STRATEGY STUDIO / PUBLIC DATA EXPLORER

HEALTHINFONET: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
HEALTHINFONET (EIN 20-5150062)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-05-25
IRS object ID
201621469349300117
Schema version
2015v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-05-25T12:51:49-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010242373PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MACPAGE LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line130 LONG CREEK DRIVEAddressLine1Txt
CitySOUTH PORTLANDCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04106ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN205150062EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HEALTHINFONETBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHEALBusinessNameControlTxt
Phone2075419250PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1125 PRESUMPSCOT STREET BOX 8AddressLine1Txt
CityPORTLANDCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04103ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDEVORE CULVERPersonNm
Person TitleCEOPersonTitleTxt
Phone2075419250PhoneNum
Signature2016-05-25SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPETER MONTANOPreparerPersonNm
PTINP01200943PTIN
Phone2077745701PhoneNum
Preparation2016-05-25PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

Form 990 IRS990

US Address USAddress

FieldValueIRS element (for citing)
Address Line1125 PRESUMPSCOT STREET BOX 8AddressLine1Txt
CityPORTLANDCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04103ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$6,200,893GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
All Affiliates IncludedYes (1)AllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HINFONET.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2008FormationYr
Legal Domicile StateMELegalDomicileStateCd
Activity Or MissionTO OVERSEE THE IMPLEMENTATION AND OPERATION OF A STATEWIDE HEALTH INFORMATION TECHNOLOGY NETWORK.ActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent19VotingMembersIndependentCnt
Total Employee29TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$41,764PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$6,666,193PYProgramServiceRevenueAmt
CY Program Service Revenue$6,198,691CYProgramServiceRevenueAmt
PY Investment Income$935PYInvestmentIncomeAmt
CY Investment Income$2,202CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$6,708,892PYTotalRevenueAmt
CY Total Revenue$6,200,893CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,726,963PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,781,367CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,818,074PYOtherExpensesAmt
CY Other Expenses$2,474,111CYOtherExpensesAmt
PY Total Expenses$6,545,037PYTotalExpensesAmt
CY Total Expenses$5,255,478CYTotalExpensesAmt
PY Revenues Less Expenses$163,855PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$945,415CYRevenuesLessExpensesAmt
Total Assets BOY$3,311,187TotalAssetsBOYAmt
Total Assets EOY$4,061,740TotalAssetsEOYAmt
Total Liabilities BOY$879,409TotalLiabilitiesBOYAmt
Total Liabilities EOY$684,548TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,431,778NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,377,192NetAssetsOrFundBalancesEOYAmt
MissionTO OVERSEE THE IMPLEMENTATION AND OPERATION OF A STATEWIDE HEALTH INFORMATION TECHNOLOGY NETWORK.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$4,349,250ExpenseAmt
Revenue$6,198,691RevenueAmt
DescCONTINUED TO MOVE TOWARD FULL IMPLEMENTATION OF THE PROJECT AS SCHEDULED.Desc
Total Program Service Expenses$4,349,250TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document16IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee29EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member19IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KIM BUSTAMANTEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2075419250PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1125 PRESUMPSCOT STREET BOX 8AddressLine1Txt
CityPORTLANDCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04103ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
ARTHUR BLANK
CHAIR1.00Yes (X)Yes (X)$0$0$0
ANDY CROWDER
DIRECTOR1.00Yes (X)$0$0$0
KYLE JOHNSON
DIRECTOR1.00Yes (X)$0$0$0
KEVIN LEWIS
DIRECTOR1.00Yes (X)Yes (X)$0$0$0
MARY MAYHEW
DIRECTOR1.00Yes (X)$0$0$0
PETER MILLS
TREASURER1.00Yes (X)$0$0$0
RICHARD MARSTON
DIRECTOR1.00Yes (X)$0$0$0
RICHARD WHITE
VICE CHAIRPERSON1.00Yes (X)Yes (X)$0$0$0
RODERICK PRIOR
DIRECTOR1.00Yes (X)$0$0$0
STEPHEN SEARS
DIRECTOR1.00Yes (X)$0$0$0
KEN MCCALL
DIRECTOR1.00Yes (X)$0$0$0
MICHELLE PROBERT
DIRECTOR1.00Yes (X)$0$0$0
PAUL STEIN
DIRECTOR1.00Yes (X)$0$0$0
CAROL TIMBERLAKE
DIRECTOR1.00Yes (X)$0$0$0
JAY YOE
DIRECTOR1.00Yes (X)$0$0$0
ANN SULLIVAN
SECRETARY1.00Yes (X)$0$0$0
KAREN BELL
DIRECTOR1.00Yes (X)$0$0$0
LYNN DUBY
DIRECTOR1.00Yes (X)$0$0$0
DONALD KRAUSE
DIRECTOR1.00Yes (X)$0$0$0
DEVORE CULVER
CEO40.00Yes (X)$314,457$0$29,157
PETER PIKE
CFO4.00Yes (X)$15,454$0$0
SHAUN ALFREDS
COO40.00Yes (X)$223,273$0$27,907
PHILIP PROFENNO
DIRECTOR OF INFORMATION SERVICES40.00$122,455$0$9,164Yes (X)
KIM BUSTAMANTE
DIRECTOR OF FINANCE AND AD40.00$115,916$0$21,491Yes (X)
KATIE SENDZE
DIRECTOR OF CLIENT SERVICES40.00$106,608$0$13,852Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$898,163TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$101,571TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ORION HEALTH INC
PO BOX 2927BUFFALONY142402927SOFTWARE$366,895
SYSTEMS ENGINEERING INC
120 EXCHANGE STREETPORTLANDME04101LICENSING & SUPPORT$236,142
HBI SOLUTIONS INC
530 LYTTON AVENUE SECOND FLOORPALO ALTOCA94301SOFTWARE$151,116
CLINICAL ARCHITECTURE LLC
11611 N MERIDIAN STREETCARMELIN46032LICENSE, LABOR, MAPPING$132,500
SURESCRIPTS LLC
2800 CRYSTAL DRIVEARLINGTONVA22202MED. HISTORY HOSTING$120,161
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CONTRACTED SERVICES$3,643,542$3,643,542
PARTICIPATION REVENUE$2,487,701$2,487,701
GRANT REVENUE$50,000$50,000
COMMISSION$17,448$17,448
FieldValueIRS element (for citing)
Total Program Service Revenue$6,198,691TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,202TotalRevenueColumnAmt
Exclusion$2,202ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,200,893TotalRevenueColumnAmt
Related Or Exempt Func Income$6,198,691RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,202ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$610,247TotalAmt
Program Services$297,425ProgramServicesAmt
Management And General$312,822ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,696,813TotalAmt
Program Services$1,536,322ProgramServicesAmt
Management And General$160,491ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$110,777TotalAmt
Program Services$99,058ProgramServicesAmt
Management And General$11,719ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$206,660TotalAmt
Program Services$173,549ProgramServicesAmt
Management And General$33,111ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$156,870TotalAmt
Program Services$126,088ProgramServicesAmt
Management And General$30,782ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$20,805TotalAmt
Program Services$16,153ProgramServicesAmt
Management And General$4,652ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$132,977TotalAmt
Program Services$110,967ProgramServicesAmt
Management And General$22,010ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$15,419TotalAmt
Program Services$12,867ProgramServicesAmt
Management And General$2,552ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$22,954TotalAmt
Program Services$1,521ProgramServicesAmt
Management And General$21,433ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$594,232TotalAmt
Program Services$404,524ProgramServicesAmt
Management And General$189,708ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$47,379TotalAmt
Program Services$32,953ProgramServicesAmt
Management And General$14,426ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
VENDORS$1,071,203$1,071,203
SUBCONTRACTS$256,615$256,615
MISC AND OTHER EXPENSES$94,429$94,429
CONTRACTUAL SERVICES$70,899$70,899

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$147,199TotalAmt
Program Services$44,677ProgramServicesAmt
Management And General$102,522ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,255,478TotalAmt
Program Services$4,349,250ProgramServicesAmt
Management And General$906,228ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,549,041BOYAmt
EOY$2,750,225EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$367,567BOYAmt
EOY$493,581EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$245,625BOYAmt
EOY$217,354EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,077,205LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$678,250LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$542,805BOYAmt
EOY$398,955EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$606,149BOYAmt
EOY$201,625EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,311,187BOYAmt
EOY$4,061,740EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$271,389BOYAmt
EOY$206,279EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$608,020BOYAmt
EOY$478,269EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$879,409BOYAmt
EOY$684,548EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,431,778BOYAmt
EOY$3,377,192EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,431,778BOYAmt
EOY$3,377,192EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,311,187BOYAmt
EOY$4,061,740EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$945,415ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$1OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$41,764CurrentTaxYearMinus1YearAmt
Total$41,764TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,076,313CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,318,880CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,425,303CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,666,193CurrentTaxYearMinus1YearAmt
Current Tax Year$6,198,691CurrentTaxYearAmt
Total$30,685,380TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,076,313CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,318,880CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,425,303CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,707,957CurrentTaxYearMinus1YearAmt
Current Tax Year$6,198,691CurrentTaxYearAmt
Total$30,727,144TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,562,106CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,360,270CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,530,923CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$919,779CurrentTaxYearMinus1YearAmt
Total$8,373,078TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,562,106CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,360,270CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,530,923CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$919,779CurrentTaxYearMinus1YearAmt
Total$8,373,078TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$22,354,066PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$983CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$851CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$396CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$935CurrentTaxYearMinus1YearAmt
Current Tax Year$2,202CurrentTaxYearAmt
Total$5,367TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$983CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$851CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$396CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$935CurrentTaxYearMinus1YearAmt
Current Tax Year$2,202CurrentTaxYearAmt
Total$5,367TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,077,296CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,319,731CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,425,699CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,708,892CurrentTaxYearMinus1YearAmt
Current Tax Year$6,200,893CurrentTaxYearAmt
Total$30,732,511TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.72740PublicSupportCY509Pct
Public Support PY5090.56320PublicSupportPY509Pct
Investment Income CY0.00020InvestmentIncomeCYPct
Investment Income PY0.00020InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,077,205OtherCostOrOtherBasisAmt
Depreciation$678,250DepreciationAmt
Book Value$398,955BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$398,955TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$6,200,893TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$6,200,893RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$6,200,893TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$5,255,479TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$5,255,479ExpensesSubtotalAmt
Other Expenses Not Included-$1OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt-$1ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$5,255,478TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:MANAGEMENT EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRED ADJUSTMENT TO THE FINANCIAL STATEMENTS. AS A RESULT, THERE WAS NO CUMULATIVE EFFECT AND NO INTEREST OR PENALTIES RELATED TO UNCERTAIN TAX POSITIONS. WHEN NECESSARY, THE ORGANIZATION ACCOUNTS FOR INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS AS PART OF ITS PROVISION FOR FEDERAL AND STATE INCOME TAXES. THE ORGANIZATION DOES NOT EXPECT THAT ANY UNRECOGNIZED TAX BENEFITS OR LIABILITIES ARISING FROM TAX POSITIONS WILL CHANGE SIGNIFICANTLY WITHIN THE NEXT TWELVE MONTHS. THE ORGANIZATION IS CURRENTLY OPEN TO AUDIT UNDER THE STATUTE OF LIMITATIONS BY THE INTERNAL REVENUE SERVICE AND STATE TAXING AUTHORITIES FOR THE YEARS ENDING DECEMBER 31, 2011 THROUGH 2014.
PART XII, LINE 4B - OTHER ADJUSTMENTS:ROUNDING

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation Required0SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DEVORE CULVER
CEO$298,077$0$0$0$16,380$0$0$0$29,157$0$343,614$0$0$0
SHAUN ALFREDS
COO$223,273$0$0$0$0$0$0$0$27,907$0$251,180$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ACEO RECEIVES A HOUSING ALLOWANCE OF $16,380 ANNUALLY; IT IS INCLUDED IN HIS W-2 WAGES BUT IS NOT PART OF HIS BASE SALARY.
PART I, LINE 3THE EXECUTIVE COMMITTEE PERFORMS INDEPENDENT THIRD-PARTY COMPENSATION REVIEWS EVERY THREE YEARS FOR THE OFFICERS. THE EXECUTIVE COMMITTEE DETERMINES AMOUNT OF COMPENSATION AND ANNUAL BONUS FOR THE CEO. THE CEO HAS THE AUTHORITY TO DETERMINE AMOUNT OF COMPENSATION AND ANNUAL BONUS AMOUNTS FOR OTHER OFFICERS BASED UPON GUIDELINES DETERMINED BY THE EXECUTIVE COMMITTEE. BONUSES ARE BASED ON ORGANIZATIONAL AND EMPLOYEE PERFORMANCE.
PART I, LINE 7EMPLOYEES INCLUDING THE CEO ARE ELIGIBLE TO RECEIVE MERIT BONUSES FROM THE ORGANIZATION AT THEIR ANNUAL REVIEWS. THIS IS INCLUDED ON THE W-2S.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
KYLE JOHNSON CHIEF INFORMATION OFFICER AT EASTERN MAINE MEDICAL
BOD MEMBER$733,881SCHEDULE O - HIN REVENUE0
PAUL STEIN COO AT MAINEGENERAL MEDICAL CENTER
BOD MEMBER$150,000SCHEDULE O - HIN REVENUE0
ANDY CROWDER SENIOR VP AND CIO MAINEHEALTH
BOD MEMBER$543,333SCHEDULE O - HIN REVENUE0
ARTHUR BLANK CEO MDI HOSPITAL
BOD OFFICER$42,360SCHEDULE O - HIN REVENUE0
MARY MAYHEW COMMISSIONER (DHHS) AND JAY YOE DIR OF QUALITY IMPR MAINE CD
BOD MEMBER$824,875SCHEDULE O - HIN REVENUE0
DONALD KRAUSE ST JOSEPH HEALTHCARE
BOD MEMBER$238,782SCHEDULE O - HIN REVENUE0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11LINE 11A EXPLANATION - THE IRS 990 REPORT IS AN INFORMATIONAL TAX FILING FOR ORGANIZATIONS EXEMPT FROM FEDERAL INCOME TAX. THESE REPORTS ARE DUE TO THE IRS BY MAY FOLLOWING THE CLOSED FISCAL YEAR. THE INDEPENDENT AUDIT FIRM REQUIRES VARIOUS INTERNAL DOCUMENTS TO COMPLETE THE 990 REPORT INCLUDING INCOME, EXPENSES, GRANT AWARDS, PAYROLL, EQUIPMENT INVENTORY, ETC. THE 990 TAX RETURN IS SUBMITTED TO THE DIRECTOR OF ADMINISTRATION & FINANCE TO REVIEW PRIOR TO SIGNING BY THE CEO. THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE 990 PRIOR TO FILING WITH THE IRS. COPIES OF EACH YEAR'S 990 REPORTS ARE MAINTAINED IN ACTIVE FINANCE OFFICE FILES WITH ORIGINALS MAILED TO THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CTHE BOARD MEMBERS SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY AND DISCLOSE ANY CONFLICT OF INTEREST ISSUES AT MEETINGS WHEN APPLICABLE.
FORM 990, PART VI, SECTION B, LINE 15THE EXECUTIVE COMMITTEE PERFORMS INDEPENDENT THIRD-PARTY COMPENSATION REVIEWS EVERY THREE YEARS FOR THE OFFICERS. THE EXECUTIVE COMMITTEE DETERMINES AMOUNT OF COMPENSATION AND ANNUAL BONUS FOR THE CEO. THE CEO HAS THE AUTHORITY TO DETERMINE AMOUNT OF COMPENSATION AND ANNUAL BONUS AMOUNTS FOR OTHER OFFICERS BASED UPON GUIDELINES DETERMINED BY THE EXECUTIVE COMMITTEE. BONUSES ARE BASED ON ORGANIZATIONAL AND EMPLOYEE PERFORMANCE.
FORM 990, PART VI, SECTION C, LINE 19FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND POLICIES ARE PROVIDED UPON REQUEST.
FORM 990, PART XI, LINE 9:ROUNDING -1.
SCHEDULE L, SUPPLEMENTAL INFORMATIONHEALTHINFONET RECEIVES REVENUE FROM SEVERAL ENTITIES WHICH HAVE REPRESENTATIVES SERVING ON THE BOARD OF DIRECTORS. IN ADDITION, HEALTHINFONET MAKES PAYMENTS TO SEVERAL OF THESE ENTITIES WHICH PARTICIPATE IN A PROGRAM FUNDED BY A FEDERAL GRANT. PART IV (1) KYLE JOHNSON, MD, CHIEF INFORMATION OFFICER OF EASTERN MAINE HEALTHCARE SYSTEMS. EASTERN MAINE HEALTHCARE SYSTEM MADE GRANTS AND PAYMENTS TO HEALTHINFONET TOTALING REVENUE OF $733,881. HEALTHINFONET HAD ACCOUNTS RECEIVABLE TOTALING $4,250 DUE FROM THE EASTERN MAINE HEALTHCARE SYSTEMS AT DEC. 31, 2015. PART IV (2) PAUL STEIN, CHIEF OPERATING OFFICER, MAINEGENERAL MEDICAL CENTER (MEMBER MAINEGENERAL HEALTH). MAINEGENERAL HEALTH PROVIDED HEALTHINFONET WITH REVENUE TOTALING $150,000 IN 2015. PART IV (3) ANDY CROWDER, SENIOR VIP AND CIO, MAINEHEALTH. MAINEHEALTH AND MAINE MEDICAL CENTER PROVIDED REVENUE TOTALING $543,333 TO HEALTHINFONET IN 2015. PART IV (4) ARTHUR J. BLANK, PRESIDENT & CEO, MT. DESERT ISLAND HOSPITAL. MT. DESERT ISLAND HOSPITAL PROVIDED HEALTHINFONET WITH REVENUE TOTALING $42,360 AND $6,000 DEFERRED REVENUE IN 2015. HEALTHINFONET HAD ACCOUNTS RECEIVABLE TOTALING $6,027 DUE FROM MDI HOSPITAL AT DEC. 31, 2015. PART IV (5) MARY MAYHEW, COMMISSIONER, DEPARTMENT OF HEALTH AND HUMAN SERVICES, JAY YOE, DIRECTOR CONTINUOUS QUALITY IMPROVEMENT, DHHS. THE MAINE CDC MADE GRANTS TO HEALTHINFONET TOTALING $824,875 IN 2015; HEALTHINFONET HAD ACCOUNTS RECEIVABLE TOTALING $375,717 DUE FROM THE MAINE CDC AT DEC. 31, 2015. PART IV (6) DONALD KRAUSE, MD, ST. JOSEPH'S HEALTHCARE. ST. JOSEPH'S HEALTHCARE PROVIDED HEALTHINFONET WITH REVENUE TOTALING $238,782 IN 2015 AND $31,500 DEFERRED REVENUE; HEALTHINFONET HAD ACCOUNTS RECEIVABLE TOTALING $10,002 DUE FROM ST. JOSEPH'S HEALTHCARE AT DEC. 31, 2015.