Waldo County General Hospital: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- Waldo County General Hospital (EIN 01-0177170)
- Tax period
- 2013-10-01 to 2014-09-30
- Filed
- 2015-08-04
- IRS object ID
- 201502169349301455
- Schema version
- 2013v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-08-04T15:14:25-05:00 | ReturnTs |
| Tax Period End | 2014-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAINEHEALTH | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 FREE ST | AddressLine1 |
| City | PORTLAND | City |
| State | ME | State |
| ZIP Code | 041013908 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010177170 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WALDO COUNTY GENERAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WALD | BusinessNameControlTxt |
| Phone | 2073382500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 118 NORTHPORT AVENUE | AddressLine1 |
| City | BELFAST | City |
| State | ME | State |
| ZIP Code | 04915 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LINDA B DRINKWATER | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 2073382500 | PhoneNum |
| Signature | 2015-07-29 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparation | 2015-08-04 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LINDA B DRINKWATER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 287 | AddressLine1 |
| City | BELFAST | City |
| State | ME | State |
| ZIP Code | 04915 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $85,799,644 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.WCHI.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1901 | FormationYr |
| Legal Domicile State | ME | LegalDomicileStateCd |
| Activity Or Mission | WALDO COUNTY GENERAL HOSPITAL'S MISSION IS TO BE THE BEST - BETTER, EMPATHY, SERVICE AND TEAMWORK. OUR GOAL IS TO ENSURE QUALITY, ACCESSIBLE AND AFFORDABLE HEALTH CARE SERVICES AND TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY. PLEASE SEE ATTACHED COMMUNITY BENEFITS REPORT. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 746 | TotalEmployeeCnt |
| Total Volunteers | 50 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $739,863 | PYContributionsGrantsAmt |
| CY Contributions Grants | $587,594 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $70,800,502 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $72,144,216 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,086,928 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,754,323 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,500,925 | PYOtherRevenueAmt |
| CY Other Revenue | $1,828,365 | CYOtherRevenueAmt |
| PY Total Revenue | $75,128,218 | PYTotalRevenueAmt |
| CY Total Revenue | $77,314,498 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $36,637 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $82,500 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $42,693,198 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $45,138,439 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $27,359,594 | PYOtherExpensesAmt |
| CY Other Expenses | $29,510,038 | CYOtherExpensesAmt |
| PY Total Expenses | $70,089,429 | PYTotalExpensesAmt |
| CY Total Expenses | $74,730,977 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,038,789 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,583,521 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $118,380,385 | TotalAssetsBOYAmt |
| Total Assets EOY | $121,584,679 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $29,548,845 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $27,274,970 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $88,831,540 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $94,309,709 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WALDO COUNTY GENERAL HOSPITAL'S MISSION IS TO BE THE BEST - BETTER, EMPATHY, SERVICE AND TEAMWORK. OUR GOAL IS TO ENSURE QUALITY, ACCESSIBLE AND AFFORDABLE HEALTH CARE SERVICES AND TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY. PLEASE SEE ATTACHED COMMUNITY BENEFITS REPORT. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $56,823,392 | ExpenseAmt |
| Grant | $82,500 | GrantAmt |
| Revenue | $66,432,078 | RevenueAmt |
| Desc | WALDO COUNTY GENERAL HOSPITAL PROVIDES QUALITY AND AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH AND WELL BEING OF THE COMMUNITIES IT SERVES, REGARDLESS OF THE PATIENT'S ABILITY TO PAY. A BROAD SPECTRUM OF SERVICES ARE PROVIDED INCLUDING HOSPITAL ACUTE INPATIENT CARE; ANCILLARY OUTPATIENT DIAGNOSTIC SERVICES INCLUDING PHYSICAL THERAPY, SPEECH, AUDIOLOGY, SLEEP AND RESPIRATORY THERAPY, ONCOLOGY CLINICS, EMERGENCY SERVICES, INPATIENT AND OUTPATIENT CARE, INPATIENT HOSPICE, AND SURGICAL INPATIENT AND OUTPATIENT SERVICES. THE HOSPITAL PROVIDED 5,537 DAYS OF ADULT, NEWBORN, SWING BED, AND HOSPICE INPATIENT CARE, AND 69,745 OUTPATIENT VISITS INCLUDING 477,371 OUTPATIENT PROCEDURES AND EXAMS. SEE ATTACHED COMMUNITY BENEFITS REPORT. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $8,515,778 | ExpenseAmt |
| Revenue | $7,289,005 | RevenueAmt |
| Desc | WALDO COUNTY GENERAL HOSPITAL EMPLOYS MANY HOSPITAL-BASED PHYSICIANS AND PROVIDES THE FOLLOWING SPECTRUM OF PHYSICIAN PATIENT CARE SERVICES: CARDIOLOGY, FAMILY MEDICINE, GENERAL SURGERY, INTERNAL MEDICINE, NEPHROLOGY, NEUROLOGY, OB/GYN, ORTHOPEDICS, OTOLARYNGOLOGY, PODIATRY, PULMONOLOGY, UROLOGY, RHEUMATOLOGY AND PRIMARY CARE CLINICS. OUR PHYSICIANS PROVIDED CARE TO PATIENTS DURING 38,729 PHYSICIAN-OFFICE PATIENT VISITS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,337,530 | ExpenseAmt |
| Revenue | $1,731,706 | RevenueAmt |
| Desc | WALDO COUNTY GENERAL HOSPITAL OFFERS THE COMMUNITY IT SERVES FIVE HEALTH CENTERS: ARTHUR JEWELL COMMUNITY HEALTH CENTER, STOCKTON SPRINGS REGIONAL HEALTH CENTER, DONALD S. WALKER HEALTH CENTER, LINCOLNVILLE REGIONAL HEALTH CENTER AND SEARSPORT HEALTH CENTER. WE PROVIDED HEALTHCARE SERVICES TO PATIENTS DURING 17,303 HEALTH CENTER VISITS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $67,676,700 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 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 | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 115 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 746 | 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 | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | 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 | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | ME | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LINDA B DRINKWATER | PersonNm |
| Phone | 2073382500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125 NORTHPORT AVENUE | AddressLine1 |
| City | BELFAST | City |
| State | ME | State |
| ZIP Code | 04915 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 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 |
|---|---|---|---|---|---|---|---|---|
| WILLIAM CARON | ||||||||
| MAINEHEALTH | 1.00 | 50.00 | Yes (X) | $0 | $1,034,119 | $79,809 | ||
| D KENT CLARK MD | ||||||||
| DIRECTOR/EMP | 35.00 | 5.00 | Yes (X) | $321,333 | $0 | $28,170 | ||
| ANN HOOPER | ||||||||
| DIRECTOR/EMP | 35.00 | 5.00 | Yes (X) | $129,708 | $0 | $19,580 | ||
| JAMES C DELEHANTY MD | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $7,600 | $0 | $0 | |||
| JENNESS ROBBINS | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| PETER D HADDOCK | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN D WORTH III | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JB TURNER | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DALE KUHNERT | ||||||||
| VICE PRES. | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| GREGOR DAVENS | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| WAYNE HAMILTON | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LEE WOODWARD JR | ||||||||
| PRESIDENT | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| JAMES PATTERSON PHD | ||||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| CATHERINE REYNOLDS | ||||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| SYRENA GATEWOOD | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID FLANAGAN | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARK BISCONE | ||||||||
| CEO | 30.00 | 10.00 | $316,179 | $85,407 | $37,313 | Yes (X) | ||
| LINDA DRINKWATER | ||||||||
| CFO | 35.00 | 5.00 | $186,843 | $0 | $8,406 | Yes (X) | ||
| OWEN NELSON MD | ||||||||
| ORTHOPEDIC M | 32.00 | $444,569 | $0 | $18,073 | Yes (X) | |||
| KAREN MILLER MD | ||||||||
| OTOLARYNGOLO | 40.00 | $438,418 | $0 | $12,380 | Yes (X) | |||
| TERRANCE SMITH MD | ||||||||
| ANESTH. MD | 40.00 | $398,491 | $0 | $25,017 | Yes (X) | |||
| RICHARD BOWER MD | ||||||||
| ORTHOPEDIC M | 40.00 | $392,456 | $0 | $17,741 | Yes (X) | |||
| DAVID FERGUSON MD | ||||||||
| CARDIOLOGIST | 40.00 | $389,351 | $0 | $17,474 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,024,948 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,119,526 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $263,963 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 60 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| NORDX | |||||
| 301A US ROUTE 1 | SCARBOROUGH | ME | 04074 | LAB SVCS | $1,037,909 |
| FREY'S CARPENTRY | |||||
| 661 SWAN LAKE AVENUE | SWANVILLE | ME | 04915 | CARPENTRY | $659,163 |
| WEATHERBY LOCUMS INC | |||||
| PO BOX 972633 | DALLAS | TX | 75397 | CONTRACT LABOR | $473,983 |
| MAINE CENTER FOR CANCER MEDICINE | |||||
| 100 CAMPUS DRIVE UNIT 308 | SCARBOROUGH | ME | 04074 | ONCOLOGY SVCS | $341,413 |
| PARENTEAUS FLOOR COVER | |||||
| 218 E MAIN STREET | SEARSPORT | ME | 04974 | FLOOR INSTALL | $129,738 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 8 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $283,942 | GovernmentGrantsAmt |
| All Other Contributions | $303,652 | AllOtherContributionsAmt |
| Total Contributions | $587,594 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 623000 | $71,875,902 | $71,875,902 |
| CAFETERIA REVENUE | 722210 | $268,314 | $268,314 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $72,144,216 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,274,114 | TotalRevenueColumnAmt |
| Exclusion | $1,274,114 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $191,446 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $191,446 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $191,446 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $191,446 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $9,935,230 | SecuritiesAmt |
| Other | $30,125 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $8,482,582 | SecuritiesAmt |
| Other | $2,564 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,452,648 | SecuritiesAmt |
| Other | $27,561 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,480,209 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,480,209 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MISCELLANEOUS REVENUE | 900099 | $1,158,412 | $1,158,412 |
| AFFILIATE REVENUE | 561000 | $478,507 | $478,507 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,636,919 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $77,314,498 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $75,452,790 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $1,274,114 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,000 | TotalAmt |
| Program Services | $73,000 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,500 | TotalAmt |
| Program Services | $9,500 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,150,001 | TotalAmt |
| Program Services | $238,050 | ProgramServicesAmt |
| Management And General | $911,951 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,880,707 | TotalAmt |
| Program Services | $34,525,913 | ProgramServicesAmt |
| Management And General | $1,354,794 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $840,098 | TotalAmt |
| Program Services | $808,875 | ProgramServicesAmt |
| Management And General | $31,223 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,968,891 | TotalAmt |
| Program Services | $4,721,856 | ProgramServicesAmt |
| Management And General | $247,035 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,298,742 | TotalAmt |
| Program Services | $2,161,690 | ProgramServicesAmt |
| Management And General | $137,052 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $465,181 | TotalAmt |
| Management And General | $465,181 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,774 | TotalAmt |
| Management And General | $3,774 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,565 | TotalAmt |
| Management And General | $80,565 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,848,734 | TotalAmt |
| Program Services | $6,703,697 | ProgramServicesAmt |
| Management And General | $1,145,037 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,534,707 | TotalAmt |
| Program Services | $9,335,809 | ProgramServicesAmt |
| Management And General | $198,898 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $950,873 | TotalAmt |
| Program Services | $950,873 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,551,204 | TotalAmt |
| Program Services | $1,458,721 | ProgramServicesAmt |
| Management And General | $92,483 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,099 | TotalAmt |
| Program Services | $78,500 | ProgramServicesAmt |
| Management And General | $4,599 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $194,731 | TotalAmt |
| Program Services | $194,731 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $414,240 | TotalAmt |
| Program Services | $389,543 | ProgramServicesAmt |
| Management And General | $24,697 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,302,765 | TotalAmt |
| Program Services | $3,105,853 | ProgramServicesAmt |
| Management And General | $196,912 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $618,389 | TotalAmt |
| Program Services | $407,752 | ProgramServicesAmt |
| Management And General | $210,637 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| INTEGRATED SERVICES | $2,295,217 | $345,778 | $1,949,439 |
| STATE OF ME HOSPITAL TAX | $1,611,759 | $1,611,759 | |
| MISCELLANEOUS EXPENSES | $541,915 | $541,915 | |
| DUES | $12,885 | $12,885 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,730,977 | TotalAmt |
| Program Services | $67,676,700 | ProgramServicesAmt |
| Management And General | $7,054,277 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,615 | BOYAmt |
| EOY | $3,665 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,275,853 | BOYAmt |
| EOY | $6,509,516 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,004 | BOYAmt |
| EOY | $71,357 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,489,783 | BOYAmt |
| EOY | $7,749,753 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,578,577 | BOYAmt |
| EOY | $2,594,674 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $205,615 | BOYAmt |
| EOY | $142,864 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $68,365,054 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $42,429,166 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,874,170 | BOYAmt |
| EOY | $25,935,888 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,573,430 | BOYAmt |
| EOY | $47,815,565 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,359,338 | BOYAmt |
| EOY | $30,761,397 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,380,385 | BOYAmt |
| EOY | $121,584,679 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,016,934 | BOYAmt |
| EOY | $7,761,638 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,231,055 | BOYAmt |
| EOY | $6,488,881 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $371,174 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,929,682 | BOYAmt |
| EOY | $13,024,451 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,548,845 | BOYAmt |
| EOY | $27,274,970 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,415,447 | BOYAmt |
| EOY | $73,397,334 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,654,134 | BOYAmt |
| EOY | $1,730,569 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,761,959 | BOYAmt |
| EOY | $19,181,806 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,831,540 | BOYAmt |
| EOY | $94,309,709 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,380,385 | BOYAmt |
| EOY | $121,584,679 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $2,583,521 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,760,105 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $1,134,543 | 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) |
|---|---|---|
| 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 | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $5,398 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $5,398 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1 | FormAndLineReferenceDesc |
| Explanation | PERCENTAGE OF ANNUAL MAINE HOSPITAL ASSOCIATION DUES ALLOCATED TOWARDS LOBBYING EXPENSES: 5,398. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $773,048 | BeginningYearBalanceAmt |
| Contributions | $13,032 | ContributionsAmt |
| Investment Earnings Or Losses | $46,252 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $832,332 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $723,570 | BeginningYearBalanceAmt |
| Contributions | $14,464 | ContributionsAmt |
| Investment Earnings Or Losses | $45,014 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $10,000 | AdministrativeExpensesAmt |
| End Year Balance | $773,048 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $652,523 | BeginningYearBalanceAmt |
| Contributions | $13,921 | ContributionsAmt |
| Investment Earnings Or Losses | $57,126 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $723,570 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $646,826 | BeginningYearBalanceAmt |
| Contributions | $15,070 | ContributionsAmt |
| Investment Earnings Or Losses | -$9,373 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $652,523 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $697,111 | BeginningYearBalanceAmt |
| Contributions | $14,173 | ContributionsAmt |
| Investment Earnings Or Losses | -$64,458 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $646,826 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (true) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $230,009 | OtherCostOrOtherBasisAmt |
| Book Value | $230,009 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $33,027,692 | OtherCostOrOtherBasisAmt |
| Depreciation | $15,636,175 | DepreciationAmt |
| Book Value | $17,391,517 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $32,925,227 | OtherCostOrOtherBasisAmt |
| Depreciation | $25,775,880 | DepreciationAmt |
| Book Value | $7,149,347 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,182,126 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,017,111 | DepreciationAmt |
| Book Value | $1,165,015 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $25,935,888 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (9 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| BENEFICIAL INTEREST-PERPETUAL TRUST | $18,769,255 |
| PREPAID CAPITAL COSTS | $6,565,615 |
| INSURANCE RECEIVABLES | $1,893,225 |
| OTHER RECEIVABLES | $1,663,780 |
| BENEFICIAL INTEREST-CHARITABLE TRUST | $1,141,543 |
| DUE FROM RELATED PARTIES | $291,051 |
| OTHER CURRENT ASSETS | $248,565 |
| INVESTMENT IN MAINEHEALTH ACO | $108,129 |
| DEFERRED FINANCING FEES | $80,234 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $30,761,397 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO THIRD PARTIES | $6,268,245 |
| DUE TO RELATED PARTIES | $4,324,033 |
| INSURANCE RESERVE PAYABLE | $2,432,173 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $13,024,451 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $80,209,146 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $1,760,105 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $1,134,543 | OtherRevenueAmt |
| Revenue Not Reported | $2,894,648 | RevenueNotReportedAmt |
| Revenue Subtotal | $77,314,498 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $77,314,498 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $74,730,977 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $74,730,977 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $74,730,977 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 2, PART V, LINE 4 | TWO OF THE ENDOWMENT FUNDS ARE INTENDED FOR THE EARNINGS TO BE USED IN THE GENERAL OPERATIONS OF THE HOSPITAL. OTHERS ARE INTENDED FOR THE EMERGENCY DEPARTMENT, INPATIENT HOSPICE, CANCER PATIENTS, CRIPPLED CHILDREN AND NEEDY RESIDENTS. |
| SCHEDULE D, PAGE 3, PART X | THE ORGANIZATION IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, THERE IS NO PROVISION FOR INCOME TAXES WITHIN THE FINANCIAL STATEMENTS. TAX-EXEMPT ORGANIZATIONS COULD BE REQUIRED TO RECORD AN OBLIGATION FOR INCOME TAXES AS A RESULT OF A TAX POSITION THAT THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS INCLUDING UNRELATED BUSINESS INCOME OR TAX STATUS. UNDER GUIDANCE ISSUED BY THE FINANCIAL STANDARDS BOARD (FASB), ASSETS AND LIABILITES ARE ESTABLISHED FOR UNCERTAIN TAX POSITIONS TAKEN OR POSITIONS EXPECTED TO BE TAKEN IN INCOME TAX RETURNS WHERE SUCH POSITIONS ARE JUDGED TO NOT MEET THE "MORE -LIKELY-THAN-NOT" THRESHOLD, BASED UPON THE TECHNICAL MERITS OF THE POSITION. ESTIMATED INTEREST AND PENALTIES, IF APPLICABLE, RELATED TO UNCERTAIN TAX POSITIONS ARE INCLUDED AS A COMPONENT OF INCOME TAX EXPENSE. |
| SCHEDULE D, PAGE 4, PART XI, LINE 2D | CHANGE IN VALUE OF PERPETUAL AND CHARITABLE TRUSTS 2,489,270 EQUITY TRANSFER TO AFFILIATES -1,354,727 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 1.750000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 2.250000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,464,838 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,464,838 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04620 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,633,849 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,048,923 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $584,926 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00780 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,098,687 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,048,923 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,049,764 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05400 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $223,752 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $28,500 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $195,252 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00260 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $282,683 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $282,683 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00380 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,850,253 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,999,533 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,850,720 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05140 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $32,490 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $240 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $32,250 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,389,178 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,028,273 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,360,905 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05820 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,487,865 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $22,077,196 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,410,669 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11220 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,294,144 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $26,837,401 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $27,253,385 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$415,984 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WALDO COUNTY GENERAL HOSPITAL | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 118 NORTHPORT AVENUE | AddressLine1 |
| City | BELFAST | City |
| State | ME | State |
| ZIP Code | 04915 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WALDO COUNTY GENERAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | false | AllNeedsAddressedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (true) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 175.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (true) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 225.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Attached To Invoice | Yes (X) | AttachedToInvoiceInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, WALDO COUNTY GENERAL HOSPITAL - PART V, LINE 3 | THE ORGANIZATION CONVENED A PLANNING GROUP MADE UP OF PEOPLE REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY PRIOR TO HOLDING THE FORUMS. THE OBJECTIVES OF THE MEETINGS (OVER A PERIOD OF SEVERAL MONTHS) INCLUDED THE FOLLOWING: -REVIEW OF THE DATA IN COMMUNITY HEALTH NEEDS ASSESSMENT REPORT -DISCUSSION OF PRIORITY AREAS AMONG THE ORGANIZATIONS REPRESENTED IN THE PLANNING GROUP -DEFINE AN APPROACH TO THE COMMUNITY FORUM TO MAXIMIZE PARTICIPATING BY A CROSS SECTION OF THE COMMUNITY -DEVELOP THE FORUM AGENDA -RELATIONSHIP AND NETWORK BUILDING FOR FUTURE COLLABORATION (IF NOT ALREADY IN EXISTENCE) -SUCCESSFUL EXECUTION OF THE FORUMS -FORUM DEBRIEF AND DISCUSSION OF THE NEXT STEPS SEE COMMUNITY NEEDS ASSESSMENT & IMPLEMENTATION PLAN HTTP://WWW.MAINEHEALTH.ORG/WORKFILES/MH_COMMUNITY/WALDO-CHNA-AND-IMPLEMENTA TION-PLAN-FY2013-FY2015.PDF |
| FACILITY 1, WALDO COUNTY GENERAL HOSPITAL - PART V, LINE 4 | THE CHNA WAS FACILITATED BY ONEMAINE HEALTH, A COLLABORATION BETWEEN EASTERN MAINE HEALTHCARE SYSTEMS, MAINEGENERAL HEALTH AND MAINEHEALTH. THE THREE HEALTH SYSTEMS WORKED WITH MAINE HOSPITALS AND HEALTHY MAINE PARTNERSHIPS TO HOST LOCAL FORUMS TO SHARE THE INFORMATION, BEGIN DISCUSSIONS AND DEVELOP HEALTHY ACTION PLANS BASED ON THE REPORT'S FINDINGS. |
| FACILITY 1, WALDO COUNTY GENERAL HOSPITAL - PART V, LINE 7 | REPRODUCTIVE HEALTH NEEDS WERE NOT ADDRESSED DUE TO LACK OF CONCENSUS FROM COMMUNITY PARTNERS REGARDING THE IMPORTANCE OF THE ISSUE AND/OR A LACK OF RESOURCES TO ADDRESS THE ISSUE. |
| FACILITY 1, WALDO COUNTY GENERAL HOSPITAL - PART V, LINE 20D | ALL PATIENTS REGARDLESS OF PAYOR CLASS ARE BILLED THE SAME. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 5 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| ARTHUR JEWELL COMMUNITY HEALTH CTR | ||||
| 55 REYNOLDS ROAD | BROOKS | ME | 04921 | GENERAL MEDICAL |
| DONALD S WALKER HEALTH CENTER | ||||
| 43 WEST MAIN STREET | LIBERTY | ME | 04949 | GENERAL MEDICAL |
| LINCOLNVILLE HEALTH CENTER | ||||
| 2399 ATLANTIC HIGHWAY | LINCOLNVILLE | ME | 04849 | GENERAL MEDICAL |
| SEARSPORT HEALTH CENTER | ||||
| 37 MORTLAND ROAD | SEARSPORT | ME | 04974 | GENERAL MEDICAL |
| STOCKTON SPRING REG HEALTH CENTER | ||||
| 11 CAPE JELLISON ROAD | STOCKTON SPRINGS | ME | 04981 | GENERAL MEDICAL |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION | PHYSICIAN CLINIC COSTS WERE INCLUDED AS SUBSIDIZED HEALTH SERVICES IN THE AMOUNT OF 13,850,253. |
| PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION | THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE WORKSHEETS PROVIDED IN THE SCHEDULE H INSTRUCTIONS. THE COST-TO-CHARGE RATIO WAS USED AS THE COSTING METHODOLOGY AND WAS ALSO CALCULATED USING WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS. |
| PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY | THE ORGANIZATION USES A COST-TO-CHARGE RATIO METHODOLOGY. THE AMOUNT REPORTED ON PART III, LINE 2 WAS DETERMINED USING THE COST-TO-CHARGE RATIO METHODOLOGY. DISCOUNTS PROVIDED TO PATIENTS ARE NOT INCLUDED IN BAD DEBT EXPENSE. AN AMOUNT THAT COULD BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY, IF SUFFICIENT INFORMATION HAD BEEN AVAILABLE TO MAKE A DETERMINATION OF THEIR ELIGIBILITY COULD NOT BE REASONABLE DETERMINED. PART III, LINE 4 - BAD DEBT FOOTNOTE IN THE ORGANIZATION'S FINANCIAL STATEMENTS CHARGES FOR SERVICES RENDERED TO INDIVIDUALS FROM WHOM PAYMENT IS EXPECTED AND ULTIMATELY NOT RECEIVED ARE WRITTEN OFF AND INCLUDED IN EXPENSES AS PART OF THE PROVISION FOR BAD DEBTS. BAD DEBT EXPENSE REPRESENTS HEALTHCARE SERVICES WALDO COUNTY GENERAL HOSPITAL HAS PROVIDED WITHOUT COMPENSATION. AS A TAX-EXEMPT HOSPITAL, WALDO COUNTY GENERAL HOSPITAL PROVIDES NECESSARY PATIENT CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THE SERVICES. A PORTION OF THE HOSPITAL'S BAD DEBT EXPENSE IS ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE THAT, FOR A VARIETY OF REASONS, DO NOT COMPLETE THE FINANCIAL ASSISTANCE APPLICATION PROCESS. WALDO COUNTY GENERAL HOSPITAL CANNOT DETERMINE THE AMOUNT OF BAD DEBT EXPENSE THAT COULD BE REASONABLY ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FREE CARE POLICY. IN ADDITION, BAD DEBT EXPENSE ALSO INCLUDES AMOUNTS FOR SERVICES PROVIDED TO INDIVIDUALS EXPERIENCING DIFFICULT PERSONAL OR ECONOMIC CIRCUMSTANCES RELATED TO A PORTION OF OUR COMMUNITY BASED PATIENT POPULATION. THEIR MEDICAL BILLS OFTEN PLACE THESE INDIVIDUALS IN UNTENABLE POSITIONS WHERE THEY ARE NOT ABLE TO HANDLE THEIR PERSONAL DEBT AND THEN THEIR NEW MEDICAL DEBT. HOWEVER, BECAUSE OF THEIR INCOME LEVEL, THEY DO NOT QUALIFY FOR FREE CARE. BY PROVIDING NECESSARY HEALTHCARE SERVICES TO THOSE INDIVIDUALS WHO EITHER FAIL TO APPLY FOR FINANCIAL ASSISTANCE OR WHO ARE EXPERIENCING DIFFICULT PERSONAL OR ECONOMIC CIRCUMSTANCES, WALDO COUNTY GENERAL HOSPITAL BELIEVES THAT BAD DEBT EXPENSE SHOULD BE INCLUDED AS A COMMUNITY BENEFIT. |
| PART III, LINE 8 - MEDICARE EXPLANATION | THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE HOSPITAL'S MEDICARE COST REPORT IS THE MEDICARE COST-TO-CHARGE RATIO, WHICH INCORPORATES MEDICARE ALLOWABLE COST. MEDICARE DID NOT REIMBURSE 415,984 OF THE ALLOWED COSTS. THE HOSPITAL HAS MADE A CLEAR MISSION COMMITMENT TO SERVING ELDERLY PATIENTS: THEREFORE THIS AMOUNT SHOULD BE CONSIDERED AS A COMMUNITY BENEFIT. |
| PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION | ONCE A PATIENT HAS BEEN DETERMINED TO QUALIFY FOR FREE CARE, THE PATIENT IS NOT BILLED FOR SERVICES PROVIDED, NOR IS THE PATIENT BILLED FOR AMOUNTS NOT PAID BY AN INSURER. |
| PART VI, LINE 2 - NEEDS ASSESSMENT | SEE ATTACHED COMMUNITY BENEFITS REPORT |
| PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | SEE ATTACHED COMMUNITY BENEFITS REPORT |
| PART VI, LINE 4 - COMMUNITY INFORMATION | SEE ATTACHED COMMUNITY BENEFITS REPORT |
| PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH | SEE ATTACHED COMMUNITY BENEFITS REPORT |
| PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM | SEE ATTACHED COMMUNITY BENEFITS REPORT |
| PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT | MAINE |
| ADDITIONAL INFORMATION | PART V, SECTION B, LINE 5A - URL FOR COMMUNITY HEALTH NEEDS ASSESSMENT HTTP://WWW.MAINEHEALTH.ORG/WORKFILES/MH_COMMUNITY/WALDO-CHNA-AND-IMPLEMENTA TION-PLAN-FY2013-FY2015.PDF |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| COASTAL MOUNTAINS LAND TRUST | |||||||
| 101 MOUNT BATTIE ST | CAMDEN | ME | 04843 | 222795691 | 501C3 | $50,000 | SUPPORT |
| HOSPICE VOLUNTEERS OF WALDO COUNTY | |||||||
| PO BOX 772 | BELFAST | ME | 04915 | 222668307 | 501C3 | $20,000 | SUPPORT HOSPICE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIPS TO STUDENTS | GrantTypeTxt |
| Recipient | 13 | RecipientCnt |
| Cash Grant | $9,500 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PAGE 4, PART IV | FormAndLineReferenceDesc |
| Explanation | SCHOLARSHIPS ARE AWARDED TO STUDENTS RESIDING IN WALDO COUNTY AND PURSUING A CAREER IN A HEALTHCARE RELATED PROGRAM. THERE IS A SCHOLARSHIP APPLICATION PROCESS OVERSEEN BY THE SCHOLARSHIP COMMITTEE. RECIPIENTS MUST HAVE COMPLETED ONE SEMESTER OF SCHOOLING WITH A PREDETERMINED MINIMUM GPA, BE ENROLLED IN THE SECOND SEMESTER, AND HAVE A FINANCIAL NEED. PAYMENTS ARE MADE DIRECTLY TO THE SCHOOL OR AS REIMBURSEMENT TO THE RECIPIENT WHEN APPROPRIATE DOCUMENTATION IS PROVIDED. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| WILLIAM CARON | |||||||||||
| MAINEHEALTH CEO | $699,295 | $334,824 | $59,222 | $20,587 | $1,113,928 | ||||||
| D KENT CLARK MD | |||||||||||
| DIRECTOR/EMP | $316,333 | $5,000 | $7,650 | $20,520 | $349,503 | ||||||
| MARK BISCONE | |||||||||||
| CEO | $85,407 | $5,916 | $91,323 | $260,114 | $38,000 | $7,650 | $23,747 | $347,576 | $18,065 | ||
| LINDA DRINKWATER | |||||||||||
| CFO | $181,843 | $5,000 | $5,654 | $2,752 | $195,249 | ||||||
| OWEN NELSON MD | |||||||||||
| ORTHOPEDIC MD | $444,569 | $7,650 | $10,423 | $462,642 | |||||||
| KAREN MILLER MD | |||||||||||
| OTOLARYNGOLOGIST | $438,418 | $12,380 | $450,798 | ||||||||
| TERRANCE SMITH MD | |||||||||||
| ANESTH. MD | $397,851 | $7,650 | $17,367 | $423,508 | $640 | ||||||
| RICHARD BOWER MD | |||||||||||
| ORTHOPEDIC MD | $392,456 | $7,650 | $10,091 | $410,197 | |||||||
| DAVID FERGUSON MD | |||||||||||
| CARDIOLOGIST | $389,351 | $7,650 | $9,824 | $406,825 | |||||||
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PAGE 1, PART I, LINE 4 | FormAndLineReferenceDesc |
| Explanation | WILLIAM CARON 0 315,764 0 | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MHHEFA 2014 REFUNDING BONDS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 010314384 | BondIssuerEIN |
| CUSIP | 560427W77 | CUSIPNum |
| Bond Issued | 2014-07-24 | BondIssuedDt |
| Issue Price | $6,774,309 | IssuePriceAmt |
| Purpose | REFINANCE 1998C MHHEFA REVENUE BONDS | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Bond Defeased | $6,685,000 | BondDefeasedAmt |
| Total Proceeds | $6,774,309 | TotalProceedsAmt |
| In Reserve Fund | $612,600 | InReserveFundAmt |
| Capitalized Interest | $50,193 | CapitalizedInterestAmt |
| Issuance Costs From Proceeds | $80,234 | IssuanceCostsFromProceedsAmt |
| Current Refunding | Yes (true) | CurrentRefundingInd |
| Advance Refunding | false | AdvanceRefundingInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | false | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | false | RebateNotDueYetInd |
| Exception To Rebate | false | ExceptionToRebateInd |
| No Rebate Due | false | NoRebateDueInd |
| Variable Rate Issue | false | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | false | WrittenProcToMonitorReqsInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | WALDO COUNTY GENERAL HOSPITAL'S MISSION IS TO BE THE BEST - BETTER, EMPATHY, SERVICE AND TEAMWORK. OUR GOAL IS TO ENSURE QUALITY, ACCESSIBLE AND AFFORDABLE HEALTH CARE SERVICES AND TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY. PLEASE SEE ATTACHED COMMUNITY BENEFITS REPORT. |
| FORM 990, PAGE 6, PART VI, LINE 6 | WALDO COUNTY HEALTHCARE, INC. (WCHI)- (EIN 22-2864961) IS THE SOLE MEMBER OF WALDO COUNTY GENERAL HOSPITAL. MAINEHEALTH (EIN 01-0431680), IS THE SOLE MEMBER OF WCHI. AS THE SOLE MEMBER OF WCHI, MAINEHEALTH HAS THE RIGHT TO APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BODY OF WCHI AND ITS SUBSIDIARIES. |
| FORM 990, PAGE 6, PART VI, LINE 7A | MAINEHEALTH (EIN 01-0431680) MAY ELECT MEMBERS OF THE BOARD OF DIRECTORS FROM A SLATE OF NOMINEES SUBMITTED BY THE CORPORATION. |
| FORM 990, PAGE 6, PART VI, LINE 7B | DECISIONS OF THE GOVERNING BODY SUCH AS BUDGETS, BUSINESS STRATEGIES, SIGNIFICANT FINANCIAL COMMITMENTS, AMENDMENTS TO THE ARTICLES OF INCORPORATION, AND ELECTION OF THE PRESIDENT/CEO AMONG OTHER DECISIONS, ARE SUBJECT TO APPROVAL BY MAINEHEALTH (EIN 01-0431680). |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FINANCE COMMITTEE PERFORMS A DETAILED REVIEW OF THE FORM 990. THE FORM 990 IS THEN PROVIDED TO THE FULL BOARD. THE CONTROLLER AND CFO PERFORM A DETAILED REVIEW OF THE FORM 990 AND ITS SCHEDULES AND ATTACHMENTS BEFORE FILING. |
| FORM 990, PAGE 6, PART VI, LINE 12C | WALDO COUNTY GENERAL HOSPITAL'S CONFLICT OF INTEREST POLICY IS INCORPORATED AS PART OF THE BY-LAWS OF THIS CORPORATION. THE ORGANIZATION CONSISTENTLY REVIEWS ALL TRANSACTIONS TO ASSURE COMPLIANCE IN ACCORDANCE WITH THE BY-LAWS. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE PROCESS FOLLOWED FOR DETERMINING COMPENSATION OF THE EXECUTIVE DIRECTOR IS A FORMAL PROCESS PERFORMED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THIS COMMITTEE USES THE SULLIVAN COTTER ANNUAL EXECUTIVE COMPENSATION ANALYSIS TO COMPARE MARKET ANALYSIS IN SETTING THE COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER AS WELL AS THE OTHER KEY ADMINISTRATIVE EMPLOYEES OF THE ORGANIZATION. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE PROCESS FOLLOWED FOR DETERMINING COMPENSATION OF THE EXECUTIVE DIRECTOR IS A FORMAL PROCESS PERFORMED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THIS COMMITTEE USES THE SULLIVAN COTTER ANNUAL EXECUTIVE COMPENSATION ANALYSIS TO COMPARE MARKET ANALYSIS IN SETTING THE COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER AS WELL AS THE OTHER KEY ADMINISTRATIVE EMPLOYEES OF THE ORGANIZATION. |
| 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 IX, LINE 11G | CONTRACT LABOR 3,904,377 0 0 PURCHASED SERVICES 2,799,320 987,965 0 PHYSICIAN RECRUITMENT 0 157,072 0 |
| FORM 990, PART XI, LINE 9 | CHANGE IN VALUE OF PERPETUAL AND CHARITABLE TRUSTS 2,489,270 EQUITY TRANSFER TO AFFILIATES -1,354,727 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| WALDO COUNTY HEALTHCARE INC | ||||||||||
| PO BOX 287 | BELFAST | ME | 04915 | 222864961 | COMM. EDUC | ME | 501C3 | 11B | MEHLTH | false |
| COASTAL MEDICAL CARE | ||||||||||
| PO BOX 287 | BELFAST | ME | 04915 | 010487091 | MED. SERV. | ME | 501C3 | 9 | WCHI | false |
| BELFAST PUBLIC HEALTH NURSING | ||||||||||
| PO BOX 287 | BELFAST | ME | 04915 | 043359810 | PUB. HLTH. | ME | 501C3 | 9 | WCHI | false |
| WALDO COUNTY HOME HEALTHCARE SERV | ||||||||||
| PO BOX 287 | BELFAST | ME | 04915 | 222864960 | HHLTH&HOSP | ME | 501C3 | 9 | WCHI | false |
| MAINEHEALTH | ||||||||||
| 110 FREE STREET | PORTLAND | ME | 04101 | 010431680 | HEALTHCARE | ME | 501C3 | 11C | NA | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WALDO COUNTY HEALTHCARE MGMT CO | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 287 | AddressLine1 |
| City | BELFAST | City |
| State | ME | State |
| ZIP Code | 04915 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010485133 | EIN |
| Primary Activities | MGMT SVCS | PrimaryActivitiesTxt |
| Legal Domicile State | ME | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |