MAINE COAST REGIONAL HEALTH FACILI DBA NORTHERN LIGHT MAINE COAST HOS: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- MAINE COAST REGIONAL HEALTH FACILI DBA NORTHERN LIGHT MAINE COAST HOS (EIN 01-0198331)
- Tax period
- 2017-10-01 to 2018-09-30
- Filed
- 2019-08-07
- IRS object ID
- 201932199349300403
- Schema version
- 2017v2.2
- 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 M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-08-07T08:24:45-07:00 | ReturnTs |
| Tax Period End | 2018-09-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010198331 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Maine Coast Regional Health Facilities | BusinessNameLine1Txt |
| Business Name Line2 | DBA Maine Coast Memorial Hospital | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MAIN | BusinessNameControlTxt |
| Phone | 2079739081 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 50 Union Street | AddressLine1Txt |
| City | Ellsworth | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04605 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | John J Doyle | PersonNm |
| Person Title | NLH VP of Finance | PersonTitleTxt |
| Signature | 2019-08-07 | SignatureDt |
| Discuss With Paid Preparer | false | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | John J Doyle | PrincipalOfficerNm |
| Gross Receipts | $182,298,468 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.mcmhospital.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1964 | FormationYr |
| Legal Domicile State | ME | LegalDomicileStateCd |
| Activity Or Mission | The Hospital is a not-for-profit entity established to provide health care services through its acute care facility and physician practices. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 770 | TotalEmployeeCnt |
| Total Volunteers | 76 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $1,511,261 | PYContributionsGrantsAmt |
| CY Contributions Grants | $871,604 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $178,940,395 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $181,341,770 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,360,804 | PYInvestmentIncomeAmt |
| CY Investment Income | $39,701 | CYInvestmentIncomeAmt |
| PY Other Revenue | $563,513 | PYOtherRevenueAmt |
| CY Other Revenue | $41,406 | CYOtherRevenueAmt |
| PY Total Revenue | $182,375,973 | PYTotalRevenueAmt |
| CY Total Revenue | $182,294,481 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $56,421,035 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $54,841,463 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $130,436,627 | PYOtherExpensesAmt |
| CY Other Expenses | $131,549,532 | CYOtherExpensesAmt |
| PY Total Expenses | $186,857,662 | PYTotalExpensesAmt |
| CY Total Expenses | $186,390,995 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$4,481,689 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$4,096,514 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $58,914,249 | TotalAssetsBOYAmt |
| Total Assets EOY | $61,813,387 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $42,129,626 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $49,500,605 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $16,784,623 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $12,312,782 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The Hospital is a not-for-profit entity established to provide health care services through its acute care facility and physician practices. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $164,194,038 | ExpenseAmt |
| Revenue | $181,375,501 | RevenueAmt |
| Desc | Provided healthcare services regardless of ability to pay as well as education and promotion of health. Provided $5,057,613 of other uncompensated care (at cost).Admissions 2,230Patient Days 7,874Average Stay 3.5 daysClinic Visits:Eleanor Widener Dixon Memorial Clinic 9,497S.W. Harbor Medical Center 4,847Emergency Room Visits 14,072Surgical Cases - Inpatient 428Surgical Cases - Outpatient 1,540Laboratory Tests: 244,146Radiology Exams:Diagnostic Radiology 14,097Ultrasound 5,717CT Scan 6,187Mammography 3,565Nuclear Medicine 500MRI 1,962Physical Therapy 73,324Births 230 | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $9,598,758 | ExpenseAmt |
| Desc | Experienced Medicare shortfall (at cost). 51,944 persons served. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,828,407 | ExpenseAmt |
| Desc | Experienced Medicaid shortfall (at cost). 12,249 persons served. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,181,044 | TotalOtherProgSrvcExpenseAmt |
| Total Program Service Expenses | $176,802,247 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 87 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 770 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | false | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Org Filed In Lieu Of Form1041 | false | OrgFiledInLieuOfForm1041Ind |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | ME | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | John Doyle | PersonNm |
| Phone | 2079739081 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 43 Whiting Hill Road | AddressLine1Txt |
| City | Brewer | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04412 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 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 | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| Douglas MacGregor | |||||||||
| Ex-officio | 50.00 | 0.00 | Yes (X) | $253,506 | $0 | $28,576 | |||
| Jeffrey Dow | |||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Debra Ehrlenbach | |||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Scott Hammond | |||||||||
| Trustee/Chair | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Mary M Hood | |||||||||
| Ex-Officio | 1.00 | 50.00 | Yes (X) | $0 | $958,052 | $284,585 | Yes (X) | ||
| Sally Hutchins | |||||||||
| Trustee/Vice Ch | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Scott Kimball | |||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Alan Nauss MD | |||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Peter Witham MD | |||||||||
| Ex-Officio | 50.00 | 0.00 | Yes (X) | $207,920 | $0 | $25,927 | |||
| Curtis Simard | |||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Karen Stanley | |||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Kevin Tesseo | |||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Adin Tooker | |||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| John Ronan | |||||||||
| Ex-officio | 25.00 | 25.00 | Yes (X) | $159,204 | $159,204 | $68,824 | Yes (X) | ||
| Kristin Cyr | |||||||||
| VP Patient Care | 25.00 | 25.00 | $71,761 | $71,761 | $28,152 | Yes (X) | |||
| Anthony Filer | |||||||||
| Treasurer | 1.00 | 50.00 | $0 | $496,014 | $29,454 | Yes (X) | |||
| Ardelle Bigos | |||||||||
| VP Patient Care | 25.00 | 25.00 | $116,684 | $116,684 | $27,892 | Yes (X) | |||
| Paul Bolin | |||||||||
| VP, CHRO | 1.00 | 50.00 | $0 | $336,066 | $47,158 | Yes (X) | |||
| Glenn Martin | |||||||||
| Secretary | 1.00 | 50.00 | $0 | $445,839 | $94,023 | Yes (X) | |||
| Wendy Jones | |||||||||
| VP, Finance | 25.00 | 25.00 | $97,218 | $97,218 | $38,894 | Yes (X) | |||
| Sheena Whittaker MD | |||||||||
| VP Sr Phys Exec | 50.00 | 0.00 | $280,721 | $0 | $33,730 | Yes (X) | |||
| Mark Hankinson | |||||||||
| VP Operations | 25.00 | 25.00 | $79,915 | $79,915 | $18,504 | Yes (X) | |||
| Bruce Hamilton-Dick | |||||||||
| Physician | 50.00 | 0.00 | $820,635 | $0 | $37,261 | Yes (X) | |||
| Paul R Benoit | |||||||||
| Physician | 50.00 | 0.00 | $568,823 | $0 | $36,828 | Yes (X) | |||
| Elaine Mau | |||||||||
| Physician | 50.00 | 0.00 | $561,512 | $0 | $13,685 | Yes (X) | |||
| Davor Sklizovic | |||||||||
| Physician | 50.00 | 0.00 | $495,264 | $0 | $35,637 | Yes (X) | |||
| Martin Curlik | |||||||||
| Physician | 50.00 | 0.00 | $416,961 | $0 | $26,272 | Yes (X) | |||
| Chris D Frauenhofer | |||||||||
| Former VP, Finance | 50.00 | 0.00 | $237,291 | $0 | $35,755 | Yes (X) | |||
| Charles Therrien | |||||||||
| Former SVP & President | 50.00 | 0.00 | $390,996 | $0 | $68,973 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,758,411 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,760,753 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $980,130 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 80 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CHG Companies | |||||
| PO Box 972651 | Dallas | TX | 753972651 | Contract Labor | $691,044 |
| Weatherby Locums Inc | |||||
| PO Box 972633 | Dallas | TX | 753972633 | Contract Labor | $648,239 |
| Dahl Chase Diagnostic Services | |||||
| 417 State Street | Bangor | ME | 04401 | Lab Services | $565,675 |
| AMN Healthcare | |||||
| 12400 High Bluff Drivef | San Diego | CA | 92130 | Contract Labor | $451,067 |
| Quest Diagnostics | |||||
| 14225 Newbrook Drive | Chantilly | VA | 201512228 | Lab Services | $451,052 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 14 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $493,919 | RelatedOrganizationsAmt |
| Government Grants | $5,000 | GovernmentGrantsAmt |
| All Other Contributions | $372,685 | AllOtherContributionsAmt |
| Noncash Contributions | $75,470 | NoncashContributionsAmt |
| Total Contributions | $871,604 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| Cafeteria/Vending Revenue | 722210 | $183,603 | $183,603 | |
| Patient Service Revenue | 621990 | $181,158,167 | $181,158,167 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $181,341,770 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $43,610 | TotalRevenueColumnAmt |
| Exclusion | $43,610 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $7,675 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $7,675 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,675 | TotalRevenueColumnAmt |
| Exclusion | $7,675 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $78 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $3,987 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $78 | SecuritiesAmt |
| Other | -$3,987 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$3,909 | TotalRevenueColumnAmt |
| Exclusion | -$3,909 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| 340b Pharmacy Benefits | 621990 | $186,731 | $186,731 |
| Meaningful Use | 621990 | -$153,000 | -$153,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $33,731 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $182,294,481 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $181,191,898 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $230,979 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,446,295 | TotalAmt |
| Program Services | $1,136,014 | ProgramServicesAmt |
| Management And General | $310,281 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,145,317 | TotalAmt |
| Program Services | $42,362,320 | ProgramServicesAmt |
| Management And General | $1,782,997 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $726,615 | TotalAmt |
| Program Services | $697,305 | ProgramServicesAmt |
| Management And General | $29,310 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,090,674 | TotalAmt |
| Program Services | $5,839,929 | ProgramServicesAmt |
| Management And General | $250,745 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,432,562 | TotalAmt |
| Program Services | $2,334,438 | ProgramServicesAmt |
| Management And General | $98,124 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,886 | TotalAmt |
| Management And General | $34,886 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,106,607 | TotalAmt |
| Program Services | $4,180,981 | ProgramServicesAmt |
| Management And General | $4,925,626 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,735 | TotalAmt |
| Program Services | $82,735 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,054,608 | TotalAmt |
| Program Services | $1,532,109 | ProgramServicesAmt |
| Management And General | $522,499 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $925,842 | TotalAmt |
| Program Services | $888,496 | ProgramServicesAmt |
| Management And General | $37,346 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,642,998 | TotalAmt |
| Program Services | $1,181,252 | ProgramServicesAmt |
| Management And General | $461,746 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,832 | TotalAmt |
| Program Services | $108,355 | ProgramServicesAmt |
| Management And General | $19,477 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,266 | TotalAmt |
| Program Services | $12,266 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $453,849 | TotalAmt |
| Program Services | $311,411 | ProgramServicesAmt |
| Management And General | $142,438 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,360,890 | TotalAmt |
| Program Services | $1,619,935 | ProgramServicesAmt |
| Management And General | $740,955 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,004,480 | TotalAmt |
| Program Services | $963,962 | ProgramServicesAmt |
| Management And General | $40,518 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Contractual Allowances | $86,422,077 | $86,422,077 |
| Provision for uncollectible ac | $11,003,820 | $11,003,820 |
| Medical Supplies Expense | $10,739,597 | $10,739,597 |
| Charity Care | $2,563,235 | $2,563,235 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,013,810 | TotalAmt |
| Program Services | $2,822,010 | ProgramServicesAmt |
| Management And General | $191,800 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $186,390,995 | TotalAmt |
| Program Services | $176,802,247 | ProgramServicesAmt |
| Management And General | $9,588,748 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,060 | BOYAmt |
| EOY | $4,594 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,460,763 | BOYAmt |
| EOY | $991,386 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,827,298 | BOYAmt |
| EOY | $24,343,269 | 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) |
|---|---|---|
| EOY | $116,130 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $632,833 | BOYAmt |
| EOY | $561,931 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,122,737 | BOYAmt |
| EOY | $859,042 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $32,069,378 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $8,186,317 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,024,059 | BOYAmt |
| EOY | $23,883,061 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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) |
|---|---|---|
| BOY | $300,000 | BOYAmt |
| EOY | $300,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,542,499 | BOYAmt |
| EOY | $10,753,974 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,914,249 | BOYAmt |
| EOY | $61,813,387 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,427,135 | BOYAmt |
| EOY | $36,114,839 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,839 | BOYAmt |
| EOY | $50,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,633,652 | BOYAmt |
| EOY | $13,335,766 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,129,626 | BOYAmt |
| EOY | $49,500,605 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,384,232 | BOYAmt |
| EOY | $8,022,975 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,623,505 | BOYAmt |
| EOY | $1,154,004 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,776,886 | BOYAmt |
| EOY | $3,135,803 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,784,623 | BOYAmt |
| EOY | $12,312,782 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,914,249 | BOYAmt |
| EOY | $61,813,387 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$4,096,514 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $64,239 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$439,566 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed Section4955 Tax | false | Form4720FiledSection4955TaxInd |
| Correction Made | false | CorrectionMadeInd |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $4,739 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $4,739 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
| Form4720 Filed4912 Tax | false | Form4720Filed4912TaxInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1i - Other Activities Description | FormAndLineReferenceDesc |
| Explanation | Non-deductible portion of dues | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,064,380 | BeginningYearBalanceAmt |
| Contributions | $294,678 | ContributionsAmt |
| Investment Earnings Or Losses | $454,505 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $253,535 | OtherExpendituresAmt |
| End Year Balance | $6,560,028 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $18,854,258 | BeginningYearBalanceAmt |
| Contributions | $494,050 | ContributionsAmt |
| Investment Earnings Or Losses | $1,815,384 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $15,099,312 | OtherExpendituresAmt |
| End Year Balance | $6,064,380 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $15,420,092 | BeginningYearBalanceAmt |
| Contributions | $5,298,162 | ContributionsAmt |
| Investment Earnings Or Losses | $2,019,330 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $3,883,326 | OtherExpendituresAmt |
| End Year Balance | $18,854,258 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $17,840,050 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$1,115,765 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,304,193 | OtherExpendituresAmt |
| End Year Balance | $15,420,092 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $21,537,888 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$98,438 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $3,599,400 | OtherExpendituresAmt |
| End Year Balance | $17,840,050 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.71800 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.28200 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $308,479 | OtherCostOrOtherBasisAmt |
| Book Value | $308,479 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,151,225 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,308,572 | DepreciationAmt |
| Book Value | $11,842,653 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,480,696 | OtherCostOrOtherBasisAmt |
| Depreciation | $626,234 | DepreciationAmt |
| Book Value | $854,462 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,640,425 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,878,804 | DepreciationAmt |
| Book Value | $7,761,621 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,488,553 | OtherCostOrOtherBasisAmt |
| Depreciation | $372,707 | DepreciationAmt |
| Book Value | $3,115,846 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $23,883,061 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Assets whose use is limited | $37,963 |
| Benefits Trust Assets | $1,616,602 |
| Board Designated Other | $6,426,204 |
| Permanently Donor Restricted Funds | $1,519,201 |
| Temporarily Donor Restricted Funds | $1,154,004 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $10,753,974 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Amounts due to Related Org | $11,746,020 |
| Liability Under Cap Lease Obligation | $76,904 |
| Reserve for Asset Disposal Costs | $14,921 |
| Reserve for Retiree Health Benefits | $1,497,921 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $13,335,766 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: Intended uses of the endowment fund. | Endowment Funds are designated for purposes that align within this organization's exempt purpose. |
| Part X : FIN48 Footnote | EMHS, its hospitals, and certain other affiliates have been determined by the Internal Revenue Service to be tax-exempt charitable organizations as described in Section 501(c)(3) or 501(c)(2) of the Internal Revenue Code (the Code) and, accordingly, are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Accordingly, no provision for federal income taxes has been recorded in the accompanying consolidated financial statements for these organizations.Tax-exempt charitable organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the Financial Accounting Standards Board (FASB), assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. The System has evaluated its tax position taken or expected to be taken on income tax returns and concluded the impact to be not material.Certain of the System's affiliates are taxable entities. Deferred taxes related to these entities are based on the difference between the financial statement and tax basis of assets and liabilities using enacted tax rates in effect in the years the differences are expected to reverse. The deferred tax assets and liabilities for these entities are not material. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent250 | Yes (X) | Percent250Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 562 | PersonsServedCnt |
| Total Community Benefit Expns | $1,181,044 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,181,044 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01370 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 12249 | PersonsServedCnt |
| Total Community Benefit Expns | $9,139,120 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,310,713 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,828,407 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02120 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $131,304 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $131,304 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 12811 | PersonsServedCnt |
| Total Community Benefit Expns | $10,451,468 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,310,713 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,140,755 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03640 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Persons Served | 922 | PersonsServedCnt |
| Total Community Benefit Expns | $186,146 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $186,146 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00220 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $11,982 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,982 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $397 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $397 | NetCommunityBenefitExpnsAmt |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 10 | ActivitiesOrProgramsCnt |
| Persons Served | 922 | PersonsServedCnt |
| Total Community Benefit Expns | $198,525 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $198,525 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00230 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 10 | ActivitiesOrProgramsCnt |
| Persons Served | 13733 | PersonsServedCnt |
| Total Community Benefit Expns | $10,649,993 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,310,713 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,339,280 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03870 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 20 | PersonsServedCnt |
| Total Community Benefit Expns | $4,098 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,098 | NetCommunityBenefitExpnsAmt |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $15,748 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $15,748 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 20 | PersonsServedCnt |
| Total Community Benefit Expns | $19,846 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $19,846 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $5,057,613 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $25,097,203 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $34,695,960 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$9,598,757 | 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 (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | 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 | Maine Coast Memorial Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 50 Union St | AddressLine1Txt |
| City | Ellsworth | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04605 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.mcmhospital.org | WebsiteAddressTxt |
| State License | 38528 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Maine Coast Memorial Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | 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 (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Part V, Line 16j for URL | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | See Part V, Line 16j for URL | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Part V, Line 16j for URL | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 150.0000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 250.0000 | FPGFamilyIncmLmtDscntCarePct |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | See Part V, Line 16j for URL | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Part V, Line 16j for URL | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See Part V, Line 16j for URL | 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 Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | 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 (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 5 - Account Input from Persons Who Represent the Community | The Maine Shared CHNA research team conducted a statewide survey among stakeholders to identify and prioritize significant health issues in communities across the state. The survey, coordinated with the Maine CDC, engaged public health expertise throughout the process. The survey was administered using a snowball approach where stakeholder agencies agreed to send the surveys to their members and stakeholders for participation. 1,639 people, representing more than 80 organizations and businesses in Maine, completed the survey. Respondents represented health care agencies, public health agencies, law enforcement, municipalities, schools, local businesses, social service agencies, and nongovernmental organizations. In addition to the stakeholder survey, each county conducted a number of community engagement opportunities (forums) to ensure broad interests of the local community were represented; Obtain stakeholder input on identifying significant health needs based on review of shared CHNA data; Solicit stakeholder feedback on prioritizing significant health needs, and; Identify local assets and resources that potentially may address local health priorities. The local forums were conducted in collaboration with the Maine CDC to solicit input from individuals representing populations with health disparities. The following organizations were in attendance at the November 10, 2015 Hancock County Shared CHNA Community Engagement Input Forum and provided valuable feedback on the Shared CHNA.Details about organizations: State Government - representation from DHHS (low income, medically underserved); Non-profit hospitals (Maine Coast Memorial Hospital, Blue Hill Memorial Hospital, Mount Desert Island Hospital providing services to MaineCare populations (medically underserved); Healthy Acadia and Healthy Peninsula provide individuals with health supports and coordination of education and prevention services. Non-profit agency- SAGE and GLSEN: provide advocacy and services for LGBT community. Beth Wright provides resources and care for individuals and families with cancer in both counties. Birch Bay and Hancock County Hospice/Home Care provide services for seniors and aging population (low income). Hancock County EMA provides emergency management to all of Hancock County towns. |
| Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs Assessment | The Shared CHNA was conducted through the Maine Shared Health Needs Assessment Planning Process (SHNAPP) a collaborative effort among Maines four largest health-care systems Central Maine Healthcare, Eastern Maine Healthcare Systems (EMHS), MaineGeneral Health, MaineHealth and the Maine Center for Disease Control and Prevention, an office of the Maine Department of Health and Human Services (DHHS). EMHS member organizations participating in the Shared CHNA included Acadia Hospital, Blue Hill Memorial Hospital, Charles A. Dean Memorial Hospital, Eastern Maine Medical Center, Inland Hospital, Maine Coast Memorial Hospital, Mercy Hospital, Sebasticook Valley Health, and TAMC. |
| Part V, Line 13h - Other Factors Used in Determing Amounts Charged Patients | FPG family income |
| Part V, Line 16j - Other Means Hospital Facility Publicized the Policy | Response for 7a (list url) is https://northernlighthealth.org/Maine-Coast-HospitalResponse for 7b (list url) is https://northernlighthealth.org/Community-Health-Needs-Assessment/2016-CHNA-ReportsResponse for 10a (list url) is https://northernlighthealth.org/Community-Health-Needs-Assessment/2016-CHNA-Reports/Community-Health-Strategy16j. Response for 16a, 16b, 16c (list url) is https://northernlighthealth.org/Maine-Coast-Hospital under Bill Pay & Financial Assistance |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (23 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| Coastal Health Center And The Coastal Skin Center | ||||
| 37 Commerce Park | Ellsworth | ME | 04605 | Physician Practice |
| Ellsworth Family Practice | ||||
| 32 Resort Way | Ellsworth | ME | 04605 | Physician Practice |
| Gouldsboro Rehabilitation Services | ||||
| 37 Clinic Road | Gouldsboro | ME | 04607 | Clinic |
| Maine Coast Rehabilitation Services | ||||
| 65 Church Street | Ellsworth | ME | 04605 | Clinic |
| Somesville Rehabilitation Services | ||||
| Route 102 | Mount Desert | ME | 04660 | Clinic |
| Eleanor Widener Dixon Memorial Clinic | ||||
| 37 Clinic Road | Gouldsboro | ME | 04607 | Physician Practice |
| Ellsworth Internal Medicine | ||||
| 32 Resort Way | Ellsworth | ME | 04605 | Physician Practice |
| Maine Coast Pediatrics | ||||
| 32 Resort Way | Ellsworth | ME | 04605 | Physician Practice |
| Southwest Harbor Medical Center | ||||
| 45 Herrick Road | Southwest Harbor | ME | 04679 | Physician Practice |
| Downeast Dermatology | ||||
| 50 Union Street | Ellsworth | ME | 04605 | Physician Practice |
| Frenchman Bay Orthopedics | ||||
| 50 Union Street | Ellsworth | ME | 04605 | Physician Practice |
| Maine Coast General Surgery | ||||
| 50 Union Street | Ellsworth | ME | 04605 | Physician Practice |
| Maine Coast Otolaryngology | ||||
| 50 Union Street | Ellsworth | ME | 04605 | Physician Practice |
| Maine Coast Urology | ||||
| 50 Union Street | Ellsworth | ME | 04605 | Physician Practice |
| Maine Coast Women Care | ||||
| 50 Union Street | Ellsworth | ME | 04605 | Physician Practice |
| Neurology Services | ||||
| 50 Union Street | Ellsworth | ME | 04605 | Physician Practice |
| Maine Coast Rheumatology | ||||
| 50 Union Street | Ellsworth | ME | 04605 | Physician Practice |
| Cardiology | ||||
| 50 Union Street | Ellsworth | ME | 04605 | Physician Practice |
| Oncology | ||||
| 50 Union Street | Ellsworth | ME | 04605 | Clinic |
| Osteoporosis Clinic | ||||
| 50 Union Street | Ellsworth | ME | 04605 | Clinic |
| Wound Center | ||||
| 50 Union Street | Ellsworth | ME | 04605 | Clinic |
| Maine Coast Specialty Clinic | ||||
| 306 Main Street | Ellsworth | ME | 04605 | Physician Practice |
| Maine Coast Podiatry | ||||
| 318 Main Street | Ellsworth | ME | 04605 | Clinic |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 6a - Related Organization Community Benefit Report | Maine Coast Memorial Hospital community benefit report is contained in an annual community benefit report prepared by Eastern Maine Healthcare Systems which is the parent organization of all related organizations. |
| Part I, Line 7 - Explanation of Costing Methodology | Ratio of Patient Care Cost-to-Charges is used in calculations. |
| Part I, Line 7, Column F - Explanation of Bad Debt Expense | $11,003,820 of bad debt expense, $2,563,235 of charity care, $86,422,077 of contractual allowances is included on Form 990, Part IX, line 25, column (A). |
| Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense | The costing methodology used to determine the amount is cost to charge ratio. |
| Part III, Line 4 - Bad Debt Expense | Patient and trade accounts receivable are stated at the amount management expects to collection from outstanding balances. Management provides for probably uncollectible amounts through a charge to earnings and a valuation allowance based on its assessment of the current status of individual accounts. Balances that are still outstanding after management has used reasonable collection efforts are written off through a charge to the valuation allowance and the applicable patient accounts receivable. Credit is extended without collateral. |
| Part III, Line 8 - Explanation Of Shortfall As Community Benefit | Medicare losses should be treated as a community benefit because the losses are incurred in performing an important public service, and Maine hospitals experience one of the lowest Medicare reimbursement rates in the country. |
| Part III, Line 9b - Provisions On Collection Practices For Qualified Patients | All account guarantors who express an inability to pay inpatient and outpatient services are screened for eligibility for charity care using an application and guidelines established by Maine Coast Memorial Hospital. An account may be reconsidered for charity care at any time when new information is available about a patient's inability to pay. |
| Part VI, Line 3 - Patient Education of Eligibility for Assistance | We notify patients and customers about access to Assistance in various ways. The simplest way is the signage, pamphlets and educational material located around the Organization and in the offices. In every Patient Access/Patient Financial Services area, is a sign explaining the availability of Free/Discounted care and the Federal Poverty guidelines. There are also pamphlets located in the outpatient areas explaining Free Care/Discounted Care and providing information on MaineCare. For inpatients, there is a book in the room which provides all the information on all programs available. |
| Part VI, Line 4 - Community Information | Located in Ellsworth, Maine, Maine Coast Memorial Hospital is a member of EMHS. The 64-bed, full-service hospital serves Hancock and western Washington Counties. Opened in 1956, our comprehensive healthcare facility provides emergency, primary and specialty care, acute inpatient, diagnostic, and surgical services. Maine Coast Memorial Hospital is accredited by The Joint Commission, reflecting our commitment to meeting the highest performance standards for patient safety and quality, and has received both national and state recognition for patient safety, outcomes, and patient satisfaction levels. Maine Coast Memorial Hospital strives to provide access to healthcare and improve the quality of health in the communities it serves. It does this through robust partnerships with other health care facilities and public service organizations. 2013 data shows Hancock County with a population of 54,845, 14 percent of whom live in poverty (21.5 percent of children in the county live in poverty.) 61.7 percent of the population is over age 18, and 20.7 percent of the population is over age 65. Statistically, residents of Hancock County are more likely to be uninsured than the rest of the state (14.7 percent versus 10.4 percent) and MaineCare enrollment is 23.6 percent, with 40.4 percent of children relying on MaineCare for access to healthcare. Residents of Hancock County are more prone to acute myocardial infarction (AMI) and higher rates of mortality related to AMI and coronary heart disease than the rest of the state of Maine. Statistically aligned with the rest of the state, Hancock County reports that 21.1 percent of adult residents have a history of depression, 15.7 percent have suffered from anxiety, and currently 14.9 percent of the population is receiving outpatient mental health treatment. Substance and alcohol misuse data shows that the county population aligns with the majority of the state in regards to substance abuse with an alcohol induced mortality rate of 8.7 per 100,000 and a drug induced mortality rate of 11.6 per 100,000. Per 100,000: emergency medical service overdose response in 2014 was 301.7. Emergency department visits and opiate poisoning per 100,000 population between 2009 and 2011 were 21.5 and 11.6, respectively. Overall substance misuse hospital admissions per 100,000 population were 184.4. |
| Part VI, Line 4 - Community Building Activities | Maine Coast Hospital's community building activities include community meals and support of the Downeast Treatment Center providing outpatient treatment for patients with Opiate Use Disorder through a hub and spokes care model. |
| Part VI, Line 5 - Promotion of Community Health | Maine Coast Regional Health Facilities is a local not for profit hospital that serves its local communities and people regardless of their ability to pay. Maine Coast provides financial assistance and sliding scale discounts to self-pay and low income patients. Also, the Hospital participates in government sponsored health care programs including Medicare, Medicaid, Champus and Tricare. The volunteer Board of Trustees sets the strategic direction for the Hospital and is comprised of community members from the Hospital's service area. This group is made up of local business owners, professionals and retirees. Maine Coast's non-profit status allows the Hospital to reinvest any excess of revenues over expense back into the Hospital to continuously improve the medical care it delivers. The Hospital allows access to healthcare that would otherwise be difficult. The Hospital is the main employer for the local physicians, including specialty physicians that would otherwise have to be accessed out of the area. |
| Part VI, Line 6 - Affilated Health Care System | The 2016 Shared Community Health Needs Assessment conducted by EMHS (Eastern Maine Healthcare Systems) in collaboration with several member/affiliated hospitals and the many public health and community organizations across the state. The Shared Community Health Needs Assessment informs initiatives to promote community health across the system as well as within each member hospitals local service area. Each member hospital adopted a local implementation strategy and community health improvement plan, tailored to meet local needs. |
| Part VI, Line 7 - States Filing of Community Benefit Report | N/A |
| Part VI - Additional Information | Disclosure in accordance with Revenue Procedure 2015-21:Part V Facility Information, Section B Facility Policies and PracticesIn accordance with Revenue Procedure 2015-21, Northern Light Maine Coast Hospital (Maine Coast Hospital) is disclosing the following information with respect to Section 501(r) issues that were discovered during the 2018 tax year and how these have been corrected to satisfy 501(r) requirements.For all items:A good-faith effort was made to implement the requirements of the Section 501(r) regulations. Maine Coast Hospital obtained information about the requirements and sought to implement them accordingly, but later identified some compliance gaps.The issues were discovered in fiscal year 2018 during an internal audit of Maine Coast Hospitals compliance with Sections 501(r). To ensure full compliance with Section 501(r) regulations, Northern Light Healths Community Health and Revenue Cycle Departments perform routine reviews to assure Maine Coast Hospital is in compliance with Section 501(r). In addition, Northern Light Health continues to engage Northern Light Health Internal Audit to review Maine Coast Hospitals compliance with Section 501(r).Specific issues and corrections:1. Incorrect calculation of Amounts Generally Billed (AGB)a. Requirement: A hospital facility may determine AGB for any emergency or other medically necessary care it provides to a FAP-eligible individual by multiplying the hospital facilitys gross charges for the care by one or more percentages of gross charges (AGB percentage(s)). A hospital facility using this method must calculate its AGB percentage(s) at least annually by dividing the sum of the amounts of all of its claims for emergency and other medically necessary care that have been allowed by health insurers during a prior 12-month period by the sum of the associated gross charges for those claims.b. Condition: Maine Coast Hospital incorrectly calculated the AGB because it did not use actual amounts allowed by health insurers or associated gross charges in its calculation of AGB. Instead, Maine Coast Hospital used adjusted net patient revenue divided by adjusted gross patient revenue in calculating the AGB.c. Corrective Action: In response, Maine Coast Hospital recalculated the AGB using the required data and retroactively adjusted its AGB for FY 2017 and 2018 to the correct percentage. Maine Coast Hospital has identified 1,955 patient accounts affected by the correction and to date has corrected 352 accounts and has refunded $23,129 in order to restore each affected individual to the position in which he or she would have been had the failure not have occurred. At this time Maine Coast Hospital has 1,603 accounts remaining to be corrected with an anticipated total adjustment of $105,366. d. Date Corrected: The new AGB was calculated in December 2018 and for 501(r) compliance purposes Maine Coast Hospital applied the correct AGB to all patient accounts as of the beginning of October 2018. By October 1, 2019, Maine Coast Hospital expects to restore each remaining affected individual to the position in which he or she would have been had the failure not have occurred.2. Widely Publicizeda. Requirement: In order to ensure the FAP is widely publicized, a hospital must take several actions, one of which is to make the FAP, FAP application form and a plain language summary of the FAP widely available on a Web site.b. Condition: On October 22, 2018, it was discovered that the link from Maine Coast Hospitals Billing Help Web page did not map correctly to the Northern Light Health Financial Assistance page.c. Corrective Action: Northern Light Health Information Technology was contacted to resolve the mapping issue. Northern Light Health has since established a monthly review of all FAP-related mapping to verify functionality.d. Date Corrected: October 30, 2018. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
| Rebuttable Presumption Proc | false | RebuttablePresumptionProcInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Anthony Filer | ||||||||||||
| Treasurer | $491,229 | $4,785 | $29,454 | $525,468 | ||||||||
| Ardelle Bigos | ||||||||||||
| VP Patient Care | $109,809 | $2,761 | $11,313 | $130,630 | $109,809 | $4,114 | $4,114 | $2,761 | $2,633 | $2,633 | $11,313 | $130,630 |
| Bruce Hamilton-Dick | ||||||||||||
| Physician | $808,038 | $12,597 | $6,817 | $30,444 | $857,896 | |||||||
| Charles Therrien | ||||||||||||
| Former SVP & President | $373,011 | $14,688 | $3,297 | $57,900 | $11,073 | $459,969 | ||||||
| Chris D Frauenhofer | ||||||||||||
| Former VP, Finance | $206,630 | $7,491 | $23,170 | $4,555 | $31,200 | $273,046 | ||||||
| Davor Sklizovic | ||||||||||||
| Physician | $490,223 | $248 | $4,793 | $5,952 | $29,685 | $530,901 | ||||||
| Douglas MacGregor | ||||||||||||
| Ex-officio | $203,265 | $34,835 | $15,406 | $5,813 | $22,763 | $282,082 | ||||||
| Elaine Mau | ||||||||||||
| Physician | $559,426 | $2,086 | $4,452 | $9,233 | $575,197 | |||||||
| Glenn Martin | ||||||||||||
| Secretary | $420,922 | $6,635 | $21,366 | $539,862 | $18,282 | $72,657 | ||||||
| John Ronan | ||||||||||||
| Ex-officio | $148,405 | $5,613 | $5,439 | $193,616 | $148,405 | $5,186 | $5,186 | $5,613 | $28,973 | $28,973 | $5,439 | $193,616 |
| Kristin Cyr | ||||||||||||
| VP Patient Care | $70,835 | $926 | $9,071 | $85,837 | $70,835 | $926 | $5,005 | $5,005 | $9,071 | $85,837 | ||
| Mark Hankinson | ||||||||||||
| VP Operations | $75,819 | $1,437 | $4,911 | $89,167 | $75,819 | $2,659 | $2,659 | $1,437 | $4,341 | $4,341 | $4,911 | $89,167 |
| Martin Curlik | ||||||||||||
| Physician | $394,362 | $19,035 | $3,564 | $5,849 | $20,423 | $443,233 | ||||||
| Mary M Hood | ||||||||||||
| Ex-Officio | $898,292 | $7,874 | $21,792 | $1,242,637 | $51,886 | $262,793 | ||||||
| Paul Bolin | ||||||||||||
| VP, CHRO | $318,091 | $10,141 | $31,532 | $383,224 | $7,834 | $15,626 | ||||||
| Paul R Benoit | ||||||||||||
| Physician | $548,059 | $20,764 | $6,175 | $30,653 | $605,651 | |||||||
| Peter Witham MD | ||||||||||||
| Ex-Officio | $194,063 | $11,704 | $2,153 | $4,802 | $21,125 | $233,847 | ||||||
| Sheena Whittaker MD | ||||||||||||
| VP Sr Phys Exec | $263,047 | $13,927 | $3,747 | $5,330 | $28,400 | $314,451 | ||||||
| Wendy Jones | ||||||||||||
| VP, Finance | $88,780 | $5,456 | $13,700 | $116,665 | $88,780 | $2,982 | $2,982 | $5,456 | $5,747 | $5,747 | $13,700 | $116,665 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 1a: Relevant information in regards to selections on 1a. | FormAndLineReferenceDesc |
| Explanation | The following received a wellness program incentive:Mark Hankinson, officer $225John Ronan, director/officer 329Davor Sklizovic, highest compensated employee 35Peter Witham, director 15The benefit is available for all employees.Kristen Cyr, officer, received a $20 giftcard. | ExplanationTxt |
Schedule M IRS990ScheduleM
Books And Publications BooksAndPublicationsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $35 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Clothing And Household Goods ClothingAndHouseholdGoodsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $9,050 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 6 | ContributionCnt |
| Noncash Contributions Rpt F990 | $45,549 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Food Inventory FoodInventoryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 28 | ContributionCnt |
| Noncash Contributions Rpt F990 | $3,646 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | Gift Certificat | Desc |
| Contribution | 63 | ContributionCnt |
| Noncash Contributions Rpt F990 | $17,190 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4d: Other Program Services Description | OTHER PROGRAM SERVICES 4: Experienced Medicare shortfall (at cost). 51,944 persons served. OTHER PROGRAM SERVICES 5: Please see the following excerpt from the EMHS Annual Report to the Community for details of community benefit projects at EMHS members:A New DayIn Maine, we have a tradition of leading the way and using our common sense and Yankee ingenuity to make life better for ourselves, our families, and our communities. It appears in our state motto Dirigo from the Latin word for I lead. We were the first state to elect a woman, Margaret Chase Smith, to both houses of Congress. We are home to the countrys first veterans hospital, and we are the first state to greet a new day as the rays of the sun touch our easternmost peaks and shores before any other place across the continental United States.The light of a new day symbolizes a rebirth or an awakening. And this renewed purpose to make healthcare work for people across our great state is what we are experiencing as we embrace our new name-Northern Light Health.In the pages of this years annual report, you will see examples of how we are rolling up our sleeves to raise quality through innovation, teamwork, and efficiency. We have fostered new clinical relationships with Massachusetts General Hospital, a world-class medical research hospital. We are using population health data in new ways to be smarter about how we deliver care. And we have created new programs that bring healthier locally-sourced foods to our hospitals while supporting the hard-working farmers and fishermen who make up the very core of our identity here in Maine.We are working to make healthcare more accessible and straightforward while also making great strides to reduce our costs and improve our operating margins. We are finding new ways to guide our patients and deliver care based on the needs of each person. Its a New Day in Maine. We invite you to join us on this new journey.M. Michelle Hood, FACHENorthern Light Health President and CEOBarry McCrumNorthern Light Health Board ChairA New LightWelcome to Northern Light HealthOpen up, give me a big ahhh, Sheena Whittaker, MD, a pediatrician at Northern Light Pediatrics in Ellsworth asks of her 12-year old patient, Ellis, as she shines a light in his mouth. They are in a pediatrics exam room where Ellis is getting a check up. The windows allow in a generous amount of light; the walls are warm yellow and decorated with Dr. Seuss decals like the Cat in the Hat. Dr. Whittaker wears many hats too. Not only is she a pediatrician, but she is also the senior physician executive for Northern Light Maine Coast Hospital in Ellsworth.Medicine is very controlled, and its very scientific and careful, and it should be; but kids bring a fun aspect to it, Dr. Whittaker explains. If we can fortify children to be strong mentally, physically, emotionally, and psychologically, were going to produce stronger, kinder, healthier children, a better adult population, and a stronger community."Dr. Whittaker may be based at Maine Coast Hospital, but she is part of Northern Light Health, formerly Eastern Maine Healthcare Systems. In addition to changing its name, Northern Light Health has re-identified its priorities and is becoming more integrated across the entire system which spans from Portland to Presque Isle and Greenville to Blue Hill.Dr. Whittaker sees the move to Northern Light Health as a step in the right direction that helps improve patient care. Being united medically means we have resources from the whole Northern Light Health system. Whether were at Northern Light Maine Coast, Northern Light Blue Hill, or Northern Light Eastern Maine Medical Center, we have access to all of the specialty services easily, consecutively, consistently. So, it doesnt matter which hospital a patient walks into, they are receiving the best medical care they possibly can get, explains Dr. Whittaker.Michelle Hood, FACHE, president and CEO of Northern Light Health, and Matt Weed, senior vice president and chief strategy officer have not only worked to implement this new brand identity but to spread the message of what it means beyond the name change. They also called on leaders and front line employees throughout the system to help.At Northern Light Health, we want to make healthcare work for everyone, whether thats an individual or a community. Were going to roll up our sleeves and bring a lot of energy and enthusiasm to our continuing work, explains Michelle. Were raising the bar and that is a simple but substantive way of saying we cant rest. Were always looking for a better way to do things. Our system is very broad not just in geography but in the types of services that we offer, and we want to meet people where they are.Northern Light Health is accomplishing this by making investments in telemedicine, converting to one unified electronic health record system that links all member hospitals together, and creating new clinical relationships with world-class organizations like Massachusetts General Hospital and Dana Farber Cancer Institute.A rebrand to Northern Light Health spans timeit celebrates how far we as a system have come, but it also creates a single shared starting line for where we need to go next, Matt explains. As chief strategy officer, Matt was instrumental in the rebranding effort which was a necessary evolution as healthcare in America is moving toward integrated systems. This in part is driven by economics and financial sustainabilityin all states including Maine, the healthcare industry is being required to coordinate expertise in a way that avoids unnecessary costs.Businesses, governments, and individual consumers are looking to contract with systems for their healthcare needs because this is how they will get the highest quality at the lowest cost. More importantly still, Matt feels that what people want is to know that when the need arises, they or their loved one will receive competent, compassionate care.This is the brand promise, concludes Matt. Its what our neighbors and our family members and a person were meeting for the first time can expect when they come to our physicians and to our hospitals, and when they interact with any other person or service in the system. If were not doing it perfectly today, were motivated and driven by the brand promise to improve; and if we are doing it perfectly today, the brand promise says we wake up and do it again tomorrow.A New FocusOncology Pharmacy Management ProgramLori Boynton is at her happiest at home in her backyard, a spacious spread of land in Lamoine with barns, a paddock, and animals. She finds a shady spot on a sunny summer day to feed afternoon snacks to her donkey, Clementine, and her mule, Mr. Tibbs. She cracks a smile and laughs as Clementine quickly scoffs down a fresh carrot. Im the beast of burden. They dont do any work at all, she laughs, I do all the work and thats my therapy which has been awesome.To look at Lori, with her thick wavy brown hair and healthy complexion, its hard to imagine that just months ago she was battling cancer and undergoing chemotherapy and radiation treatments.Its such a shocking thing when you hear you have cancer, and I just thought its going to be stage one, itll be no problem; it was actually stage three! It makes you think much differently about your time here, she says.Lori was diagnosed with stage III colon cancer in October 2017 and would undergo treatments through May 2018. She had to go to Northern Light Cancer Care for radiation treatments but was able to take oral chemotherapy medication at home. Having already started on chemotherapy treatments at the hospital, Lori knew how it made her feel.Youre kind of in the cloud. Its kind of foggy for lack of a better word. Before, I could multi-task and I could just keep things going in my brain and then it was gone!What Lori was experiencing is not uncommon, explains Sheila Pascual, MD, who was Loris oncologist, A lot of literature has been written about what they call chemo brain or brain fog and its a neural-cognitive dysfunction where theres a decline or deficit in memory, learning new things, attention.Lori might have been worried about trying to keep track of her medications, appointments, bills, and daily chores, except that she was an outpatient in Northern Light Pharmacys Oncology Pharmacy Management Program and she had help keeping track of it all. A team of pharmacists, nurses, and financial patient advocates occupy a room on the first floor of the Lafayette Family Cancer Institute. They spend their time on the phone with patients, helping them with everything from finding discount drugs to managing their medications, and coordinating care with their medical team.Before this program was implemented, patients had no local source to obtain these medications and were forced to go through national mail order specialty pharmacies that were not integrated with the oncology practice so the physicians had a very difficult time |
| Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents | Amended and restated Articles of Incorporation as follows: Paragraph Fifth of Exhibit A: delete the second, third, fourth, fifth, and sixth sentences (removing references to Class A and B members) and replace with: It shall have one corporate member, which shall be Eastern Maine Healthcare Systems (the Member). The rights of the Member are set forth on APPENDIX 1 attached hereto and made a part hereof.Paragraph Sixth of Exhibit A: delete reference to Class B Member and replace with the Member. Appendix 1 to Exhibit A: delete reference to Class B Member and replace with the Member or EMHS. Delete reference to Maine Coast Healthcare Foundation. Amended Bylaws as follows:Article 1, Section 3 (registered Agent): delete reference to Class B member.Article II, Section 1 (Member): delete reference to Class A and Class B members and clarify that the Corporation has one corporate member, Eastern Maine Healthcare Systems (formerly the Class B member).Article II, Section 2: delete reference to the Class B Member and replace with EMHS. Delete reference to Maine Coast Healthcare Foundation.Articles III, IV, V: delete reference to the Class B Member throughout. Article IV, Section 5: deleted The President shall be the chief executive officer of the Corporation. Article V, Section 7 (Governance Committee): deleted CEO from second sentence. Article VIII, Section 5 (Independent Trustee): in subsections (a) and (b), deleted interim chief executive officer and replaced it with president. Amended Article X (General Provisions), Section 3 (Fiscal Year) to change the end of the fiscal year of the Corporation from the last Saturday in September to September 30.Article X (General Provisions), Section 4 (Bonding) to remove the Bonding section in its entirety and replace it with: Fidelity Coverage. The Corporation shall maintain appropriate fidelity coverage protecting the Corporation from losses caused by the fraudulent or dishonest acts of individuals handling or directing the use of corporate funds. |
| Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder | Maine Coast Memorial Hospital (the Corporation) is a Maine nonprofit corporation. Eastern Maine Healthcare Systems (EMHS), also a Maine nonprofit corporation, is the sole voting corporate member of the Corporation. |
| Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body | Each year at their annual meeting, the directors elect replacements for those directors whose terms are expiring. Election of directors is subject to ratification by the EMHS Board of Directors. |
| Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders | The EMHS President has authority to appoint and remove the SVP, President of the Corporation. EMHS also has joint and superior authority to approve, disapprove or initiate action with respect to the following matters: I. amendments to the corporations Articles of Incorporation or Bylaws;II. changes in legal form of organization of the Corporation;III. election of the Directors/Trustees of the Corporation;IV. action concerning the Corporations operating budget and capital expenditures;V. the Corporations acquisition of assets or assumption of liabilities of an unaffiliated third party;VI. transfer of 5% or more of the assets of the Corporation;VII. financing transactions concerning the Corporation; VIII. merger, consolidation, sale, lease, mortgage, pledge or other disposition of all or substantially all assets of the Corporation; IX. add or revise a health care service of the Corporation;X. discontinue or close a health care service of the Corporation;XI. action concerning the Corporations role in the EMHS Strategic Plan;XII. action concerning the Corporations participation in key strategic affiliations with third parties not affiliated with EMHS; andXIII. dissolution of the Corporation. |
| Form 990, Part VI, Line 11b: Form 990 Review Process | Form 990 is reviewed by the VP, Finance of Maine Coast Memorial Hospital. It is also provided to each board member either electronically or in hard copy with an opportunity to ask questions prior to filing with the IRS. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | The organization requests updates of potential conflicts and relationships from the officers and Board members on an annual basis. The request requires disclosure of all business relationships, board memberships, and family relationships. A database is maintained that is compared to payroll records and the accounts payable vendor list to identify any potential conflicts of interest. Transactions are reviewed for reasonableness as an arm's length transaction. The first agenda item for board meetings and board committee meetings is for members to declare any conflict of interest with upcoming agenda items or deliberations. At any point when consideration is being given to purchase/contract with a party in interest, the member with the conflict is either excused from the discussion and consideration process or abstains from voting on the matter. All transactions identified with parties in interest are disclosed within the Form 990. All are deemed to be arm's length transactions. |
| Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management | The SVP, President of Maine Coast Memorial Hospital and the system President/CEO (President) who serves on the board ex-officio are employed by system parent, Eastern Maine Healthcare Systems (EMHS).The EMHS Executive Performance Management Committee (the Committee) is responsible to monitor and evaluate the performance of the EMHS President, to set compensation of the EMHS President, and to review recommendations of the EMHS President with respect to compensation of the SVP, President of the direct subsidiaries, and other direct reports to the President. The Committee is comprised entirely of independent Directors per EMHS bylaws. Process:The Committee meets regularly throughout the fiscal year at the discretion of the Committee chair as well as on call of the Chair of the EMHS board. In carrying out its duties pursuant to the Bylaws, the Committee:-Assures that the executive compensation program is administered in a manner consistent with the EMHS executive compensation philosophy.-Reviews and updates the EMHS executive compensation philosophy which serves as the foundation on which all current and future executive compensation decisions are made.-Assures that value of compensation provided by EMHS does not exceed the value of services provided by the executive.-Reviews annual incentive compensation criteria for eligible executives, as defined by the EMHS President.-Reviews periodic compensation survey information and provides expert input to proposed changes to the executive compensation program.-Assures that a formal and timely performance management system is in place for executives.-Reviews incentive compensation criteria scoring and associated pay schedules for officers and key employees.-Provides any public statements regarding executive compensation practices at EMHS deemed appropriate.-Maintains minutes of the meetings and communicates actions to the EMHS Board of Directors.To accomplish this, the committee uses an external consultant with access to comparative data from independent sources and include national as well as regional data points. The EMHS President reviews all direct report compensation actions with the committee. In addition, the EMHS President ensures that any subsidiary policies and practices governing executive compensation are consistent with the committee's philosophy and practices statement.Form 990, Part VI, Line 15b - Compensation Review & Approval Process for Officers & Key EmployeesCompensation of other officers and key employees of the organization is established by the Human Resources department who utilizes external market research to establish compensation ranges for specific positions. The compensation of officers and key employees are reviewed by the MCMH President and the VP of Human Resources.On an annual basis, the compensation ranges are compared to the updated survey information. The hiring manager will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | Maine Coast Memorial Hospital makes its governing documents, conflict of interest policy and financial statements available to the public upon request. |
| Other Changes In Net Assets Or Fund Balances - Other Increases | Net Change in Funds Held at Affiliates = $166110 |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | Transfer to exempt parent-Eastern Maine Healthcare Systems = -$605676 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (28 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Eastern Maine Healthcare Systems EMHS | |||||||||||
| 43 Whiting Hill Rd | Brewer | ME | 04412 | 010527066 | Supporting org for healthcare affiliates | ME | 501(c)(3) | 12 Type II | N/A | Yes (true) | |
| WorkHealth LLC | |||||||||||
| 43 Whiting Hill Rd | Brewer | ME | 04412 | 474315094 | Provide healthcare services | ME | 501(c)(3) | 12 Type II | Yes (true) | EMHS | |
| Eastern Maine Healthcare Real Estate | |||||||||||
| 43 Whiting Hill Rd | Brewer | ME | 04412 | 010391036 | Leases real estate | ME | 501(c)(2) | Yes (true) | EMHS | ||
| Acadia Hospital CorpAHC | |||||||||||
| 43 Whiting Hill Rd | Brewer | ME | 04412 | 010459837 | Provide healthcare services | ME | 501(c)(3) | 3 | Yes (true) | EMHS | |
| Acadia Healthcare Inc AHI | |||||||||||
| 43 Whiting Hill Rd | Brewer | ME | 04412 | 223183888 | Provide healthcare services | ME | 501(c)(3) | 10 | Yes (true) | AHC | |
| Restoration Health LLC | |||||||||||
| 43 Whiting Hill Rd | Brewer | ME | 04412 | 352449986 | Provide mental & behavioral hlth srvs | ME | 501(c)(3) | 10 | Yes (true) | AHI | |
| Eastern Maine Medical Center EMMC | |||||||||||
| PO Box 404 489 State Street | Bangor | ME | 044020404 | 010211501 | Provide healthcare services | ME | 501(c)(3) | 3 | Yes (true) | EMHS | |
| Eastern Maine Medical Center Auxiliary | |||||||||||
| 43 Whiting Hill Rd | Brewer | ME | 04412 | 010377901 | Fund raising for exempt EMMC | ME | 501(c)(3) | 10 | Yes (true) | EMMC | |
| Norumbega Medical Specialists LTD | |||||||||||
| 43 Whiting Hill Rd Suite 400 | Brewer | ME | 04412 | 010465231 | Provide patient care and education | ME | 501(c)(3) | 10 | Yes (true) | EMMC | |
| EMHS Foundation | |||||||||||
| 43 Whiting Hill Rd Suite 400 | Brewer | ME | 04412 | 222514163 | Raise and manage funds for exempt orgs | ME | 501(c)(3) | 12 Type II | Yes (true) | EMHS | |
| Rosscare | |||||||||||
| 43 Whiting Hill Rd Suite 400 | Brewer | ME | 04412 | 010391038 | Provide services to elderly | ME | 501(c)(3) | PF | Yes (true) | EMHS | |
| Rosscare Nursing Homes Inc | |||||||||||
| 43 Whiting Hill Rd Suite 400 | Brewer | ME | 04412 | 010430751 | Operation of nursing homes | ME | 501(c)(3) | 10 | Yes (true) | Rosscare | |
| Inland Hospital | |||||||||||
| 200 Kennedy Memorial Drive | Waterville | ME | 04901 | 010217211 | Provide healthcare services | ME | 501(c)(3) | 3 | Yes (true) | EMHS | |
| Lakewood | |||||||||||
| 220 Kennedy Memorial Drive | Waterville | ME | 04901 | 010421234 | Provide skilled and LT nursing care | ME | 501(c)(3) | 3 | Yes (true) | Inland Hospital | |
| CA Dean Memorial Hospital | |||||||||||
| Pritham Avenue PO Box 1129 | Greenville | ME | 044411129 | 043341666 | Provide healthcare services | ME | 501(c)(3) | 3 | Yes (true) | EMHS | |
| Blue Hill Memorial Hospital | |||||||||||
| 57 Water Street | Blue Hill | ME | 046145231 | 010227195 | Provide healthcare services | ME | 501(c)(3) | 3 | Yes (true) | EMHS | |
| Sebasticook Valley Health SVH | |||||||||||
| 447 North Main Street | Pittsfield | ME | 04967 | 010263628 | Critical Care Hospital | ME | 501(c)(3) | 3 | Yes (true) | EMHS | |
| Sebasticook Valley Family Practice Assoc | |||||||||||
| 447 North Main Street | Pittsfield | ME | 04967 | 010357854 | Provide patient care | ME | 501(c)(3) | 10 | Yes (true) | SVH | |
| The Aroostook Medical Center TAMC | |||||||||||
| PO Box 151 140 Academy Street | Presque Isle | ME | 047690151 | 010372148 | Provide healthcare services | ME | 501(c)(3) | 3 | Yes (true) | EMHS | |
| Horizons Health Services | |||||||||||
| PO Box 151 140 Academy Street | Presque Isle | ME | 047690151 | 010504393 | Provide patient care | ME | 501(c)(3) | 3 | Yes (true) | TAMC | |
| Maine Coast Medical Realty | |||||||||||
| 50 Union Street | Ellsworth | ME | 04605 | 010390918 | Lease medical facilities | ME | 501(c)(3) | 12 Type I | Yes (true) | MCMH | |
| Mercy Hospital | |||||||||||
| 144 State Street | Portland | ME | 04101 | 010211534 | Provide healthcare services | ME | 501(c)(3) | 3 | Yes (true) | EMHS | |
| VNA Home Health & Hospice | |||||||||||
| 50 Foden Road | South Portland | ME | 04106 | 010246804 | Provide home health and hospice services | ME | 501(c)(3) | 10 | Yes (true) | EMHS | |
| Lifestages Physician Services LLC | |||||||||||
| 50 Foden Road | South Portland | ME | 04106 | 821043752 | Provide home health and hospice services | ME | 501(c)(3) | 10 | Yes (true) | VNA | |
| Beacon Health LLC | |||||||||||
| 43 Whiting Hill Rd | Brewer | ME | 04412 | 452967056 | Accountable Care Organization | ME | 501(c)(3) | 12 Type II | Yes (true) | EMHS | |
| Beacon Rural Health LLC | |||||||||||
| 43 Whiting Hill Rd | Brewer | ME | 04412 | 474483187 | Accountable Care Organization | ME | 501(c)(3) | 12 Type II | Yes (true) | EMHS | |
| Beacon Health ACO Holdings LLC | |||||||||||
| 43 Whiting Hill Rd | Brewer | ME | 04412 | 364903784 | Accountable Care Organization | ME | 501(c)(3) | 12 Type II | Yes (true) | EMHS | |
| LTC LLC | |||||||||||
| 43 Whiting Hill Rd | Brewer | ME | 04412 | 010211501 | Operation of Nursing Homes | ME | 501(c)(3) | 3 | Yes (true) | EMMC | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| Meridian Mobile Health LLC | |||||||||
| 43 Whiting Hill Rd | Brewer | ME | 04412 | 010512673 | Ambulance | ME | AHS | false | false |
| M Drug LLC | |||||||||
| 43 Whiting Hill Rd | Brewer | ME | 04412 | 272175482 | Pharmacy | ME | AHS | false | false |
| Alliance Health Documentation LLC | |||||||||
| 43 Whiting Hill Rd | Brewer | ME | 04412 | 462751855 | Transcription | ME | AHS | false | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| Affiliated Healthcare Systems AHS | |||||||||
| 43 Whiting Hill Rd | Brewer | ME | 04412 | 010385322 | Holding company | ME | EMHS | C | Yes (true) |
| Affiliated Healthcare Management | |||||||||
| 43 Whiting Hill Rd | Brewer | ME | 04412 | 010349339 | Healthcare management | ME | AHS | C | Yes (true) |
| Affiliated Laboratory Inc | |||||||||
| 43 Whiting Hill Rd | Brewer | ME | 04412 | 010381283 | Clinical lab | ME | AHS | C | Yes (true) |
| Affiliated Materiel Services | |||||||||
| 43 Whiting Hill Rd | Brewer | ME | 04412 | 010381189 | Purchasing | ME | AHS | C | Yes (true) |
| Maine Coast Physician Affiliates | |||||||||
| 50 Union St | Ellsworth | ME | 04605 | 010479952 | Patient Care | ME | MCMH | C | Yes (true) |
| Beacon Direct | |||||||||
| 43 Whiting Hill Rd | Brewer | ME | 04412 | 371864965 | Healthcare Self-funded TPA | ME | EMHS | C | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (14 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Eastern Maine Healthcare Systems EMHS | ||
| m | $4,569,795 | FMV |
| Eastern Maine Healthcare Systems EMHS | ||
| p | $8,339,568 | FMV |
| Eastern Maine Healthcare Systems EMHS | ||
| r | $605,597 | FMV |
| Acadia Healthcare Inc AHI | ||
| m | $123,855 | FMV |
| Eastern Maine Medical Center EMMC | ||
| m | $8,859,833 | FMV |
| Eastern Maine Medical Center EMMC | ||
| p | $122,695 | FMV |
| EMHS Foundation | ||
| m | $189,341 | FMV |
| EMHS Foundation | ||
| s | $493,919 | FMV |
| Blue Hill Memorial Hospital | ||
| l | $426,936 | FMV |
| Blue Hill Memorial Hospital | ||
| m | $85,132 | FMV |
| Maine Coast Medical Realty | ||
| k | $145,279 | FMV |
| Maine Coast Medical Realty | ||
| q | $69,871 | FMV |
| Beacon Health LLC | ||
| m | $378,516 | FMV |
| Affiliated Laboratory Inc | ||
| m | $598,263 | FMV |