Liabilities / Assets
76th percentile
Higher debt load relative to assets than 76% of similar nonprofits.
EIN 01-0452749 • 501(c)3 • Eagle Lake, ME
Profile
The mission of fish river rural health is to provide access to comprehensive primary and preventive care of the highest quality to the underserved population and to improve the health care status of the residents of the st. John valley.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
76th percentile
Higher debt load relative to assets than 76% of similar nonprofits.
Liabilities / Revenue
80th percentile
Higher debt load relative to revenue than 80% of similar nonprofits.
Net Margin
79th percentile
Higher net margin than 79% of similar nonprofits.
Top Officer Pay
Score unavailable
No filing with officer rows is available for this organization yet.
Asset Growth
78th percentile
Faster asset growth than 78% of similar nonprofits.
Revenue Growth
62nd percentile
Faster revenue growth than 62% of similar nonprofits.
Assets
Up$31,772,231
Up $4,507,279 (+17%) from 2024
Liabilities
Up$17,678,819
Up $578,691 (+3.4%) from 2024
Net Assets
Up$14,093,412
Up $3,928,588 (+39%) from 2024
Revenue
Up$15,554,359
Up $1,739,817 (+13%) from 2024
Expenses
Up$11,625,771
Up $366,886 (+3.3%) from 2024
Net Income
Up$3,928,588
Up $1,372,931 (+54%) from 2024
Most recent year
2025 • Form 990Detailed filing. Detailed filing data is available for this year.
The mission of fish river rural health is to provide access to comprehensive primary and preventive care of the highest quality to the underserved population and to improve the health care status of the residents of the st. John valley.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $6,013,213 | $6,843,459 | ▲ $830,246 |
| Cash and Non-Interest-Bearing Accounts | $1,405,460 | $4,753,833 | ▲ $3,348,373 |
| Accounts Receivable | $1,164,818 | $720,068 | ▼ $444,750 |
| Savings and Temporary Cash Investments | $1,928,819 | $527,443 | ▼ $1,401,376 |
| Inventories for Sale or Use | $53,581 | $59,321 | ▲ $5,740 |
| Prepaid Expenses and Deferred Charges | $44,838 | $49,401 | ▲ $4,563 |
| Total Assets | $27,264,952 | $31,772,231 | ▲ $4,507,279 |
| Other Assets Total | $16,654,223 | $18,818,706 | ▲ $2,164,483 |
| Liabilities | |||
| Tax Exempt Bond Liabilities | $15,237,184 | $15,229,746 | ▼ $7,438 |
| Accounts Payable and Accrued Expenses | $860,856 | $1,810,438 | ▲ $949,582 |
| Mortgage Notes Payable Secured by Investment Property | $912,020 | $621,172 | ▼ $290,848 |
| Other Liabilities | $90,068 | $17,463 | ▼ $72,605 |
| Total Liabilities | $17,100,128 | $17,678,819 | ▲ $578,691 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $7,469,968 | $11,425,580 | ▲ $3,955,612 |
| Net Assets With Donor Restrictions | $2,694,856 | $2,667,832 | ▼ $27,024 |
| Total Net Assets Fund Balance | $10,164,824 | $14,093,412 | ▲ $3,928,588 |
| Total Liabilities and Net Assets / Fund Balance | $27,264,952 | $31,772,231 | ▲ $4,507,279 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $947,531 | $841,770 | $1,789,301 |
| Other Land Buildings | $255,472 | $229,528 | $485,000 |
| Buildings | $5,509,380 | $1,234,431 | - |
| Land | $76,000 | - | - |
| Leasehold Improvements | $55,076 | $54,190 | - |
| Other Assets Org | $17,463 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Dr Cameron Grange | Doctor | FT | $248,602 | $36,117 | $284,719 |
| Heather Pelletier | Executive Di | FT | $234,342 | $36,117 | $270,459 |
| Heather Pelletier | Executive Director | - | $234,342 | $36,117 | $270,459 |
| Dr Alex Boucher | Dentist | FT | $224,631 | $23,301 | $247,932 |
| Dr Jeffrey Arbelaez | Doctor | FT | $207,764 | $23,301 | $231,065 |
| Dr Paul Pelletier | Doctor | FT | $195,716 | $11,651 | $207,367 |
| Jane Dubois | Director of | FT | $128,128 | $23,301 | $151,429 |
| Jane Dubois | Director of Finance | - | $128,128 | $23,301 | $151,429 |
| Name | Title |
|---|---|
| John Martin | President |
| AMY L'ITALIEN | Director |
| Betty Pelletier | Director |
| Kevin Lavoie | Director |
| Rachel Albert | Director |
| Reno Rioux | Director |
| Sandra Bernstein | Director |
| Terry Beaulieu | Director |
| Troy Jackson | Director |
| Judy Doustou | Secretary |
| Paula Gardner | Treasurer |
| Norman Fournier | Vice Preside |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Devoe Construction | Contractor | 41 FURLONG ROAD, Eagle Lake, ME 04739 | $226,650 |
| Harriman | Architectual | 46 HARRIMAN DRIVE, Auburn, ME 04210 | $105,849 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $9,082,580 |
| Other Expenses | $2,543,191 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $5,584,448 | $1,625,935 | - | $7,210,383 |
| Other Employee Benefits | $1,406,453 | $465,744 | - | $1,872,197 |
| All Other Expenses | $342,239 | $68,686 | - | $410,925 |
| Depreciation Depletion | $269,884 | - | - | $269,884 |
| Occupancy | $52,279 | $130,325 | - | $182,604 |
| Other Expenses | $108,880 | $44,098 | - | $152,978 |
| Insurance | - | $56,251 | - | $56,251 |
| Advertising | $28,032 | $2,401 | - | $30,433 |
| Travel | $16,395 | $703 | - | $17,098 |
| Interest | - | $14,739 | - | $14,739 |
| Fees for Services Accounting | $8,000 | $2,000 | - | $10,000 |
| Total Functional Expenses | $9,088,168 | $2,537,603 | $0 | $11,625,771 |
| Line Item | Amount |
|---|---|
| Expenses per Audited Statements | $11,625,771 |
| Total Expenses per Audited Statements | $11,625,771 |
| Total Expenses per Form 990 | $11,625,771 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Lease Liability | $17,463 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| A | Mhhefa | 2023-07-13 | $14,455,271 | - |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| A | - | - | - | - |
“Form 990 is reviewed by the board of directors prior to filing”
“The board has adopted a code of conduct which includes a conflict of interest policy. It is sent annually to the board members for review and signature.”
“Compensation pay scales are discussed and decided by the executive/personnel committee on an annual basis. Committee uses comparability data that is published by the national association of community health centers and the maine department of labor. In addition local agencies are surveyed annually for comparison purposes. The discussion and decison making is completed without affected employees present. The commitee's decison goes to the full board for review and approval.”
“SEE 15.A.”
“Documents are made available upon request”
“The mission of fish river rural health is to provide access to comprehensive primary and preventive care of the highest quality to the underserved population and to improve the health care status of the residents of the st. John valley.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | false |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 860856 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 1810438 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 1164818 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 720068 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | THE MISSION OF FISH RIVER RURAL HEALTH IS TO PROVIDE ACCESS TO COMPREHENSIVE PRIMARY AND PREVENTIVE CARE OF THE HIGHEST QUALITY TO THE UNDERSERVED POPULATION AND TO IMPROVE THE HEALTH CARE STATUS OF THE RESIDENTS OF THE ST. JOHN VALLEY. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 2401 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 28032 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 30433 |
| IRS990/AllOtherContributionsAmt | 0 | 1900000 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 68686 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 342239 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 410925 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | JANE DUBOIS |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 2074445973 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | PO BOX 309 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | EAGLE LAKE |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | ME |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 04739 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 1405460 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 4753833 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 2 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | false |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 226650 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 105849 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 41 FURLONG ROAD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 46 HARRIMAN DRIVE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | EAGLE LAKE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | AUBURN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | ME |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | ME |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 04739 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 04210 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | DEVOE CONSTRUCTION |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | HARRIMAN |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | CONTRACTOR |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | ARCHITECTUAL |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 4444553 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 700061 |
| IRS990/CYOtherExpensesAmt | 0 | 2543191 |
| IRS990/CYOtherRevenueAmt | 0 | 13425 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 10396320 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 3928588 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 9082580 |
| IRS990/CYTotalExpensesAmt | 0 | 11625771 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 15554359 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 269884 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 269884 |
| IRS990/Desc | 0 | THE CENTER PROVIDES HEALTH CARE SERVICES FOR THE PEOPLE OF ALL AGES FROM THE SURROUNDING AREA. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 2694856 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 2667832 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 112 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 9088168 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditPerformedInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | true |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 2000 |
| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 8000 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 10000 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 36117 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 36117 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 23301 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 23301 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 11651 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 23301 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
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| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
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| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | DR CAMERON GRANGE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | HEATHER PELLETIER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | DR ALEX BOUCHER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | DR JEFFREY ARBELAEZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | DR PAUL PELLETIER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | JANE DUBOIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | RACHEL ALBERT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | TERRY BEAULIEU |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | SANDRA BERNSTEIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | JUDY DOUSTOU |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | NORMAN FOURNIER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | PAULA GARDNER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | TROY JACKSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | AMY L'ITALIEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | KEVIN LAVOIE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | JOHN MARTIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | BETTY PELLETIER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | RENO RIOUX |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 248602 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 234342 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 224631 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 207764 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 195716 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 128128 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | DOCTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | EXECUTIVE DI |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | DENTIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | DOCTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DOCTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR OF |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | VICE PRESIDE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | DIRECTOR |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 1990 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 12 |
| IRS990/GovernmentGrantsAmt | 0 | 2544553 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossReceiptsAmt | 0 | 15554359 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IndependentAuditFinclStmtInd | 0 | true |
| IRS990/IndependentVotingMemberCnt | 0 | 12 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 6 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 56251 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 56251 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 14739 |
| IRS990/InterestGrp/TotalAmt | 0 | 14739 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 53581 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 59321 |
| IRS990/InvestmentIncomeGrp/RelatedOrExemptFuncIncomeAmt | 0 | 700061 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 700061 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestTaxExemptBondsInd | 0 | false |
| IRS990/IRPDocumentCnt | 0 | 7 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 2359919 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 6013213 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 6843459 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 9203378 |
| IRS990/LegalDomicileStateCd | 0 | ME |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LobbyingActivitiesInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | false |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MissionDesc | 0 | THE MISSION OF FISH RIVER RURAL HEALTH IS TO PROVIDE ACCESS TO COMPREHENSIVE PRIMARY AND PREVENTIVE CARE OF THE HIGHEST QUALITY TO THE UNDERSERVED POPULATION AND TO IMPROVE THE HEALTH CARE STATUS OF THE RESIDENTS OF THE ST. JOHN VALLEY. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 912020 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 621172 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 10164824 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 14093412 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 7469968 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 11425580 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 130325 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 52279 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 182604 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OnBehalfOfIssuerInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 16654223 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 18818706 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 465744 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 1406453 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 1872197 |
| IRS990/OtherExpensesGrp/Desc | 0 | CONTRACT SERVICES |
| IRS990/OtherExpensesGrp/Desc | 1 | SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 2 | PURCHASED SERVICES |
| IRS990/OtherExpensesGrp/Desc | 3 | EQUIPMENT REPAIRS/MAINT |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 27728 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 58564 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 40429 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 3 | 44098 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 552106 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 461413 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 258039 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 108880 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 579834 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 519977 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 298468 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 152978 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 90068 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 17463 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | GAIN ON ASSET SALE |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 13425 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 13425 |
| IRS990/OtherRevenueTotalAmt | 0 | 13425 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 1625935 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 5584448 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 7210383 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 44838 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 49401 |
| IRS990/PrincipalOfficerNm | 0 | JOHN MARTIN |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | SERVICE FEES |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | OTHER OPERATING INCOME |
| IRS990/ProgramServiceRevenueGrp/Desc | 2 | 340B PHARMACY |
| IRS990/ProgramServiceRevenueGrp/Desc | 3 | COST OF GOODS SOLD |
| IRS990/ProgramServiceRevenueGrp/Desc | 4 | REVENUE DEDUCTIONS & ADJUST |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 10272790 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 794359 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 2 | 493885 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 3 | -32404 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 4 | -1132310 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 10272790 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 794359 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 2 | 493885 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 3 | -32404 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 4 | -1132310 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYContributionsGrantsAmt | 0 | 2625211 |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYInvestmentIncomeAmt | 0 | 463268 |
| IRS990/PYOtherExpensesAmt | 0 | 2405373 |
| IRS990/PYOtherRevenueAmt | 0 | 5000 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 10721063 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 2555657 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 8853512 |
| IRS990/PYTotalExpensesAmt | 0 | 11258885 |
| IRS990/PYTotalRevenueAmt | 0 | 13814542 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 3928588 |
| IRS990/RegularMonitoringEnfrcInd | 0 | true |
| IRS990/RelatedEntityInd | 0 | false |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | false |
| IRS990/ReportInvestmentsOtherSecInd | 0 | false |
| IRS990/ReportLandBuildingEquipmentInd | 0 | true |
| IRS990/ReportOtherAssetsInd | 0 | true |
| IRS990/ReportOtherLiabilitiesInd | 0 | true |
| IRS990/ReportProgramRelatedInvstInd | 0 | false |
| IRS990/RevenueAmt | 0 | 10396320 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 1928819 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 527443 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt | 0 | 4444553 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt | 0 | 2625211 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 3654227 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 2976717 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 4208911 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt | 0 | 17909619 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt | 0 | 700061 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt | 0 | 463268 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 1670 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 2342 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 4288 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt | 0 | 1171629 |
| IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt | 0 | 44207700 |
| IRS990ScheduleA/PublicOrganization170Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY170Pct | 0 | 0.93860 |
| IRS990ScheduleA/PublicSupportPY170Pct | 0 | 0.97090 |
| IRS990ScheduleA/PublicSupportTotal170Amt | 0 | 17909619 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind | 0 | X |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt | 0 | 4444553 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt | 0 | 2625211 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 3654227 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 2976717 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 4208911 |
| IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt | 0 | 17909619 |
| IRS990ScheduleA/TotalSupportAmt | 0 | 19081248 |
| IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorNum | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine2 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt | 0 | RESTRICTED |
| IRS990/ScheduleBRequiredInd | 0 | true |
| IRS990ScheduleD/BuildingsGrp/BookValueAmt | 0 | 5509380 |
| IRS990ScheduleD/BuildingsGrp/DepreciationAmt | 0 | 1234431 |
| IRS990ScheduleD/BuildingsGrp/InvestmentCostOrOtherBasisAmt | 0 | 6743811 |
| IRS990ScheduleD/EquipmentGrp/BookValueAmt | 0 | 947531 |
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