
PTINP00219457PTIN
Phone2077752387Phone
Date Prepared2013-07-01DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonConstance CogginsNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line110 Water Street No 305AddressLine1
CityWatervilleCity
StateMEState
ZIP Code04901ZIPCode
FieldValueIRS element (for citing)
Gross Receipts16111126GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.healthreachchc.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1967YearFormation
State Legal DomicileMEStateLegalDomicile
Activity Or Mission DescriptionProvide medical servicesActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees271TotalNbrEmployees
Total Nbr Volunteers100TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3361644ContributionsGrantsPriorYear
Contributions Grants Current Year2997343ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12260641ProgramServiceRevenuePriorYear
Program Service Revenue CY12530957ProgramServiceRevenueCY
Investment Income Prior Year35238InvestmentIncomePriorYear
Investment Income Current Year25462InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year15657523TotalRevenuePriorYear
Total Revenue Current Year15553762TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year9742499SalariesEtcPriorYear
Salaries Etc Current Year10280402SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year42696TotalFundrsngExpCurrentYear
Other Expense Prior Year4367149OtherExpensePriorYear
Other Expenses Current Year4451875OtherExpensesCurrentYear
Total Expenses Prior Year14109648TotalExpensesPriorYear
Total Expenses Current Year14732277TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1547875RevenuesLessExpensesPriorYear
Revenues Less Expenses CY821485RevenuesLessExpensesCY
Total Assets BOY5549118TotalAssetsBOY
Total Assets EOY6497495TotalAssetsEOY
Total Liabilities BOY1507268TotalLiabilitiesBOY
Total Liabilities EOY1579043TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4041850NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4918452NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionProviding medical services via rural community health centers in underserved areas in central and western Maine.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense9554411Expense
Revenue11367000Revenue
DescriptionHealthReach Community Health Centers (the Centers) provide accessible and affordable health care in Maine's rural communities. The Centers have 11 primary care sites staffed by professionals who specialize in family practice medicine. Some centers also offer general internal medicine, pediatrics, obstetrics, gynecology and/or minor surgery. Individual centers may offer additional services depending on the needs of the communities they serve, such as an indigent drug program, dental services and assistance to patients in accessing programs that assist with the cost of healthcare (Navigator program).The Centers strive to allow access economically as well as geographically, serving residents of Franklin, Sagadahoc, Androscoggin, Oxford, Knox, Waldo, Lincoln, Somerset and Kennebec counties of Maine. The Centers' ability to provide affordable service is dependent upon grants and contracts at the federal and state level, as well as from private organizations. The Centers extend credit without collateral.The Centers have also implemented an electronic medical record, which has the capability of interfacing with laboratory service vendors. Secure electronic communications with patients via a patient portal module of EMR has been implemented at all sites.The Centers also provide other outreach and health education initiatives which benefit the community which are identified through periodic community health needs assessments.All of the health centers have actively worked with community partners on emergency planning strategies. This has included planning meetings and "table top" exercises with other local healthcare agencies, town officials, and county emergency management personnel.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1273179Expense
Revenue1163957Revenue
DescriptionThe Centers provide medical, dental, and behavioral health services under sliding fee arrangements to eligible patients. The sliding fee plan is available for eligible patients whose income and family size meet the criteria outlined in the federal poverty guidelines. These guidelines are updated on a yearly basis. Under the medical and behavorial health plan, eligible patients pay a flat fee for services rendered by the Centers. The fees range from $10 to $55 per visit. Under the dental plan, eligible patients receive a discount of 20% - 80% from the total charge with a minimum payment due of $50.Description
FieldValueIRS element (for citing)
Total Program Service Expense10827590TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109692NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees271NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledMEStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Kevin BrooksBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2078725610TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line110 Water Street Suite 305AddressLine1
CityWatervilleCity
StateMEState
ZIP Code04901ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
David Leigh
Director1.00X000
Donna Walsh RD
Director1.00X000
Marci Alexander Esq
Director1.00X000
Margaret Edwards Flynn
Director1.00X000
David Greer
Director1.00X000
Doreen Holmes
Director1.00X000
Robin Melancon-Quimby
Director1.00X000
Stephen Ball
Chair1.00X000X
Joanne EA Joy MA
Vice Chair1.00X000X
Brian LaCroix
Secretary/Treasurer1.00X000X
James Breslin MSW
Director1.00X000
Constance Coggins
President/CEO37.5095077023100X
Kevin Brooks
CFO37.5092181011966X
Richard DeCarolis
Operational Medical Dir.37.50177966014472X
C Forrest West
Clinical Medical Dir.37.50155170022821X
Kevin Finley
Physician37.50143919026592X
Amanda Ruxton
Physician37.50134159031617X
Roy Miller
Physician37.50128897024341X
Carol Eckert
Physician37.50115495011549X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1042864TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation166458TotalOtherCompensation
Number Individuals GT100 K8NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources1CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1HealthReach NetworkBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line110 Water Street Suite 301AddressLine1
CityWatervilleCity
StateMEState
ZIP Code04091ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesManagement ServicesDescriptionOfServices
Compensation517696Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Government Grants2804721GovernmentGrants
All Other Contributions192622AllOtherContributions
Total Contributions2997343TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Professional Services6214001672019416720194
Provision for Bad Debts621400-536649-536649
Contractual Allowances621400-3652588-3652588
FieldValueIRS element (for citing)
Total Program Service Revenue12530957TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column20054TotalRevenueColumn
Exclusion$20,054ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities562772Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities557364Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities5408Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column5408TotalRevenueColumn
Exclusion$5,408ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column15553762TotalRevenueColumn
Related Or Exempt Function Income12530957RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$25,462ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total414762Total
Program Services153950ProgramServices
Management And General260812ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8096421Total
Program Services7156682ProgramServices
Management And General922704ManagementAndGeneral
Fundraising17035Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total130858Total
Program Services115670ProgramServices
Management And General14913ManagementAndGeneral
Fundraising275Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1036492Total
Program Services869718ProgramServices
Management And General165796ManagementAndGeneral
Fundraising978Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total601869Total
Program Services514200ProgramServices
Management And General86330ManagementAndGeneral
Fundraising1339Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total30284Total
Management And General30284ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total62570Total
Management And General62570ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1209960Total
Program Services581915ProgramServices
Management And General627666ManagementAndGeneral
Fundraising379Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total40419Total
Program Services3583ProgramServices
Management And General36836ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total239422Total
Program Services175218ProgramServices
Management And General63768ManagementAndGeneral
Fundraising436Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total24838Total
Management And General24838ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1234137Total
Program Services964057ProgramServices
Management And General270080ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total77332Total
Program Services56348ProgramServices
Management And General20962ManagementAndGeneral
Fundraising22Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total2068Total
Program Services2ProgramServices
Management And General2066ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total249604Total
Program Services202784ProgramServices
Management And General46820ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total96758Total
Program Services2874ProgramServices
Management And General93884ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Pharmacy & Vaccines477613477507106
Medical Supplies4294844263703114
Miscellaneous15767712494232445290
Dues & Subscriptions1197095887160118720

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Program Services-1057101ProgramServices
Management And General1035879ManagementAndGeneral
Fundraising21222Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total14732277Total
Program Services10827590ProgramServices
Management And General3861991ManagementAndGeneral
Fundraising42696Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY16337BOY
EOY5892EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1657017BOY
EOY2515500EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1168007BOY
EOY1164667EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY234470BOY
EOY148484EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY133520BOY
EOY48586EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2800838LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1565612LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1108105BOY
EOY1235226EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY672455BOY
EOY1365546EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY559207BOY
EOY13594EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5549118BOY
EOY6497495EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1185902BOY
EOY1213533EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY13136EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY49106BOY
EOY45856EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY272260BOY
EOY306518EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1507268BOY
EOY1579043EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3954873BOY
EOY4805454EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY76977BOY
EOY102998EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY10000BOY
EOY10000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4041850BOY
EOY4918452EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5549118BOY
EOY6497495EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses821485ReconcilationRevenueExpenses
Reconciliation Unrealized Invest55117ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2476705CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2960544CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2895072CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3361644CurrentTaxYearMinus1Year
Current Tax Year2997343CurrentTaxYear
Total14691308Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years141628CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year141628CurrentTaxYearMinus1Year
Total283256Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2476705CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2960544CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3036700CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3503272CurrentTaxYearMinus1Year
Current Tax Year2997343CurrentTaxYear
Total14974564Total
FieldValueIRS element (for citing)
Public Support Total17014974564PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years25053CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13884CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12513CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10937CurrentTaxYearMinus1Year
Current Tax Year20054CurrentTaxYear
Total82441Total
FieldValueIRS element (for citing)
Total Support15057005TotalSupport
Gross Receipts From Admissions Etc71522621GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99450PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99400PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$5,625OtherActivitiesAmount
Total Lobbying Expenditures IIB5625TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierExplanation of Lobbying Activities:Identifier
Return ReferencePart II-B, Line 1:ReturnReference
ExplanationThe Organization pays dues to various organizations, a portion of which is attributable to lobbying expenses.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance925274BeginningOfYearBalance
Investment Earnings Or Losses76512InvestmentEarningsOrLosses
End Of Year Balance1001786EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance926953BeginningOfYearBalance
Investment Earnings Or Losses-1679InvestmentEarningsOrLosses
End Of Year Balance925274EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance857049BeginningOfYearBalance
Investment Earnings Or Losses69904InvestmentEarningsOrLosses
End Of Year Balance926953EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance867107BeginningOfYearBalance
Contributions204Contributions
Investment Earnings Or Losses123857InvestmentEarningsOrLosses
Other Expenditures134119OtherExpenditures
End Of Year Balance857049EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1013117BeginningOfYearBalance
Contributions250Contributions
Investment Earnings Or Losses-141347InvestmentEarningsOrLosses
Other Expenditures4913OtherExpenditures
End Of Year Balance867107EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.99000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.01000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2800838OtherCostOrOtherBasis
Depreciation1565612Depreciation
Book Value1235226BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1235226TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Due to Third-Party Payors$243,745
Other Long Term Liabilities$62,773
FieldValueIRS element (for citing)
Total Of Amounts306518TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt15608879TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments55117NetUnrealizedGainsInvestments
Revenue Not Rptd F99055117RevenueNotRptdF990
Revenue Subtotal15553762RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99015553762TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt14732277TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal14732277ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99014732277TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDescription of Intended Use of Endowment Funds:Identifier
Return ReferencePart V, Line 4:ReturnReference
ExplanationAny funds released from the endowment fund per the Organization's spending policy are intended to support ongoing operations, unless otherwise stipulated by the board.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org1CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Richard DeCarolis
Operational Medical Dir.1779660000020000124720192438000
C Forrest West
Clinical Medical Dir.1551700000020000208210177991000
Kevin Finley
Physician1439190000020000245920170511000
Amanda Ruxton
Physician1341590000020000296170165776000
Roy Miller
Physician1288970000020000223410153238000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 5Physicians get incentives based on relative value units (RVU)
Part IIIForm 990, Part VII, Line 5: Kevin Brooks, CFO, received compensation from MaineGeneral Health, an unrelated organization during calendar year 2012. Wages of 79,201 and benefits of 10,944 relate to his services rendered to HealthReach Community Health Centers.Supplemental Information

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part I, Lines 8-18:Prior year numbers have been restated to present revenues net of contractual and charity care adjustments as well as bad debt expense.
Form 990, Part VI, Section A, line 3The centers received management services from HealthReach Network, a not-for-profit entity related through common management. This management services agreement, as it relates to Human Resources and Finance services, ended part way through calendar year 2012.
Form 990, Part VI, Section B, line 11Kevin Brooks (CFO) and the Finance Committee conduct a detailed review of the 990 and a copy is reviewed by the board of directors before it is finalized and sent to the IRS.
Form 990, Part VI, Section B, line 12cA survey is filled out and published to the entire board.
Form 990, Part VI, Section B, line 15A compensation study is done and approved by the Board Of Directors.
Form 990, Part VI, Section C, line 19Available upon request
Form 990, Page 12, Part XII, Line 2c:The audit process has not changed from the prior year.Oversight of Audit

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