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MILES MEMORIAL HOSPITAL LEAGUE: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MILES MEMORIAL HOSPITAL LEAGUE (EIN 23-7212628)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-01-15
IRS object ID
201400159349300700
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-01-15T07:08:06-06:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN010330007EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WILLIAM H BREWER CPABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1858 WASHINGTON STREETAddressLine1
CityBATHCity
StateMEState
ZIP Code04530ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN237212628EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MILES MEMORIAL HOSPITAL LEAGUEBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMILENameControl
Phone2075634330Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 503AddressLine1
CityDAMARISCOTTACity
StateMEState
ZIP Code04543ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKAREN FILLERName
TitlePRESIDENTTitle
Phone2075634330Phone
Date Signed2014-01-09DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameWILLIAM H BREWERName
PTINP01224575PTIN
Phone2074439759Phone
Date Prepared2014-01-03DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKAREN FILLERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 503AddressLine1
CityDAMARISCOTTACity
StateMEState
ZIP Code04543ZIPCode
FieldValueIRS element (for citing)
Gross Receipts334598GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1930YearFormation
State Legal DomicileMEStateLegalDomicile
Activity Or Mission DescriptionTO PROMOTE COMMUNITY INTEREST IN MILES HEALTH CARE, INC.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees5TotalNbrEmployees
Total Nbr Volunteers125TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4975ContributionsGrantsPriorYear
Contributions Grants Current Year4585ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year1911InvestmentIncomePriorYear
Investment Income Current Year1758InvestmentIncomeCurrentYear
Other Revenue Prior Year181890OtherRevenuePriorYear
Other Revenue Current Year183883OtherRevenueCurrentYear
Total Revenue Prior Year188776TotalRevenuePriorYear
Total Revenue Current Year190226TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year106350GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY127734GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4985SalariesEtcPriorYear
Salaries Etc Current Year5614SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year53923OtherExpensePriorYear
Other Expenses Current Year60237OtherExpensesCurrentYear
Total Expenses Prior Year165258TotalExpensesPriorYear
Total Expenses Current Year193585TotalExpensesCurrentYear
Revenues Less Expenses Prior Year23518RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-3359RevenuesLessExpensesCY
Total Assets BOY372982TotalAssetsBOY
Total Assets EOY370135TotalAssetsEOY
Total Liabilities BOY3339TotalLiabilitiesBOY
Total Liabilities EOY3851TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY369643NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY366284NetAssetsOrFundBalancesEOY
Mission DescriptionNONEMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense193585Expense
Grants127734Grants
Revenue177060Revenue
DescriptionTHE FUNDS RECEIVED BY THE ORGANIZATION ARE USED TO SUPPORT OTHER 501(C)(3) ORGANIZATIONS WHO ARE QUALIFIED TO RECEIVE THESE DONATIONS.Description
Total Program Service Expense193585TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10963NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees5NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMEStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1EDYTHE JORDANBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2075634330TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 503AddressLine1
CityDAMARISCOTTACity
StateMEState
ZIP Code04543ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
KAREN FILLER
PRESIDENT6.00XX000
ANITA OBERLANDER
TREASURER1.00X000
EDYTHE JORDAN
DIRECTOR1.00XX000
REBECCA RECOR
RECORDING SECRETARY1.00XX000
SHIRLEY RAYMOND
ASSISTANT TREASURER1.00XX000
RUTH ANNE BRYANT
DIRECTOR1.00X000
CAROLYN MCKEON
CORRESPONDING SECRETARY1.00XX000
DONNA MILLS
DIRECTOR1.00X000
ANN PINKHAM
DIRECTOR1.00X000
JANE LUTSK
VICE PRESIDENT1.00XX000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Membership Dues4585MembershipDues
Total Contributions4585TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1758TotalRevenueColumn
Exclusion$1,758ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events6823GrossIncomeFundraisingEvents
Fundraising Direct Expenses0FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column6823TotalRevenueColumn
Exclusion$6,823ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory321432GrossSalesOfInventory
Cost Of Goods Sold144372CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column177060TotalRevenueColumn
Related Or Exempt Function Income177060RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column190226TotalRevenueColumn
Related Or Exempt Function Income177060RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$8,581ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total127734Total
Program Services127734ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total5614Total
Program Services5614ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total9048Total
Program Services9048ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total3818Total
Program Services3818ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total8473Total
Program Services8473ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
REPAIRS & MAINTENANCE1239312393
INSURANCE74977497
UTILITIES53495349
BANK CHARGES52985298

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total8361Total
Program Services8361ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total193585Total
Program Services193585ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY272588BOY
EOY271621EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
EOY1996EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis129493LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec55932LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY78107BOY
EOY73561EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY22287BOY
EOY22957EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY372982BOY
EOY370135EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3339BOY
EOY3851EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3339BOY
EOY3851EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY369643BOY
EOY366284EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY369643BOY
EOY366284EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY372982BOY
EOY370135EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-3359ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting CashXMethodOfAccountingCash
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (7 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
MILES HEALTH CARE INC
0102117963111$78,084
COVES EDGE
0103823403111$7,250
LINCOLN COUNTY CHILDRENS SERVICES
2231268327011$1,000
LINCOLN COUNTY SHARED SERVICES
2614756293111$35,000
BELKNAP FREE BED FOUNDATION
0160115067011$1,000
SPECTRUM GENERATIONS COASTAL COMMUNITY CARE
0103180519011$2,000
CENTRAL LINCOLN COUNTY AMBULANCE
2232149989011$1,000
FieldValueIRS element (for citing)
Total Number Of Supported Orgs7TotalNumberOfSupportedOrgs
Sum Of Amounts125334SumOfAmounts

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis19833OtherCostOrOtherBasis
Book Value19833BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis48498OtherCostOrOtherBasis
Depreciation20265Depreciation
Book Value28233BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis61162OtherCostOrOtherBasis
Depreciation35667Depreciation
Book Value25495BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings73561TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionINVENTORYDescription
Book Value22957BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets22957TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionACCOUNTS PAYABLEDescription
Amount$3,851Amount
FieldValueIRS element (for citing)
Total Of Amounts3851TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt190226TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal190226RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990190226TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt193585TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal193585ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990193585TotalExpensesPerForm990

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
MILES HEALTH CARE INC
35 MILES STREETDAMARISCOTTAME04543010211796378084UNRESTRICTED
COVES EDGE
26 SCHOONER STREETDAMARISCOTTAME0454301038234037250UNRESTRICTED
LINCOLN COUNTY SHARED SERVICES
6 SAINT ANDREWS LANEBOOTHBAY HARBORME04538261475629335000ASSISTANCE
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants3TotalNbrOf501C3AndGovtGrants

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 8BCOMMITTEE DOESN'T HAVE THE AUTHORITY TO VOTE FOR THE GOVERNING BODY. THE AUTHORITY RESTS ON THE GOVERNING BOARD.
FORM 990, PART VI, SECTION B, LINE 11THE 990 FORM IS REVIEWED BY THE GOVERNING BODY BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CANNUAL REVIEW BY BOARD MEMBERS OF POLICY.
FORM 990, PART VI, SECTION B, LINE 15AANNUAL REVIEW BY BOARD MEMBERS
FORM 990, PART VI, SECTION C, LINE 19ANNUAL HANDBOOK AVAILABLE TO THE PUBLIC, AND BY REQUEST.