EASTERN MAINE HEALTHCARE SYSTEMS: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- EASTERN MAINE HEALTHCARE SYSTEMS (EIN 01-0263628)
- Tax period
- 2016-10-01 to 2017-09-30
- Filed
- 2018-08-03
- IRS object ID
- 201812159349300526
- Schema version
- 2016v3.0
- 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 K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-08-03T10:40:04-07:00 | ReturnTs |
| Tax Period End | 2017-09-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010263628 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eastern Maine Healthcare Systems-SVH | BusinessNameLine1Txt |
| Business Name Line2 | Sebasticook Valley Health | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | EAST | BusinessNameControlTxt |
| Phone | 2079739081 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 447 North Main Street | AddressLine1Txt |
| City | Pittsfield | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04967 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | John J Doyle | PersonNm |
| Person Title | EMHS VP of Finance | PersonTitleTxt |
| Signature | 2018-08-03 | SignatureDt |
| Discuss With Paid Preparer | false | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | John J Doyle | PrincipalOfficerNm |
| Gross Receipts | $76,283,670 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| Group Exemption | 5247 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | http://sebasticookvalleyhealth.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1963 | FormationYr |
| Legal Domicile State | ME | LegalDomicileStateCd |
| Activity Or Mission | Sebasticook Valley Health is a critical access hospital whose mission is to be the regional leader in meeting the health needs of our communities, providing quality care, always treating people with dignity and respect. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 404 | TotalEmployeeCnt |
| Total Volunteers | 30 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $655,752 | PYContributionsGrantsAmt |
| CY Contributions Grants | $546,020 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $66,672,198 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $67,498,725 | CYProgramServiceRevenueAmt |
| PY Investment Income | $449,990 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,467,864 | CYInvestmentIncomeAmt |
| PY Other Revenue | $308,457 | PYOtherRevenueAmt |
| CY Other Revenue | $109,340 | CYOtherRevenueAmt |
| PY Total Revenue | $68,086,397 | PYTotalRevenueAmt |
| CY Total Revenue | $69,621,949 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $17 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $21,785,204 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $23,176,143 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $44,220,331 | PYOtherExpensesAmt |
| CY Other Expenses | $40,504,013 | CYOtherExpensesAmt |
| PY Total Expenses | $66,005,535 | PYTotalExpensesAmt |
| CY Total Expenses | $63,680,173 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,080,862 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $5,941,776 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $43,713,771 | TotalAssetsBOYAmt |
| Total Assets EOY | $37,282,787 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $16,736,694 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $15,328,646 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $26,977,077 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $21,954,141 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Sebasticook Valley Health is a critical access hospital whose mission is to be the regional leader in meeting the health needs of our communities, providing quality care, always treating people with dignity and respect. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $53,988,627 | ExpenseAmt |
| Grant | $17 | GrantAmt |
| Revenue | $67,592,225 | RevenueAmt |
| Desc | Sebasticook Valley Health is a nonprofit hospital, providing service for all that needs care, regardless of their ability to pay. In the 2017 fiscal year, SVH provided free care of $1,721,551 and recorded $3,075,607 in bad debts. Our hospital provides 24-hours-a-day emergency services with annual visits of 11,708. SVH provides many free services and programs that are designed to improve the health and well being of our surrounding communities.Additional Statistics:Total Admissions of 604Emergency Room Visits 11,708Surgical Cases 530Clinic Visits 9,902Physician Practice visits of 21,628Please see following excerpt from the EMHS Annual Report to the Community for details of community benefit projects at EMHS members: | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $915,311 | ExpenseAmt |
| Desc | Charity Care provided (at cost) 600 persons served. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $416,936 | ExpenseAmt |
| Desc | Medicare Shortfalls (at cost) 26,232 persons | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $55,320,874 | 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 | false | 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 | Yes (true) | 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 | false | 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 | 77 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 404 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | false | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Org Filed In Lieu Of Form1041 | false | OrgFiledInLieuOfForm1041Ind |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | 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 Rd | 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 |
|---|---|---|---|---|---|---|---|---|---|
| Lori Cummings | |||||||||
| Trustee | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Alicia J Nichols | |||||||||
| Trustee | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| David Richardson | |||||||||
| Chairman | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Stacey Fitts | |||||||||
| Trustee | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Stephen George | |||||||||
| Vice Chair | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Charlie Cianchette | |||||||||
| Trustee | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| James Fullwood DPM | |||||||||
| Ex-Officio | 40.00 | 0.00 | Yes (X) | $301,156 | $0 | $26,802 | |||
| Mary M Hood | |||||||||
| Trustee | 0.50 | 50.00 | Yes (X) | $0 | $885,839 | $271,712 | Yes (X) | ||
| Nanette Ardry | |||||||||
| Trustee | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Linda Woolley | |||||||||
| Trustee | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Andrew Gibson | |||||||||
| Trustee | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Michael Hodgins Esq | |||||||||
| Trustee | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Teresa P Vieira | |||||||||
| Ex-officio | 30.00 | 20.00 | Yes (X) | $155,507 | $103,671 | $87,365 | Yes (X) | ||
| Jeremy Boutot | |||||||||
| Trustee | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Robert Schlager | |||||||||
| CMO | 40.00 | 0.00 | $240,765 | $0 | $18,970 | Yes (X) | |||
| Randall Clark | |||||||||
| VP of Finance | 40.00 | 0.00 | $201,681 | $0 | $32,631 | Yes (X) | |||
| Glenn Martin | |||||||||
| Secretary | 0.50 | 50.00 | $0 | $368,621 | $90,480 | Yes (X) | |||
| Anthony Filer | |||||||||
| Treasurer | 0.50 | 50.00 | $0 | $177,611 | $2,703 | Yes (X) | |||
| Tracy Bonney-Corson | |||||||||
| VP Nursing | 40.00 | 0.00 | $110,480 | $0 | $28,181 | Yes (X) | |||
| Paul R Arsenault | |||||||||
| VP, Primary Car | 40.00 | 0.00 | $109,733 | $0 | $9,599 | Yes (X) | |||
| Paul Bolin | |||||||||
| VP & CHRO | 0.50 | 50.00 | $0 | $197,240 | $42,347 | Yes (X) | |||
| Steven Badeen | |||||||||
| Physician | 40.00 | 0.00 | $352,156 | $0 | $26,577 | Yes (X) | |||
| Gail Lamb | |||||||||
| Physician | 40.00 | 0.00 | $335,402 | $0 | $12,265 | Yes (X) | |||
| Michael Lemieux | |||||||||
| Cardiologist | 40.00 | 0.00 | $402,412 | $0 | $19,601 | Yes (X) | |||
| Todd Tritch | |||||||||
| Physician | 40.00 | 0.00 | $324,957 | $0 | $28,530 | Yes (X) | |||
| Douglas Wood | |||||||||
| Physician | 40.00 | 0.00 | $257,159 | $0 | $33,122 | Yes (X) | |||
| Mohammad Niayesh | |||||||||
| Former Chief of Staff | 40.00 | 0.00 | $249,297 | $0 | $18,018 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,040,705 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,732,982 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $748,903 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 31 | 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 |
|---|---|---|---|---|---|
| NEHE MRI LLC | |||||
| PO Box 6600 | Newport Beach | CA | 92658 | Clinical Services | $331,620 |
| Staff Care Inc | |||||
| PO Box 281923 | Atlanta | GA | 30384 | Staffing Services | $211,083 |
| Versogenics Inc dba Comforce | |||||
| 3492 Momentum Place | Chicago | IL | 606895334 | Staffing Services | $146,796 |
| Nurse Anesthesia of Maine | |||||
| 141 N Main Street Ste 205 | Brewer | ME | 04412 | Clinical Services | $225,578 |
| K F Construction | |||||
| PO Box 302 | Pittsfield | ME | 04967 | Maintenance Contract | $124,282 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $55,554 | RelatedOrganizationsAmt |
| Government Grants | $213,701 | GovernmentGrantsAmt |
| All Other Contributions | $276,765 | AllOtherContributionsAmt |
| Noncash Contributions | $14,503 | NoncashContributionsAmt |
| Total Contributions | $546,020 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| Cafeteria/Dietary | 722210 | $94,587 | $94,587 | |
| Critical Access Hospital | 621990 | $67,402,203 | $67,402,203 | |
| Education | 611710 | $1,935 | $1,935 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $67,498,725 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $90,218 | TotalRevenueColumnAmt |
| Exclusion | $90,218 | 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 | $28,829 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $12,989 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $15,840 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,840 | TotalRevenueColumnAmt |
| Exclusion | $15,840 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $8,023,478 | SecuritiesAmt |
| Other | $2,900 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,635,346 | SecuritiesAmt |
| Other | $13,386 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,388,132 | SecuritiesAmt |
| Other | -$10,486 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,377,646 | TotalRevenueColumnAmt |
| Exclusion | $1,377,646 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Meaningful Use | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $93,500 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $93,500 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $93,500 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $69,621,949 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $67,497,638 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $1,578,291 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17 | TotalAmt |
| Program Services | $17 | 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 | $1,287,924 | TotalAmt |
| Program Services | $845,686 | ProgramServicesAmt |
| Management And General | $442,238 | 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 | $17,208,309 | TotalAmt |
| Program Services | $13,357,507 | ProgramServicesAmt |
| Management And General | $3,850,802 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $395,947 | TotalAmt |
| Program Services | $307,892 | ProgramServicesAmt |
| Management And General | $88,055 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,105,315 | TotalAmt |
| Program Services | $2,599,302 | ProgramServicesAmt |
| Management And General | $506,013 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,178,648 | TotalAmt |
| Program Services | $892,491 | ProgramServicesAmt |
| Management And General | $286,157 | 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 | $20,112 | TotalAmt |
| Management And General | $20,112 | 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 | $4,603,393 | TotalAmt |
| Program Services | $3,102,643 | ProgramServicesAmt |
| Management And General | $1,500,750 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $181,037 | TotalAmt |
| Program Services | $5,204 | ProgramServicesAmt |
| Management And General | $175,833 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,006,262 | TotalAmt |
| Program Services | $595,513 | ProgramServicesAmt |
| Management And General | $410,749 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,334,731 | TotalAmt |
| Program Services | $1,028,498 | ProgramServicesAmt |
| Management And General | $306,233 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $607,281 | TotalAmt |
| Program Services | $493,607 | ProgramServicesAmt |
| Management And General | $113,674 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,412 | TotalAmt |
| Program Services | $55,788 | ProgramServicesAmt |
| Management And General | $34,624 | 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 | $88,167 | TotalAmt |
| Program Services | $60,058 | ProgramServicesAmt |
| Management And General | $28,109 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $272,529 | TotalAmt |
| Program Services | $272,529 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,228,266 | TotalAmt |
| Program Services | $993,688 | ProgramServicesAmt |
| Management And General | $234,578 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $596,804 | TotalAmt |
| Program Services | $464,080 | ProgramServicesAmt |
| Management And General | $132,724 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Contractual adjustments | $21,081,453 | $21,081,453 | |
| Bad Debt Expense | $3,077,815 | $3,075,607 | $2,208 |
| Medical Supplies | $2,965,140 | $2,965,140 | |
| Charity Care | $1,721,551 | $1,721,551 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,629,060 | TotalAmt |
| Program Services | $1,402,620 | ProgramServicesAmt |
| Management And General | $226,440 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,680,173 | TotalAmt |
| Program Services | $55,320,874 | ProgramServicesAmt |
| Management And General | $8,359,299 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,128 | BOYAmt |
| EOY | $1,700 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,370,041 | BOYAmt |
| EOY | $9,610,604 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $205,685 | BOYAmt |
| EOY | $109,278 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,434,419 | BOYAmt |
| EOY | $6,474,363 | 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 | $289,404 | BOYAmt |
| EOY | $290,651 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $199,551 | BOYAmt |
| EOY | $288,389 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $40,058,929 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $20,837,408 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,281,226 | BOYAmt |
| EOY | $19,221,521 | 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 | $25,244 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,931,317 | BOYAmt |
| EOY | $1,261,037 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,713,771 | BOYAmt |
| EOY | $37,282,787 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,323,368 | BOYAmt |
| EOY | $7,148,345 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $79,273 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,314,952 | BOYAmt |
| EOY | $7,627,056 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,098,374 | BOYAmt |
| EOY | $473,972 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,736,694 | BOYAmt |
| EOY | $15,328,646 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,196,160 | BOYAmt |
| EOY | $21,163,453 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $409,871 | BOYAmt |
| EOY | $401,432 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $371,046 | BOYAmt |
| EOY | $389,256 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,977,077 | BOYAmt |
| EOY | $21,954,141 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,713,771 | BOYAmt |
| EOY | $37,282,787 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $5,941,776 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,199,821 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$9,764,891 | 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
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed Section4955 Tax | false | Form4720FiledSection4955TaxInd |
| Correction Made | false | CorrectionMadeInd |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $4,598 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $4,598 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
| Form4720 Filed4912 Tax | false | Form4720Filed4912TaxInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1i - Other Activities Description | FormAndLineReferenceDesc |
| Explanation | NON DEDUCTIBLE DUES | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $108,495 | BeginningYearBalanceAmt |
| Contributions | $5,000 | ContributionsAmt |
| Investment Earnings Or Losses | $2,179 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $548 | OtherExpendituresAmt |
| End Year Balance | $115,126 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $108,495 | BeginningYearBalanceAmt |
| End Year Balance | $108,495 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $108,495 | BeginningYearBalanceAmt |
| End Year Balance | $108,495 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $108,495 | BeginningYearBalanceAmt |
| End Year Balance | $108,495 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $105,995 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $2,500 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $108,495 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.05000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.95000 | 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 | $479,067 | OtherCostOrOtherBasisAmt |
| Book Value | $479,067 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $23,692,211 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,847,891 | DepreciationAmt |
| Book Value | $15,844,320 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $85,950 | OtherCostOrOtherBasisAmt |
| Depreciation | $58,186 | DepreciationAmt |
| Book Value | $27,764 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,858,972 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,133,240 | DepreciationAmt |
| Book Value | $2,725,732 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $942,729 | OtherCostOrOtherBasisAmt |
| Depreciation | $798,091 | DepreciationAmt |
| Book Value | $144,638 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $19,221,521 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Deferred Compensation | Desc |
| Amt | $473,972 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $473,972 | 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 | 600 | PersonsServedCnt |
| Total Community Benefit Expns | $915,311 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $915,311 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02420 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $51,344 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $51,344 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 600 | PersonsServedCnt |
| Total Community Benefit Expns | $966,655 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $966,655 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02560 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 17 | ActivitiesOrProgramsCnt |
| Persons Served | 2424 | PersonsServedCnt |
| Total Community Benefit Expns | $420,248 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,077 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $419,171 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01110 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 76 | PersonsServedCnt |
| Total Community Benefit Expns | $22,849 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $22,849 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $310 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $310 | NetCommunityBenefitExpnsAmt |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 20 | ActivitiesOrProgramsCnt |
| Persons Served | 2500 | PersonsServedCnt |
| Total Community Benefit Expns | $443,407 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,077 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $442,330 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01170 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 20 | ActivitiesOrProgramsCnt |
| Persons Served | 3100 | PersonsServedCnt |
| Total Community Benefit Expns | $1,410,062 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,077 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,408,985 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03730 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 114 | PersonsServedCnt |
| Total Community Benefit Expns | $8,329 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,329 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 114 | PersonsServedCnt |
| Total Community Benefit Expns | $8,329 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,329 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,636,127 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $13,458,952 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $13,875,888 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$416,936 | 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 | Sebasticook Valley Health | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 447 North Main Street | AddressLine1Txt |
| City | Pittsfield | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04967 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | sebasticookvalleyhealth.org | WebsiteAddressTxt |
| State License | 38277 | 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 |
| Other | Licensed Hospital | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | http://www.sebasticookvalleyhealth.org/ | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | www.emhs.org/Community-Benefit/CHNA.aspx | 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 | http://www.emhs.org/community-benefit/CHNA/ | 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 |
| Explained Basis | false | 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 16i-j for URL | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Part V, Line 16i-j for URL | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See Part V, Line 16i-j 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 December 10, 2015 DCC SHNAPP Waterville Shared CHNA Community Enagagement Forum and provided valuable feedback on the Shared CHNA.Details about organizations: Sample of organizations KVCAP, Waterville Main Street, Kennebec Messalonskee Trails, Maine Childrens Home, NAMI Maine, American Lung Assn., Healthy Northern Kennebec, Somerset Public Health, Healthy Sebasticook Valley, MaineGeneral (MG), Inland Hospital, Redington Fairview General Hospital, EMHS, HealthReach Community Health Centers, Kennebec Behavioral Health, MG Community Care, Assistance Plus, MSAD 59, Waterville/Vassalboro before/After School Programs, MG Board of Directors, Maine CDC. Hospitals (MaineGeneral, Inland, EMHS, Redington Fairview), health care providers (HealthReach Community Health Centers), and behavioral health care providers (Kennebec Behavioral Health, MG Community Care) serve low income patients through Medicare/MaineCare and provide low-cost/no- cost services to medically underserved residents. Many public health programs and services (Healthy Northern Kennebec, Somerset Public Health, Healthy Sebasticook Valley), non-profit agencies (KVCAP, Maine Childrens Home, NAMI Maine), and local/state government agencies (Maine CDC) specifically serve low-income and medically underserved residents.The following organizations were in attendance at the January 20, 2016 Sebasticook Valley Hospital Shared CHNA Community Engagement Forum and provided valuable feedback on the Shared CHNA.Details about organizations: Sample of organizations United Way, ME Health Access Foundation, Southern ME Area Agency on Aging, Preble St. Resource Center, legislator, Somali commnity members, USM/UNE/SMCC/Tufts medical School, ME Health Mgt Coalition, MaineMedical Center (hospital facility), Spring Harbor Hospital, Mercy Hospital, Bridgton Hospital, HMP, & Portland Public Health. Hospitals and health care providers serve low income patients through Medicare/MaineCare and provide low-cost/no-cost services to medically underserved residents. Many public health programs and services, social service agencies, funding agencies, and non-profit agencies specifically serve racial/ethnic minorities, low-income, and medically underserved residents. Somali community members attended the forum. |
| 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 | Unemployment/Economic OpportunityDomestic ViolenceAffordable HousingBehavioral/mental health services for children and adultsDental Care/Oral HealthSubstance Abuse TreatmentPrescription Drug AssistanceTransportationWhen selecting health priorities for Sebasticok Valley, community partners took the following factors and questions into consideration:What is the current staffing capacity to lead strategy implementation;What is the current grant and agency funding to support strategy implementation;Is there grant funding likely available that could assist with strategy implementation;Can SVH and the community partners realistically make an impact on the health priority given the current state/context;Is there a measure we can easily identify and track; andIs there existing or emerging energy around a health priority that would assist us with strategy implementation?After a series of small group discussions, taking into account the noted considerations, it was determined that the health priorities listed are not feasible at this time. |
| Part V, Line 13b - Criteria For Providing Discounted Care If Not FPG | Due to software glitch, this is in reference to Part V, Line 14 Explain Method for Applying for Financial Assistance - See Part VI, Additional Information for explanation. |
| Part V, Line 16i - Other Means Hospital Facility Publicized the Policy | Response for 16a, 16b, 16c (list url) is http://www.sebasticookvalleyhealth.org/Patients-Visitors/Billing.aspx under Financial Assistance Program. |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| SVH Rehabilitation Services | ||||
| 141 Leighton Street | Pittsfield | ME | 04967 | Outpatient Medical Facility |
| SVH Sleep Center of Maine | ||||
| 130 Leighton Street | Pittsfield | ME | 04967 | Outpatient Medical Facility |
| SVH Rehabitation Services | ||||
| 118 Moosehead Trail Suite 4 | Newport | ME | 04953 | Outpatient Medical Facility |
| SVH Speciality Physicians | ||||
| 72 North Main Road | Detroit | ME | 04929 | Outpatient Medical Facility |
| SVH Family Care | ||||
| 470 Somerset Avenue | Pittsfield | ME | 04967 | Outpatient Medical Facility |
| SVH Family Care | ||||
| 8 Main Street | Newport | ME | 04953 | Outpatient Medical Facility |
| SVH Family Care & Speciality Physicians | ||||
| 1309 Main Street Unit 1 | Clinton | ME | 04927 | Outpatient Medical Facility |
| Sebasticook Valley Work Health | ||||
| 125 Main Street | Pittsfield | ME | 04967 | Outpatient Medical Facility |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 6a - Related Organization Community Benefit Report | The Sebasticook Valley Health 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 calculation |
| Part I, Line 7, Column F - Explanation of Bad Debt Expense | $3,075,607 of bad debt expense, $1,721,551 of charity care, $21,081,453 of contractual allowances is included on Form 990, Part IX, line 24, column (A) |
| Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense | The costing methodology used to determine the amount reported on line 2 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 Sebasticook Valley Hospital. An account may be reconsidered for charity care at any time when new information is available about a patient's inability to pay. |
| Part VI - Needs Assessment | Sebasticook Valley Health utilizes the EMHS Community Health Needs assessment data from the Healthy Maine Partnership/Healthy SV Community Data Profile, and produces an annual environmental needs analysis every year. The SVH community Health data,and information gleaned from Press Ganey patients surveys and quality measurement website data |
| Part VI - Patient Education of Eligibility for Assistance | Sebasticook Valley Health provides information about financial assistance and the contract information for SVH Billing is included in patients bills and is available at the Patient Accounts Office, Central Registration, and in all primary care locations. Our Patient Accounts staff work directly with each patient to educate, determine eligibility and assist in applying for assistance. In addition, information is posted to the public at our website. They are knowledgeable in a wide variety of programs and services that can help patients. |
| Part VI - Community Information | Sebasticook Valley Health (SVH) is a 25-bed, Joint Commission accredited critical access hospital located in Pittsfield, Maine. SVH offers a wide range of inpatient and outpatient services on the hospital campus as well as primary care offices in Clinton, Newport and Pittsfield (RHC) and access to specialists and surgeons at our Pittsfield and Detroit locations. SVH serves a population of approximately 34,000 people in Southern Penobscot, Southern Somerset, Northern Kennebec, and Western Waldo Counties. The counties where the largest number of patients reside, Penobscot and Somerset, had median annual household incomes of $43,382 and $38,141 respectively. Families living in poverty numbered 17.4% in Penobscot County and 18.2% in Somerset County.Since 1999, SVH has served as the fiscal agent for the HealthySV Coalition, serving the Sebasticook Valley area. SVH is an active member of the coalition and twelve sectors are represented on the coalition Steering Committee. The Steering Committee is responsible for several SVH implementation strategies and plays a key role in leading the community health improvement process for SVH. |
| Part VI - Community Building Activities | SVH is actively engaged with offering students opportunities to learn about healthcare careers via hospital tours and job shadows. In 2017 seventy one 8th grade students from Warsaw Middle school in Pittsfield toured SVH. Ten 8th graders who had toured SVH in 2016 completed a job shadow at SVH in a discipline in which they had interest. Ninety students/adults participated in a 1.5-4 hour job shadow over the course of the year in an area of interest. Coalition Building Since 1999, SVH has served as the fiscal agent for HealthySV Coalition. HealthySV is the local Healthy Maine Partnership serving the Sebasticook Valley region. SVH is an active member of the coalition, and assists with membership recruitment. We have 12 sectors represented on the Coalition Steering Committee. The Steering Committee meets bi-monthly and plays a key role in leading the community health improvement plan process for SVH. |
| Part VI - Explanation Of How Organization Furthers Its Exempt Purpose | SVH education department continues to offer AHA Heartsaver CPR and First Aid to local businesses. Bloodborne pathogen was added to class offerings during FY2017. This year marked the 23rd anniversary for the hospitals Breast Cancer Awareness Walk and the hospital held its six annual Community Health Fair in partnership with the local high school. Over 100 community members attended the community health fair, which provided the general public with information about local health and social services. As in past years, SVH staff provided free preventative health screenings, had billing staff available to answer inquiries and administered the influenza vaccinations. SVH held its seventh drive-thru influenza vaccination clinic in October for adults as a convenient way to receive the annual immunization. Over 35 people received their flu shot without having to leave their vehicle. SVH facilitates support groups which are free and open to the public; Better Breathers Club for those people suffering with COPD, the Diabetes Support Group, and the Breast Cancer Support Group. In addition, SVH provides free use of conference room space to the Area Agency on Agings Family Caregivers Education and Support Group. SVH hosts two American Red Cross blood drives annually which are open to employees and the public. SVH employees are eligible to donate during work time. The blood drives consistently meet or near goal of 22 units per drive. SVH full and part time employees and spouses/domestic partners are eligible to enroll in Virgin Pulse; an on-line wellness reward system program. Employees and spouses/domestic partners can earn up to $500.00 each per year by engaging in healthy behaviors, wellness offerings and health information focused on improving overall physical and mental health. In 2017, 72% of SVH eligible employees are participating in the program as well as 26% of eligible spouses/domestic partners. SVH offered the first annual Back to School Fair in August of 2017, for children in grades K-12. The purpose of the event was to provide resources to children and their parents to get them ready to go back to school. 100 children along with one or more parent/guardian participated in the fair. SVH and EMHS staff , and local non-for-profit agencies provided information in the areas of safety, wellness, physical activity along with games and activities. Children who completed the scavenger hunt were eligible for the drawing of a free backpack filled with school supplies. 50 backpacks with supplies were donated by SVH staff, local businesses, and community members. Pre-sports physicals at a discounted fee were available for middle and high school students. |
| Part VI - Affilated Health Care System Roles and Promotion | 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.Sebasticook Valley Health identified three priorities of focus addressing the significant needs identified as follows: Hunger/Food Insecurity, Substance Abuse/Use and Mental Health. |
| Part VI - States Where Community Benefit Report Filed | 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, SVH is disclosing the following information with respect to Section 501(r) issues that were discovered during the 2017 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. SVH obtained information about the requirements and sought to implement them accordingly, but later identified some compliance gaps due to the detailed nature of the regulations.The issues were discovered in fiscal year 2017 during an internal audit of SVHs compliance with Sections 501(r)(3-4). The correction of these issues did not result in any changes to our overall processes and, therefore, SVH has not identified any persons directly affected by these issues. All individuals would have been in the same position had these issues not occurred.To ensure full compliance with Section 501(r) regulations, EMHS Community Health and Revenue Cycle Departments perform routine reviews to assure SVH is in compliance with Section 501(r). In addition, EMHS continues to engage EMHS Internal Audit to review SVHs compliance with Section 501(r).Specific issues and corrections:1. Approval of the Community Health Needs Assessment (CHNA) and Implementation Strategy a. Requirement: The CHNA must be documented in a written report that is adopted for the hospital facility by an authorized body of the hospital facility. An authorized body of the hospital facility also must adopt an implementation strategy to meet the community health needs identified through the CHNA on or before the 15th day of the fifth month after the end of such taxable year. b. Condition: While the Board minutes and related meeting materials retained for SVH demonstrated the Boards intent to approve both the CHNA and implementation strategy, the Board vote(s) as documented in the minutes did not clearly demonstrate that the Board approved both items. c. Corrective Action: A resolution was passed by SVHs Board to clarify the Boards intent to approve the CHNA and implementation strategy. d. Date Corrected: SVH: May 23, 20172. Information in the FAP regarding Amounts Generally Billed (AGB) a. Requirement: The FAP must include the method the hospital facility uses to determine the amounts generally billed to individuals who have insurance covering emergency or other medically necessary care and must state the AGB percentages or explain how members of the public may readily obtain such percentages.b. Condition: While the Plain Language Summary (PLS) indicated that AGB will be calculated using the look-back method, based on actual past claims paid to the hospital by Medicare and by other private insurers, the FAP did not adequately explain the method used to determine AGB, state the AGB percentages or explain how members of the public may readily obtain the AGB percentages (and these AGB percentages also were not otherwise readily available). c. Corrective Action: The FAP was updated to explain the method used to determine AGB. The FAP was also updated to state To request a free written description of how EMHS calculates the AGB or to find out the actual AGB for a particular EMHS hospital, please contact (207) 973-6473 or (207) 973-4483 or on the Web at http://emhs.org/Billing-help.aspx. SVHs AGB percentage was added to this Web site. d. Date Corrected: These revisions to the FAP were approved by EMHS Leadership in Fiscal Year 2017 and the EMHS Board of Directors at its October 4, 2017 meeting. The updated FAP was widely publicized upon approval by the EMHS Board of Directors. The AGB percentages were added to the EMHS Web site in January 2018.3. Presumptive eligibilitya. Requirement: The FAP must include whether and under what circumstances prior FAP-eligibility determinations are used for presumptive eligibility.b. Condition: The FAP explained that approved applications from one EMHS Member Organization will be honored at another EMHS Member Organization, but did not fully describe the circumstances under which prior FAP-eligibility determinations are used for presumptive eligibility.c. Corrective Action: The FAP has been updated to fully describe whether and under what circumstances prior-FAP eligibility determinations are used for presumptive eligibility. d. Date Corrected: These revisions to the FAP were approved by EMHS Leadership on May 1, 2018 and the revised FAP has been widely publicized. 4. Emergency Medical Care Language in the FAPa. Requirement: A written policy must be established to require that care will be provided, without discrimination, for emergency medical conditions to individuals regardless of whether they are FAP-eligible.b. Condition: It was and is SVHs practice to provide care for emergency conditions to individuals regardless of whether they are FAP-eligible; however, upon review of SVHs FAP it was determined that this practice was not explicitly stated.c. Corrective Action: The FAP was updated to explicitly state that EMHS Hospitals will provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility for assistance under the FAP and as required under the EMHS Emergency Medical Care Policy. d. Date Corrected: These revisions to the FAP were approved by EMHS Leadership in Fiscal Year 2017 and the EMHS Board of Directors at its October 4, 2017 meeting. The updated FAP was widely publicized upon approval by the EMHS Board of Directors. 5. Billing and Collection Practicesa. Requirement: The FAP (or separate billing and collection policy) must include information on the actions the hospital will take to collect outstanding balances, including the reasonable efforts made to determine FAP eligibility. This information must be widely publicized along with the FAP.b. Condition: The billing and collection practices were adequately described in the Billing and Collections Policy which was referenced in the widely publicized FAP. However, the Billing and Collections Policy itself was not widely publicized.c. Corrective Action: The required billing and collection practices were added to the FAP. d. Date Corrected: These revisions to the FAP were approved by EMHS Leadership in Fiscal Year 2017 and the EMHS Board of Directors at its October 4, 2017 meeting. The updated FAP was widely publicized upon approval by the EMHS Board of Directors.6. Widely Publicized a. Requirement: In order to ensure the FAP is widely publicized , a hospital must take several actions, one of which is to include a conspicuous written notice on billing statements that notifies and informs recipients about the availability of financial assistance under the hospital facilitys FAP and includes the telephone number of the hospital facility office or department that can provide information about the FAP and FAP application process and the direct Web site address (or URL) where copies of the FAP, FAP application form and plain language summary of the FAP may be obtained.b. Condition: While SVHs billing statements included a conspicuous written notice to notify recipients about the availability of financial assistance, telephone numbers to the department that can provide more information about financial assistance, and the EMHS billing help Web site address, the billing statements did not clearly state the FAP documents could be obtained from the Web site address provided.c. Corrective Action: Billing statements were updated in Fiscal Year 2017 to clarify that certain FAP-related documents may be obtained from the Web site address provided on the statement. In Fiscal Year 2018, SVH made additional revisions to further clarify the language included on the billing statements.d. Date Corrected: June 15, 2017 with additional revisions made in Fiscal Year 2018.7. PLSa. Requirement: The PLS must include certain information, including a statement of the availability of translations of the FAP, FAP application form and PLS in other languages, and a statement that a FAP-eligible individual will not be charged more than AGB for emergency or other medically necessary care.b. Condition: While the PLS met most of the requirements of the regulation, it did not include a statement of the availability of translations of the FAP, FAP application form and PLS in other languages, and also did not clearly state that a FAP-eligible individual will not be charged more than AGB for emergency or other medically necessary care.c. Corrective Action: The PLS was updated to include a statement of the availability of translations of the FAP, FAP application form and PLS in other languages, and to clearly state that a FAP-eligible individual will not be charged more than AGB for emergency or other medically necessary care. d. Date Corrected: After the revisions to the FAP were approved by EMHS Leadership in Fiscal Ye |
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 (14 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Anthony Filer | ||||||||||||
| Treasurer | $57,284 | $120,327 | $2,703 | $180,314 | ||||||||
| Douglas Wood | ||||||||||||
| Physician | $246,160 | $6,240 | $4,759 | $8,498 | $24,624 | $290,281 | ||||||
| Gail Lamb | ||||||||||||
| Physician | $307,467 | $10,857 | $17,078 | $8,410 | $3,855 | $347,667 | ||||||
| Glenn Martin | ||||||||||||
| Secretary | $362,009 | $6,612 | $20,591 | $459,101 | $69,889 | |||||||
| James Fullwood DPM | ||||||||||||
| Ex-Officio | $240,016 | $35,630 | $25,510 | $2,792 | $24,010 | $327,958 | ||||||
| Mary M Hood | ||||||||||||
| Trustee | $870,512 | $15,327 | $20,855 | $1,157,551 | $250,857 | |||||||
| Michael Lemieux | ||||||||||||
| Cardiologist | $391,162 | $11,250 | $9,275 | $10,326 | $422,013 | |||||||
| Mohammad Niayesh | ||||||||||||
| Former Chief of Staff | $243,884 | $1,800 | $3,613 | $8,612 | $9,406 | $267,315 | ||||||
| Paul Bolin | ||||||||||||
| VP & CHRO | $192,976 | $4,264 | $29,234 | $239,587 | $13,113 | |||||||
| Randall Clark | ||||||||||||
| VP of Finance | $186,230 | $15,451 | $4,232 | $28,399 | $234,312 | |||||||
| Robert Schlager | ||||||||||||
| CMO | $229,779 | $10,986 | $8,094 | $10,876 | $259,735 | |||||||
| Steven Badeen | ||||||||||||
| Physician | $318,486 | $27,000 | $6,670 | $26,577 | $378,733 | |||||||
| Teresa P Vieira | ||||||||||||
| Ex-officio | $93,820 | $4,574 | $7,930 | $138,617 | $140,731 | $7,914 | $6,862 | $40,524 | $11,895 | $207,926 | $27,016 | $5,277 |
| Todd Tritch | ||||||||||||
| Physician | $320,418 | $3,440 | $1,099 | $7,103 | $21,427 | $353,487 | ||||||
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:Paul R. Arsenault, officer $407Steven J. Badeen, highest compensated employee $407Tracy L. Bonney-Corson, officer $162Gail E. Lamb, highest compensated employee $407Michael Lemieux, highest compensated employee $ 72Robert J. Schlager, officer $407Teresa P. Vieira, officer $197The benefit is available for all employees. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|
| Finance Authority of ME | |||||||
| A | 010392006 | 2013-01-17 | $6,000,000 | Construction | false | false | false |
| Finance Authority of ME | |||||||
| B | 010392006 | 2013-01-17 | $2,025,000 | Construction | false | false | false |
| Finance Authority of ME | |||||||
| C | 010392006 | 2013-01-17 | $2,475,000 | Construction | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|
| A | $814,222 | $6,000,000 | $6,000,000 | 2013 | false | false | Yes (true) | Yes (true) |
| B | $675,273 | $2,025,000 | $2,025,000 | 2013 | false | false | Yes (true) | Yes (true) |
| C | $1,318,495 | $2,475,000 | $2,475,000 | 1991 | Yes (true) | false | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|
| A | false | false | false | false | false | Yes (true) |
| B | false | false | false | false | false | Yes (true) |
| C | false | false | false | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1Txt | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|
| NA | ||||||
| A | false | false | false | NA | false | false |
| NA | ||||||
| B | false | false | false | NA | false | false |
| NA | ||||||
| C | false | false | false | NA | false | false |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
| C | Yes (true) |
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: Coming together is a beginning; keeping together is progress; working together is success. The man who spoke these words understood the value of teamwork. He embraced technology in a way that nobody else had before him. His vision, passion, and innovation revolutionized the world. He made it possible for families to feel more connected despite living long distances apart. In many ways, EMHS shares the same goals championed 100 years ago by industrialist and automaker, Henry Ford.Like Ford, we know that we are succeeding by working together. Our new integrated, systemwide electronic health record (EHR) will allow all our hospitals, primary care practices, and other members within the EMHS family to share information seamlessly. Using this system, we can collaborate more effectively and improve patient care.By mass-producing the automobile, Ford helped rural Americans feel connected. We are connecting people through technology, too. People who live in rural communities can talk one-on-one through a computer screen with doctors who may be several states away, thanks to our investments in telemedicine. Patients have access to specialists that would have been out of reach without this technology.Ford was an innovator. We too are embracing innovation in the way we deliver care. Our partnership with Dana-Farber Cancer Institute affords opportunities for cancer patients to access clinical trials closer to home at our Lafayette Family Cancer Center in Brewer. We are using paramedics to make routine house calls in our rural communities to perform wellness checks. This service is helping patients avoid trips to the hospital or doctors office while getting compassionate care in the comfort of their own homes.Of course, all of these initiatives require dedicated people who are committed to teamwork. Its the very reason why we take extraordinary measures to recruit and retain our employees. We have added a new nurse residency program, which is already showing signs of success in addressing a critical statewide nursing shortage and providing our nurses the tools they need to thrive. By working together, we can continue to do great things.To borrow another line from Henry Ford, If everyone is moving forward together, then success takes care of itself. In the pages that follow are numerous testaments to the innovative spirit underscoring many successes this past year throughout our system. While the hard work will continue, we are pleased to share with you the progress we are making towards achieving our vision to be a nationally recognized model of excellence in healthcare.M. Michelle Hood, FACHEEMHS President and CEOBarry McCrumEMHS Board Chair OTHER PROGRAM SERVICES 5: CONNECTING WORLD CLASS CARETerry White longs for the day that she can return to the sandy shores of Myrtle Beach to feel the warm Carolina sunshine on her face and the ocean waves splashing upon her feet. She has plans to go back to visit family and wont let cancer slow her down. My journey is not over just because I have this disease, Terry said. It doesnt mean life doesnt go on. I definitely have a lot of life to live.Terry was diagnosed with breast cancer a decade ago. I was 38 when I found a lump in my breast in the shower one morning and immediately called my primary care physician. Unfortunately, the cancer became metastatic, meaning it spread to other parts of her body. I went from being a survivor to a lifer because I live with cancer every day, and Ill live with it every day until the end, she said. Terry has gone through several treatments of radiation and chemotherapy over the years.During a recent visit to EMMC Cancer Care at the Lafayette Family Cancer Center in Brewer, she was comfortably dressed in jeans and a maroon blouse, and wore a hat on her head. Because the cancer spread to the bone marrow in her leg, she wore a knee brace to alleviate pain. Whats remarkable about Terry is how she projects a positive attitude. A powerful storm that day was toppling trees and knocking down power lines outsideit wasnt enough to stop her from making the 30-minute ride to the treatment center from her home in Pittsfield or to diminish her optimism. Research today has given us treatments that are light years ahead of what we used to have, she said.Terry is hopeful because she is taking part in a clinical trial thanks to a collaborative partnership between Dana-Farber Cancer Institute in Boston and EMMC Cancer Care. She is taking an experimental drug under the coordinated care of her medical team in Brewer and the Dana-Farber specialists in Boston. The treatment I come for is administered by a syringe. I dont have to sit there for four hours waiting for this to be over and waiting for the side effects, she said.Eric Winer, MD, is chief clinical strategy officer at Dana-Farber and director of the Breast Oncology Center. He and other members of the Dana-Farber team visited EMMC Cancer Care last fall for a tour. Dana-Farber only partners with cancer centers that already deliver excellent care, Dr. Winer said. The goal of the collaborative for Dana-Farber is to extend its reach and bring clinical trials to people living in rural areas. When people participate in clinical trials, the hope is that they will do better than they might with standard care, but no matter what, they are contributing to the future of cancer care, he said.The staff at EMMC Cancer Care also benefits by being in the collaborative. They have more educational opportunities and access to medical specialists at Dana-Farber for rapid consultation on complex cases. Dana-Farber clinical care is provided in Boston and this collaborative brings their expertise to the heart of Maine, explained Thomas Openshaw, MD, medical director, Oncology Research at EMMC Cancer Care. The staff at EMMC and Dana-Farber have a firm resolve to help not only current patients, but also future patients to live better lives. Our whole goal is to try to cure whatever patients can be cured, and thats a large proportion of patients, and for the others to give them the best and the longest life that they can have, Dr. Winer said.That seems to be working for Terry White, whos already making travel plans to Myrtle Beach. It gives you a reason to go through what youre going through. Weve got to learn from it for the future, she said, adding, I want to be healthy for my family, I want to participate in life with my family and my friends, and continue to enjoy life.CONNECTING WITH TECHNOLOGYCharles A. Dean Memorial Hospital (CA Dean) in Greenville sits along the scenic shores of Moosehead Lake, one of Maines most treasured natural resources. Its a peaceful, idyllic spot that draws tourists from far and away who are eager to get away from the hustle and bustle of their daily grind. But beneath the hum of motorboats cruising along Moosehead Lake in the summer, or the snowmobiles skirting across its icy surface in winter; beneath the laughter of kids splashing in the water on a hot August day or pulling a trophy trout through the ice on a frigid February morning, there is a rural health problem that those visitors do not see. To be fair, it affects communities throughout Maine but has been more problematic in those towns and hamlets tucked far away from urban centers.There is very little rural mental health period, explains Joseph Babbitt, MD, an emergency room physician and hospitalist at CA Dean. Historically people in rural communities have had to travel hours to access psychiatric services. If they showed up at any rural hospital emergency room with a mental health crisis, they had to wait hours for an evaluation. Youve got an emotionally unstable patient who is in a very disruptive emergency waiting room environment, waiting 18 hours to have a mental health professional come assess them. That doesnt help anyone, Dr. Babbitt said.But technology is bridging the gap and allowing those who live in rural communities to have the same access to psychiatric services as their urban counterparts. Telemedicine is a medium that connects a patient with a practitioner via a screen, explained Gavin Ducker, MD, chief medical officer at Inland Hospital in Waterville.Inland Hospital and CA Dean use telemedicine to provide psychiatric services to patients through Acadia Hospital, which offers telepsychiatry services to 15 rural emergency departments and 12 rural primary care practices across the state. CA Dean uses telemedicine for behavioral health in its emergency department. Inland does, too, but also offers the service through its primary care practices. Our goal has been to deliver the care on site, in a place theyre familiar with, comfortable with, and would feel more relaxed, and hopefully in a more timely manner. Telemedicine has allowed us to do just that, Dr. Ducker said.In addition to providing patients with access to services closer to home, the technology is also a valuable recruitment tool to attract mental health providers. The |
| Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents | Amended Article IV (Officers), Section 5 (President) - to remove President as the chief executive officer of the Corporation.Amended Article IV (Officers), Section 7 (Treasurer & Assistant Treasurer) - to change the title of Chief Financial Officer to VP of Finance.Amended Article V (Committees), Section 7 (Governance Committee) to change the title President/CEO to President.Amended Article V (Committees), Section 10 (Finance Committee) to change the title of Chief Financial Officer to Assistant Treasurer.Amended Article VIII (Fiduciary Duty; Prohibited Transactions; Divided Loyalty; Independence), Section 5 (Independent Trustees), Subsection (a) and Subsection (b) to change the reference to interim chief executive officer to President. |
| Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder | Sebasticook Valley Health (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 Sebasticook Valley Health. It is also provided to each board member either electronically or in hard copy with an opportunity to ask questions prior to filing with the IRS. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | The organization requests updates of potential conflicts and relationships from the officers and Board members on an annual basis. The request requires disclosure of all business relationships, board memberships, and family relationships. A database is maintained that is compared to payroll records and the accounts payable vendor list to identify any potential conflicts of interest. Transactions are reviewed for reasonableness as an arm's length transaction. The first agenda item for board meetings and board committee meetings is for members to declare any conflict of interest with upcoming agenda items or deliberations. At any point when consideration is being given to purchase/contract with a party in interest, the member with the conflict is either excused from the discussion and consideration process or abstains from voting on the matter. All transactions identified with parties in interest are disclosed within the Form 990. All are deemed to be arm's length transactions. |
| Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management | The President of SVH 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 President of the direct subsidiaries, and other direct reports to the EMHS 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 meeting 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 - Officers & Key EmployeesCompensation of other officers and key employees of the organization is established by the Human Resources department who utilize external market research to establish compensation ranges for specific positions. 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 | Sebasticook Valley Health 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 beneficial Interest Trust = $18210 |
| Other Changes In Net Assets Or Fund Balances - Other Increases | Net Change in Funds Held at EMHSF = $338 |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | Transfer to exempt parent - Eastern Maine Healthcare Systems = -$9783439 |
| SCHEDULE H PART VI SUPPLEMENTAL INFORMATION | Continuation of Disclosure in accordance with Revenue Procedure 2015-21:Schedule H, Part V Facility Information, Section B Facility Policies and Practices8. PLS Eligibility Requirementsa. Requirement: The PLS must include certain information, including a brief description of the eligibility requirements and assistance offered under the FAP.b. Condition: Although patients from any state could be eligible to receive financial assistance under the FAP, the PLS indicated that financial assistance or free care was only available for medically necessary or emergency care services received by Maine residents. c. Corrective Action: The PLS was updated to indicate that non-Maine residents were eligible to receive financial assistance or free care for emergency care services. d. Date Corrected: After the revisions to the FAP were approved by EMHS Leadership in Fiscal Year 2017 and the EMHS Board of Directors at its October 4, 2017 meeting, the PLS was updated and was widely publicized in October 2017. 9. Translationsa. Requirement: To widely publicize its FAP, a hospital facility must accommodate all significant populations that have limited English proficiency (LEP) by translating its FAP, FAP application form and PLS into the primary language(s) spoken by such populations.b. Condition: While the FAP, FAP application and PLS were translated into the primary languages spoken by the populations served by SVH, the instructions to the FAP application and the title and one paragraph of the Provider List attached to the FAP (i.e., the list of providers covered by the hospitals FAP) were not translated into these languages.c. Corrective Action: The FAP application instructions and the applicable language on the Provider List were translated into the required languages.d. Date Corrected: After the revisions to the FAP were approved by EMHS Leadership in Fiscal Year 2017 and the EMHS Board of Directors at its October 4, 2017 meeting, the FAP application instructions and Provider List were updated and were widely publicized in October 2017. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (28 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Eastern Maine Healthcare Systems EMHS | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 010527066 | Supporting organization for healthcare affiliates | ME | 501(c)(3) | 12 Type II | N/A | Yes (true) | |
| Eastern Maine Medical Center EMMC | |||||||||||
| PO BOX 404 489 State Street | Bangor | ME | 044020404 | 010211501 | Provide Healthcare Services | ME | 501(c)(3) | 3 | Yes (true) | EMHS | |
| Eastern Maine Healthcare Real Estate | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 010391036 | leases real estate | ME | 501(c)(2) | Yes (true) | EMHS | ||
| Rosscare | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 010391038 | provide services to elderly | ME | 501(c)(3) | PF | Yes (true) | EMHS | |
| Rosscare Nursing Homes Inc | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 010430751 | Operation of Nursing Homes | ME | 501(c)(3) | 10 | Yes (true) | Rosscare | |
| 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) | 10 | Yes (true) | EMMC | |
| Acadia Healthcare Inc | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 223183888 | Provide Healthcare Services | ME | 503(c)(3) | 10 | Yes (true) | AHC | |
| EMHS Foundation | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 222514163 | Raise and manage funds for exempt organizations | ME | 501(c)(3) | 12 Type II | Yes (true) | EMHS | |
| Norumbega Medical Specialists LTD | |||||||||||
| 43 Whiting Hill Road Ste 400 | Brewer | ME | 04412 | 010465231 | Provide Patient care and education | ME | 501(c)(3) | 10 | Yes (true) | EMMC | |
| Inland Hospital | |||||||||||
| 200 Kennedy Memorial Drive | Waterville | ME | 04901 | 010217211 | Provide Healthcare Services | ME | 501(c)(3) | 3 | Yes (true) | EMHS | |
| Lakewood | |||||||||||
| 220 Kennedy Memorial Drive | Waterville | ME | 04901 | 010421234 | Provide Skilled and long-term nursing care | ME | 501(c)(3) | 3 | Yes (true) | Inland Hospital | |
| CADean Memorial Hospital | |||||||||||
| Pritham Avenue PO Box 1129 | Greenville | ME | 044411129 | 043341666 | Provide Healthcare Services | ME | 501(c)(3) | 3 | Yes (true) | EMHS | |
| The Aroostook Medical Center TAMC | |||||||||||
| PO Box 151 140 Academy Street | Presque Isle | ME | 047690151 | 010372148 | Provide healthcare services | ME | 501(c)(3) | 3 | Yes (true) | EMHS | |
| Horizons Health Services | |||||||||||
| PO Box 151 140 Academy Street | Presque Isle | ME | 047690151 | 010504393 | Provide Patient Care | ME | 501(c)(3) | 3 | Yes (true) | TAMC | |
| TAMC Title Corp | |||||||||||
| PO Box 151 140 Academy Street | Presque Isle | ME | 047690151 | 010389226 | Real Estate Holding Company | ME | 501(c)(2) | Yes (true) | TAMC | ||
| Blue Hill Memorial Hospital | |||||||||||
| 57 Water Street | Blue Hill | ME | 046145231 | 010227195 | Provide Healthcare Services | ME | 501(c)(3) | 3 | Yes (true) | EMHS | |
| Meadow Wood LLC | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 272935243 | Provide Patient Care | ME | 501(c)(3) | 10 | Yes (true) | AHI | |
| Sebasticook Valley Family Practice Assoc | |||||||||||
| 447 North Main Street | Pittsfield | ME | 04967 | 010357854 | Provide Patient Care | ME | 501(c)(3) | 10 | Yes (true) | SVH | |
| Restoration Health LLC | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 352449986 | Provide Mental Health & Behavioral hlth | ME | 503(c)(3) | 10 | Yes (true) | AHI | |
| Mercy Hospital | |||||||||||
| 144 State Street | Portland | ME | 04101 | 010211534 | Provide Healthcare Services | ME | 501(c)(3) | 3 | Yes (true) | EMHS | |
| Mercy Health System of Maine | |||||||||||
| 144 State Street | Portland | ME | 04101 | 010484074 | Supporting org for healthcare affiliates | ME | 501(c)(3) | 12 Type III Func Int | Yes (true) | EMHS | |
| VNA Home Health & Hospice | |||||||||||
| 50 Foden Road | South Portland | ME | 04106 | 010246804 | Provide Home Health & Hospice Service | ME | 501(c)(3) | 10 | Yes (true) | EMHS | |
| Acadia Hospital Corp AHC | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 010459837 | Provide Healthcare Services | ME | 501(c)(3) | 3 | Yes (true) | EMHS | |
| Maine Coast Healthcare Corporation | |||||||||||
| 50 Union Street | Ellsworth | ME | 04605 | 223176167 | Provide Dental services | ME | 501(c)(3) | 12 Type II | Yes (true) | EMHS | |
| WorkHealth LLC | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 474315094 | Provide healthcare services | ME | 501(c)(3) | 12 Type II | Yes (true) | EMHS | |
| Maine Coast Regional Health Fac dba MCMH | |||||||||||
| 50 Union Street | Ellsworth | ME | 04605 | 010198331 | Provide Healthcare Services | ME | 501(c)(3) | 3 | Yes (true) | EMHS | |
| Maine Cost Medical Realty | |||||||||||
| 50 Union Street | Ellsworth | ME | 04605 | 010390918 | Lease Medical Facilities | ME | 501(c)(3) | 12 Type I | Yes (true) | MCMH | |
| Lifestages Physician Services LLC | |||||||||||
| 50 Foden Road | South Portland | ME | 04106 | 821043752 | Provide home health and hospice services | ME | 501(c)(3) | 10 | Yes (true) | VNA | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 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 |
|---|---|---|---|---|---|---|---|---|---|
| Beacon Health LLC | |||||||||
| 43 Whitting Hill Road | Brewer | ME | 04412 | 452967056 | Accountable care organization | ME | EMHS | false | false |
| Beacon Rural Health LLC | |||||||||
| 43 Whiting Hill Road | Brewer | ME | 04112 | 474483187 | Accountable care organization | ME | EMHS | false | false |
| 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 | Healthcare Management | 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 Affilitates | |||||||||
| 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 | Yes (true) | 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 Systems EMHS | ||
| m | $2,604,484 | FMV |
| Eastern Maine Healthcare Systems EMHS | ||
| p | $3,936,979 | FMV |
| Eastern Maine Healthcare Systems EMHS | ||
| r | $9,783,439 | FMV |
| Eastern Maine Medical Center EMMC | ||
| l | $256,771 | FMV |
| Eastern Maine Medical Center EMMC | ||
| m | $434,552 | FMV |
| Eastern Maine Medical Center EMMC | ||
| p | $137,492 | FMV |
| EMHS Foundation | ||
| m | $101,000 | FMV |
| Inland Hospital | ||
| m | $121,498 | FMV |
| CADean Memorial Hospital | ||
| l | $117,242 | FMV |
| Beacon Health LLC | ||
| m | $157,232 | FMV |
| Alliance Health Documentation LLC | ||
| m | $162,465 | FMV |
| Affiliated Laboratory Inc | ||
| m | $314,895 | FMV |
| Affiliated Materiel Services | ||
| p | $565,069 | FMV |