MAINE COAST REGIONAL HEALTH FACILI DBA NORTHERN LIGHT MAINE COAST HOS: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- MAINE COAST REGIONAL HEALTH FACILI DBA NORTHERN LIGHT MAINE COAST HOS (EIN 01-0198331)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-15
- IRS object ID
- 201421359349307117
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-15T14:27:03-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010523282 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Berry Dunn McNeil & Parker LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 1100 | AddressLine1 |
| City | Portland | City |
| State | ME | State |
| ZIP Code | 041041100 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010198331 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Maine Coast Regional Health Facilities | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MAIN | NameControl |
| Phone | 2076645311 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 50 Union Street | AddressLine1 |
| City | Ellsworth | City |
| State | ME | State |
| ZIP Code | 04605 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Charles Therrien | Name |
| Title | CEO | Title |
| Phone | 2076645311 | Phone |
| Date Signed | 2014-05-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Barbara J McGuan CPA | Name |
| PTIN | P00219457 | PTIN |
| Phone | 2077752387 | Phone |
| Date Prepared | 2014-05-13 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Maine Coast Memorial Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Charles Therrien | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 50 Union Street | AddressLine1 |
| City | Ellsworth | City |
| State | ME | State |
| ZIP Code | 04605 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 82563536 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.mcmhospital.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1964 | YearFormation |
| State Legal Domicile | ME | StateLegalDomicile |
| Activity Or Mission Description | The Hospital is a not-for-profit entity established to provide health care services through its acute care facility and physician practices. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 21 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 16 | NbrIndependentVotingMembers |
| Total Nbr Employees | 793 | TotalNbrEmployees |
| Total Nbr Volunteers | 86 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1170012 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 837009 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 85028528 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 80005055 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 253146 | InvestmentIncomePriorYear |
| Investment Income Current Year | 453973 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -40560 | OtherRevenuePriorYear |
| Other Revenue Current Year | -45919 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 86411126 | TotalRevenuePriorYear |
| Total Revenue Current Year | 81250118 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 10000 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 52339428 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 50024480 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 171392 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 33831953 | OtherExpensePriorYear |
| Other Expenses Current Year | 30549801 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 86171381 | TotalExpensesPriorYear |
| Total Expenses Current Year | 80584281 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 239745 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 665837 | RevenuesLessExpensesCY |
| Total Assets BOY | 75101936 | TotalAssetsBOY |
| Total Assets EOY | 77286213 | TotalAssetsEOY |
| Total Liabilities BOY | 28964521 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 30015187 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 46137415 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 47271026 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | The Hospital is a not-for-profit entity established to provide health care services through its acute care facility and physician practices. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 74778582 | Expense |
| Grants | 10000 | Grants |
| Revenue | 79703153 | Revenue |
| Description | Admissions 3,512Patient Days 9,846Average Stay 2.80 DaysClinic Visits:Eleanor Widener Dixon Clinic 11,983S.W. Harbor Medical Center 5,501Emergency Room Visits 17,445Surgical Cases- Inpatient 764Surgical Cases- Outpatient 3,174Laboratory Tests: 276,993Radiology Exams:Diagnostic Radiology 17,640Ultrasound 5,371CT Scan 5,203Mammography 3,779Nuclear Medicine 2,724MRI 2,061Physical Therapy 62,982Births 312 | Description |
| Total Program Service Expense | 74778582 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 75 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 793 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 21 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 16 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 1 | LocalChapters |
| Policies Reference Chapters | 1 | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | ME | StatesWhereCopyOfReturnIsFiled |
| Own Website | X | OwnWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Chris Frauenhofer CFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2076645311 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 50 Union Street | AddressLine1 |
| City | Ellsworth | City |
| State | ME | State |
| ZIP Code | 04605 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (28 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Average Hours Per Week RelatedAverageHoursPerWeekRelated | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| Michelle H Beal | ||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||
| Robert A Beekman MD | ||||||||
| Trustee/Physician | 50.00 | X | 179000 | 0 | 36592 | |||
| Christopher B Brown | ||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||
| Edith R Dixon | ||||||||
| Trustee | 0.50 | X | 0 | 0 | 0 | |||
| Jeffrey R Dow | ||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||
| Debra A Ehrlenbach | ||||||||
| Treasurer | 1.00 | X | 0 | 0 | 0 | 0.50 | X | |
| Thomas J Fernald | ||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||
| Alan J Goldstein | ||||||||
| Trustee | 0.50 | X | 0 | 0 | 0 | |||
| Daniel A Hurley III | ||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||
| Scott A Kimball | ||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||
| Sean T Maloney MD | ||||||||
| Trustee/Physician | 50.00 | X | 264031 | 0 | 46559 | |||
| Alan H Nauss MD | ||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||
| Rebecca J Sargent | ||||||||
| Chair | 10.00 | X | 0 | 0 | 0 | 0.50 | X | |
| Karen W Stanley | ||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||
| Kevin B Tesseo | ||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||
| Charles D Therrien | ||||||||
| CEO | 60.00 | X | 313917 | 0 | 35930 | 0.50 | X | |
| Adin M Tooker | ||||||||
| Vice Chairman | 10.00 | X | 0 | 0 | 0 | 0.50 | X | |
| Nicholas S Vachon DPM | ||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||
| Sheena E Whittaker MD | ||||||||
| President of Medical Staff | 55.00 | X | 243535 | 0 | 44533 | |||
| Robert J Williams | ||||||||
| Secretary | 1.00 | X | 0 | 0 | 0 | 0.50 | X | |
| Matthew C Worthen | ||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||
| Michael A Hendrix Jr | ||||||||
| Past CFO | 50.00 | 108875 | 0 | 27514 | X | |||
| Richard Jeffcote | ||||||||
| Interim CFO | 50.00 | 0 | 0 | 0 | X | |||
| Mary Collins | ||||||||
| Physician | 50.00 | 336356 | 0 | 29981 | X | |||
| Martin R Curlick | ||||||||
| Physician | 50.00 | 425562 | 0 | 44791 | X | |||
| Paul M Denoncourt | ||||||||
| Physician | 50.00 | 449908 | 0 | 35258 | X | |||
| Gerald Rosenberg | ||||||||
| Physician | 50.00 | 424958 | 0 | 36842 | X | |||
| Sterling C Williamson | ||||||||
| Physician | 50.00 | 568954 | 0 | 51467 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3315096 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 389467 | TotalOtherCompensation |
| Number Individuals GT100 K | 67 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| HE Callahan Construction Inc | |||||
| PO Box 677 | Auburn | ME | 04212 | Construction Services | 2685989 |
| Transcend Services Inc | |||||
| 1 Glenlake Parkway Suite 1325 | Atlanta | GA | 30328 | Transcription Services | 376820 |
| Neurology Associates | |||||
| 498 Essex St Suite 105 | Bangor | ME | 04401 | Neurology; Sleep Study; EEG Professional | 302302 |
| Eastern Maine Medical Center | |||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | Medical Services | 299995 |
| Blue Hill Laundry Services | |||||
| PO Box 258 | Surry | ME | 04684 | Laundry & Linen Services | 201882 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 11 | NumberOfContractorsGT100K |
| Fundraising Events | 160626 | FundraisingEvents |
| Related Organizations | 110276 | RelatedOrganizations |
| All Other Contributions | 566107 | AllOtherContributions |
| Noncash Contributions | 49725 | NoncashContributions |
| Total Contributions | 837009 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| Patient Service Rev. | 621990 | 169565338 | 169565338 | |
| Other Medical Services | 621990 | 1826330 | 1826330 | |
| Cafeteria/Vending | 621990 | 301902 | $301,902 | |
| Bad Debt | 621990 | -4723936 | -4723936 | |
| Contractual/Char. Adj. | 621990 | -86964579 | -86964579 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 80005055 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 439385 | TotalRevenueColumn |
| Exclusion | $439,385 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1247367 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1158603 | Securities |
| Other | 74176 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 88764 | Securities |
| Other | -74176 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 14588 | TotalRevenueColumn |
| Exclusion | $14,588 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 34720 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 160626 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 80639 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -45919 | TotalRevenueColumn |
| Exclusion | -$45,919 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 81250118 | TotalRevenueColumn |
| Related Or Exempt Function Income | 79703153 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $709,956 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10000 | Total |
| Program Services | 10000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1300485 | Total |
| Program Services | 526182 | ProgramServices |
| Management And General | 774303 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39591291 | Total |
| Program Services | 38441729 | ProgramServices |
| Management And General | 1042677 | ManagementAndGeneral |
| Fundraising | 106885 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 860168 | Total |
| Program Services | 835193 | ProgramServices |
| Management And General | 22653 | ManagementAndGeneral |
| Fundraising | 2322 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5645750 | Total |
| Program Services | 5481821 | ProgramServices |
| Management And General | 148687 | ManagementAndGeneral |
| Fundraising | 15242 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2626786 | Total |
| Program Services | 2489409 | ProgramServices |
| Management And General | 129310 | ManagementAndGeneral |
| Fundraising | 8067 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 98411 | Total |
| Management And General | 98411 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 163340 | Total |
| Management And General | 157979 | ManagementAndGeneral |
| Fundraising | 5361 | Fundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 90430 | Total |
| Management And General | 90430 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6035587 | Total |
| Program Services | 5165615 | ProgramServices |
| Management And General | 869972 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 112439 | Total |
| Management And General | 112439 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2647106 | Total |
| Program Services | 1825156 | ProgramServices |
| Management And General | 812069 | ManagementAndGeneral |
| Fundraising | 9881 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 933976 | Total |
| Program Services | 854164 | ProgramServices |
| Management And General | 74235 | ManagementAndGeneral |
| Fundraising | 5577 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1266065 | Total |
| Program Services | 1239510 | ProgramServices |
| Management And General | 26555 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 57925 | Total |
| Program Services | 55081 | ProgramServices |
| Management And General | 2844 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 288886 | Total |
| Program Services | 240440 | ProgramServices |
| Management And General | 48098 | ManagementAndGeneral |
| Fundraising | 348 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 756010 | Total |
| Program Services | 756010 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3363197 | Total |
| Program Services | 3001360 | ProgramServices |
| Management And General | 360717 | ManagementAndGeneral |
| Fundraising | 1120 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1133695 | Total |
| Program Services | 651042 | ProgramServices |
| Management And General | 482653 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Medical Supplies | 9195056 | 9173781 | 21275 | |
| Health Care Prov. Tax | 2067958 | 2067958 | ||
| Repairs & Maintenance | 1281392 | 1262499 | 18893 | |
| Other | 1058328 | 701632 | 340107 | 16589 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 80584281 | Total |
| Program Services | 74778582 | ProgramServices |
| Management And General | 5634307 | ManagementAndGeneral |
| Fundraising | 171392 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4035 | BOY |
| EOY | 4105 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13108606 | BOY |
| EOY | 10810216 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 89004 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9122240 | BOY |
| EOY | 8868070 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 685665 | BOY |
| EOY | 594493 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1274404 | BOY |
| EOY | 1059027 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 64542346 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 31336244 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31182640 | BOY |
| EOY | 33206102 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8387848 | BOY |
| EOY | 8664783 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 279436 | BOY |
| EOY | 201566 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10968058 | BOY |
| EOY | 13877851 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 75101936 | BOY |
| EOY | 77286213 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8748621 | BOY |
| EOY | 8611806 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12737200 | BOY |
| EOY | 12259477 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2148368 | BOY |
| EOY | 1342421 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5330332 | BOY |
| EOY | 7801483 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28964521 | BOY |
| EOY | 30015187 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44660861 | BOY |
| EOY | 46193661 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 789423 | BOY |
| EOY | 387488 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 687131 | BOY |
| EOY | 689877 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 46137415 | BOY |
| EOY | 47271026 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 75101936 | BOY |
| EOY | 77286213 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 665837 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 465028 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 2746 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $15,821 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 15821 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Explanation of Lobbying Activities: | Identifier |
| Return Reference | Part II-B, Line 1: | ReturnReference |
| Explanation | The Hospital pays dues to various organizations, a portion of which are attributable to lobbying expenses. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 12362378 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 904112 | InvestmentEarningsOrLosses |
| Other Expenditures | 378564 | OtherExpenditures |
| End Of Year Balance | 12887926 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 11712210 | BeginningOfYearBalance |
| Contributions | 135584 | Contributions |
| Investment Earnings Or Losses | 536573 | InvestmentEarningsOrLosses |
| Other Expenditures | 21989 | OtherExpenditures |
| End Of Year Balance | 12362378 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3349752 | BeginningOfYearBalance |
| Contributions | 7664082 | Contributions |
| Investment Earnings Or Losses | 710004 | InvestmentEarningsOrLosses |
| Other Expenditures | 11628 | OtherExpenditures |
| End Of Year Balance | 11712210 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2953215 | BeginningOfYearBalance |
| Contributions | 27935 | Contributions |
| Investment Earnings Or Losses | 383779 | InvestmentEarningsOrLosses |
| Other Expenditures | 15177 | OtherExpenditures |
| End Of Year Balance | 3349752 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 4701120 | BeginningOfYearBalance |
| Contributions | 52994 | Contributions |
| Investment Earnings Or Losses | -689342 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 68360 | GrantsOrScholarships |
| Other Expenditures | 1043197 | OtherExpenditures |
| End Of Year Balance | 2953215 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.93000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.07000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 361138 | OtherCostOrOtherBasis |
| Book Value | 361138 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 42342875 | OtherCostOrOtherBasis |
| Depreciation | 14522346 | Depreciation |
| Book Value | 27820529 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 257863 | OtherCostOrOtherBasis |
| Depreciation | 121074 | Depreciation |
| Book Value | 136789 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 21580470 | OtherCostOrOtherBasis |
| Depreciation | 16692824 | Depreciation |
| Book Value | 4887646 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 33206102 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Construction in Progress | 468150 |
| Other Assets | 36208 |
| Estimated Third-Party Payor Settlements | 12402188 |
| Due from Related Parties | 51855 |
| Deferred Compensation | 919450 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 13877851 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Deferred Compensation | $919,450 |
| Estimated Third-Party Payor Settlements | $6,882,033 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 7801483 | TotalOfAmounts |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of Intended Use of Endowment Funds: | Identifier |
| Return Reference | Part V, Line 4: | ReturnReference |
| Explanation | The intended uses of the endowment funds are funded depreciation, the oncology clinic and the breast clinic. | Explanation |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Poinsettia Ball | NameOfEvent1 |
| Gross Receipts Event1 | 101331 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 83091 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 18240 | GrossRevenueEvent1 |
| Food And Beverage Event1 | 11003 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 33843 | OtherDirectExpensesEvent1 |
| Name Of Event2 | Chef's Gala | NameOfEvent2 |
| Gross Receipts Event2 | 94015 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 77535 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 16480 | GrossRevenueEvent2 |
| Food And Beverage Event2 | 5555 | FoodAndBeverageEvent2 |
| Other Direct Expenses Event2 | 30238 | OtherDirectExpensesEvent2 |
| Gross Receipts Total | 195346 | GrossReceiptsTotal |
| Charitable Contributions Total | 160626 | CharitableContributionsTotal |
| Gross Revenue Total Events | 34720 | GrossRevenueTotalEvents |
| Food And Beverage Total Events | 16558 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 64081 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 80639 | DirectExpenseSummaryEvents |
| Net Income Summary | -45919 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent150 | X | Pcent150 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent250 | X | Pcent250 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2019762 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2019762 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02660 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11057622 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7752045 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3305577 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04360 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 13077384 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7752045 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5325339 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07020 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 115959 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 26088 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 89871 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00120 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 154695 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4560 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 150135 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00200 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14071866 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8008551 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6063315 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07990 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 10000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14352520 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8039199 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6313321 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08320 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 27429904 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15791244 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11638660 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.15340 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 4952 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 4952 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 18501 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 9743 | DirectOffsettingRevenue |
| Net Community Building Expense | 8758 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 5187 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 5187 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 12950 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 1200 | DirectOffsettingRevenue |
| Net Community Building Expense | 11750 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 35046 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 15820 | DirectOffsettingRevenue |
| Net Community Building Expense | 19226 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 36118 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 36118 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 25515 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 25515 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 138269 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 26763 | DirectOffsettingRevenue |
| Net Community Building Expense | 111506 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00160 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $2,126,724 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 18446279 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 20027245 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -1580966 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Maine Coast Memorial Hospital | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 50 Union Street | AddressLine1 |
| City | Ellsworth | City |
| State | ME | State |
| ZIP Code | 04605 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Maine Coast Memorial Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 11 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 1 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| Include Operational Plans | X | IncludeOperationalPlans |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 1 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 150.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 250.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Medical Indigency | X | MedicalIndigency |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 0 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 16 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (16 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| Ellsworth Internal Medicine | ||||
| 32 Resort Way | Ellsworth | ME | 04605 | Physician Practice |
| Ellsworth Family Practice | ||||
| 32 Resort Way | Ellsworth | ME | 04605 | Physician Practice |
| Maine Coast Pediatrics | ||||
| 32 Resort Way | Ellsworth | ME | 04605 | Physician Practice |
| Eleanor Widener Dixon Memorial Clinic | ||||
| 37 Clinic Road | Ellsworth | ME | 04605 | Physician Practice |
| Southwest Harbor Medical Center | ||||
| 45 Herrick Road | Ellsworth | ME | 04605 | Physician Practice |
| Maine Coast Specialty Clinic | ||||
| 306 Main Street | Ellsworth | ME | 04605 | Physician Practice |
| Maine Coast Urology | ||||
| 50 Union Street | Ellsworth | ME | 04605 | Physician Practice |
| Maine Coast Rheumatology | ||||
| 50 Union Street | Ellsworth | ME | 04605 | Physician Practice |
| Down East Dermatology | ||||
| 50 Union Street | Ellsworth | ME | 04605 | Physician Practice |
| Maine Coast General Surgery | ||||
| 50 Union Street | Ellsworth | ME | 04605 | Physician Practice |
| Maine Coast Women Care | ||||
| 50 Union Street | Ellsworth | ME | 04605 | Physician Practice |
| Maine Coast Hand & Shoulder | ||||
| 50 Union Street | Ellsworth | ME | 04605 | Physician Practice |
| Frenchman Bay Orthopedics | ||||
| 50 Union Street | Ellsworth | ME | 04605 | Physician Practice |
| Maine Coast Otolaryngology | ||||
| 50 Union Street | Ellsworth | ME | 04605 | Physician Practice |
| Maine Coast Memorial Hospital Nocturn | ||||
| 50 Union Street | Ellsworth | ME | 04605 | Physician Practice |
| Maine Coast Neurology | ||||
| 50 Union Street | Ellsworth | ME | 04605 | Physician Practice |
Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| Part I, Line 3c: Maine Coast Regional Health Facilities uses the Federal poverty guidelines to determine eligibility. | ||
| Part I, Line 7: The IRS 990H Instructions/Guidance provide a template (Worksheet 2 Template) as a way to determine the overall cost to charge ratio that could be applied throughout the IRS 990H form in order to convert charges to cost. Where applicable, we have utilized the worksheet 2 template calculation. The only areas we did not utilize this template calculation were the following. A. IRS 990H worksheet 6- Subsidized Health Services- (The supporting schedule for Part I, Line 7G) we did not utilize the worksheet 2 percentage when we were determining the profit/ loss of each of our provider based clinics. In addition, when we were compiling the subsidized provider based clinics listed in 1C above, we utilized the actual estimated costs on the modified Medicare cost report we prepared instead of applying the worksheet 2 cost to charge percentage. B. IRS 990H Worksheet 3- Unreimbursed Medicaid and other means tested government programs (the supporting schedule for Part I, Lines 7B and 7C) and worksheet 6 Medicaid allowable costs for the subsidized health services listed in line 1C above (part of the line 7G costs) - we did not utilize the worksheet 2 percentage when calculating the Medicaid allowable cost. Instead we utilized the actual Medicaid filed cost report for the allowable costs. | ||
| Part I, Line 7g: Maine Coast Regional Health Facilities has several provider based physician practices. Per the instructions for IRS Form 990H, Worksheet 6, we are allowed to include any applicable physician practice that the Hospital subsidizes (i.e., operates at a loss). As such, we have included the following provider based physician practices that operate at a loss (i.e., are subsidized by the Hospital) and the associated costs of these practices.A. Southwest Harbor ClinicB. Ellsworth Internal MedicineC. PediatricsD. RheumatologyE. Family PracticeF. Frenchman Bay ClinicG. Women Care ClinicH. Physician ClinicI. Specialty ClinicJ. Gouldsboro ClinicK. Otolaryngology ClinicL. Dermatology ClinicM. General SurgeryN. Urology ClinicO. PsychiatryP. NeurologyThe above listed provider based physician practices have a community benefit (i.e., aggregate loss or subsidy from the Hospital) of approximately $6.1 million. This community benefit does not include any hospital overhead allocated to these clinics. In addition, the community benefit also does not take into account bad debts, charity care and contractual adjustment. Thus this community benefit of approximately $6.1 million is a conservative figure that reconciles to the community benefit reported on IRS form 990H, Part I, Line 7G, Column E.Community Building ActivitiesMaine Coast Regional Health Facilities provides a variety of resources for several different types of community building activities. These resources include, but are not limited to:-Free monthly education sessions-CPR classes-Free mammograms-Volunteer and pet therapy program-Infant family support-Speaking engagements relative to prevalence of cancer in the area by the oncology director-Heart healthy community wellness program-Physician referral phone system-Disease management-Cardiac rehab exercise program-Nursing education for local students | ||
| Part I, L7 Col(f): Bad debt expenses are no longer part of the expense grouping on the income statement of the audited financial statements. They are included as a deduction from revenue. As such, the Part I, Line 7 column f calculation, per the IRS instructions, are already net of bad debt expense. | ||
| Maine Coast Regional Health Facilities prepares a community benefit report through its annual report process. The annual report is available three months after fiscal year end. Within the annual report the Hospital describes community benefit in financial terms and a summary of services provided. This includes the losses from: subsidized physician practices; subsidized community health and wellness programs; the cost of patients who cannot afford to pay; Medicaid and Medicare shortfalls; and patients who do not pay or are unable to pay. | Community Benefit Report | Schedule H, Part I, Line 6a: |
| Part III, Line 4: Maine Coast Regional Health Facilities, in compliance with accounting guidelines, classify bad debts as a deduction from revenue. The Hospital follows the Medicare guidelines for allowable bad debts. It uses the following criteria:a. Establishing that reasonable collection efforts were madeb. Establishing that the accounts were uncollectiblec. Establishing that there is no likelihood of recovery at anytime in the futureThe bad debt adjustment is at cost and is the total write-offs reduced by the ratio of patient care cost to charge. | ||
| Part III, Line 8: The IRS 990H instructions/guidance provide a template (worksheet 2 template) as a way to determine the overall cost to charge ratio that could be applied throughout the IRS 990H form in order to convert charges to cost. Where applicable, we have utilized the worksheet 2 template calculation. The only area where we did not utilize this template calculation was in form 990H worksheet B, Line 2 & 6- Medicare allowable costs and payments related to the subsidized health services- we utilized the Medicare cost report estimated cost and payment for these services. The Hospital believes that provider based clinics listed in 1C above should be and are considered a community benefit due to the fact that without the Hospital subsidizing and offering the services that these clinics offer, the community at large would have to travel at least 45 minutes to the nearest like hospital and that hospital's service offerings. As such, Maine Coast believes that by offering and subsidizing these clinics within its community and thus enabling community members to have easy access and an easier commute for these services, that this benefits the whole community at large. | ||
| Part III, Line 9b: When a patient is referred out to collections but then applies for free or discounted care, we pull the account back from collections when it is determined they qualify for one of the programs. If the collection agency suspects that someone may need to apply for one of the programs, they send out an application and notify us. We make every effort to screen as many people as possible before we send them to collections. | ||
| Part V, Section B, Line 3: On a statewide basis, the research consultants developed an advisory committee that met several times during the assessment research and drafting of the publication. These individuals represented a broad spectrum of backgrounds, and they are named below:Carol Bell, Healthy Maine Partnership DirectorKelly Bentley, Healthy Maine Partnership DirectorGail Dana-Sacco, Wabanaki Center (serving tribal populations)Patricia Hart, Maine Development FoundationBarbara Leonard, MPH, Maine Health Access Foundation (philanthropic foundation focused on access to care in Maine)Becca Matisovich, Maine Center for Disease ControlLisa Miller, Bingham Foundation (philanthropic foundation)Dora Ann Mills, MD, Maine Center for Disease ControlElizabeth Mitchell, Maine Health Management Coalition (representing the state's major employers, insurers and providers)Trish Riley, Governor's Office of Health Policy and Finance (GOHPF)Brian Rines, Advisory Committee for Health System Development (overseen by GOHPF)Rachel Talbot-Ross, Maine Chapter, NAACPTed Trainer, Public Health Coordinating Council Shawn Yardley, City of Bangor, Department of Health and Welfare In the local area served by the assessment, multiple parties were engaged in dissemination of the assessment findings and establishment of priorities. Dissemination and prioritizing process, as well as needs identified and prioritized: In June 2011, EMHS in conjunction with Maine Coast Memorial Hospital hosted a community forum to present an overview of local assessment results and recommendations. Invitees included:1. Other area hospitals2. Physician leaders3. Federally Qualified Health Centers4. Healthy Maine Partnerships5. District Liaisons linked to Maine CDC6. Home Health and Long Term Care leaders7. Social Service Agencies8. Leaders of the tribal communities9. Business leaders10. Legislative leaders11. Representatives of the State administration Attendees were provided an executive summary of the assessment as well as a summary table of data reflective of the service area. A presentation was made by EMHS staff who led the assessment, providing sample data, trends over time and the priorities and recommendations as suggested by the research consultants. | Maine Coast Memorial Hospital | |
| Part V, Section B, Line 4: The needs assessment was developed as a statewide collaborative between the state's three largest health systems: EMHS (in central, eastern and northern Maine), Maine General (in central Maine) and MaineHealth (in southern Maine). Multiple collaborators were involved in the dissemination of the assessment findings and establishment of priorities. | Maine Coast Memorial Hospital | |
| Part V, Section B, Line 20d: All patients are billed/charged an amount equal to gross charges and then depending on their insurance payment, prompt pay discounts or discounted care are balance billed the unpaid or adjusted amount. | Maine Coast Memorial Hospital | |
| Part VI, Line 2: Maine Coast Regional Health Facilities assessed the medical needs of the community as part of the process for establishing the medical staff development plan. The new medical staff and services were identified in the strategic planning process brought forth from the provider community. It then was determined and prioritized what services the Hospital could comfortably address and implement. | ||
| Part VI, Line 3: We notify patients and customers about access to assistance in various ways. The simplest way is the signage, pamphlets and educational material located around the organization and in the offices. In every patient access/ patient financial services area, is a sign explaining the availability of free/ discounted care and the federal poverty guidelines. There are also pamphlets located in the outpatient areas explaining free care/ discounted care and providing information on Mainecare. For inpatients, there is a book in the room which provides all the information on all programs available.Scheduled medical imaging, surgery patients and inpatients all generally speak with a hospital employee who can provide information on available programs. Inpatients are also offered the services of unicare to assist them with applying for Mainecare. Patient accounting staffs are generally available to assist any patient inquiring about programs when presenting for services. Through the patient accounting department, we provide the information on the statements. We also counsel patients on the phone about all the programs available whether it is a hospital program or Medicaid. | ||
| Part VI, Line 4: Maine Coast Regional Health Facilities Services, D/B/A Maine Coast Memorial Hospital, is a 48 staffed bed full service acute care not-for profit hospital located in Ellsworth, Maine (Hancock County). The Hospital is accredited by the Joint Commission and its mission is to serve its communities with excellence in health care. Its services include acute inpatient, 24 hours emergency center, and diagnostic and surgical services. Along with hospital services, the Hospital employs the majority of primary and specialty care physicians in the area. It is the only full service hospital located in either Hancock or adjacent Washington County. The Hospital is regularly used as referral facility by the four (4) critical access hospitals located in these two counties as well.Hancock and Washington county is considered rural by the state of Maine and the United States Census Bureau, under guidelines set forth by the office of Management and Budget (OMB). The Hospital service area (HSA) as defined by the Maine Health Data Organization (MHDO) uses the statistical method where the greatest proportion of residents received their inpatient care. The following towns make up the Maine Coast Memorial Hospital HSA as determined by the MHDO:EastbrookBeddingtonDebloisCherryfieldEllsworthFranklinMilbridgeGouldsboroHancockLamoineMariavilleOsbornOtisSteubenSorrentoSullivanSurryTrentonWalthamWinter HarborOqiton TWPT3 NDT7 SDT8 SDT9 SDT10 SDT16 MDT22 MDT28 MDT34 MDT35 MDT39 MDT40 MDT41 MDThe following demographics represent the counties served by Maine Coast Memorial Hospital: - Population: Hancock County 54,845; Washington County 32,190; State of Maine 1,328,000 - Persons < 5 yrs: Hancock County 4.3%; Washington County 4.9%; State of Maine 5.0% - Persons < 18 yrs: Hancock County 17.6%; Washington County 19.3%; State of Maine 20.0% - Persons 65 yrs & over: Hancock County 19.8%; Washington County 20.8%; State of Maine 17.0% - Median Household Income: Hancock County $48,635; Washington County $36,486; State of Maine $48,219 - Persons below poverty level: Hancock County 12.7%; Washington County 19.8%; State of Maine 13.3% | ||
| Part VI, Line 5: Maine Coast Regional Health Facilities is a local not for profit hospital that serves its local communities and people regardless of their ability to pay. Maine Coast provides financial assistance and sliding scale discounts to self pay and low income patients. Also the Hospital participates in government sponsored health care programs including Medicare, Medicaid, Champus and Tricare. The volunteer Board of Trustees sets the strategic direction for the Hospital and is comprised of community members from the Hospital's service area. This group is made up of local business owners, professionals and retirees. Maine Coast's non-profit status allows the Hospital to reinvest any excess of revenues over expense back into the Hospital to continuously improve the medical care it delivers. The Hospital allows access to healthcare that would otherwise be difficult. The Hospital is the main employer for the local physicians, including specialty physicians that would otherwise have to be accessed out of the area. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LifeFlight Foundation | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 899 | AddressLine1 |
| City | Camden | City |
| State | ME | State |
| ZIP Code | 04843 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 522377085 | EINOfRecipient |
| IRC Section | 501(c)(3) | IRCSection |
| Amount Of Cash Grant | 10000 | AmountOfCashGrant |
| Purpose Of Grant | Operational Support | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | Schedule I, Part I, Line 2: The Organization makes payments only to other 501(c)(3) organizations. Therefore, additional monitoring was not deemed necessary. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | X | TravelForCompanions |
| Written Policy Re T And E Expenses | 0 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Robert A Beekman MD | ||||||||||||||
| Trustee/Physician | 177425 | 0 | 51 | 0 | 1524 | 0 | 4098 | 0 | 32494 | 0 | 215592 | 0 | 0 | 0 |
| Sean T Maloney MD | ||||||||||||||
| Trustee/Physician | 256132 | 0 | 7719 | 0 | 180 | 0 | 5625 | 0 | 40934 | 0 | 310590 | 0 | 0 | 0 |
| Charles D Therrien | ||||||||||||||
| CEO | 306979 | 0 | 51 | 0 | 6887 | 0 | 5625 | 0 | 30305 | 0 | 349847 | 0 | 0 | 0 |
| Sheena E Whittaker MD | ||||||||||||||
| President of Medical Staff | 235850 | 0 | 7505 | 0 | 180 | 0 | 4399 | 0 | 40134 | 0 | 288068 | 0 | 0 | 0 |
| Mary Collins | ||||||||||||||
| Physician | 237155 | 0 | 98665 | 0 | 536 | 0 | 5575 | 0 | 24406 | 0 | 366337 | 0 | 0 | 0 |
| Martin R Curlick | ||||||||||||||
| Physician | 377185 | 0 | 31351 | 0 | 17026 | 0 | 5625 | 0 | 39166 | 0 | 470353 | 0 | 0 | 0 |
| Paul M Denoncourt | ||||||||||||||
| Physician | 311605 | 0 | 48151 | 0 | 90152 | 0 | 5625 | 0 | 29633 | 0 | 485166 | 0 | 0 | 0 |
| Gerald Rosenberg | ||||||||||||||
| Physician | 301264 | 0 | 123178 | 0 | 516 | 0 | 5625 | 0 | 31217 | 0 | 461800 | 0 | 0 | 0 |
| Sterling C Williamson | ||||||||||||||
| Physician | 307006 | 0 | 215869 | 0 | 46079 | 0 | 5625 | 0 | 45842 | 0 | 620421 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Supplemental Information | Identifier |
| Return Reference | Part III | ReturnReference |
| Explanation | Part I, Line 1B: Travel for companions: The Board of Directors for the hospital are not compensated. In lieu of compensation meals are supplemented for their spouses when they are required to attend forums and seminars on behalf of the hospital. The amount involved is very minimal. Part I, Line 7: The bonus payments for Sterling C. Williamson, Gerald Rosenberg, Paul Denoncourt, Martin Curlik, Mary Collins, Sean T. Maloney, and Sheena Whittaker are RVU incentive payments. The Hospital also provided minimal holiday bonus payments to its employees based on their full-time, part-time and per diem status. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| MHHEFA | ||||||||
| A | 010314384 | 5604253L2 | 2008-12-03 | 6960000 | Construction of Emergency Dept. | 0 | 0 | 0 |
| MHHEFA | ||||||||
| B | 010314384 | 560427NM4 | 2011-11-30 | 1865000 | Refunding Series 2001B | 0 | 0 | 0 |
| MHHEFA | ||||||||
| C | 010314384 | 560427WV4 | 2013-05-23 | 4395000 | Refunding Series 2003C | 0 | 0 | 1 |
Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)
| Bond ReferenceBondReferenceCd | Amount RetiredAmountRetired | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 743869 | 6960000 | 498869 | 439006 | 131414 | 5890711 | 2009 | 0 | 0 | 1 | 1 |
| B | 326708 | 1865000 | 210238 | 35050 | 0 | 0 | 1 | 1 | |||
| C | 4395000 | 341913 | 52407 | 1 | 0 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| C | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | ||
| B | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 |
| C | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 0 |
| B | 0 |
| C | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Bar Harbor Bank & Trust | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | An entity of which Daniel Hurley, current Trustee serves as an officer | Relationship |
| Description Of Transaction | Mr. Hurley is an officer of a bank with which the Hospital does business. All transactions between the Hospital and the bank are at arm's length and for fair value. It is not possible to readily determine the monetary amount that the bank derives from this relationship. | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTraded
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 7 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 49725 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | Stock Market Value | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 1 | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Third Party Use: | Identifier |
| Return Reference | Part I, Line 32b: | ReturnReference |
| Explanation | The Organization sells contributions of securities through its investment broker. All gifts of securities are sold as soon as administratively possible. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section A, line 2 | Rebecca Sargent and Debra Ehrlenbach have a business relationship. | |
| Form 990, Part VI, Section A, line 6 | Maine Coast Healthcare Corporation is the sole member of the Organization. | |
| Form 990, Part VI, Section A, line 7a | The Member shall have the right to elect trustees and honorary trustees to the board of trustees. | |
| Form 990, Part VI, Section A, line 7b | The following decisions are subject to approval by the Member of the Organization: 1. The removal of members of the Board of Trustees; 2. The change of the number of Trustees constituting the Board of Trustees with the limitations prescribed in the Articles of Incorporation; 3. The amendment, restatement, or modification of the Bylaws or Articles of Incorporation of the Corporation; 4. The approval of the sale, mortgage, lease, or other dispositions of all, or substantially all, of the assets and property of the Organization, the dissolution of the Organization, or its merger with or consolidation into another Organization; 5. The right to approve the donation, unfunded disposition, or other expenditure of corporate assets, whether principal or income; 6. The right to approve corporate strategic planning goals, objectives, and capital expenditure plans; 7. The right to approve substantial program changes, including health services; 8. The right to approve the Organization's cumulative annual borrowings in any amount exceeding one percent of the annual gross revenues of the Organization as set forth in the most recent annual financial statements of the Organization; 9. The right to approve the appointment of an auditor for the Organization; and 10. Upon recommendation of the Board of Trustees, the right to appoint or remove the President and Treasurer. | |
| Form 990, Part VI, Section B, line 11 | Prior to filing, a presentation on the Form 990 was provided to the leadership of the board of trustees, and a copy of the form was provided to the entire board. | |
| Form 990, Part VI, Section B, Line 12C: | MCMH's policies and procedures require that all board members, senior leaders, department managers, and medical staff members disclose any potential conflicts of interest in writing. These forms are reviewed by the Board Chair, the Human Resource Director, or the compliance officer, depending on the disclosing individual's role. | |
| Form 990, Part VI, Section B, line 12c | Examples of how potential conflicts are managed include disclosing the conflict when applicable, (e.g., during discussions at the board meeting) and excusing the party with the potential conflict from participation and voting. | |
| Form 990, Part VI, Section B, line 15 | Executive Committee with the help of the search firm and Maine Hospital Association salary survey was used to set the compensation levels for the CEO. The MHA survey was primarily used to set the compensation levels for the top management officials. | |
| Form 990, Part VI, Section C, line 19 | Government documents and conflict of interest policy are available upon request. The financial statements are made public through the annual report. | |
| Form 990, Part XI, line 9: | Change in Value of Trust 2,746. | Changes in Net Assets or Fund Balances: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Maine Coast Medical Realty Inc | |||||||||||
| 50 Union Street | Ellsworth | ME | 04605 | 010390918 | Furnishing Medical Facilities | ME | 501(c)(3) | Line 11a, I | Maine Coast Regional Health Facilities | 1 | |
| Maine Coast Healthcare Corporation | |||||||||||
| 50 Union Street | Ellsworth | ME | 04605 | 223176167 | Parent Organization for Hospital | ME | 501(c)(3) | Line 11b, II | 0 | N/A | |
| Maine Coast Healthcare Foundation | |||||||||||
| 50 Union Street | Ellsworth | ME | 04605 | 262344952 | Raise and hold donations for hospital | ME | 501(c)(3) | Line 11a, I | Maine Coast Regional Health Facilities | 1 | |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Maine Coast Physician Affiliates | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 50 Union Street | AddressLine1 |
| City | Ellsworth | City |
| State | ME | State |
| ZIP Code | 04605 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010479952 | EIN |
| Primary Activity | Inactive | PrimaryActivity |
| Legal Domicile State | ME | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Maine Coast Healthcare Corporation | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C | TypeOfEntity |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Maine Coast Healthcare Foundation | ||
| C | 110276 | FMV |
| Maine Coast Medical Realty Inc | ||
| Q | 76272 | FMV |