MAINEHEALTH CARE AT HOME: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- MAINEHEALTH CARE AT HOME (EIN 22-2571902)
- Tax period
- 2014-10-01 to 2015-09-30
- Filed
- 2016-08-11
- IRS object ID
- 201622249349300102
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-08-11T06:15:09-05:00 | ReturnTs |
| Tax Period End | 2015-09-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222571902 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOMEHEALTH-VISITING NURSES OF | BusinessNameLine1Txt |
| Business Name Line2 | SOUTHERN MAINE INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HOME | BusinessNameControlTxt |
| Phone | 2072844566 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15 INDUSTRIAL PARK DRIVE | AddressLine1Txt |
| City | SACO | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04072 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ELAINE COLLINS | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 2072844566 | PhoneNum |
| Signature | 2016-08-10 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-12-15 16:53:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DONNA DEBLOIS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15 INDUSTRIAL PARK DRIVE | AddressLine1Txt |
| City | SACO | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04072 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $21,898,292 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HOMEHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1972 | FormationYr |
| Legal Domicile State | ME | LegalDomicileStateCd |
| Activity Or Mission | HELPING PEOPLE TO BE AS HEALTHY AND INDEPENDENT AS POSSIBLE AT HOME AND IN THE COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 241 | TotalEmployeeCnt |
| Total Volunteers | 6 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $712,620 | PYContributionsGrantsAmt |
| CY Contributions Grants | $854,254 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $16,680,477 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $18,639,189 | CYProgramServiceRevenueAmt |
| PY Investment Income | $332,127 | PYInvestmentIncomeAmt |
| CY Investment Income | $202,297 | CYInvestmentIncomeAmt |
| PY Other Revenue | $111,118 | PYOtherRevenueAmt |
| CY Other Revenue | $108,622 | CYOtherRevenueAmt |
| PY Total Revenue | $17,836,342 | PYTotalRevenueAmt |
| CY Total Revenue | $19,804,362 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $12,566,930 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $13,740,705 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,066,215 | PYOtherExpensesAmt |
| CY Other Expenses | $4,846,062 | CYOtherExpensesAmt |
| PY Total Expenses | $17,633,145 | PYTotalExpensesAmt |
| CY Total Expenses | $18,586,767 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $203,197 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,217,595 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $10,068,238 | TotalAssetsBOYAmt |
| Total Assets EOY | $8,765,656 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,487,234 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,542,981 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,581,004 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $6,222,675 | NetAssetsOrFundBalancesEOYAmt |
| Mission | HELPING PEOPLE TO BE AS HEALTHY AND INDEPENDENT AS POSSIBLE AT HOME AND IN THE COMMUNITY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $16,208,983 | ExpenseAmt |
| Revenue | $18,412,041 | RevenueAmt |
| Desc | HOMECARE: TO PROVIDE AND ASSURE EQUAL AND TIMELY ACCESS TO A COMPREHENSIVE ARRAY OF CLIENT-DIRECTED QUALITY HOME HEALTH CARE. THESE SERVICES INCLUDE VISITS FROM REGISTERED NURSES, REHABILITATIVE THERAPISTS, SOCIAL WORKERS, HOME HEALTH AIDES AND REGISTERED NUTRITIONISTS. THESE SERVICES INCLUDED 5,903 ADMISSIONS, 102,871 HOME VISITS AND 153,000 OF FREE CARE. SEE COMMUNITY BENEFITS REPORT ATTACHED. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $458,749 | ExpenseAmt |
| Desc | PCH GRANT: NEWBORNS AND MOTHERS GOT A HEALTHY START WITH HOME NURSING VISITS OFFERED AT NO CHARGE THROUGH A HEALTH PROMOTION GRANT FROM THE DIVISION OF FAMILY HEALTH OF THE STATE OF MAINE DEPARTMENT OF HUMAN SERVICES. SERVICES INCLUDED 1,724 ADMISSIONS AND 4,125 HOME VISITS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $205,992 | ExpenseAmt |
| Revenue | $227,148 | RevenueAmt |
| Desc | COMMUNITY HEALTH: OUR COMMUNITY HEALTH NURSES PROVIDE EDUCATION, FLU SHOTS, FOOT CARE AND BLOOD PRESSURE SCREENINGS THROUGHOUT SOUTHERN MAINE. REGISTERED DIETITIANS PROVIDE CONSULTATION AND EDUCATIONAL PROGRAMS RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION. COMMUNITY HEALTH NURSES ALSO PROVIDED FLU SHOTS AND OTHER ENCOUNTERS, WHICH INCLUDED FOOT CARE AND BLOOD PRESSURE CHECKS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $16,873,724 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 26 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 241 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ELAINE COLLINS | PersonNm |
| Phone | 2072844566 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15 INDUSTRIAL PARK DRIVE | AddressLine1Txt |
| City | SACO | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04072 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| PATRICIA APRILE | |||||||||
| COO, SMHC | 1.00 | 50.00 | Yes (X) | $0 | $328,478 | $24,848 | |||
| PATRICIA CAMIRE | |||||||||
| VP CLINIC SV | 1.00 | 50.00 | Yes (X) | $0 | $246,843 | $13,267 | |||
| HEIDI WIERMAN MD | |||||||||
| SECRETARY | 1.00 | 50.00 | Yes (X) | $0 | $185,154 | $42,971 | Yes (X) | ||
| JUDITH T STONE | |||||||||
| CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| BRYAN CHRISTOFORO | |||||||||
| VICE CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| ANTHONY T PLANTE | |||||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| SCOTT GARDNER | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN BENOIT | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DENISE DOYON | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MAGDALENE CAME | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| PHYLLIS RUSSELL | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| SUSAN SEPPLES PHD | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| ANDREW CLEARWATER | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DARYL CADY | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DONNA DEBLOIS | |||||||||
| PRESIDENT, C | 50.00 | $166,198 | $0 | $17,167 | Yes (X) | ||||
| ELAINE COLLINS | |||||||||
| CFO | 50.00 | $117,085 | $0 | $11,760 | Yes (X) | ||||
| CHRISTIAN BEDARD | |||||||||
| PHYSICAL THE | 50.00 | $103,615 | $0 | $15,686 | Yes (X) | ||||
| JOCELYN CORKUM | |||||||||
| PHYSICAL THE | 50.00 | $100,688 | $0 | $20,885 | Yes (X) | ||||
| MARYANNA ARSENAULT | |||||||||
| FORMER PRES. | $123,368 | $0 | $0 | Yes (X) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $610,954 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $760,475 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $146,584 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 4 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BLACKTREE HEALTHCARE CONSULTING | PersonNm |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE FAYETTE ST 425 | AddressLine1Txt |
| City | CONSHOHOCKEN | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19428 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | CONSULTING | ServicesDesc |
| Compensation | $388,989 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $93,445 | FederatedCampaignsAmt |
| Government Grants | $123,451 | GovernmentGrantsAmt |
| All Other Contributions | $637,358 | AllOtherContributionsAmt |
| Total Contributions | $854,254 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | HOME HEALTH CARE SERVICES | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $18,639,189 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $18,639,189 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $18,639,189 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $75,947 | TotalRevenueColumnAmt |
| Exclusion | $75,947 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,220,280 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,093,930 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $126,350 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $126,350 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $126,350 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $108,622 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $108,622 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $108,622 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,804,362 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $18,874,161 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $75,947 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $346,642 | TotalAmt |
| Management And General | $346,642 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,817,299 | TotalAmt |
| Program Services | $10,082,975 | ProgramServicesAmt |
| Management And General | $734,324 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $191,022 | TotalAmt |
| Program Services | $176,695 | ProgramServicesAmt |
| Management And General | $14,327 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,576,157 | TotalAmt |
| Program Services | $1,479,522 | ProgramServicesAmt |
| Management And General | $96,635 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $809,585 | TotalAmt |
| Program Services | $748,866 | ProgramServicesAmt |
| Management And General | $60,719 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,300 | TotalAmt |
| Management And General | $24,300 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,500 | TotalAmt |
| Management And General | $80,500 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,309,713 | TotalAmt |
| Program Services | $1,211,485 | ProgramServicesAmt |
| Management And General | $98,228 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,782 | TotalAmt |
| Program Services | $15,523 | ProgramServicesAmt |
| Management And General | $1,259 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $378,563 | TotalAmt |
| Program Services | $350,171 | ProgramServicesAmt |
| Management And General | $28,392 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $859,916 | TotalAmt |
| Program Services | $795,422 | ProgramServicesAmt |
| Management And General | $64,494 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $396,074 | TotalAmt |
| Program Services | $366,368 | ProgramServicesAmt |
| Management And General | $29,706 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $707,171 | TotalAmt |
| Program Services | $654,133 | ProgramServicesAmt |
| Management And General | $53,038 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,771 | TotalAmt |
| Program Services | $79,338 | ProgramServicesAmt |
| Management And General | $6,433 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,259 | TotalAmt |
| Program Services | $14,115 | ProgramServicesAmt |
| Management And General | $1,144 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $265,891 | TotalAmt |
| Program Services | $245,949 | ProgramServicesAmt |
| Management And General | $19,942 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,178 | TotalAmt |
| Program Services | $36,240 | ProgramServicesAmt |
| Management And General | $2,938 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $501,915 | $464,271 | $37,644 |
| MEMBER DUES | $160,610 | $148,564 | $12,046 |
| OTHER | $4,419 | $4,088 | $331 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,586,767 | TotalAmt |
| Program Services | $16,873,725 | ProgramServicesAmt |
| Management And General | $1,713,042 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,112,805 | BOYAmt |
| EOY | $495,151 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $789,606 | BOYAmt |
| EOY | $342,839 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,337,660 | BOYAmt |
| EOY | $1,110,492 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $3,055 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $162,727 | BOYAmt |
| EOY | $173,891 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $7,135,612 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,351,448 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $854,021 | BOYAmt |
| EOY | $784,164 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,161,300 | BOYAmt |
| EOY | $2,111,598 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,808,539 | BOYAmt |
| EOY | $1,573,343 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,841,580 | BOYAmt |
| EOY | $2,171,123 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,068,238 | BOYAmt |
| EOY | $8,765,656 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,462,528 | BOYAmt |
| EOY | $1,518,414 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $694,669 | BOYAmt |
| EOY | $335,592 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,330,037 | BOYAmt |
| EOY | $688,975 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,487,234 | BOYAmt |
| EOY | $2,542,981 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,755,778 | BOYAmt |
| EOY | $4,577,673 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $469,073 | BOYAmt |
| EOY | $389,074 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,356,153 | BOYAmt |
| EOY | $1,255,928 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,581,004 | BOYAmt |
| EOY | $6,222,675 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,068,238 | BOYAmt |
| EOY | $8,765,656 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,217,595 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$455,700 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$120,224 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $871,206 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $819,757 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $764,898 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $712,620 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $854,254 | CurrentTaxYearAmt |
| Total | $4,022,735 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,348,794 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,184,747 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,497,392 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,791,595 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $18,747,811 | CurrentTaxYearAmt |
| Total | $84,570,339 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $17,220,000 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $18,004,504 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,262,290 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,504,215 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19,602,065 | CurrentTaxYearAmt |
| Total | $88,593,074 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $88,593,074 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $93,053 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $65,779 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $71,120 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $84,846 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $75,947 | CurrentTaxYearAmt |
| Total | $390,745 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $93,053 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $65,779 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $71,120 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $84,846 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $75,947 | CurrentTaxYearAmt |
| Total | $390,745 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $17,313,053 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $18,070,283 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,333,410 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,589,061 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19,678,012 | CurrentTaxYearAmt |
| Total | $88,983,819 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99560 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99560 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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 D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,825,226 | BeginningYearBalanceAmt |
| Contributions | $20 | ContributionsAmt |
| Investment Earnings Or Losses | -$155,191 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $25,054 | OtherExpendituresAmt |
| End Year Balance | $1,645,002 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,729,220 | BeginningYearBalanceAmt |
| Contributions | $100 | ContributionsAmt |
| Investment Earnings Or Losses | $118,458 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $22,552 | OtherExpendituresAmt |
| End Year Balance | $1,825,226 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,044,120 | BeginningYearBalanceAmt |
| Contributions | $501,102 | ContributionsAmt |
| Investment Earnings Or Losses | $200,221 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $16,223 | OtherExpendituresAmt |
| End Year Balance | $1,729,220 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $945,598 | BeginningYearBalanceAmt |
| Contributions | $17,204 | ContributionsAmt |
| Investment Earnings Or Losses | $107,981 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $26,663 | OtherExpendituresAmt |
| End Year Balance | $1,044,120 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $979,438 | BeginningYearBalanceAmt |
| Contributions | $314 | ContributionsAmt |
| Investment Earnings Or Losses | -$11,302 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $22,852 | OtherExpendituresAmt |
| End Year Balance | $945,598 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.76350 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.23650 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $122,000 | OtherCostOrOtherBasisAmt |
| Book Value | $122,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,493,399 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,285,769 | DepreciationAmt |
| Book Value | $207,630 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $210,813 | OtherCostOrOtherBasisAmt |
| Depreciation | $155,228 | DepreciationAmt |
| Book Value | $55,585 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,309,400 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,910,451 | DepreciationAmt |
| Book Value | $398,949 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $784,164 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | HEDGE AND OTHER | Desc |
| Book Value | $1,573,343 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $1,573,343 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| BENEFICIAL INTEREST PERPETUAL TRUST | $1,010,717 |
| PREPAID CAPITAL COSTS | $811,886 |
| DUE FROM AFFILIATES | $344,452 |
| ESCROW FOR DEBT SERVICE | $4,068 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,171,123 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| LONG TERM NOTE TO AFFILIATE | $688,975 |
| DUE TO AFFILIATES | |
| DUE TO THIRD PARTIES | |
| LINE OF CREDIT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $688,975 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $19,228,438 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$455,700 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$120,224 | OtherRevenueAmt |
| Revenue Not Reported | -$575,924 | RevenueNotReportedAmt |
| Revenue Subtotal | $19,804,362 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $19,804,362 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $18,586,767 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $18,586,767 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $18,586,767 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 2, PART V, LINE 4 | THE INCOME FROM THE ENDOWMENT FUND IS USED TO PROVIDE CHARITY AND UNCOMPENSATED CARE TO THE RESIDENTS SERVED BY THE ORGANIZATION. |
| SCHEDULE D, PAGE 3, PART X | THE AGENCY IS A PUBLIC CHARITY UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS A PUBLIC CHARITY, THE AGENCY IS EXEMPT FROM STATE AND FEDERAL INCOME TAXES ON INCOME EARNED IN ACCORDANCE WITH ITS TAX EXEMPT PURPOSE. UNRELATED BUSINESS INCOME IS SUBJECT TO STATE AND FEDERAL INCOME TAX. MANAGEMENT HAS EVALUATED THE AGENCYS TAX POSITIONS AND CONCLUDED THAT THE AGENCY HAS NO UNRELATED BUSINESS INCOME OR UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS. |
| SCHEDULE D, PAGE 4, PART XI, LINE 2D | NET TRANSFERS TO AFFILATES -19,999 CHANGE IN VALUE OF BENEFICIAL INT -100,225 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PATRICIA APRILE | ||||||||||||
| COO, SMHC | $303,668 | $22,630 | $2,180 | $9,100 | $15,748 | $353,326 | ||||||
| PATRICIA CAMIRE | ||||||||||||
| VP CLINIC SVCS, SMHC | $210,671 | $12,978 | $23,194 | $6,814 | $6,453 | $260,110 | ||||||
| HEIDI WIERMAN MD | ||||||||||||
| SECRETARY | $178,760 | $5,568 | $826 | $28,078 | $14,893 | $228,125 | ||||||
| DONNA DEBLOIS | ||||||||||||
| PRESIDENT, CEO | $146,023 | $19,000 | $1,175 | $10,335 | $6,832 | $183,365 | ||||||
| MARYANNA ARSENAULT | ||||||||||||
| FORMER PRES., CEO | $13,000 | $110,368 | $123,368 | |||||||||
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PAGE 1, PART I, LINE 3 | SEE DESCRIPTION OF PROCESS IN SCHEDULE O - FORM 990, PART VI, LINE 15A - COMPENSATION FOR TOP OFFICIAL. |
| SCHEDULE J, PAGE 1, PART I, LINE 4 | PATRICIA CAMIRE 0 17,409 0 MARYANNA ARSENAULT 110,368 0 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 6 | MAINEHEALTH (EIN 01-0431680) IS THE ORGANIZATION'S SOLE MEMBER. |
| FORM 990, PAGE 6, PART VI, LINE 7A | THE MEMBER ELECTS THE BOARD MEMBERS ANNUALLY. OFFICERS OF THE CORPORATION ARE ELECTED OR APPOINTED BY THE BOARD. |
| FORM 990, PAGE 6, PART VI, LINE 7B | THE MEMBER ELECTS THE BOARD OF DIRECTORS. THE MEMBER ALSO WOULD HAVE SOLE AUTHORITY TO APPROVE OF ANY SALE OR DISPOSITION OF CORPORATE ASSETS GREATER THAN 100,000, TO APPROVE OF ANY CORPORATE MERGER, ACQUISITION, DISSOLUTION OR LIQUIDATION, OR ANY OTHER ACTIONS REQUIRED OF MEMBERS BY LAW. THE BOARD OF DIRECTORS ARE RESPONSIBLE FOR THE GOVERNANCE AND MANAGEMENT OF THE CORPORATION. |
| FORM 990, PAGE 6, PART VI, LINE 11B | A DETAILED REVIEW OF THE 990 WAS PERFORMED BY THE EXECUTIVE COMMITTEE AND PROVIDED TO THE BOARD OF DIRECTORS. THE CHIEF FINANCIAL OFFICER ALSO PERFORMS A DETAILED REVIEW OF THE ENTIRE FORM 990 BEFORE SIGNING AND PRIOR TO FILING. |
| FORM 990, PAGE 6, PART VI, LINE 12C | ALL OFFICERS AND DIRECTORS ARE REQUIRED TO COMPLETE AN ANNUAL QUESTIONNAIRE. THE CEO REVIEWS ALL CONFLICT OF INTEREST FORMS ANNUALLY. ANY REPORTED CONFLICTS ARE IMMEDIATELY REVIEWED BY THE COMPLIANCE OFFICER AND THESE ARE ADDRESSED IMMEDIATELY. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE PROCESS FOLLOWED FOR DETERMINING COMPENSATION OF THE CEO AND OTHER KEY ADMINISTRATIVE EMPLOYEES OF THE ORGANIZATION IS A FORMAL PROCESS PERFORMED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. A RELATED ORGANIZATION USES AN OUTSIDE FIRM, SULLIVAN COTTER, TO PERFORM AN INDEPENDENT BENCHMARK ANALYSIS FOR THE CEO OF HOMEHEALTH-VISITING NURSES OF SOUTHERN MAINE, INC., ALONG WITH OTHER EXECUTIVES IN THE MAINEHEALTH SYSTEM. THE FIRM MEETS WITH THE EXECUTIVE COMMITTEE TO REVIEW EACH EXECUTIVE'S BENCHMARK REPORT. THE COMMITTEE THEN DELIBERATES ON MAINEHEALTH'S WRITTEN SALARY AND INCENTIVE PLAN PHILOSOPHY BEFORE MAKING A FINAL DECISION. ALL DECISIONS AND MEETINGS ARE CAPTURED IN MINUTES AND THERE ARE APPROPRIATE APPROVALS AT ALL LEVELS. |
| FORM 990, PAGE 6, PART VI, LINE 19 | DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION ARE MADE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | NET TRANSFERS TO AFFILATES -19,999 CHANGE IN VALUE OF BENEFICIAL INT -100,225 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 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 | Business Name Line2DisregardedEntityName/BusinessNameLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MAINE MEDICAL CENTER | |||||||||||
| 22 BRAMHALL STREET | PORTLAND | ME | 04102 | 010238552 | HOSPITAL | ME | 501C3 | 3 | MEHEALTH | false | |
| MAINEHEALTH | |||||||||||
| 110 FREE STREET | PORTLAND | ME | 04101 | 010431680 | HEALTHCARE | ME | 501C3 | 11C | NA | false | |
| NORDX | |||||||||||
| 301A US ROUTE ONE | SCARBOROUGH | ME | 04074 | 010511356 | LAB | ME | 501C3 | 9 | MEHEALTH | false | |
| MAINE BEHAVIORAL HEALTHCARE | |||||||||||
| 78 ATLANTIC PLACE | SOUTH PORTLAND | ME | 04106 | 010524834 | HOSPITAL | ME | 501C3 | 3 | MEHEALTH | false | |
| LINCOLNHEALTH GROUP | |||||||||||
| 6 ST ANDREWS LANE | BOOTHBAY HARBOR | ME | 04538 | 261475629 | HEALTHCARE | ME | 501C3 | 11B | MEHEALTH | false | C/O CHIEF FINANCIAL OFFICER |
| WESTERN MAINE HEALTH CARE CORP | |||||||||||
| 181 MAIN STREET | NORWAY | ME | 04268 | 010411788 | HEALTHCARE | ME | 501C3 | 11B | MEHEALTH | false | |
| WALDO COUNTY HEALTHCARE INC | |||||||||||
| PO BOX 287 | BELFAST | ME | 049150287 | 222864961 | HEALTHCARE | ME | 501C3 | 11B | MEHEALTH | false | |
| PEN BAY HEALTHCARE | |||||||||||
| 4 WHITE STREET | ROCKLAND | ME | 04841 | 222494475 | HEALTHCARE | ME | 501C3 | 11B | MEHEALTH | false | |
| MAINEHEALTH CARDIOLOGY | |||||||||||
| 110 FREE STREET | PORTLAND | ME | 04101 | 452525629 | HEALTHCARE | ME | 501C3 | 9 | MEHEALTH | false | |
| SOUTHERN MAINE HEALTH CARE | |||||||||||
| PO BOX 626 | BIDDEFORD | ME | 04005 | 010179500 | HEALTHCARE | ME | 501C3 | 3 | MEHEALTH | false | |
| THE MEMORIAL HOSPITAL | |||||||||||
| 3073 WHITE MOUNTAIN HIGHWAY | NORTH CONWAY | NH | 03860 | 020222156 | HOSPITAL | NH | 501C3 | 3 | MEHEALTH | false | |
| GERIATRIC RESOURCE NETWORK | |||||||||||
| 110 FREE STREET | PORTLAND | ME | 04101 | 010542842 | HEALTHCARE | ME | 501C3 | 7 | MEHEALTH | false | |
| FRANKLIN COMMUNITY HEALTH NETWORK | |||||||||||
| 111 FRANKLIN HEALTH COMMONS | FARMINGTON | ME | 04938 | 223209406 | HEALTHCARE | ME | 501C3 | 11B | MEHEALTH | false | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAINEHEALTH ACO | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 FREE STREET | AddressLine1Txt |
| City | PORTLAND | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 452929273 | EIN |
| Primary Activities | ACO | PrimaryActivitiesTxt |
| Legal Domicile State | ME | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| General Or Managing Partner | false | GeneralOrManagingPartnerInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|
| MAINE PHYSICIAN HOSPITAL ORG | ||||||||
| 110 FREE ST | PORTLAND | ME | 04101 | 010527540 | HEALTHCARE | ME | N/A | false |
| SYNERNET INC | ||||||||
| 110 FREE STREET | PORTLAND | ME | 04101 | 010539789 | HEALTHCARE | ME | N/A | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |