BLUE HILL MEMORIAL HOSPITAL INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- BLUE HILL MEMORIAL HOSPITAL INC (EIN 01-0227195)
- Tax period
- 2017-10-01 to 2018-09-30
- Filed
- 2019-08-07
- IRS object ID
- 201942199349300219
- 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 | 2019-08-07T07:04:07-07:00 | 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 | 010227195 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE HILL MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BLUE | BusinessNameControlTxt |
| Phone | 2073742836 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 57 WATER STREET | AddressLine1Txt |
| City | BLUE HILL | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04614 | 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 Doyle | PrincipalOfficerNm |
| Gross Receipts | $64,325,036 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.bhmh.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1924 | FormationYr |
| Legal Domicile State | ME | LegalDomicileStateCd |
| Activity Or Mission | Blue Hill Memorial Hospital is dedicated to improving the health and wellness of our communities by providing primary and specialty health care of outstanding quality and caring for our patients with respect and compassion. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 356 | TotalEmployeeCnt |
| Total Volunteers | 108 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $594,477 | PYContributionsGrantsAmt |
| CY Contributions Grants | $544,000 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $65,327,234 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $63,487,626 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,506,036 | PYInvestmentIncomeAmt |
| CY Investment Income | $13,520 | CYInvestmentIncomeAmt |
| PY Other Revenue | $202,309 | PYOtherRevenueAmt |
| CY Other Revenue | $266,276 | CYOtherRevenueAmt |
| PY Total Revenue | $67,630,056 | PYTotalRevenueAmt |
| CY Total Revenue | $64,311,422 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,500 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,250 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $25,417,196 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $25,718,534 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $39,569,442 | PYOtherExpensesAmt |
| CY Other Expenses | $33,713,424 | CYOtherExpensesAmt |
| PY Total Expenses | $64,989,138 | PYTotalExpensesAmt |
| CY Total Expenses | $59,433,208 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,640,918 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,878,214 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $17,223,658 | TotalAssetsBOYAmt |
| Total Assets EOY | $22,037,507 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $10,237,626 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $10,494,272 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $6,986,032 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $11,543,235 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Blue Hill Memorial Hospital is dedicated to improving the health and wellness of our communities by providing primary and specialty health care of outstanding quality and caring for our patients with respect and compassion. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $53,431,729 | ExpenseAmt |
| Grant | $1,250 | GrantAmt |
| Revenue | $63,751,626 | RevenueAmt |
| Desc | See Schedule O | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,175,189 | ExpenseAmt |
| Desc | Medicare shortfalls (at cost) 23,895 persons served. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $777,492 | ExpenseAmt |
| Desc | Charity care provided (at cost) 355 persons served. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $55,384,410 | 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 | 59 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 356 | 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 | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | 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 J 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 (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| James Schatz | |||||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Charles J Hatfield II | |||||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Barbara Fleck | |||||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Richard Littlefield MD | |||||||||
| Ex-Officio | 50.00 | 0.00 | Yes (X) | $180,225 | $0 | $22,309 | |||
| Lisa Billings-Lindsey DO | |||||||||
| Chief of Staff | 50.00 | 0.00 | Yes (X) | $176,204 | $0 | $27,073 | |||
| Sally N Mills | |||||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Ed Volkwein | |||||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Edward Clayton | |||||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| M Michelle Hood EMHS | |||||||||
| Ex-Officio | 2.00 | 50.00 | Yes (X) | $0 | $958,052 | $284,585 | Yes (X) | ||
| Scott Gray | |||||||||
| Vice Chair | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Scott Miller | |||||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| John Ronan | |||||||||
| SVP & President | 25.00 | 25.00 | Yes (X) | $159,204 | $159,204 | $68,824 | Yes (X) | ||
| Gordon Stewart | |||||||||
| Chairman | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Anthony Filer | |||||||||
| Treasurer | 2.00 | 50.00 | $0 | $496,014 | $29,454 | Yes (X) | |||
| Mike Murnik MD | |||||||||
| VP Senior Phys | 50.00 | 0.00 | $265,657 | $0 | $43,824 | Yes (X) | |||
| Ardelle Bigos | |||||||||
| VP Patient Care | 25.00 | 25.00 | $116,684 | $116,684 | $27,892 | Yes (X) | |||
| Paul Bolin | |||||||||
| VP & CHRO | 2.00 | 50.00 | $0 | $336,066 | $47,158 | Yes (X) | |||
| Kristin Cyr | |||||||||
| VP Patient Care | 25.00 | 25.00 | $71,761 | $71,761 | $28,152 | Yes (X) | |||
| Glenn Martin | |||||||||
| Secretary | 2.00 | 50.00 | $0 | $445,839 | $94,023 | Yes (X) | |||
| Wendy Jones | |||||||||
| VP of Finance | 25.00 | 25.00 | $97,218 | $97,218 | $38,894 | Yes (X) | |||
| Mark Hankinson | |||||||||
| VP-Operations | 25.00 | 25.00 | $79,915 | $79,915 | $18,504 | Yes (X) | |||
| Surapaneni Ramanadha Rao | |||||||||
| Surgeon | 50.00 | 0.00 | $584,377 | $0 | $15,638 | Yes (X) | |||
| Kathleen J Ober | |||||||||
| Physician | 50.00 | 0.00 | $333,919 | $0 | $31,641 | Yes (X) | |||
| Ronald Prokopius | |||||||||
| Physician | 50.00 | 0.00 | $309,788 | $0 | $37,444 | Yes (X) | |||
| Amy E Tan | |||||||||
| Surgeon | 50.00 | 0.00 | $294,532 | $0 | $43,342 | Yes (X) | |||
| Dennis Desilvey | |||||||||
| Physician | 50.00 | 0.00 | $283,380 | $0 | $46,525 | Yes (X) | |||
| Kathleen S Lirakis | |||||||||
| Former VP, Nursing & Patient Care | 50.00 | 50.00 | $135,173 | $27,147 | $12,325 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,088,037 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,787,900 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $917,607 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 30 | 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 |
|---|---|---|---|---|---|
| Nurse Anesthesia of Maine | |||||
| 141 N Main Street | Brewer | ME | 04412 | CRNA Services | $698,811 |
| Vista Staffing Solutions Inc | |||||
| File 50834 | Los Angeles | CA | 900740834 | Physician Fees | $229,228 |
| American Mobile Nursing | |||||
| 2735 Collection Center Drive | Chicago | IL | 60693 | Temp Staffing | $172,288 |
| Dahl Chase Diagnostic Services | |||||
| 417 State Street Suite 441 | Bangor | ME | 04401 | Laboratory | $166,150 |
| Honeywell Inc | |||||
| 12490 Collections Center Drive | Chicago | IL | 60693 | Maintenance | $101,249 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $107,218 | RelatedOrganizationsAmt |
| All Other Contributions | $436,782 | AllOtherContributionsAmt |
| Noncash Contributions | $32,275 | NoncashContributionsAmt |
| Total Contributions | $544,000 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| Cafeteria | 722210 | $108,064 | $108,064 | |
| Exempt Affiliate Rental | 532000 | $5,500 | $5,500 | |
| Patient Care Service | 621990 | $63,374,062 | $63,374,062 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $63,487,626 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,520 | TotalRevenueColumnAmt |
| Exclusion | $13,520 | 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 | $15,890 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $13,614 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,276 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,276 | TotalRevenueColumnAmt |
| Exclusion | $2,276 | ExclusionAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Meaningful Use | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $264,000 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $264,000 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $264,000 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $64,311,422 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $63,643,562 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $123,860 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,250 | TotalAmt |
| Program Services | $1,250 | ProgramServicesAmt |
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 | $1,331,207 | TotalAmt |
| Program Services | $1,020,926 | 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 | $19,234,409 | TotalAmt |
| Program Services | $17,942,250 | ProgramServicesAmt |
| Management And General | $1,292,159 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $985,188 | TotalAmt |
| Program Services | $935,220 | ProgramServicesAmt |
| Management And General | $49,968 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,071,747 | TotalAmt |
| Program Services | $2,909,156 | ProgramServicesAmt |
| Management And General | $162,591 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,095,983 | TotalAmt |
| Program Services | $1,040,395 | ProgramServicesAmt |
| Management And General | $55,588 | 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 | $7,528 | TotalAmt |
| Management And General | $7,528 | 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 | $4,047,589 | TotalAmt |
| Program Services | $2,666,267 | ProgramServicesAmt |
| Management And General | $1,381,322 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,178 | TotalAmt |
| Program Services | $6,379 | ProgramServicesAmt |
| Management And General | $25,799 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,210,308 | TotalAmt |
| Program Services | $1,056,743 | ProgramServicesAmt |
| Management And General | $153,565 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,360,514 | TotalAmt |
| Program Services | $1,291,263 | ProgramServicesAmt |
| Management And General | $69,251 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $679,574 | TotalAmt |
| Program Services | $546,853 | ProgramServicesAmt |
| Management And General | $132,721 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,395 | TotalAmt |
| Program Services | $22,442 | ProgramServicesAmt |
| Management And General | $17,953 | 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 | $58,251 | TotalAmt |
| Program Services | $57,308 | ProgramServicesAmt |
| Management And General | $943 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,708 | TotalAmt |
| Program Services | $74,672 | ProgramServicesAmt |
| Management And General | $6,036 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $782,430 | TotalAmt |
| Program Services | $559,369 | ProgramServicesAmt |
| Management And General | $223,061 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $418,906 | TotalAmt |
| Program Services | $404,142 | ProgramServicesAmt |
| Management And General | $14,764 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Contractual Allowances | $16,637,529 | $16,637,529 |
| Medical Supplies | $3,428,931 | $3,428,931 |
| Provision for uncollectible ac | $2,099,746 | $2,099,746 |
| Charity Care | $1,333,453 | $1,333,453 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,495,384 | TotalAmt |
| Program Services | $1,350,116 | ProgramServicesAmt |
| Management And General | $145,268 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,433,208 | TotalAmt |
| Program Services | $55,384,410 | ProgramServicesAmt |
| Management And General | $4,048,798 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,204 | BOYAmt |
| EOY | $2,139,653 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16 | BOYAmt |
| EOY | $1,634,618 | 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 | $5,881,114 | BOYAmt |
| EOY | $7,105,162 | 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 | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $178,600 | BOYAmt |
| EOY | $130,255 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $366,805 | BOYAmt |
| EOY | $435,137 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $30,609,051 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $22,854,239 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,975,208 | BOYAmt |
| EOY | $7,754,812 | 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) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,809,711 | BOYAmt |
| EOY | $2,837,870 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,223,658 | BOYAmt |
| EOY | $22,037,507 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,888,382 | BOYAmt |
| EOY | $5,826,856 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,349,244 | BOYAmt |
| EOY | $4,667,416 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,237,626 | BOYAmt |
| EOY | $10,494,272 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,390,379 | BOYAmt |
| EOY | $8,922,123 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $688,759 | BOYAmt |
| EOY | $704,394 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,906,894 | BOYAmt |
| EOY | $1,916,718 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,986,032 | BOYAmt |
| EOY | $11,543,235 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,223,658 | BOYAmt |
| EOY | $22,037,507 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $4,878,214 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $5,764 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$326,775 | 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 |
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $6,221 | FilingOrganizationsTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $6,221 | FilingOrganizationsTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $59,426,987 | FilingOrganizationsTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $59,433,208 | FilingOrganizationsTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $1,000,000 | FilingOrganizationsTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $250,000 | FilingOrganizationsTotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed | false | Form4720FiledInd |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $1,000,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $1,000,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $1,000,000 | CurrentYearMinus1Amt |
| Current Year | $1,000,000 | CurrentYearAmt |
| Total | $4,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $8,967 | CurrentYearMinus3Amt |
| Current Year Minus2 | $6,099 | CurrentYearMinus2Amt |
| Current Year Minus1 | $6,288 | CurrentYearMinus1Amt |
| Current Year | $6,221 | CurrentYearAmt |
| Total | $27,575 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $250,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $250,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $250,000 | CurrentYearMinus1Amt |
| Current Year | $250,000 | CurrentYearAmt |
| Total | $1,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $774,947 | BeginningYearBalanceAmt |
| Contributions | $108,305 | ContributionsAmt |
| Investment Earnings Or Losses | $22,950 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $42,706 | OtherExpendituresAmt |
| End Year Balance | $863,496 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $708,759 | BeginningYearBalanceAmt |
| Contributions | $8,347 | ContributionsAmt |
| Investment Earnings Or Losses | $79,381 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $21,540 | OtherExpendituresAmt |
| End Year Balance | $774,947 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $685,325 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $38,755 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $15,321 | OtherExpendituresAmt |
| End Year Balance | $708,759 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $710,139 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$5,736 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $19,078 | OtherExpendituresAmt |
| End Year Balance | $685,325 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $692,891 | BeginningYearBalanceAmt |
| Contributions | $2,350 | ContributionsAmt |
| Investment Earnings Or Losses | $27,731 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $12,833 | OtherExpendituresAmt |
| End Year Balance | $710,139 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00350 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.99650 | 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 | $601,486 | OtherCostOrOtherBasisAmt |
| Book Value | $601,486 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,987,035 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,142,053 | DepreciationAmt |
| Book Value | $2,844,982 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,810 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,810 | DepreciationAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,285,764 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,230,476 | DepreciationAmt |
| Book Value | $3,055,288 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,731,956 | OtherCostOrOtherBasisAmt |
| Depreciation | $478,900 | DepreciationAmt |
| Book Value | $1,253,056 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $7,754,812 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Assets whose use is limited | $30,333 |
| Beneficial Interest in Perpetual Trusts | $1,305,518 |
| Board Designated Funds-Other | $160,750 |
| Org costs & other long term investments | $25,675 |
| Permanently Donor Restricted Funds | $611,200 |
| Temporarily Donor Restricted Funds | $704,394 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,837,870 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Amounts due to Related Org | $1,932,631 |
| Capital Lease Obligation | $119,726 |
| Deferred Compensation | $2,615,059 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,667,416 | 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 | Income TaxesEMHS, 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 | Yes (true) | 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 | 355 | PersonsServedCnt |
| Total Community Benefit Expns | $777,492 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $777,492 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01980 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,441 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $16,441 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 355 | PersonsServedCnt |
| Total Community Benefit Expns | $793,933 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $793,933 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02020 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 7 | ActivitiesOrProgramsCnt |
| Persons Served | 649 | PersonsServedCnt |
| Total Community Benefit Expns | $241,264 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $241,264 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00610 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $37,975 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $37,975 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 60 | PersonsServedCnt |
| Total Community Benefit Expns | $24,600 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $24,600 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 12 | ActivitiesOrProgramsCnt |
| Persons Served | 709 | PersonsServedCnt |
| Total Community Benefit Expns | $303,839 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $303,839 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00770 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 12 | ActivitiesOrProgramsCnt |
| Persons Served | 1064 | PersonsServedCnt |
| Total Community Benefit Expns | $1,097,772 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,097,772 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02790 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 16 | PersonsServedCnt |
| Total Community Benefit Expns | $20,919 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $20,919 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $44,612 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $44,612 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $11,749 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,749 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 16 | PersonsServedCnt |
| Total Community Benefit Expns | $77,280 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $77,280 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00200 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,222,545 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $19,784,859 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $20,960,048 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,175,189 | 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 | Blue Hill Memorial Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 57 Water Street | AddressLine1Txt |
| City | Blue Hill | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04614 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.bhmh.org | WebsiteAddressTxt |
| State License | 38155 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Blue Hill 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 (5 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 11 - Explanation of Needs Not Addressed and Reasons Why | Affordable Housing - Another option outside of our venue to deliver, plus outside agencies are working on this problem. We have less of an ability to impact this than the chosen priorities. Hunger/Food Insecurity - Many agencies are currently working on this and providing for those in need. We do participate monthly in Simmering Pot and food pantry. We already have community programs in place so this is less of a priority for us.Preventative Screenings - All of the preventive screenings are actually included in many of the priorities that we chose and the fully loaded visit will cover all of the categories listed. Some of the chosen priorities address preventative screenings and education.Inconvenience - We have opened our family practice clinics mornings, evenings and Saturdays. The transportation priority should also help cover this issue.Out of Pocket Costs Associated with Insurance Plans - Our navigator investigation should help identify alternatives for people to have affordable care. This is related to lack of insurance, which we have chosen as a priority. |
| 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/Blue-Hill-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/Blue-Hill-Hospital under "Bill Pay & Financial Assistance |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| Blue Hill Family Medicine | ||||
| 65 Water Street | Blue Hill | ME | 04614 | Physician Offices |
| Blue Hill Orthopedics | ||||
| 65 Water Street | Blue Hill | ME | 04614 | Physician Offices |
| Blue Hill Specialty Services | ||||
| 65 Water Street | Blue Hill | ME | 04614 | Physician Offices |
| Blue Hill Womens Healthcare | ||||
| 65 Water Street | Blue Hill | ME | 04614 | Physician Offices |
| Castine Community Health Services | ||||
| 102 Court Street | Castine | ME | 04421 | Physician Offices |
| Island Family Medicine | ||||
| 354 Airport Road | Stonington | ME | 04681 | Physician Offices |
| Blue Hill Cardiovascular Medicine | ||||
| 59 Water Street | Blue Hill | ME | 04614 | Physician Offices |
| Blue Hill Memorial Hospital Rehabilitation Services | ||||
| 58 Main Street | Bucksport | ME | 04416 | Physician Offices |
| Blue Hill Urology | ||||
| 58 Main Street | Bucksport | ME | 04416 | Physician Offices |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 6a - Related Organization Community Benefit Report | The Blue Hill 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 | $2,099,746 of bad debt expense, $1,333,453 of charity care, $16,637,529 of contractual allowances is included on Form 990, Part IX, line 2olumn (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 collect from outstanding balances. Management provides for probable 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 will be screened for eligibility for charity care using an application and guidelines established by BHMH. An account may be reconsidered for charity care at any time when new information is available about a patients inability to pay. |
| Part VI, Line 3 - Patient Education of Eligibility for Assistance | We have information available through our Web site, have financial counselors at the hospital, and equip our primary care practices with this information. In addition we have discharge planning personnel, including a licensed clinical social worker, who provide more extensive assistance to patients with complex financial issues. Further, our financial counselor screens our patients (using Hospital services) and personally meets with anyone listed as self-pay to help identify if financial assistance is needed. |
| Part VI, Line 4 - Community Information | Blue Hill Memorial Hospital (BHMH) is a 25 bed critical access hospital located in Blue Hill, Maine. As our mission states, we are dedicated to improving the health and wellness of our communities by providing primary and specialty health care of outstanding quality and caring for our patients with respect and compassion. BHMH has three primary care clinics located in the rural communities of Deer Isle/Stonington (population 2,500), Castine (population 1,366), and Blue Hill (population 2,686). The hospital offers many specialty services including Orthopedics, Cardiology, Urology, and Womens Health. The 24 hour emergency room is staffed by physicians and serves approximately 5,000 patients per year. BHMH has a very strong swing bed program allowing patients to be cared for close to home.Our community outreach efforts, as well as the services we deliver within our hospital and practices, are shaped by our communitys needs. We work closely with patients to identify programs that will cover their healthcare costs. When no coverage is available, there are assistance programs to help ensure that every patient has access to medically necessary care. |
| Part VI, Line 4 - Community Building Activities | Blue Hill Memorial Hospital's community building activities include community meals, blood pressure clinics, an educational presence at local fairs and festivals, annual Women's Wellness Fair, ongoing work with local schools, and special events such as our annual Fun Run. Our providers also assist with outreach by giving educational sessions on topics such as men's health, cardiology, and heartburn. We provide tours and "hands on" experiences to local young school children in our emergency, radiology and rehabilitation departments and offer independent study programs for high school students. |
| Part VI, Line 5 - Promotion of Community Health | We partner with many local community health and wellness organizations, including Healthy Peninsula, Healthy Acadia, At Home Downeast, YMCA and Healthy Island Project, to promote the health of our community. These partnerships are for the benefit of our community. |
| 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 Blue Hill Hospital (Blue Hill 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. Blue Hill Hospital obtained information about the requirements and sought to implement them accordingly, but later identified a compliance gap.The issue was discovered in fiscal year 2018 during an internal audit of Blue Hill 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 Blue Hill Hospital is in compliance with Section 501(r). In addition, Northern Light Health continues to engage Northern Light Health Internal Audit to review Blue Hill Hospitals compliance with Section 501(r).Specific issue and correction:1. 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 Blue Hill 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 (18 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Amy E Tan | ||||||||||||
| Surgeon | $291,605 | $285 | $2,642 | $16,000 | $27,342 | $337,874 | ||||||
| Anthony Filer | ||||||||||||
| Treasurer | $491,229 | $4,785 | $29,454 | $525,468 | ||||||||
| Ardelle Bigos | ||||||||||||
| VP Patient Care | $109,809 | $4,114 | $2,761 | $2,633 | $11,313 | $130,630 | $109,809 | $2,761 | $11,313 | $130,630 | $4,114 | $2,633 |
| Dennis Desilvey | ||||||||||||
| Physician | $275,865 | $285 | $7,230 | $23,950 | $22,575 | $329,905 | ||||||
| Glenn Martin | ||||||||||||
| Secretary | $420,922 | $6,635 | $21,366 | $539,862 | $18,282 | $72,657 | ||||||
| John Ronan | ||||||||||||
| SVP & President | $148,405 | $5,186 | $5,613 | $28,973 | $5,439 | $193,616 | $148,405 | $5,613 | $5,439 | $193,616 | $5,186 | $28,973 |
| Kathleen J Ober | ||||||||||||
| Physician | $330,030 | $285 | $3,604 | $18,650 | $12,991 | $365,560 | ||||||
| Kathleen S Lirakis | ||||||||||||
| Former VP, Nursing & Patient Care | $96,319 | $4,872 | $33,982 | $9,284 | $1,942 | $146,399 | $26,663 | $484 | $555 | $28,246 | $544 | |
| Kristin Cyr | ||||||||||||
| VP Patient Care | $70,835 | $926 | $5,005 | $9,071 | $85,837 | $70,835 | $926 | $9,071 | $85,837 | $5,005 | ||
| Lisa Billings-Lindsey DO | ||||||||||||
| Chief of Staff | $175,067 | $285 | $852 | $9,778 | $17,295 | $203,277 | ||||||
| M Michelle Hood EMHS | ||||||||||||
| Ex-Officio | $898,292 | $7,874 | $21,792 | $1,242,637 | $51,886 | $262,793 | ||||||
| Mark Hankinson | ||||||||||||
| VP-Operations | $75,819 | $2,659 | $1,437 | $4,341 | $4,911 | $89,167 | $75,819 | $1,437 | $4,911 | $89,167 | $2,659 | $4,341 |
| Mike Murnik MD | ||||||||||||
| VP Senior Phys | $256,451 | $7,964 | $1,242 | $16,404 | $27,420 | $309,481 | ||||||
| Paul Bolin | ||||||||||||
| VP & CHRO | $318,091 | $10,141 | $31,532 | $383,224 | $7,834 | $15,626 | ||||||
| Richard Littlefield MD | ||||||||||||
| Ex-Officio | $178,333 | $142 | $1,750 | $13,310 | $8,999 | $202,534 | ||||||
| Ronald Prokopius | ||||||||||||
| Physician | $296,886 | $10,285 | $2,617 | $16,000 | $21,444 | $347,232 | ||||||
| Surapaneni Ramanadha Rao | ||||||||||||
| Surgeon | $524,678 | $52,901 | $6,798 | $4,958 | $10,680 | $600,015 | ||||||
| Wendy Jones | ||||||||||||
| VP of Finance | $88,780 | $2,982 | $5,456 | $5,747 | $13,700 | $116,665 | $88,780 | $5,456 | $13,700 | $116,665 | $2,982 | $5,747 |
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:Dennis Desilvey, highest compensated employee $225 Mark Hankinson, officer 225 Kathy Lirakis, officer 205John Ronan, director/officer 329 Amy Tan, highest compensated employee 500 The benefit is available for all employees.Kristin Cyr, officer, received a $20 giftcard. | ExplanationTxt |
Schedule M IRS990ScheduleM
Clothing And Household Goods ClothingAndHouseholdGoodsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $1,250 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 2 | ContributionCnt |
| Noncash Contributions Rpt F990 | $11,622 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Food Inventory FoodInventoryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 4 | ContributionCnt |
| Noncash Contributions Rpt F990 | $5,286 | 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 | 15 | ContributionCnt |
| Noncash Contributions Rpt F990 | $14,117 | 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 (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4d: Other Program Services Description | OTHER PROGRAM SERVICES 4: Medicare shortfalls (at cost) 23,895 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. OTHER PROGRAM SERVICES 6: 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 |
| Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents | 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. Amended 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 | Blue Hill 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 of Finance of Blue Hill Memorial Hospital. It is 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 arms 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 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 arms length transactions. |
| Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management | The SVP & President of Blue Hill Memorial Hospital and the system President/CEO (President) who serves on the board ex-officio are employed by the 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 BHMH President/SVP, 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 | Blue Hill 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 | Change in net assets held @ EMHS Foundation = $115203 |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | Equity transfer to exempt subsidiary-EMHSF = -$100000 |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | Post Retirement Health Benefit FAS 158 = -$56439 |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | Transfer to exempt parent - Eastern Maine Healthcare Systems = -$285539 |
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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Public Charity StatusPublicCharityStatusTxt |
|---|---|---|---|---|---|---|---|---|---|---|
| Eastern Maine Healthcare Real Estate | ||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 010391036 | Leases real estate | ME | 501(c)(2) | EMHS | Yes (true) | |
| Eastern Maine Healthcare System | ||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 010527066 | Supporting organization for healthcare affiliates | ME | 501(c)(3) | NA | Yes (true) | 12 Type II |
| Acadia Hospital Corp AHC | ||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 010459837 | Provide healthcare services | ME | 501(c)(3) | EMHS | Yes (true) | 3 |
| Acadia Healthcare Inc AHI | ||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 223183888 | Provide healthcare services | ME | 501(c)(3) | AHC | Yes (true) | 10 |
| Eastern Maine Medical Center EMMC | ||||||||||
| PO Box 404 489 State Street | Bangor | ME | 044020404 | 010211501 | Provide healthcare services | ME | 501(c)(3) | EMHS | Yes (true) | 3 |
| Eastern Maine Medical Center Auxiliary | ||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 010377901 | Fund raising for exempt Eastern Maine Medical Center | ME | 501(c)(3) | EMMC | Yes (true) | 10 |
| Norumbega Medical Specialists LTD | ||||||||||
| 43 Whiting Hill Road Ste 400 | Brewer | ME | 04412 | 010465231 | Provide patient care & education | ME | 501(c)(3) | EMMC | Yes (true) | 10 |
| EMHS Foundation | ||||||||||
| 43 Whiting Hill Road Ste 400 | Brewer | ME | 04412 | 222514163 | Raise and manage funds for exempt organizations | ME | 501(c)(3) | EMHS | Yes (true) | 12 Type II |
| Rosscare | ||||||||||
| 43 Whiting Hill Road Ste 400 | Brewer | ME | 04412 | 010391038 | Provide services to elderly | ME | 501(c)(3) | EMHS | Yes (true) | PF |
| Rosscare Nursing Homes Inc | ||||||||||
| 43 Whiting Hill Road Ste 400 | Brewer | ME | 04412 | 010430751 | Operation of nursing homes | ME | 501(c)(3) | Rosscare | Yes (true) | 10 |
| Inland Hospital | ||||||||||
| 200 Kennedy Memorial Drive | Waterville | ME | 04901 | 010217211 | Provide healthcare services | ME | 501(c)(3) | EMHS | Yes (true) | 3 |
| Lakewood | ||||||||||
| 220 Kennedy Memorial Drive | Waterville | ME | 04901 | 010421234 | Provide skilled and long-term nursing care | ME | 501(c)(3) | Inland Hospital | Yes (true) | 3 |
| CA Dean Memorial Hospital | ||||||||||
| Pritham Ave PO Box 1129 | Greenville | ME | 044411129 | 043341666 | Provide healthcare services | ME | 501(c)(3) | EMHS | Yes (true) | 3 |
| Sebasticook Valley Health SVH | ||||||||||
| 447 North Main Street | Pittsfield | ME | 04967 | 010263628 | Critical care hospital | ME | 501(c)(3) | EMHS | Yes (true) | 3 |
| Sebasticook Valley Family Practice Assoc | ||||||||||
| 447 North Main Street | Pittsfield | ME | 04967 | 010357854 | Provide patient care | ME | 501(c)(3) | SVH | Yes (true) | 10 |
| The Aroostook Medical Center TAMC | ||||||||||
| PO Box 151 140 Academy Street | Presque Isle | ME | 047690151 | 010372148 | Provide healthcare services | ME | 501(c)(3) | EMHS | Yes (true) | 3 |
| Horizons Health Services | ||||||||||
| PO Box 151 140 Academy Street | Presque Isle | ME | 047690151 | 010504393 | Provide patient care | ME | 501(c)(3) | TAMC | Yes (true) | 3 |
| Restoration Health LLC | ||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 352449986 | Provide mental & behavioral hlth srvs | ME | 501(c)(3) | AHI | Yes (true) | 10 |
| Mercy Hospital | ||||||||||
| 144 State Street | Portland | ME | 04101 | 010211534 | Provide healthcare services | ME | 501(c)(3) | EMHS | Yes (true) | 3 |
| VNA Home Health & Hospice | ||||||||||
| 50 Foden Road | South Portland | ME | 04106 | 010246804 | Provide home health and hospice services | ME | 501(c)(3) | EMHS | Yes (true) | 10 |
| WorkHealth LLC | ||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 474315094 | Provide healthcare services | ME | 501(c)(3) | EMHS | Yes (true) | 12 Type II |
| Maine Coast Regional Health Facilities | ||||||||||
| 50 Union Street | Ellsworth | ME | 04605 | 010198331 | Provide healthcare services | ME | 501(c)(3) | EMHS | Yes (true) | 3 |
| Maine Coast Medical Realty | ||||||||||
| 50 Union Street | Ellsworth | ME | 04605 | 010390918 | Lease medical facilities | ME | 501(c)(3) | MCMH | Yes (true) | 12 Type I |
| Lifestages Physician Services LLC | ||||||||||
| 50 Foden Road | South Portland | ME | 04106 | 821043752 | Provide home health and hospice services | ME | 501(c)(3) | VNA | Yes (true) | 10 |
| LTC LLC | ||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 010211501 | Operation of nursing homes | ME | 501(c)(3) | EMMC | Yes (true) | 3 |
| Beacon Health LLC | ||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 452967056 | Accountable care organization | ME | 501(c)(3) | EMHS | Yes (true) | 12 Type II |
| Beacon Rural Health LLC | ||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 474483187 | Accountable care organization | ME | 501(c)(3) | EMHS | Yes (true) | 12 Type II |
| Beacon Health ACO Holdings LLC | ||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 364903784 | Accountable care organization | ME | 501(c)(3) | EMHS | Yes (true) | 12 Type II |
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 Road | Brewer | ME | 04412 | 010512673 | Ambulance | ME | AHS | false | false |
| M Drug LLC | |||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 272175482 | Pharmacy | ME | AHS | false | false |
| Alliance Health Documentation LLC | |||||||||
| 43 Whiting Hill Road | 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 Road | Brewer | ME | 04412 | 010385322 | Holding co. | ME | EMHS | C | Yes (true) |
| Affiliated Healthcare Management | |||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 010349339 | Hlthcr mgmt | ME | AHS | C | Yes (true) |
| Affiliated Laboratory Inc | |||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 010381283 | Clinical lab | ME | AHS | C | Yes (true) |
| Affiliated Materiel Services | |||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 010381189 | Purchasing | ME | AHS | C | Yes (true) |
| Maine Coast Physician Affiliates | |||||||||
| 50 Union Street | Ellsworth | ME | 04605 | 010479952 | Patient care | ME | MCMH | C | Yes (true) |
| Beacon Direct | |||||||||
| 43 Whiting Hill Road | 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 | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | 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 | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (13 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Eastern Maine Healthcare System | ||
| m | $2,946,208 | FMV |
| Eastern Maine Healthcare System | ||
| p | $4,214,462 | FMV |
| Eastern Maine Healthcare System | ||
| r | $285,539 | FMV |
| Acadia Healthcare Inc AHI | ||
| m | $149,879 | FMV |
| Eastern Maine Medical Center EMMC | ||
| m | $3,140,069 | FMV |
| Eastern Maine Medical Center EMMC | ||
| p | $141,574 | FMV |
| EMHS Foundation | ||
| m | $196,691 | FMV |
| EMHS Foundation | ||
| s | $107,218 | FMV |
| Maine Coast Regional Health Facilities | ||
| l | $86,586 | FMV |
| Maine Coast Regional Health Facilities | ||
| m | $426,201 | FMV |
| Beacon Health LLC | ||
| m | $252,363 | FMV |
| M Drug LLC | ||
| m | $50,685 | FMV |
| Affiliated Laboratory Inc | ||
| m | $336,509 | FMV |