LINCOLNHEALTH: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- LINCOLNHEALTH (EIN 01-0153960)
- Tax period
- 2018-10-01 to 2019-01-01
- Filed
- 2019-11-12
- IRS object ID
- 201943169349302634
- Schema version
- 2018v3.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-11-12T11:54:50-06:00 | ReturnTs |
| Tax Period End | 2019-01-01 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010153960 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LINCOLNHEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LINC | BusinessNameControlTxt |
| Phone | 2076338402 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 35 Miles Street | AddressLine1Txt |
| City | Damariscotta | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04543 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Wayne Printy | PersonNm |
| Person Title | CFO - LHG | PersonTitleTxt |
| Phone | 2076338402 | PhoneNum |
| Signature | 2019-11-08 | SignatureDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 63.247.60.254 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-11-12 | IPDt |
| IP Tm | 12:52:07 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | B45CD6F9D1811B9916B2A423673B63195B36551F | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 071534DF782BAFFC7F19FAE443616795F01F9B48 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-04-17 16:48:07Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Final Return | Yes (X) | FinalReturnInd |
| Principal Officer | James Donovan | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6 St Andrews Ln | AddressLine1Txt |
| City | Boothbay Harbor | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04538 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $22,693,463 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | mainehealth.org/lincolnhealth | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1955 | FormationYr |
| Legal Domicile State | ME | LegalDomicileStateCd |
| Activity Or Mission | LincolnHealth is dedicated to maintaining and improving the health of our communities by assuring: the very best, highest quality, and compassionate health care services from highly trained professionals; our services are cost-effective and accessible to all regardless of their ability to pay; as a not-for-profit, charitable organizations, we will be trustworthy stewards of our resources; our active participation and support of the Maine Healthcare family. | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 145 | TotalVolunteersCnt |
| Total Gross UBI | $36,866 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$25,409 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,992,037 | PYContributionsGrantsAmt |
| CY Contributions Grants | $428,687 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $85,267,767 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $21,405,281 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$102,579 | PYInvestmentIncomeAmt |
| CY Investment Income | $94,955 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,957,894 | PYOtherRevenueAmt |
| CY Other Revenue | $473,120 | CYOtherRevenueAmt |
| PY Total Revenue | $89,115,119 | PYTotalRevenueAmt |
| CY Total Revenue | $22,402,043 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $32,769,850 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $8,393,231 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $70,503 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $51,802,831 | PYOtherExpensesAmt |
| CY Other Expenses | $13,580,749 | CYOtherExpensesAmt |
| PY Total Expenses | $84,572,681 | PYTotalExpensesAmt |
| CY Total Expenses | $21,973,980 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,542,438 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $428,063 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $86,542,226 | TotalAssetsBOYAmt |
| Total Assets EOY | $0 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $31,453,380 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $55,088,846 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $0 | NetAssetsOrFundBalancesEOYAmt |
| Mission | See Schedule O | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $11,066,782 | ExpenseAmt |
| Revenue | $15,996,241 | RevenueAmt |
| Desc | LincolnHealth is a 25 bed Critical Access Hospital. The hospital operations provide acute, rehabilitative, obstetrics and intensive care in its inpatient setting. Outpatient services include Emergency Care, Urgent Care, General and Orthopaedic Surgery, Wound Care, Ophthalmology, Physical Therapy, Occupational Therapy, Speech Therapy, Cardiopulmonary Services, Diagnostic Imaging, Laboratory, and Pharmacy services. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $7,225,934 | ExpenseAmt |
| Revenue | $3,553,124 | RevenueAmt |
| Desc | LincolnHealth, dba Lincoln Medical Partners (LMP), is a multi-specialty physician practice with offices in Boothbay Harbor, Damariscotta, Waldoboro and Wiscasset. LMP specialties include Anesthesiology, Emergency Medicine, Family Medicine, Internal Medicine, General Surgery, Ophthalmology, Orthopaedics, Obstetrics and Gynecology, and Pediatrics. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,194,247 | ExpenseAmt |
| Revenue | $1,855,915 | RevenueAmt |
| Desc | LincolnHealth offers long term care services at St. Andrews Village Community. It includes 12 assisted living units, 29 independent living apartments, 11 dementia care beds, adult day services, and 42 long-term nursing care beds. Statistics for the year: assisted living 3,206 days, independent living 2,399 days, and dementia care 666 days. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $20,486,963 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | Yes (1) | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | ME | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Wayne Printy | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2076338402 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6 ST ANDREWS LANE | AddressLine1Txt |
| City | BOOTHBAY HARBOR | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04538 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Aquilino Alamo MD | ||||||||
| Trustee | 0.40 | 50.00 | Yes (X) | $0 | $212,497 | $37,919 | ||
| Samira Hasan DO | ||||||||
| Trustee | 0.40 | 50.00 | Yes (X) | $0 | $383,109 | $34,929 | ||
| James Cosgrove | ||||||||
| Trustee | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Leslie Fossel | ||||||||
| Trustee | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Meagan G Hamblett | ||||||||
| Trustee | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Timothy Fox MD | ||||||||
| Trustee | 0.40 | 50.00 | Yes (X) | $0 | $280,160 | $36,794 | ||
| Jack T Fulmer MD | ||||||||
| Secretary | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Bruce P Garren | ||||||||
| Treasurer | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| David Lawrence | ||||||||
| Vice Chairman | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| William Logan | ||||||||
| Chairman | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Bruce Lutsk | ||||||||
| Trustee | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Russell Mack MD | ||||||||
| Trustee | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Sean O'Donnell MD | ||||||||
| Trustee | 0.40 | 50.00 | Yes (X) | $0 | $246,850 | $38,606 | ||
| Wayne Moore | ||||||||
| Trustee | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Susan Porter | ||||||||
| Trustee | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Andrew Russ MD | ||||||||
| Trustee | 0.40 | 50.00 | Yes (X) | $0 | $267,804 | $41,605 | ||
| Denise Soucy MD | ||||||||
| Trustee | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Holly B Stover | ||||||||
| Trustee | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Peter W Wood | ||||||||
| Trustee | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Louis Sell | ||||||||
| Trustee | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| James Donovan | ||||||||
| CEO - LHG | 3.00 | 50.00 | $0 | $382,926 | $47,197 | Yes (X) | ||
| Wayne Printy | ||||||||
| CFO - LHG | 3.00 | 50.00 | $0 | $249,708 | $27,674 | Yes (X) | ||
| Stacey Miller | ||||||||
| VP Phys. Services | 50.00 | 0.00 | $164,630 | $0 | $36,009 | Yes (X) | ||
| Christine Anderson | ||||||||
| VP Patient Svc & CNO | 50.00 | 0.00 | $174,084 | $0 | $35,712 | Yes (X) | ||
| Karen Philbrick | ||||||||
| Director of Pharmacy | 50.00 | 0.00 | $144,048 | $0 | $34,705 | Yes (X) | ||
| Brent Peters | ||||||||
| Staff Pharmacist | 50.00 | 0.00 | $131,038 | $0 | $27,993 | Yes (X) | ||
| Deborah Monck | ||||||||
| RN IV | 50.00 | 0.00 | $125,537 | $0 | $20,231 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $739,337 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,023,054 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $419,374 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AHSA | |||||
| 10126 E CHERRY BEND ROAD | TRAVERSE CITY | MI | 49684 | Healthcare Workforce solutions/staff pro | $1,099,292 |
| SPECTRUM MEDICAL GROUP | |||||
| 324 GANNETT DR 200324 GANNETT DR | SOUTH PORTLAND | ME | 04106 | Hospital Association | $542,307 |
| PREFERRED THERAPY SOLUTIONS | |||||
| 850 SILAS DEANE HWY | WETHERSFIELD | CT | 06109 | rehabilitation program management | $169,867 |
| LEAF | |||||
| PO BOX 742647 | CINCINNATI | OH | 452742647 | Leasing agent | $146,408 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $428,687 | AllOtherContributionsAmt |
| Total Contributions | $428,687 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Revenue | 623000 | $21,394,222 | $21,394,222 |
| Rental Income | 531390 | $11,059 | $11,059 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $21,405,281 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $55,624 | TotalRevenueColumnAmt |
| Exclusion | $55,624 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,577 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,577 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,577 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $4,577 | UnrelatedBusinessRevenueAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $330,751 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $291,420 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $39,331 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $39,331 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $39,331 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Miscellaneous Income | 900099 | $436,254 | $436,254 | $0 |
| Cottage Services | 531310 | $22,633 | $22,633 | |
| Management Fees | 531310 | $6,828 | $6,828 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,828 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $2,828 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $468,543 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,402,043 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $21,880,866 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $36,866 | UnrelatedBusinessRevenueAmt |
| Exclusion | $55,624 | ExclusionAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,373,169 | TotalAmt |
| Program Services | $6,176,529 | ProgramServicesAmt |
| Management And General | $196,640 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $196,585 | TotalAmt |
| Program Services | $189,041 | ProgramServicesAmt |
| Management And General | $7,544 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,362,112 | TotalAmt |
| Program Services | $1,321,714 | ProgramServicesAmt |
| Management And General | $40,398 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $461,365 | TotalAmt |
| Program Services | $443,660 | ProgramServicesAmt |
| Management And General | $17,705 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,947 | TotalAmt |
| Management And General | $8,947 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,474,144 | TotalAmt |
| Program Services | $1,419,665 | ProgramServicesAmt |
| Management And General | $54,479 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,210 | TotalAmt |
| Program Services | $10,210 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $446,564 | TotalAmt |
| Program Services | $392,141 | ProgramServicesAmt |
| Management And General | $54,201 | ManagementAndGeneralAmt |
| Fundraising | $222 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $552,994 | TotalAmt |
| Program Services | $545,826 | ProgramServicesAmt |
| Management And General | $7,168 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $486,670 | TotalAmt |
| Program Services | $486,670 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,624 | TotalAmt |
| Program Services | $34,843 | ProgramServicesAmt |
| Management And General | $781 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $131,126 | TotalAmt |
| Program Services | $131,126 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,256,260 | TotalAmt |
| Program Services | $1,255,063 | ProgramServicesAmt |
| Management And General | $1,197 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,098 | TotalAmt |
| Program Services | $12,010 | ProgramServicesAmt |
| Management And General | $37,088 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Integrated Services | $7,002,771 | $5,952,191 | $986,352 | $64,228 |
| Medical Supplies | $1,490,275 | $1,490,275 | ||
| Hospital & Provider Tax | $481,710 | $481,710 | ||
| Dues & Subscriptions | $35,038 | $33,200 | $1,838 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,318 | TotalAmt |
| Program Services | $111,089 | ProgramServicesAmt |
| Management And General | $2,176 | ManagementAndGeneralAmt |
| Fundraising | $6,053 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,973,980 | TotalAmt |
| Program Services | $20,486,963 | ProgramServicesAmt |
| Management And General | $1,416,514 | ManagementAndGeneralAmt |
| Fundraising | $70,503 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,655,796 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $556,225 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,549,717 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,000,769 | BOYAmt |
| EOY | $0 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $180,532 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,215,663 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $200,362 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $0 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $0 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,027,240 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,368,857 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,787,065 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,542,226 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,044,490 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,099,163 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,483,797 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,615,166 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,210,764 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,453,380 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,083,298 | BOYAmt |
| EOY | $0 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,653,890 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,351,658 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,088,846 | BOYAmt |
| EOY | $0 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,542,226 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $428,063 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$750,780 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$54,766,129 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $10,944 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $10,944 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 | FormAndLineReferenceDesc |
| Explanation | Portion of membership dues attributable to lobbying activities: Lobbying portion of Maine Hospital Association Dues: $8,664 Lobbying portion of Maine Health Care Association: $1,541 Lobbying portion of American Health Care Association: $489 Lobbying portion of Strategic Health Care: $250 | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $11,967,142 | BeginningYearBalanceAmt |
| Contributions | $14,896 | ContributionsAmt |
| Investment Earnings Or Losses | -$481,762 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$11,482,010 | OtherExpendituresAmt |
| Administrative Expenses | -$18,266 | AdministrativeExpensesAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $13,408,357 | BeginningYearBalanceAmt |
| Contributions | $3,453,848 | ContributionsAmt |
| Investment Earnings Or Losses | $293,854 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$5,152,979 | OtherExpendituresAmt |
| Administrative Expenses | -$35,938 | AdministrativeExpensesAmt |
| End Year Balance | $11,967,142 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $12,371,648 | BeginningYearBalanceAmt |
| Contributions | $451,344 | ContributionsAmt |
| Investment Earnings Or Losses | $1,143,726 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$526,053 | OtherExpendituresAmt |
| Administrative Expenses | -$32,308 | AdministrativeExpensesAmt |
| End Year Balance | $13,408,357 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $13,266,695 | BeginningYearBalanceAmt |
| Contributions | $163,951 | ContributionsAmt |
| Investment Earnings Or Losses | $760,811 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$1,780,280 | OtherExpendituresAmt |
| Administrative Expenses | -$39,529 | AdministrativeExpensesAmt |
| End Year Balance | $12,371,648 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $14,325,848 | BeginningYearBalanceAmt |
| Contributions | $178,090 | ContributionsAmt |
| Investment Earnings Or Losses | -$144,251 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$1,045,069 | OtherExpendituresAmt |
| Administrative Expenses | -$47,923 | AdministrativeExpensesAmt |
| End Year Balance | $13,266,695 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | Beneficial interest in perpetual trusts held by other unrelated organizations have periodic distributions that are made as unrestricted contributions to Hospital operations. - Income (interest and dividends net of fees plus realized gains) generated from the Permanently Restricted Funds is available and is transferred to operations, either for general operations or specific uses which fall under normal operations. There are three Permanently Restricted Funds that have exceptions: - Income transfers are made to the Van Winkle Temporarily Restricted Funds from which an annual Excellence in Healthcare Award is presented to an employee of LHG or one of its subsidiaries. The net transfer from the permanently restricted fund to the temporarily restricted fund is equal to 3% of the average market value of the Van Winkle Fund over the past 12 quarters. - Income generated from the Thompson Fund is transferred to Temporarily Restricted funds to be utilized as Charity Care for indigent South Bristol residents. - The Vinal Fund has accumulated to $10,000 and is to remain at that balance. All income generated from this fund will be transferred out on an annual basis and used to assist in managing the non-covered costs of a long-term illness. Utilization of the annual income will be recommended by the medical staff and approved by the Vinal family. |
| Schedule D, Part V, Line 1e | As Lincoln Health merged into MaineHealth(EIN: 01-0238552) on 1/1/19, the endowment balance was transferred to MaineHealth at the close of the period covered by this return. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 175.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $426,724 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $426,724 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01940 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,526,877 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,314,118 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $212,759 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00970 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,953,601 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,314,118 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $639,483 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02910 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,382 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $24,614 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $768 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $47,392 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $47,392 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00220 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,499,148 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,292,269 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,206,879 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14590 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,571,922 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,316,883 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,255,039 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14810 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,525,523 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,631,001 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,894,522 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.17720 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $36 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $36 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $36 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $36 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,069,066 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $5,289,494 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $5,156,730 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $132,764 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LincolnHealth (LH) | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 35 Miles Street | AddressLine1Txt |
| City | Damariscotta | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04543 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | mainehealth.org/lincolnhealth | WebsiteAddressTxt |
| State License | 38979 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LincolnHealth (LH) | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://mainehealth.org/healthy-communities/community-health-needs-assessme | OwnWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://mainehealth.org/healthy-communities/community-health-needs-assessme | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 175.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | See Part V, Section C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Part V, Section C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See Part V, Section C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| LincolnHealth (LH) | Part V, Section B, Line 5: Community input was taken into account when conducting the CHNA, including those with special knowledge of or expertise in public health. This included individuals from the following facilities: LincolnHealth, MaineHealth, Healthy Lincoln County, Maine CDC, and Medical Care Development. |
| LincolnHealth (LH) | Part V, Section B, Line 6a: The CHNA was conducted through a partnership with Maine Healthcare, Central Maine Healthcare, Northern Light Health, MaineGeneral Health, and the Maine Department of Health and Human Services. |
| LincolnHealth (LH) | Part V, Section B, Line 11: For the 2016-2018 CHNA, the organization has identified priorities and developed strategies to address the significant needs identified in its most recently conducted CHNA and provided reasons if identified needs are not being addressed. Please see the 2016-2018 CHNA and Annual Implementation Report Update FY18 at https://mainehealth.org/healthy-communities/community-health-needs assessment for details of the activities undertaken by the organization. |
| Part V, Section B, Lines 7a and 10a: | The CHNA and implementation strategy are posted on the following website:https://mainehealth.org/healthy-communities/community-health-needs-assessment |
| LincolnHealth (LH):Part V, Section B, Lines 16a, 16b, and 16c: | The Financial Assistance Policy (Free Care Policy and Billing and Collection Policy); free care application and and plain language summary areavailable on the following website:https://mainehealth.org/patients-visitors/billing-insurance/financial-assistance/free-care. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 10 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - LH dba St Andrews Village | ||||
| 145 Emery Lane | Boothbay Harbor | ME | 04538 | Long-Term Care Facility |
| 2 - LH dba LMP Primary Care | ||||
| 24 Miles Center Way | Damariscotta | ME | 04543 | Outpatient Clinic |
| 3 - LH dba LMP General Surgery | ||||
| 5 Miles Center Way | Damariscotta | ME | 04543 | Outpatient Clinic |
| 4 - LH dba The Family Care Center | ||||
| 14 St Andrews Lane | Boothbay Harbor | ME | 04538 | Outpatient Clinic |
| 5 - LH dba LMP Orthopedics | ||||
| 5 Miles Center Way | Damariscotta | ME | 04543 | Outpatient Clinic |
| 6 - LH dba LMP Family Medicine | ||||
| 230 Kalers Corner | Waldoboro | ME | 04572 | Outpatient Clinic |
| 7 - LH dba LMP Family Medicine | ||||
| 49 Hooper Street | Wiscasset | ME | 04578 | Outpatient Clinic |
| 8 - LH dba LMP Ophthalmology | ||||
| 71 Main Street | Newcastle | ME | 04553 | Outpatient Clinic |
| 9 - LH dba The Women's Center | ||||
| 5 Miles Center Way | Damariscotta | ME | 04543 | Outpatient Clinic |
| 10 - LH dba Lincoln Medical Partners | ||||
| 42 Belvedere Road | Newcastle | ME | 04553 | Administration |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7g - Subsidized Health Services Explanation | Subsidized health services include School Based Health Centers where LincolnHealth Group (LHG) and its subsidiary LincolnHealth (LH) provide physicians or nurse practitioners to consult and provide services within the school. Clinics are also offered throughout the year to provide subsidized services such as mammography, blood pressure screenings, etc. to encourage its residents to obtain these health services. Physician practices offering services such as Family Medicine, Internal Medicine and Pediatrics operate at a loss in order to ensure healthcare for its community members regardless of their ability to pay. $3,206,879 of expenses related to outpatient clinics are included in the subsidized health services total in Part I, Line 7g. |
| Part I, Line 7, Column (f) - Exclusions from Percent of Total Expense | Bad Debt is a deduction from revenue and is not included in total expenses. |
| Part I, Line 7 - Costing Methodology Explanation | Charity Care and Means-Tested Government Programs utilize a cost to charge ratio in determining the cost of the actual Charity Care Write-Off. The cost to charge ratio is calculated using Worksheet 2: Ratio of Patient Care Cost to Charges, located in the Schedule H instructions. |
| Part II - Community Building Activities | LincolnHealth Group and its subsidiary hospital organization, LincolnHealth, partner with various community groups such as Healthy Lincoln County and Healthy Maine Partnership to improve and protect the health of its community members. Meals are prepared by its staff as part of the local Meals on Wheels programs which delivers meals to the elderly population to assist with their nutritional needs. LHG participates in the community disaster training held on a regular basis throughout the county. |
| Part III, Line 2 - Bad Debt Expense Methodology | See Part III, Line 4 - Bad Debt Expense Footnote to Financial Statements |
| Part III, Line 4 - Bad Debt Expense Footnote to Financial Statements | From the LHG Audited Financial Statements: Charity Care: LH (the Hospital) accepts all patients regardless of their ability to pay. A patient is classified as a charity patient by reference to certain established policies. Essentially, these policies define charity care as those services for which limited or no payment is anticipated. In assessing a patient's ability to pay, the Hospital utilizes generally recognized poverty income levels. Charity Care is measured based on the Hospital's established rates. The Hospital utilizes annual federal guidelines and adjusts accounts for those whose income is 175% of the poverty level, taking family size into consideration. The costs and expenses incurred in providing these services are included in operating expenses. Revenue for services rendered to individuals from whom payment is expected and ultimately not received is written off and included as part of the allowance for bad debts. The costing methodology used in determining the amounts reported on Part III, Line 2 and 3 follow the Worksheets provided in the Schedule H Instructions and utilizes costs to charge information derived directly off the annual cost reports.LincolnHealth does not have a specific footnote in the financial statements that describes "Bad Debt Expense". LH reports Accounts Receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability of patient accounts receivable, LHG analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, LHG analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary. For receivables associated with self-pay patients, LHG records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. LH believes that bad debt expense should be included as a community benefit. |
| Part III, Line 8 - Medicare Explanation | Medicare allowable costs were calculated using a cost to charge ratio. LH believes that the Medicare shortfall should be included as a community benefit because LH has a clear mission commitment to serving elderly patients and adults with disabilities through the provision of specific subsidized programs developed to help improve the health status of these patients. If these critical subsidized programs were not provided by LH, they would become the obligation of the Federal Government. |
| Part III, Line 9b - Collection Practices Explanation | Patients who qualify for free care have their account balance adjusted accordingly once free care has been approved. As a tax-exempt hospital, LH provides necessary patient care regardless of the patient's ability to pay for the services. |
| Part VI, Line 2 - Needs Assessment | The organization prepares a Community Health Needs Assessment (CHNA) every three years.See https://mainehealth.org/healthy-communities/community-health-needs-assessment for the completed CHNA. The health needs of the community are assessed by: utilizing the Maine State Health Plan and Assessment, community forums, involvement in community based health status improvement programs and in conjunction with Maine Healthcare (our healthcare system.)Maine Healthcare also participates in various initiatives to help support and provide updates to community needs assessment planning. Some of these initiatives include: Clinical Strategic Planning, Financial Strategic Planning, Facility Planning, Manpower Planning, Physician Recruitment Strategic Planning, Emergency Preparedness Planning. Along with the internal assessments, member organizations also review and act on recommendations provided by local and state partners, such as the Maine Center for Disease Control and Prevention (MCDC). All hospitals within the Maine Healthcare system have conducted Community Health Needs Assessments (CHNA) to meet federal regulations that were created as part of the Affordable Care Act. In late 2013, CHNA and Implementation Plan Reports were produced by each Maine Healthcare member hospital, in collaboration with Maine Healthcare. These detailed reports covered the time period of 2013-2015 and were formally adopted by each member organization Board for submission with their respective FY13 990 filings. In 2015, a collaborative called the Maine Shared Health Needs Assessment was launched to create a framework and approach for a Shared CHNA that can: i) address community benefit reporting needs of hospitals, ii) support state and local public health accreditation efforts, and iii)provide valuable population health assessment data for various organizations concerned with the health of Maine's communities and citizens. Maine Healthcare, Eastern Maine Healthcare System, Central Maine Healthcare and the Maine Center for Disease Control and Prevention are contributing financials support to the study and reports. In 2016, Maine Shared CHNA produced county-level CHNA reports and helped coordinate community engagement processes that ultimately resulted in the prioritization of the health issues by hospitals,state/local governments and other partners. In collaboration with Maine Healthcare, each member hospital produced a detailed CHNA report and implementation plan covering the time period of 2016-2018. These reports were formally adopted by each member organization Board for submission with their respective FY16 990 filings. |
| Part VI, Line 3 - Patient Education of Eligibility for Assistance | Free Care information is provided in the Admitting and Emergency Registration locations in the following manner:- Postings including Free Care and Monthly Payment Plan- Handouts- InterviewsIf the patient is self-pay, under insured or can't afford to pay their hospital bill, they may receive a Financial Counseling Packet and/or referred to financial counseling from the registration staff or Change Healthcare, an outside vendor who helps manage the self- pay accounts. The packet includes:- Information on Maine Healthcare's financial policies- Information on Maine Healthcare's Free Care Program, Monthly Payment Plan Program, Care Partners, MedAccess and other community resource needs.- Program applications and instructions for Maine Healthcare's Free Care Program, and Monthly Payment Plan Application- Contact information for assistance with applications, bills or financial concernsSelf-pay or underinsured patients registering in person or via a phone interview receive financial counseling including information on our financial assistance programs. Registration staff or Change Healthcare provide forms and assist with completing financial assistance applications and providing follow up contact information. Maine Healthcare's Web site includes on line Registration and Patient Billing information:- Billing Process- Free Care- Monthly Payment Plan- Patient Statement- Price Information- Contact Us and QuestionsPrimary language, deaf and hard of hearing and interpreter needs are assessed during the registration interview and services are provided as needed.If a patient does not respond at pre-registration, registration, or while receiving care, all of these programs are explained again by the Single Billing Office staff. The intent of these efforts is to ensure that the patient is fully informed of and able to take advantage of these assistance programs. |
| Part VI, Line 4 - Community Information | The Community Health Needs Assessment describes the geographic area and demographic constituents it services. See https://mainehealth.org/healthy-communities/community-health-needs-assessment for the completed CHNA. |
| Part VI, Line 5 - Promotion of Community Health | The tax exempt purpose of the organization to improve the health of the community is promoted and enhanced in the following ways:* The majority of the governing body is composed of persons living within the hospital service area that are neither employed by, nor have contractual relationships with, the hospital or its affiliates.* Medical staff privileges are available to all qualified physicians in the community.* Solicitation of community input in the strategic planning process.* Common governance of the hospitals, long-term care, home health, Hospice and physician services provided in the county to promote common health care and improvement planning and control costs.* Voluntary cap on Income from Operations to restrain prices and to fund health care and health improvement activities.* Surplus funds are reinvested in capital equipment and improvements to ensure high quality care.* Each year a portion of Retained Earnings are distributed to our parent, Maine Healthcare, for the specific purpose of health status improvement programs throughout the Maine Healthcare service area. |
| Part VI, Line 6 - Affiliated Health Care System | Maine Healthcare is a not-for-profit family of leading high-quality providers and other healthcare organizations working together so their communities are the healthiest in America. Ranked among the nation's top 100 integrated healthcare delivery networks, Maine Healthcare is governed by a board of trustees consisting of community and business leaders from its southern, central and western Maine regional service areas. The collaboration of Maine Healthcare members makes it possible to offer an extensive range of clinical integration and community health programs, many aimed at improving access to preventive and primary care services. Maine Healthcare includes the following member organizations: LincolnHealth Group, MaineHealth, Maine Behavioral Healthcare (Spring Harbor Hospital), Coastal Healthcare Alliance (Pen Bay Medical Center and Waldo County General Hospital), Southern Maine Health Care (Southern Maine Medical Center and Goodall campuses), Western Maine Health Care (Stephens Memorial Hospital), The Memorial Hospital at North Conway, N.H., MaineHealth Care at Home, NorDx, Synernet and MaineHealth Accountable Care Organization. The strategic affiliates of Maine Healthcare are MaineGeneral Medical Center, Mid Coast Hospital and St. Mary's Regional Medical Center. |
| Part VI, Line 7 - State Filing of Community Benefit Report | Maine |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Aquilino Alamo MD | ||||||||||||||
| Trustee | $0 | $158,204 | $0 | $53,893 | $0 | $400 | $0 | $8,862 | $0 | $29,057 | $0 | $250,416 | $0 | $0 |
| Samira Hasan DO | ||||||||||||||
| Trustee | $0 | $281,729 | $0 | $0 | $0 | $101,380 | $0 | $8,250 | $0 | $26,678 | $0 | $418,037 | $0 | $0 |
| Timothy Fox MD | ||||||||||||||
| Trustee | $0 | $275,160 | $0 | $0 | $0 | $5,000 | $0 | $10,146 | $0 | $26,649 | $0 | $316,955 | $0 | $0 |
| Sean O'Donnell MD | ||||||||||||||
| Trustee | $0 | $198,650 | $0 | $0 | $0 | $48,200 | $0 | $10,227 | $0 | $28,379 | $0 | $285,456 | $0 | $0 |
| Andrew Russ MD | ||||||||||||||
| Trustee | $0 | $184,848 | $0 | $60,381 | $0 | $22,575 | $0 | $9,517 | $0 | $32,088 | $0 | $309,409 | $0 | $0 |
| James Donovan | ||||||||||||||
| CEO - LHG | $0 | $288,283 | $0 | $52,000 | $0 | $42,643 | $0 | $10,021 | $0 | $37,177 | $0 | $430,124 | $0 | $0 |
| Wayne Printy | ||||||||||||||
| CFO - LHG | $0 | $222,465 | $0 | $0 | $0 | $27,243 | $0 | $9,791 | $0 | $17,883 | $0 | $277,382 | $0 | $0 |
| Stacey Miller | ||||||||||||||
| VP Phys. Services | $158,045 | $0 | $0 | $0 | $6,585 | $0 | $6,972 | $0 | $29,037 | $0 | $200,639 | $0 | $0 | $0 |
| Christine Anderson | ||||||||||||||
| VP Patient Svc & CNO | $166,653 | $0 | $0 | $0 | $7,431 | $0 | $7,132 | $0 | $28,580 | $0 | $209,796 | $0 | $0 | $0 |
| Karen Philbrick | ||||||||||||||
| Director of Pharmacy | $143,923 | $0 | $75 | $0 | $50 | $0 | $5,934 | $0 | $28,772 | $0 | $178,754 | $0 | $0 | $0 |
| Brent Peters | ||||||||||||||
| Staff Pharmacist | $130,980 | $0 | $58 | $0 | $0 | $0 | $5,500 | $0 | $22,493 | $0 | $159,031 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 3 | FormAndLineReferenceDesc |
| Explanation | Related Org Methods Used for Compesation Explanation. Top management officials are compensated by this or other related organizations. These organizations used one or more of the methods shown at Part I, Line 3 to establish the compensation of top management. See descrition of process in Schedule O - Form 990, Part VI, Line 15a - Compensation of Top Official. | ExplanationTxt |
Schedule N IRS990ScheduleN
Liquidation Of Assets Table LiquidationOfAssetsTableGrp
Liquidation Of Assets Detail LiquidationOfAssetsDetail (18 entries)
| Assets Distri Or Expnss PaidAssetsDistriOrExpnssPaidDesc | DistributionDistributionDt | Fair Market Value Of AssetFairMarketValueOfAssetAmt | Method Of FMV DeterminationMethodOfFMVDeterminationTxt | EINEIN | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | IRC SectionIRCSectionTxt |
|---|---|---|---|---|---|---|---|---|---|
| MaineHealth | |||||||||
| Cash & Cash Equivalents | 2019-01-01 | $4,425,475 | Book Value | 010238552 | 22 Bramhall Street | Portland | ME | 04102 | 501(c)(3) |
| MaineHealth | |||||||||
| Patient AR, Net | 2019-01-01 | $6,985,850 | Book Value | 010238552 | 22 Bramhall Street | Portland | ME | 04102 | 501(c)(3) |
| MaineHealth | |||||||||
| Prepaids & Other Current Assets | 2019-01-01 | $1,080,225 | Book Value | 010238552 | 22 Bramhall Street | Portland | ME | 04102 | 501(c)(3) |
| MaineHealth | |||||||||
| Inventory | 2019-01-01 | $2,214,171 | Book Value | 010238552 | 22 Bramhall Street | Portland | ME | 04102 | 501(c)(3) |
| MaineHealth | |||||||||
| Estimated Third-Party | 2019-01-01 | $4,511,628 | Book Value | 010238552 | 22 Bramhall Street | Portland | ME | 04102 | 501(c)(3) |
| MaineHealth | |||||||||
| Investments | 2019-01-01 | $13,225,117 | Book Value | 010238552 | 22 Bramhall Street | Portland | ME | 04102 | 501(c)(3) |
| MaineHealth | |||||||||
| PPE, net | 2019-01-01 | $46,762,120 | Book Value | 010238552 | 22 Bramhall Street | Portland | ME | 04102 | 501(c)(3) |
| MaineHealth | |||||||||
| Other Assets | 2019-01-01 | $3,335,454 | Book Value | 010238552 | 22 Bramhall Street | Portland | ME | 04102 | 501(c)(3) |
| MaineHealth | |||||||||
| Accounts Payable & Other Current Liabilities | 2019-01-01 | -$1,617,780 | Book Value | 010238552 | 22 Bramhall Street | Portland | ME | 04102 | 501(c)(3) |
| MaineHealth | |||||||||
| Accrued Payroll, Payroll Taxes, & Amounts Withheld | 2019-01-01 | -$2,630,412 | Book Value | 010238552 | 22 Bramhall Street | Portland | ME | 04102 | 501(c)(3) |
| MaineHealth | |||||||||
| Accrued Interest Payable | 2019-01-01 | -$202,714 | Book Value | 010238552 | 22 Bramhall Street | Portland | ME | 04102 | 501(c)(3) |
| MaineHealth | |||||||||
| Deferred Revenue | 2019-01-01 | -$17,032 | Book Value | 010238552 | 22 Bramhall Street | Portland | ME | 04102 | 501(c)(3) |
| MaineHealth | |||||||||
| Due to MH & Other Members,Net | 2019-01-01 | -$7,338,516 | Book Value | 010238552 | 22 Bramhall Street | Portland | ME | 04102 | 501(c)(3) |
| MaineHealth | |||||||||
| Debt | 2019-01-01 | -$10,920,237 | Book Value | 010238552 | 22 Bramhall Street | Portland | ME | 04102 | 501(c)(3) |
| MaineHealth | |||||||||
| Other LT Liabilities | 2019-01-01 | -$3,303,566 | Book Value | 010238552 | 22 Bramhall Street | Portland | ME | 04102 | 501(c)(3) |
| MaineHealth | |||||||||
| Net Assets Unrestricted | 2019-01-01 | -$48,565,695 | Book Value | 010238552 | 22 Bramhall Street | Portland | ME | 04102 | 501(c)(3) |
| MaineHealth | |||||||||
| Net Assets Temporarily Restricted | 2019-01-01 | -$2,575,306 | Book Value | 010238552 | 22 Bramhall Street | Portland | ME | 04102 | 501(c)(3) |
| MaineHealth | |||||||||
| Net Assets Permanently Restricted | 2019-01-01 | -$5,368,782 | Book Value | 010238552 | 22 Bramhall Street | Portland | ME | 04102 | 501(c)(3) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor | Yes (1) | DirectorOfSuccessorInd |
| Employee Of Successor | Yes (1) | EmployeeOfSuccessorInd |
| Owner Of Successor | 0 | OwnerOfSuccessorInd |
| Receive Compensation | 0 | ReceiveCompensationInd |
| Assets Distributed | Yes (1) | AssetsDistributedInd |
| Required To Notify AG | Yes (1) | RequiredToNotifyAGInd |
| Attorney General Notified | Yes (1) | AttorneyGeneralNotifiedInd |
| Liabilities Paid | Yes (1) | LiabilitiesPaidInd |
| Bonds Outstanding | Yes (1) | BondsOutstandingInd |
| Bond Liabilities Discharged | 0 | BondLiabilitiesDischargedInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 2e: | Person(s) Involved: Bruce P. Garren; Aquilino Alamo, MD; Timothy Fox, MD; Samira Hasan, DO; Sean O'Donnell, MD; Andrew Russ, MD; James Donovan, CEO; Wayne Printy, CFO |
| Part I, Line 2e: | Explanation of Involvement: Bruce P. Garren trustee, became a member of MaineHealth's (EIN: 01-0238552) board of trustees upon LH's merger with MaineHealth on 1/1/2019.Aquilino Alamo, MD; Timothy Fox, MD; Samira Hasan, DO; Sean O'Donnell, MD; Andrew Russ, MD; James Donovan, CEO; Wayne Printy, CFO are employees of MaineHealth. |
| Part I, Line 6c: | Effective January 1, 2019, all tax exempt bond liabilities were transferred to MaineHealth (EIN 01-0238552) as part of LH's merger with MaineHealth. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part V, Line 1a | MaineHealth (EIN 01-0238552), acting on behalf of Maine Healthcare (EIN 01-0431680), filed 1,645 Form 1099s for the calendar year 2018 on behalf of the following organizations: Maine Healthcare, MaineHealth, Southern Maine Health Care, Coastal Healthcare Alliance, Pen Bay Medical Center, Waldo County General Hospital, Franklin Memorial Hospital, LincolnHealth Group, Memorial Hospital, Western Maine Healthcare, Maine Behavioral Healthcare, NorDx, MaineHealth Care at Home. |
| Form 990, Part V, Line 2a | MaineHealth (EIN 01-0238552) filed Form W-3, reporting 18,322 employees, for the calendar year 2018 on behalf of the following organizations: Maine Healthcare, MaineHealth, MMC Realty, Maine Medical Partners, NorDx, MaineHealth Care at Home, MaineHealth Cardiology, Southern Maine Health Care, Maine Behavioral Healthcare, Waldo County General Hospital and LincolnHealth Group. |
| Form 990, Part VI, Section A, line 6 | LincolnHealth Group (LHG),(EIN# 26-1475629), is the sole corporate member of LincolnHealth(LH). Maine Healthcare (EIN #01-0431680), as the sole member of LHG, has the right to approve significant decisions of the governing board of LHG and its subsidiaries. |
| Form 990, Part VI, Section A, line 7a | The member elects the Board of Trustees. All officers of the Board of Trustees are elected by the board, and each must be a Trustee. Officers of the corporation are elected annually by the board. |
| Form 990, Part VI, Section A, line 7b | Decisions of the governing body such as budgets, business strategies, significant financial commitments, amendments to the articles of incorporation, and election of the President/CEO among other decisions, are subject to the approval of the sole member. |
| Form 990, Part VI, Section B, line 11b | The Chief Financial Officer and Controller perform a detailed review of the entire Form 990 before signing. It is then made available to the full board prior to filing. |
| Form 990, Part VI, Section B, line 12c | Any duality of interest or possible conflict of interest on the part of a trustee, physician, officer or manager (e.g., a member of LincolnHealth Group Leadership Team, Director, Manager or person responsible for purchasing) must be disclosed to the applicable Board, Board Committee or,in the case of an administrative decision that is not subject to Board or committee approval, to the manager's immediate supervisor. Such disclosures shall be made a matter of record. Disclosure will be made at the time of initial affiliation with LincolnHealth Group annually and when the interest becomes a matter for Board or committee action or administrative decision. Disclosure Forms shall be completed annually by trustees and officers at the time of the Annual Meeting, and annually by vice presidents, directors, and managers in conjunction with their annual performance review. |
| Form 990, Part VI, Section B, line 15 | Line 15a - Compensation Process for Top Official The process followed for determining compensation of the CEO compensated by this or other related organization is a formal process performed annually by the Executive Committee of the Board of Directors. A related organization uses an outside firm, Sullivan Cotter, to perform an independent benchmark analysis for the CEO of LincolnHealth,along with other executives in the Maine Healthcare system. The firm meets with the Executive Committee to review each executive's benchmark report. The Committee then deliberates on Maine Healthcare's written salary and incentive plan philosophy before making a final decision. All decisions and meetings are captured in minutes and there are appropriate approvals at all levels. Line 15b - Compensation Process for Officers See process above under "Compensation Process for Top Official". |
| Form 990, Part VI, Section C, line 19 | Documents that are required to be open for public inspection are made available upon request. |
| Form 990, Part XI, line 9: | Equity Transfer to affiliates 1,743,753. Change in value of perpetual trust -100. Merger of assets into MaineHealth (EIN: 01-0238552) -56,509,782. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| LincolnHealth Medical Partners Inc | |||||||||||
| 35 Miles Street | Damariscotta | ME | 04543 | 263878235 | Physician practices | ME | 501(c)(3) | Line 7 | LincolnHealth Group | 0 | |
| LincolnHealth Group | |||||||||||
| 6 St Andrews Lane | Boothbay Harbor | ME | 04538 | 261475629 | Healthcare | ME | 501(c)(3) | Line 12b, II | Maine Healthcare | 0 | |
| LincolnHealth Cove's Edge | |||||||||||
| 35 Miles Street | Damariscotta | ME | 04543 | 010382340 | Healthcare | ME | 501(c)(3) | Line 3 | LincolnHealth Group | 0 | |
| Maine Healthcare | |||||||||||
| 110 Free Street | Portland | ME | 04101 | 010431680 | Healthcare | ME | 501(c)(3) | Line 12c, III-FI | 0 | N/A | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |