MAINE COAST REGIONAL HEALTH FACILI DBA NORTHERN LIGHT MAINE COAST HOS: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- MAINE COAST REGIONAL HEALTH FACILI DBA NORTHERN LIGHT MAINE COAST HOS (EIN 01-0198331)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-05-16
- IRS object ID
- 201621379349306822
- Schema version
- 2014v6.0
- 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 G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-05-16T14:13:22-05:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 010523282 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Berry Dunn McNeil & Parker LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 1100 | AddressLine1Txt |
| City | Portland | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 041041100 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010198331 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Maine Coast Regional Health Facilities | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MAIN | BusinessNameControlTxt |
| Phone | 2076645303 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 50 Union Street | AddressLine1Txt |
| City | Ellsworth | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04605 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Charles Therrien | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 2076645303 | PhoneNum |
| Signature | 2016-05-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Joseph R Byrne CPA | PreparerPersonNm |
| PTIN | P01289281 | PTIN |
| Phone | 2077752387 | PhoneNum |
| Preparation | 2016-05-16 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Maine Coast Memorial Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Charles Therrien | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 50 Union Street | AddressLine1Txt |
| City | Ellsworth | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04605 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $98,741,208 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.mcmhospital.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1964 | FormationYr |
| Legal Domicile State | ME | LegalDomicileStateCd |
| Activity Or Mission | The Hospital is a not-for-profit entity established to provide health care services through its acute care facility and physician practices. | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 725 | TotalEmployeeCnt |
| Total Volunteers | 82 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $852,421 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,215,362 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $75,275,764 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $73,592,488 | CYProgramServiceRevenueAmt |
| PY Investment Income | $975,465 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,582,576 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$49,319 | PYOtherRevenueAmt |
| CY Other Revenue | -$48,137 | CYOtherRevenueAmt |
| PY Total Revenue | $77,054,331 | PYTotalRevenueAmt |
| CY Total Revenue | $76,342,289 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $10,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $10,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $48,198,006 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $48,363,615 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $160,427 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $32,128,696 | PYOtherExpensesAmt |
| CY Other Expenses | $32,556,335 | CYOtherExpensesAmt |
| PY Total Expenses | $80,336,702 | PYTotalExpensesAmt |
| CY Total Expenses | $80,929,950 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$3,282,371 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$4,587,661 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $71,050,757 | TotalAssetsBOYAmt |
| Total Assets EOY | $64,724,729 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $26,327,933 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $26,267,867 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $44,722,824 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $38,456,862 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The Hospital is a not-for-profit entity established to provide health care services through its acute care facility and physician practices. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $73,836,517 | ExpenseAmt |
| Grant | $10,000 | GrantAmt |
| Revenue | $73,592,488 | RevenueAmt |
| Desc | Admissions 2,645Patient Days 8,208Average Stay 3.2 DaysClinic Visits:Eleanor Widener Dixon Clinic 11,987S.W. Harbor Medical Center 4,487Emergency Room Visits 16,075Surgical Cases- Inpatient 570Surgical Cases- Outpatient 3,332Laboratory Tests: 264,630Radiology Exams:Diagnostic Radiology 16,418Ultrasound 5,622CT Scan 5,008Mammography 3,720Nuclear Medicine 2,655MRI 1,993Physical Therapy 70,877Births 289 | Desc |
| Total Program Service Expenses | $73,836,517 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 104 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 725 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | ME | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Chris Frauenhofer CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2076645304 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 50 Union Street | AddressLine1Txt |
| City | Ellsworth | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04605 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 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 |
|---|---|---|---|---|---|---|---|---|
| Robert A Beekman MD | ||||||||
| Trustee/Physician | 50.00 | 0.00 | Yes (X) | $167,767 | $0 | $34,502 | ||
| Edith R Dixon | ||||||||
| Trustee | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Jeffrey R Dow | ||||||||
| Treasurer | 1.00 | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Debra A Ehrlenbach | ||||||||
| Vice Chairman | 10.00 | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Alan J Goldstein | ||||||||
| Trustee | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Scott S Hammond | ||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Daniel A Hurley III | ||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Sally J Hutchins | ||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Scott A Kimball | ||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Sean T Maloney MD | ||||||||
| Trustee/Physician | 50.00 | 0.00 | Yes (X) | $247,276 | $0 | $50,622 | ||
| Alan H Nauss MD | ||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Daniel J Reinke MD | ||||||||
| President of Medical Staff | 50.00 | 0.00 | Yes (X) | $324,043 | $0 | $51,106 | ||
| Karen W Stanley | ||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Kevin B Tesseo | ||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Charles D Therrien | ||||||||
| CEO | 60.00 | 1.50 | Yes (X) | $314,180 | $0 | $38,241 | Yes (X) | |
| Adin M Tooker | ||||||||
| Chairman | 10.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Nicholas S Vachon DPM | ||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Robert J Williams | ||||||||
| Secretary | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Michelle H Beal | ||||||||
| Past Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Chris D Frauenhofer | ||||||||
| CFO | 60.00 | 0.00 | $221,589 | $0 | $37,993 | Yes (X) | ||
| Sterling C Williamson MD | ||||||||
| Physician | 50.00 | 0.00 | $544,873 | $0 | $45,584 | Yes (X) | ||
| Davor G Sklizovic MD | ||||||||
| Physician | 50.00 | 0.00 | $462,084 | $0 | $22,875 | Yes (X) | ||
| Martin R Curlik MD | ||||||||
| Physician | 50.00 | 0.00 | $419,599 | $0 | $45,020 | Yes (X) | ||
| Paul M Denoncourt MD | ||||||||
| Physician | 50.00 | 0.00 | $383,146 | $0 | $38,209 | Yes (X) | ||
| Kerry Crowley MD | ||||||||
| Physician | 50.00 | 0.00 | $345,779 | $0 | $26,728 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,430,336 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $390,880 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 70 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Eastern Maine Medical Center | |||||
| 43 Whiting Hill Rd | Brewer | ME | 04412 | Medical Services | $489,999 |
| Dahl Chase Diagnostic Services | |||||
| 417 State St | Bangor | ME | 04401 | Medical Services | $479,248 |
| CHG Companies Inc | |||||
| PO Box 972651 | Dallas | TX | 75397 | Medical Services | $443,874 |
| Medical Information Technology Inc | |||||
| 1 Meditech Circle | Westwood | MA | 02090 | Consulting Services | $371,958 |
| Siemens Healthcare Diagnostics Inc | |||||
| 1717 Deerfield Rd | Deerfield | IL | 60015 | Medical Services | $370,836 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 57 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $159,025 | FundraisingAmt |
| Related Organizations | $132,748 | RelatedOrganizationsAmt |
| Government Grants | $79,800 | GovernmentGrantsAmt |
| All Other Contributions | $843,789 | AllOtherContributionsAmt |
| Noncash Contributions | $35,059 | NoncashContributionsAmt |
| Total Contributions | $1,215,362 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| Patient Service Rev. | 621990 | $160,333,325 | $160,333,325 | |
| Other Medical Services | 621990 | $2,286,288 | $2,286,288 | |
| Cafeteria/Vending | 621990 | $243,662 | $243,662 | |
| Bad Debt | 621990 | -$6,282,515 | -$6,282,515 | |
| Contractual/Char. Adj. | 621990 | -$82,988,272 | -$82,988,272 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $73,592,488 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $429,963 | TotalRevenueColumnAmt |
| Exclusion | $429,963 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $23,470,915 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $22,318,302 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,152,613 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,152,613 | TotalRevenueColumnAmt |
| Exclusion | $1,152,613 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $32,480 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $159,025 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $80,617 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$48,137 | TotalRevenueColumnAmt |
| Exclusion | -$48,137 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $76,342,289 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $73,348,826 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,778,101 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,000 | TotalAmt |
| Program Services | $10,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,487,319 | TotalAmt |
| Program Services | $875,316 | ProgramServicesAmt |
| Management And General | $612,003 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,846,202 | TotalAmt |
| Program Services | $35,514,483 | ProgramServicesAmt |
| Management And General | $2,228,102 | ManagementAndGeneralAmt |
| Fundraising | $103,617 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $786,220 | TotalAmt |
| Program Services | $743,856 | ProgramServicesAmt |
| Management And General | $40,148 | ManagementAndGeneralAmt |
| Fundraising | $2,216 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,725,939 | TotalAmt |
| Program Services | $5,430,231 | ProgramServicesAmt |
| Management And General | $279,513 | ManagementAndGeneralAmt |
| Fundraising | $16,195 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,517,935 | TotalAmt |
| Program Services | $2,338,249 | ProgramServicesAmt |
| Management And General | $172,112 | ManagementAndGeneralAmt |
| Fundraising | $7,574 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $283,364 | TotalAmt |
| Management And General | $283,364 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $136,897 | TotalAmt |
| Management And General | $136,897 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,060 | TotalAmt |
| Management And General | $72,060 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,525,301 | TotalAmt |
| Program Services | $6,313,330 | ProgramServicesAmt |
| Management And General | $1,211,971 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $129,848 | TotalAmt |
| Management And General | $127,687 | ManagementAndGeneralAmt |
| Fundraising | $2,161 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,848,867 | TotalAmt |
| Program Services | $1,275,784 | ProgramServicesAmt |
| Management And General | $571,263 | ManagementAndGeneralAmt |
| Fundraising | $1,820 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $242,957 | TotalAmt |
| Program Services | $223,481 | ProgramServicesAmt |
| Management And General | $13,118 | ManagementAndGeneralAmt |
| Fundraising | $6,358 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,803,655 | TotalAmt |
| Program Services | $1,739,877 | ProgramServicesAmt |
| Management And General | $63,778 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,372 | TotalAmt |
| Program Services | $41,881 | ProgramServicesAmt |
| Management And General | $23,491 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,582 | TotalAmt |
| Program Services | $64,145 | ProgramServicesAmt |
| Management And General | $26,187 | ManagementAndGeneralAmt |
| Fundraising | $250 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $648,484 | TotalAmt |
| Program Services | $648,484 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,355,301 | TotalAmt |
| Program Services | $3,019,186 | ProgramServicesAmt |
| Management And General | $334,972 | ManagementAndGeneralAmt |
| Fundraising | $1,143 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,053,048 | TotalAmt |
| Program Services | $554,573 | ProgramServicesAmt |
| Management And General | $498,475 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Medical Supplies | $9,991,516 | $9,953,647 | $37,869 | |
| Repairs & Maintenance | $2,142,824 | $2,106,855 | $35,969 | |
| Health Care Prov. Tax | $1,859,362 | $1,859,362 | ||
| Other | $1,306,897 | $1,123,777 | $164,027 | $19,093 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,929,950 | TotalAmt |
| Program Services | $73,836,517 | ProgramServicesAmt |
| Management And General | $6,933,006 | ManagementAndGeneralAmt |
| Fundraising | $160,427 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,155 | BOYAmt |
| EOY | $2,532 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,250,084 | BOYAmt |
| EOY | $3,175,888 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,203 | BOYAmt |
| EOY | $5,548 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,982,229 | BOYAmt |
| EOY | $9,974,102 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $503,588 | BOYAmt |
| EOY | $679,830 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,051,882 | BOYAmt |
| EOY | $1,615,070 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $66,416,096 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $37,223,266 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,623,363 | BOYAmt |
| EOY | $29,192,830 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,750,250 | BOYAmt |
| EOY | $17,017,761 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $191,155 | BOYAmt |
| EOY | $180,744 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,687,848 | BOYAmt |
| EOY | $2,880,424 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,050,757 | BOYAmt |
| EOY | $64,724,729 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,584,652 | BOYAmt |
| EOY | $9,426,228 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,955,931 | BOYAmt |
| EOY | $11,511,889 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $926,340 | BOYAmt |
| EOY | $746,725 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,861,010 | BOYAmt |
| EOY | $4,583,025 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,327,933 | BOYAmt |
| EOY | $26,267,867 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,529,851 | BOYAmt |
| EOY | $36,810,212 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $491,325 | BOYAmt |
| EOY | $945,390 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $701,648 | BOYAmt |
| EOY | $701,260 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,722,824 | BOYAmt |
| EOY | $38,456,862 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,050,757 | BOYAmt |
| EOY | $64,724,729 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$4,587,661 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,677,913 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$388 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $14,461 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $14,461 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | The Hospital pays dues to various organizations, a portion of which are attributable to lobbying expenses. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $21,537,888 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$98,438 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $3,599,400 | OtherExpendituresAmt |
| End Year Balance | $17,840,050 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $12,887,926 | BeginningYearBalanceAmt |
| Contributions | $10,000,000 | ContributionsAmt |
| Investment Earnings Or Losses | $1,829,422 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $3,179,460 | OtherExpendituresAmt |
| End Year Balance | $21,537,888 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $12,362,378 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $904,112 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $378,564 | OtherExpendituresAmt |
| End Year Balance | $12,887,926 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $11,712,210 | BeginningYearBalanceAmt |
| Contributions | $135,584 | ContributionsAmt |
| Investment Earnings Or Losses | $536,573 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $21,989 | OtherExpendituresAmt |
| End Year Balance | $12,362,378 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,349,752 | BeginningYearBalanceAmt |
| Contributions | $7,664,082 | ContributionsAmt |
| Investment Earnings Or Losses | $710,004 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $11,628 | OtherExpendituresAmt |
| End Year Balance | $11,712,210 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.96000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.04000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $361,138 | OtherCostOrOtherBasisAmt |
| Book Value | $361,138 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $42,740,713 | OtherCostOrOtherBasisAmt |
| Depreciation | $17,559,346 | DepreciationAmt |
| Book Value | $25,181,367 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $257,863 | OtherCostOrOtherBasisAmt |
| Depreciation | $232,588 | DepreciationAmt |
| Book Value | $25,275 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $23,056,382 | OtherCostOrOtherBasisAmt |
| Depreciation | $19,431,332 | DepreciationAmt |
| Book Value | $3,625,050 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $29,192,830 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Deferred Compensation | $986,650 |
| Estimated Third-Party Payor Settlements | $3,596,375 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,583,025 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part V, Line 4: | FormAndLineReferenceDesc |
| Explanation | The intended uses of the endowment funds are funded depreciation, the oncology clinic and the breast clinic. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Poinsettia Ball | Event1Nm |
| Gross Receipts Event1 | $100,766 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $84,406 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $16,360 | GrossRevenueEvent1Amt |
| Food And Beverage Event1 | $11,447 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $31,348 | OtherDirectExpensesEvent1Amt |
| Event2 | Chef's Gala | Event2Nm |
| Gross Receipts Event2 | $90,739 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $74,619 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $16,120 | GrossRevenueEvent2Amt |
| Food And Beverage Event2 | $7,971 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $29,851 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $191,505 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $159,025 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $32,480 | GrossRevenueTotalEventsAmt |
| Food And Beverage Total Events | $19,418 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $61,199 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $80,617 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$48,137 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent250 | Yes (X) | Percent250Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,364,946 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,364,946 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01690 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,981,887 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,797,865 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,184,022 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03930 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,346,833 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,797,865 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,548,968 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05620 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $64,472 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $29,085 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $35,387 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $73,500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $73,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,086,107 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,645,448 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,440,659 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05490 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,234,079 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,674,533 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,559,546 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05630 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,580,912 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,472,398 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,108,514 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11250 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,277 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,500 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,777 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $453 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $453 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,730 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,800 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,930 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $42,464 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $42,464 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,152 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $24,152 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $96,076 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,300 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $85,776 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,073,438 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $19,066,557 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $22,235,332 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,168,775 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Maine Coast Memorial Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 50 Union Street | AddressLine1Txt |
| City | Ellsworth | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04605 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.mcmhospital.org | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Maine Coast Memorial Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 14 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Part VI | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 14 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Part VI | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 150.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 250.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | See Part VI, line 3 Explanation | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Part VI, line 3 Explanation | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See Part VI, line 3 Explanation | 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 |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | Yes (1) | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Maine Coast Memorial Hospital | Part V, Section B, Line 5: EMHS, the regional tertiary center, routinely conducts a community health needs assessment across the service area. The most recent assessment, published in 2014, was conducted under a contract with the University of New England Center for Health Planning, Policy and Research (CHPPR) and the University of Southern Maine Muskie School for Public Health. Using a methodology developed by CHPPR over decades of work, the assessment integrates primary data from random phone calls to heads of households with secondary data retrieved from state databases (ED usage, Mortality, Cancer Registry, etc.). This data is reviewed in the context of multiple health related domains to develop a composite view of access, risk and barriers to care. This composite is compared to national and state benchmarks to produce priorities and recommendations as prepared by the consultants.Information Sources: 1. Maine Coast Memorial Hospital and its related physician practices utilize extensive electronic medical records, including disease registries, which provide a vast amount of data relative its patients. The needs assessment provides a much broader picture of the community as a whole, including the health status of individuals not in care, as well as functional health status and social-demographics (such as employment, income and education levels). The local units of the state's public health infrastructure (known as Healthy Maine Partnerships) are also integrated into the process so that their data relative to environmental and social measures are part of the community dissemination process.Input from Person's Representing the Broad Interests of the Community: On a statewide basis, the research consultants developed an advisory committee that met several times during the assessment research and drafting of the publication. These individuals represented a broad spectrum of backgrounds, and they are named below:Carol Bell, Healthy Maine Partnership DirectorKelly Bentley, Healthy Maine Partnership DirectorGail Dana-Sacco, Wabanaki Center (.serving tribal populations)Patricia Hart, Maine Development FoundationBarbara Leonard, MPH, Maine Health Access Foundation(philanthropic foundation focused on access to care in Maine)Becca Matisovich, Maine Center for Disease ControlLisa Miller, Binghrun Foundation (philanthropic foundation)Dora Ann Mills, MD, Maine Center for Disease ControlElizabeth Mitchell, Maine Health Management Coalition(representing the state's major employers, insurers and providers)Trish Riley, Governor's Office of Health Policy and Finance (GOHPF)Brian Rines, Advisory Committee for Health System Development(overseen by GOHPF)Rachel Talbot-Ross, Maine Chapter, NAACPTed Trainer, Public Health Coordinating CouncilShawn Yardley, City of Bangor, Department of Health and WelfareIn June 2011, EMHS in conjunction with Maine Coast Memorial Hospital hosted a community forum to present an overview of local assessment results and recommendations. Invitees included:Other area hospitals, Physician leaders, Federally Qualified Health Centers, Healthy Maine Partnerships, District liaisons linked to Maine CDC Social Service Agencies, Business leaders, Representatives of the State Administration Home Health and Long Term Care leaders Leaders of the tribal communities legislative leadersAttendees were provided an executive summary of the assessment as well as a summary table of data reflective of the service area. A presentation was made by EMHS staff who led the assessment, providing sample data, trends over time and the priorities and recommendations as suggested by the research consultants. |
| Maine Coast Memorial Hospital | Part V, Section B, Line 6a: The needs assessment was developed as a statewide collaborative between the state's three largest health systems: EMHS (in central, eastern and northern Maine), Maine General (in central Maine) and MaineHealth (in Southern Maine). Multiple collaborators were involved in the dissemination of the assessment findings and establishment of priorities.The Maine Shared Health Needs Assessment and Planning Process (SHNAPP) Project is a collaborative effort among Maine's four largest healthcare systems Central Maine HealthCare, Eastern Maine Healthcare Systems (EMHS), MaineGeneral Health (MGH), and MaineHealth as well as the Maine Center for Disease Control and Prevention (Maine CDC), an office of the Maine Department of Health and Human Services (Maine DHHS). The current collaboration expands upon the OneMaine Health Collaborative created in 2007 as a partnership among EMHS, MGH and MaineHealth. The Maine CDC and other partners joined these entities to develop a public-private partnership in 2012. The four hospital systems and the Maine CDC signed a memorandum of understanding in effect between June 2014 and December 2019 committing resources to the Maine SHNAPP Project. |
| Maine Coast Memorial Hospital | Part V, Section B, Line 11: Please refer to the implementation strategy at the following link:http://www.emhs.org/Document-library/Reports/CHNA/2015-Shared-CHNA/Maine-Shared-CHNA-HANCOCK-County-Report-11-3-15_EM.aspx |
| Maine Coast Memorial Hospital | Part V, Section B, Line 24: All patients are billed/charged an amount equal to gross charges and then depending on their insurance payment, prompt pay discounts or discounted care are balance billed the unpaid or adjusted amount.Individuals were billed gross charges with the option for a 10% discount for prompt payments. In addition, the hospital offered a 20% discount for patients who paid prior to receiving services. |
| Schedule H, Part V, Section B, Line 7a & 10a: | The most recent statewide CHNA and Implementation Strategy can be found at the following URL:http://www.emhs.org/community-benefit/chna/2014-chna-reports.aspxSpecifically to Maine Coast and Hancock County, which we are located in, here is the URL for our CHNA and Implementation Strategy:http://www.emhs.org/document-library/reports/chna/2014/hancock-county-chna-2014.aspx |
| Part V, Section B, Line 16 | Financial Assistance Policy Website Availability |
| Maine Coast Memorial Hospital Part V, Section B, line 16a website: | See Part VI, line 3 Explanation |
| Maine Coast Memorial Hospital Part V, Section B, line 16b website: | See Part VI, line 3 Explanation |
| Maine Coast Memorial Hospital Part V, Section B, line 16c website: | See Part VI, line 3 Explanation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 18 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (18 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| Ellsworth Internal Medicine | ||||
| 32 Resort Way | Ellsworth | ME | 04605 | Physician Practice |
| Ellsworth Family Practice | ||||
| 32 Resort Way | Ellsworth | ME | 04605 | Physician Practice |
| Maine Coast Pediatrics | ||||
| 32 Resort Way | Ellsworth | ME | 04605 | Physician Practice |
| Eleanor Widener Dixon Memorial Clinic | ||||
| 37 Clinic Road | Ellsworth | ME | 04605 | Physician Practice |
| Southwest Harbor Medical Center | ||||
| 45 Herrick Road | Ellsworth | ME | 04605 | Physician Practice |
| Maine Coast Specialty Clinic | ||||
| 306 Main Street | Ellsworth | ME | 04605 | Physician Practice |
| Maine Coast Urology | ||||
| 50 Union Street | Ellsworth | ME | 04605 | Physician Practice |
| Maine Coast Rheumatology | ||||
| 50 Union Street | Ellsworth | ME | 04605 | Physician Practice |
| Down East Dermatology | ||||
| 50 Union Street | Ellsworth | ME | 04605 | Physician Practice |
| Maine Coast General Surgery | ||||
| 50 Union Street | Ellsworth | ME | 04605 | Physician Practice |
| Maine Coast Women Care | ||||
| 50 Union Street | Ellsworth | ME | 04605 | Physician Practice |
| Maine Coast Hand & Shoulder | ||||
| 50 Union Street | Ellsworth | ME | 04605 | Physician Practice |
| Frenchman Bay Orthopedics | ||||
| 50 Union Street | Ellsworth | ME | 04605 | Physician Practice |
| Maine Coast Otolaryngology | ||||
| 50 Union Street | Ellsworth | ME | 04605 | Physician Practice |
| Maine Coast Memorial Hospital Nocturn | ||||
| 50 Union Street | Ellsworth | ME | 04605 | Physician Practice |
| Maine Coast Neurology Clinic | ||||
| 50 Union Street | Ellsworth | ME | 04605 | Physician Practice |
| Maine Coast Cardiology Clinic | ||||
| 50 Union Street | Ellsworth | ME | 04605 | Physician Practice |
| Maine Coast Psychiatry Clinic | ||||
| 32 Resort Way | Ellsworth | ME | 04605 | Physician Practice |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | Maine Coast Regional Health Facilities uses the Federal poverty guidelines to determine eligibility. |
| Part I, Line 7: | The IRS 990H instructions/guidance provide a template (Worksheet 2 template) as a way to determine the overall cost to charge ratio that could be applied throughout the IRS 990H form in order to convert charges to cost. Where applicable, we have utilized the Worksheet 2 template calculation. The only areas we did not utilize this template calculation were the following.a. IRS 990H Worksheet 6 - Subsidized health services - (the supporting schedule for Part I, Line 7g) we did not utilize the Worksheet 2 percentage when we were determining the profit/loss of each of our provider based clinics. In addition, when we were compiling the subsidized provider based clinics listed in 1c above, we utilized the actual estimated costs on the modified Medicare cost report we prepared instead of applying the Worksheet 2 cost to charge percentage. b. IRS 990H Worksheet 3 - Unreimbursed Medicaid and Other Means Tested Government Programs (the supporting schedule for Part I, Lines 7b and 7c) and Worksheet 6 Medicaid allowable costs for the subsidized health services listed in line 1c above (part of the line 7g costs) - We did not utilize the Worksheet 2 percentage when calculating the Medicaid allowable cost. Instead we utilized the actual Medicaid filed cost report for the allowable costs. |
| Part I, Line 7g: | Maine Coast Regional Health Facilities has several provider based physician practices. Per the instructions for IRS form 990H, worksheet 6, we are allowed to include any applicable physician practice that the hospital subsidizes (i.e., operates at a loss). As such, we have included the following provider based physician practices that operate at a loss (i.e., are subsidized by the hospital) and the associated costs of these practices.a. Southwest Harbor Clinic b. Ellsworth Internal Medicine c. Pediatrics d. Cardiologye. Family Practice f. Frenchmans Bay Clinic g. Womens Care Clinic h. Hand & Shoulder Clinici. Gouldsboro Clinic j. Otolaryngology Clinic k. General Surgery l. PsychiatryThe above listed provider based physician practices have a community benefit (i.e., aggregate loss or subsidy from the hospital) of approximately $4.8 million. This community benefit does not include any hospital overhead allocated to these clinics. In addition, the community benefit also does not take into account bad debts, charity care and contractual adjustments. Thus this community benefit of approximately $4.8 million is a conservative figure that reconciles to the community benefit reported on IRS Form 990, Schedule H, Part I, Line 7g, column e.Community Building ActivitiesMaine Coast Regional Health Facilities provides a variety of resources for several different types of community building activities. These resources include, but are not limited to:-Free monthly education sessions-CPR classes-Free Mammograms-Volunteer and Pet Therapy Program-Speaking engagements relative to prevalence of cancer in the area by the Oncology Director-Heart Healthy Community Wellness Program-Physician Referral phone system-Disease Management-Cardiac Rehab exercise program-Nursing education for local students |
| Part I, Ln 7 Col(f): | Bad debt expenses are no longer part of the expense grouping on the income statement of the audited financial statements. They are included as a deduction from revenue. As such, the Part I, Line 7 Column F calculation, per the IRS instructions, are already net of bad debt expenses. |
| Schedule H, Part I, Line 6a: | Maine Coast Regional Health Facilities prepares a community benefit report through its annual report process. The annual report is available three months after fiscal year end. Within the annual report the Hospital describes community benefit in financial terms and a summary of services provided. This includes the losses from: subsidized physician practices; subsidized community health and wellness programs; the cost of patients who cannot afford to pay; Medicaid and Medicare shortfalls; and patients who do not pay or are unable to pay. |
| Part III, Line 4: | Maine Coast Regional Health Facilities, in compliance with accounting guidelines, classify bad debts as a deduction from revenue. The hospital follows the Medicare guidelines for allowable bad debts. It uses the following criteria:a. Establishing that reasonable collection efforts were madeb. Establishing that the accounts were uncollectiblec. Establishing that there is no likelihood of recovery at anytime in the futureThe bad debt adjustment is at cost and is the total write-offs reduced by the ratio of patient care cost to charges. |
| Part III, Line 8: | The IRS 990H instructions/guidance provide a template (Worksheet 2 template) as a way to determine the overall cost to charge ratio that could be applied throughout the IRS 990H form in order to convert charges to cost. Where applicable, we have utilized the Worksheet 2 template calculation. The only area where we did not utilize this template calculation was in Form 990H Worksheet B, Line 2 & 6 - Medicare allowable costs and payments related to the subsidized health services - We utilized the Medicare cost report estimated cost and payment for these services.The hospital believes that provider based clinics listed in 1c above should be and are considered a community benefit due to the fact that without the hospital subsidizing and offering the services that these clinics offer, the community at large would have to travel at least 45 minutes to the nearest like hospital and that hospital's service offerings. As such, Maine Coast believes that by offering and subsidizing these clinics within its community and thus enabling community members to have easy access and an easier commute for these services, that this benefits the whole community at large. |
| Part III, Line 9b: | When a patient is referred out to collections but then applies for free or discounted care, we pull the account back from collections when it is determined they qualify for one of the programs. If the collection agency suspects that someone may need to apply for one of the programs, they send out an application and notify us. We make every effort to screen as many people as possible before we send them to collections. |
| Part VI, Line 2: | Maine Coast Regional Health Facilities assessed the medical needs of the community as part of the process for establishing the medical staff development plan. The new medical staff and services were identified in the strategic planning process brought forth from the provider community. It then was determined and prioritized what services the Hospital could comfortably address and implement. |
| Part VI, Line 3: | We notify patients and customers about access to Assistance in various ways. The simplest way is the signage, pamphlets and educational material located around the Organization and in the offices. In every Patient Access/Patient Financial Services area, is a sign explaining the availability of Free/Discounted care and the Federal Poverty guidelines. There are also pamphlets located in the outpatient areas explaining Free Care/Discounted Care and providing information on MaineCare. For inpatients, there is a book in the room which provides all the information on all programs available.All information related to our financial assistance policy (FAP)can be found at the following URL:http://www.mcmhospital.org/Patients-Visitors/Billing-Financial Services/Financial-Aid.aspxOur FAP application can be found at the following URL:http://emmc.org/emmc/files/82/8288d00d-3440-429e-92ab-e2d58d42b888.pdfScheduled Medical Imaging, Surgery patients and Inpatients all generally speak with a Hospital employee who can provide information on available programs. Inpatients are also offered the services of Unicare to assist them with applying for Medicaid. Patient Accounting staff are available to assist any patient inquiring about programs when presenting for services. Through the Patient Accounting Department, we provide the information on the patient's billing statements. We also counsel patients on the phone about all the programs available whether it is a hospital program or Medicaid. |
| Part VI, Line 4: | Maine Coast Regional Health Facilities services, d/b/a Maine Coast Memorial Hospital, is a 48 staffed bed full service acute care not-for profit hospital located in Ellsworth, Maine (Hancock County). The hospital is accredited by the Joint Commission and its mission is to serve its communities with excellence in health care. Its services include Acute Inpatient, 24 hours emergency center, and diagnostic and surgical services. Along with Hospital services, the hospital employs the majority of primary and specialty care physicians in the area. It is the only full service hospital located in either Hancock or adjacent Washington County. The hospital is regularly used as referral facility by the four (4) critical access hospitals located in these two counties as well. Hancock and Washington County is considered rural by the State of Maine and the United States Census Bureau, under the guidelines set forth by the Office of Management and Budget (OMB). The hospital service area (HSA) as defined by the Maine Health Data Organization (MHDO) uses the statistical method where the greatest proportion of residents received their inpatient care. The following towns make up the Maine Coast Memorial Hospital HSA as defined by the MHDO:EastbrookBeddingtonDebloisCherryfieldEllsworthFranklinMilbridgeGouldsboroHancockLamoineMariavilleOsbornOtisSteubenSorrentoSullivanSurryTrentonWalthamWinter HarborOqiton TwpT3 NDT7 SDT8 SDT9 SDT10 SDT16 MDT22 MDT28 MDT34 MDT35 MDT39 MDT40 MDT41 MDThe following estimated 2014 demographics represent the counties served by Maine Coast Memorial Hospital (per the United States Census Bureau website):- Population: Hancock County 54,418; Washington County 32,856; State of Maine 1,329,328- Persons < 5yrs: Hancock County 4.8%; Washington County 5.2%; State of Maine 4.9%- Persons < 18 yrs: Hancock County 18.6%; Washington County 20.5%; State of Maine 19.5%- Persons 65 yrs & over: Hancock County 18.2%; Washington County 19.4%; State of Maine 18.3%- Median household income: Hancock County $45,747; Washington County $38,239; State of Maine $48,804- Persons below poverty level: Hancock County 12.9%; Washington County 18.5%; State of Maine 14.1% |
| Part VI, Line 5: | Maine Coast Regional Health Facilities is a local not for profit hospital that serves its local communities and people regardless of their ability to pay. Maine Coast provides financial assistance and sliding scale discounts to self pay and low income patients. Also the Hospital participates in government sponsored health care programs including Medicare, Medicaid, Champus and Tricare. The volunteer Board of Trustees sets the strategic direction for the Hospital and is comprised of community members from the Hospital's service area. This group is made up of local business owners, professionals and retirees. Maine Coast's non-profit status allows the Hospital to reinvest any excess of revenues over expense back into the Hospital to continuously improve the medical care it delivers. The Hospital allows access to healthcare that would otherwise be difficult. The Hospital is the main employer for the local physicians, including specialty physicians that would otherwise have to be accessed out of the area. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LifeFlight Foundation | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 899 | AddressLine1Txt |
| City | Camden | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04843 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 522377085 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $10,000 | CashGrantAmt |
| Purpose Of Grant | Operational Support | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | The Organization makes payments only to other 501(c)(3) organizations. Therefore, additional monitoring was not deemed necessary. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Written Policy Ref T And E Expnss | 0 | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Robert A Beekman MD | ||||||||||||||
| Trustee/Physician | $166,243 | $0 | $0 | $0 | $1,524 | $0 | $3,940 | $0 | $30,562 | $0 | $202,269 | $0 | $0 | $0 |
| Sean T Maloney MD | ||||||||||||||
| Trustee/Physician | $247,000 | $0 | $0 | $0 | $276 | $0 | $5,730 | $0 | $44,892 | $0 | $297,898 | $0 | $0 | $0 |
| Daniel J Reinke MD | ||||||||||||||
| President of Medical Staff | $323,767 | $0 | $0 | $0 | $276 | $0 | $5,850 | $0 | $45,256 | $0 | $375,149 | $0 | $0 | $0 |
| Charles D Therrien | ||||||||||||||
| CEO | $313,664 | $0 | $0 | $0 | $516 | $0 | $5,850 | $0 | $32,391 | $0 | $352,421 | $0 | $0 | $0 |
| Chris D Frauenhofer | ||||||||||||||
| CFO | $221,410 | $0 | $0 | $0 | $179 | $0 | $1,644 | $0 | $36,349 | $0 | $259,582 | $0 | $0 | $0 |
| Sterling C Williamson MD | ||||||||||||||
| Physician | $318,589 | $0 | $197,783 | $0 | $28,501 | $0 | $5,850 | $0 | $39,734 | $0 | $590,457 | $0 | $0 | $0 |
| Davor G Sklizovic MD | ||||||||||||||
| Physician | $422,736 | $0 | $38,832 | $0 | $516 | $0 | $3,250 | $0 | $19,625 | $0 | $484,959 | $0 | $0 | $0 |
| Martin R Curlik MD | ||||||||||||||
| Physician | $392,858 | $0 | $25,949 | $0 | $792 | $0 | $5,850 | $0 | $39,170 | $0 | $464,619 | $0 | $0 | $0 |
| Paul M Denoncourt MD | ||||||||||||||
| Physician | $315,583 | $0 | $67,047 | $0 | $516 | $0 | $5,850 | $0 | $32,359 | $0 | $421,355 | $0 | $0 | $0 |
| Kerry Crowley MD | ||||||||||||||
| Physician | $220,003 | $0 | $124,984 | $0 | $792 | $0 | $5,583 | $0 | $21,145 | $0 | $372,507 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1b | Travel for companions: The Board of Directors for the Hospital are not compensated. In lieu of compensation, meals are supplemented for their spouses when they are required to attend forums and seminars on behalf of the Hospital. The amount involved is very minimal. |
| Form 990, Schedule J, Part I, Line 7: | The bonus payments for Sterling C. Williamson, Davor G. Sklizovic, Martin R. Curlik, Paul M. Denoncourt, and Kerry Crowley are RVU incentive payments. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| MHHEFA | ||||||||
| A | 010314384 | 5604253L2 | 2008-12-03 | $6,960,000 | Construction of Emergency Dept. | 0 | 0 | 0 |
| MHHEFA | ||||||||
| B | 010314384 | 560427NM4 | 2011-11-30 | $1,865,000 | Refunding Series 2001B | 0 | 0 | 0 |
| MHHEFA | ||||||||
| C | 010314384 | 560427WV4 | 2013-05-23 | $4,395,000 | Refunding Series 2003C | 0 | 0 | Yes (1) |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Other Spent ProceedsOtherSpentProceedsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $1,008,869 | $6,960,000 | $498,869 | $439,006 | $131,414 | $5,890,711 | 2009 | 0 | 0 | Yes (1) | Yes (1) | |
| B | $634,099 | $1,865,000 | $210,238 | $35,050 | 2011 | 0 | 0 | Yes (1) | Yes (1) | $1,619,712 | ||
| C | $65,143 | $4,395,000 | $341,913 | $52,407 | 2013 | Yes (1) | 0 | Yes (1) | Yes (1) | $4,000,680 |
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 | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | ||
| B | 0 | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 |
| C | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
| C | 0 |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 2 | ContributionCnt |
| Noncash Contributions Rpt F990 | $35,059 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Stock Market Value | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | Yes (1) | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 32b: | FormAndLineReferenceDesc |
| Explanation | The Organization sells contributions of securities through its investment broker. All gifts of securities are sold as soon as administratively possible. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | Maine Coast Healthcare Corporation is the sole member of the Organization. |
| Form 990, Part VI, Section A, line 7a | The Member shall have the right to elect trustees and honorary trustees to the board of trustees. |
| Form 990, Part VI, Section A, line 7b | The following decisions are subject to approval by the Member of the Organization: 1. The removal of members of the Board of Trustees; 2. The change of the number of Trustees constituting the Board of Trustees with the limitations prescribed in the Articles of Incorporation; 3. The amendment, restatement, or modification of the Bylaws or Articles of Incorporation of the Corporation; 4. The approval of the sale, mortgage, lease, or other dispositions of all, or substantially all, of the assets and property of the Organization, the dissolution of the Organization, or its merger with or consolidation into another Organization; 5. The right to approve the donation, unfunded directly from, or other expenditure of corporate assets, whether principal or income; 6. The right to approve corporate strategic planning goals, objectives, and capital expenditure plans; 7. The right to approve substantial program changes, including health services; 8. The right to approve the Organization's cumulative annual borrowings in any amount exceeding one percent of the annual gross revenues of the Organization as set forth in the most recent annual financial statements of the Organization; 9. The right to approve the appointment of an auditor for the Organization; and 10. Upon recommendation of the Board of Trustees, the right to appoint or remove the President and Treasurer. |
| Form 990, Part VI, Section B, line 11 | Prior to filing, a presentation on the Form 990 was provided to the leadership of the board of trustees, and a copy of the form was provided to the entire board. |
| Form 990, Part VI, Section B, line 12c | MCMH's policies and procedures require that all board members, senior leaders, department managers, and medical staff members disclose any potential conflicts of interest in writing. These forms are reviewed by the Board Chair, the Human Resource Director, or the compliance officer, depending on the disclosing individual's role. Examples of how potential conflicts are managed include disclosing the conflict when applicable, (e.g., during discussions at the board meeting) and excusing the party with the potential conflict from participation and voting. |
| Form 990, Part VI, Section B, line 15 | Executive Committee with the help of the search firm and Maine Hospital Association salary survey was used to set the compensation levels for the CEO. The MHA survey was primarily used to set the compensation levels for the top management officials. |
| Form 990, Part VI, Section C, line 19 | Government documents and conflict of interest policy are available upon request. The financial statements are made public through the annual report. |
| Form 990, Part X, Line 10: Land, Buildings, and Equipment | Section 1.263(a)-3(n) Election: Maine Coast Regional Health Facilities 50 Union Street Ellsworth, ME 04605 EIN 01-0198331 Maine Coast Regional Health Facilities is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). |
| Form 990, Part XI, line 9: | Change in Value of Beneficial Interest in Perpetual Trust -388. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Maine Coast Medical Realty Inc | |||||||||||
| 50 Union Street | Ellsworth | ME | 04605 | 010390918 | Furnishing Medical Facilities | ME | 501(c)(3) | Line 11a, I | Maine Coast Regional Health Facilities | Yes (1) | |
| Maine Coast Healthcare Corporation | |||||||||||
| 50 Union Street | Ellsworth | ME | 04605 | 223176167 | Parent Organization for Hospital | ME | 501(c)(3) | Line 11b, II | 0 | N/A | |
| Maine Coast Healthcare Foundation | |||||||||||
| 50 Union Street | Ellsworth | ME | 04605 | 562344952 | Raise and hold donations for hospital | ME | 501(c)(3) | Line 11a, I | Maine Coast Regional Health Facilities | Yes (1) | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Maine Coast Physician Affiliates | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 50 Union Street | AddressLine1Txt |
| City | Ellsworth | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04605 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010479952 | EIN |
| Primary Activities | Inactive | PrimaryActivitiesTxt |
| Legal Domicile State | ME | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Maine Coast Healthcare Corporation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Maine Coast Healthcare Foundation | ||
| C | $132,748 | FMV |
| Maine Coast Healthcare Foundation | ||
| Q | $58,447 | FMV |