LincolnHealth Group: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- LincolnHealth Group (EIN 26-1475629)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-08-04
- IRS object ID
- 201422169349300947
- Schema version
- 2012v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-08-04T16:10:08-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAINEHEALTH | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 FREE ST | AddressLine1 |
| City | PORTLAND | City |
| State | ME | State |
| ZIP Code | 041013908 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 261475629 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LINCOLN COUNTY HEALTH CARE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | LINC | NameControl |
| Phone | 2076338413 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6 ST ANDREWS LANE | AddressLine1 |
| City | BOOTHBAY HARBOR | City |
| State | ME | State |
| ZIP Code | 04538 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | WAYNE PRINTY | Name |
| Title | CFO | Title |
| Phone | 2076338413 | Phone |
| Date Signed | 2014-06-12 | DateSigned |
| Authorize Third Party | false | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Date Prepared | 2014-08-04 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JAMES DONOVAN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6 ST ANDREWS LANE | AddressLine1 |
| City | BOOTHBAY HARBOR | City |
| State | ME | State |
| ZIP Code | 04538 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 10907379 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.LCHCARE.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2008 | YearFormation |
| State Legal Domicile | ME | StateLegalDomicile |
| Activity Or Mission Description | LINCOLN COUNTY HEALTH CARE, INC. (LCH) WAS ESTABLISHED TO PROMOTE AND SUPPORT INTEGRATED & COST-EFFECTIVE HEALTH CARE SERVICES FOR THE RESIDENTS AND VISITORS OF LINCOLN COUNTY, MAINE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 21 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 109 | TotalNbrEmployees |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 323882 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 135974 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 10398009 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 10603519 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3304 | InvestmentIncomePriorYear |
| Investment Income Current Year | 15531 | InvestmentIncomeCurrentYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 10725195 | TotalRevenuePriorYear |
| Total Revenue Current Year | 10755024 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 15985 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 11739 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 6268709 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 5379667 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 296399 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 4183349 | OtherExpensePriorYear |
| Other Expenses Current Year | 5442196 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 10468043 | TotalExpensesPriorYear |
| Total Expenses Current Year | 10833602 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 257152 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -78578 | RevenuesLessExpensesCY |
| Total Assets BOY | 8420543 | TotalAssetsBOY |
| Total Assets EOY | 13759041 | TotalAssetsEOY |
| Total Liabilities BOY | 12769517 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 15553476 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -4348974 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -1794435 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | LINCOLN COUNTY HEALTH CARE, INC. (LCH) WAS ESTABLISHED TO PROMOTE AND SUPPORT INTEGRATED & COST-EFFECTIVE HEALTH CARE SERVICES FOR THE RESIDENTS AND VISITORS OF LINCOLN COUNTY, MAINE. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 9706598 | Expense |
| Grants | 11739 | Grants |
| Revenue | 10598857 | Revenue |
| Description | LINCOLN COUNTY HEALTH CARE, INC. (LCH) IS THE PARENT COMPANY OF MILES MEMORIAL HOSPITAL, ST. ANDREWS HOSPITAL, COVE'S EDGE, INC. AND LINCOLN COUNTY MEDICAL GROUP, INC.. LCH PROVIDES MANAGEMENT SERVICES TO THESE FOUR TAX EXEMPT ENTITIES (LINCOLN COUNTY MEDICAL GROUP'S APPLICATION FOR TAX EXEMPT STATUS HAS BEEN FILED WITH THE IRS) WHICH INCLUDE A SOLE COMMUNITY HOSPITAL, A CRITICAL ACCESS HOSPITAL, TWO LONG TERM CARE FACILITIES THAT OFFER SKILLED AND LONG TERM NURSING CARE AS WELL AS DEMENTIA AND ADULT DAY CARE, ASSISTED LIVING, AND (CONTINUED ON SCHEDULE O) CONTINUED FROM PAGE 2 INDEPENDENT LIVING FACILITIES, A HOME HEALTH AGENCY WHICH INCLUDES PROFESSIONAL AND PRIVATE DUTY HOME SERVICES, HOSPICE SERVICES, AND HOME MONITORING, AS WELL AS MULTI-SPECIALTY PHYSICIAN GROUP PRACTICES. PLEASE REFER TO THE COMMUNITY BENEFITS STATEMENT FOR A MORE DETAILED DESCRIPTION OF ITS PROGRAMS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 136837 | Expense |
| Revenue | 4663 | Revenue |
| Description | THE LINCOLN COUNTY HEALTHCARE EDUCATION CENTER IS A COLLABORATIVE EFFORT OF CENTRAL MAINE COMMUNITY COLLEGE AND LINCOLN COUNTY HEALTHCARE. OTHER ORGANIZATIONS WHICH HAVE PROVIDED SUPPORT ARE MAINEHEALTH AND LINCOLN ACADEMY. THE NEW SCHOOL, THE FIRST COLLEGE DEGREE PROGRAM IN LINCOLN COUNTY, OPENED IN SEPTEMBER 2008 TO EIGHT STUDENTS. FIRST YEAR STUDENTS HAVE THE OPTION TO EARN A LICENSED PRACTICAL NURSING (LPN) DEGREE AFTER THE FIRST YEAR AND A 3-WEEK PRACTICUM IN LONG-TERM CARE. WITH THE LPN DEGREE, THE STUDENT CAN RETURN TO CENTRAL MAINE COMMUNITY COLLEGE WITHIN A FIVE YEAR GRACE PERIOD TO COMPLETE THE REQUIREMENTS FOR THE RN CREDENTIAL. THE PROGRAM COLLABORATIVELY WORKS WITH CLINICAL DEPARTMENTS OF MILES MEMORIAL (CONTINUED ON SCHEDULE O) CONTINUED FROM PAGE 2 HOSPITAL, COVE'S EDGE LONG-TERM CARE, MAINEGENERAL HOSPITAL AND RIVERVIEW PSYCHIATRIC CENTER FOR STUDENT CLINICAL EXPERIENCES. STUDENTS ATTEND NURSING COURSES IN CLASSROOMS AT THE LINCOLN COUNTY HEALTHCARE EDUCATION CENTER LOCATED AT 66A CHAPMAN STREET, IN DAMARISCOTTA. CLASSES ARE TRANSMITTED FROM CENTRAL MAINE COMMUNITY COLLEGE'S MAIN CAMPUS IN AUBURN VIA VIDEOCONFERENCING TO THE EDUCATION CENTER OR CLASSES ARE TAUGHT LIVE AT THE LINCOLN COUNTY HEALTHCARE EDUCATION CENTER AND TRANSMITTED TO THE CLASS AT CENTRAL MAINE COMMUNITY COLLEGE. AN AGREEMENT WITH LINCOLN ACADEMY WILL ALLOW STUDENTS TO USE THEIR LINCOLN ACADEMY'S LABS FOR CENTRAL MAINE COMMUNITY CENTER'S ANATOMY AND PHYSIOLOGY COURSE. LINCOLN COUNTY HEALTHCARE PROVIDES ADMINISTRATION SERVICES, CLINICAL TRAINING, EQUIPMENT, SUPPLIES, TECHNICAL SUPPORT, AND THREE SCHOLARSHIPS TO SELECTED STUDENTS FOR FULL TUITION AND FEES FOR EACH YEAR OF THE NURSING PROGRAM. PLEASE REFER TO THE COMMUNITY BENEFITS STATEMENT FOR A MORE DETAILED DESCRIPTION OF ITS PROGRAMS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | SEE LINCOLN COUNTY HEALTH CARE, INC. COMMUNITY BENEFITS STATEMENT - ATTACHED SEPARATELY | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 9843435 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | true | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 82 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 109 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 21 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | WAYNE PRINTY | NamePerson |
| Telephone Number | 2076338413 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6 ST ANDREWS LANE | AddressLine1 |
| City | BOOTHBAY HARBOR | City |
| State | ME | State |
| ZIP Code | 04538 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (29 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| GARTH MILLER MD | |||||||||
| TRUSTEE | 0.40 | 50.00 | X | 0 | 465323 | 28976 | |||
| MARK FOURRE MD | |||||||||
| TRUSTEE | 0.40 | 50.00 | X | 0 | 290300 | 27814 | |||
| JOHN MURRAY MD | |||||||||
| TRUSTEE | 0.40 | 50.00 | X | 0 | 250109 | 26033 | |||
| AQUILINO ALAMO MD | |||||||||
| TRUSTEE | 0.40 | 50.00 | X | 0 | 216819 | 26144 | |||
| STEVEN FEDER DO | |||||||||
| TRUSTEE | 0.40 | 50.00 | X | 0 | 159524 | 22705 | |||
| DANIEL FRIEDLAND MD | |||||||||
| TRUSTEE | 0.40 | 50.00 | X | 0 | 159151 | 26633 | |||
| ROBERT MCARTOR MD | |||||||||
| TRUSTEE | 0.40 | 50.00 | X | 0 | 157259 | 42548 | |||
| DAVID LAWRENCE | |||||||||
| TRUSTEE | 0.40 | X | 0 | 0 | 0 | ||||
| PETER MUNDY | |||||||||
| CHAIRMAN | 0.40 | X | 0 | 0 | 0 | X | |||
| CATHERINE GREGG | |||||||||
| TRUSTEE | 0.40 | X | 0 | 0 | 0 | ||||
| NORMAN HOCHGRAF | |||||||||
| TRUSTEE | 0.40 | X | 0 | 0 | 0 | ||||
| JANE HURD | |||||||||
| TRUSTEE | 0.40 | X | 0 | 0 | 0 | ||||
| PATRICK LYDON | |||||||||
| TREASURER | 0.40 | X | 0 | 0 | 0 | X | |||
| BARBARA MITCHELL | |||||||||
| TRUSTEE | 0.40 | X | 0 | 0 | 0 | ||||
| WILLIAM LOGAN | |||||||||
| SECRETARY | 0.40 | X | 0 | 0 | 0 | X | |||
| JANE G SMITH | |||||||||
| TRUSTEE | 0.40 | X | 0 | 0 | 0 | ||||
| REV DR MARY JO ZIMMERLI | |||||||||
| TRUSTEE | 0.40 | X | 0 | 0 | 0 | ||||
| JEFFREY CURTIS | |||||||||
| VICE-CHAIRMA | 0.40 | X | 0 | 0 | 0 | X | |||
| LESLIE BIRD | |||||||||
| TRUSTEE | 0.40 | X | 0 | 0 | 0 | ||||
| MICHAEL CLARK MD | |||||||||
| TRUSTEE | 0.40 | X | 0 | 0 | 0 | ||||
| JAMES COSGROVE | |||||||||
| TRUSTEE | 0.40 | X | 0 | 0 | 0 | ||||
| JAMES DONOVAN | |||||||||
| CEO | 3.00 | 50.00 | 334958 | 0 | 29796 | X | |||
| WAYNE PRINTY | |||||||||
| CFO | 3.00 | 50.00 | 206034 | 0 | 25032 | X | |||
| CYNTHIA LEAVITT | |||||||||
| SENIOR VP, O | 50.00 | 193521 | 0 | 18020 | X | ||||
| STACEY MILLER | |||||||||
| VP PHYS SVCS | 50.00 | 151240 | 0 | 26860 | X | ||||
| SCOTT SHOTT | |||||||||
| VP, DEVELOP/ | 50.00 | 121248 | 0 | 20523 | X | ||||
| KRISTEN MOULTON | |||||||||
| DIR ACCOUNTI | 50.00 | 114766 | 0 | 15004 | X | ||||
| KATHARINE ROSE | |||||||||
| BUDGET & REI | 50.00 | 111216 | 0 | 11485 | X | ||||
| ALAN BARKER MD | |||||||||
| FORMER TRUST | 50.00 | 0 | 135472 | 22395 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1232983 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1833957 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 369968 | TotalOtherCompensation |
| Number Individuals GT100 K | 7 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| NORDX | |||||
| 301A US ROUTE 1 | SCARBOROUGH | ME | 04074 | LAB SVCS | 2774979 |
| MAINE MEDICAL CENTER | |||||
| 22 BRAMHALL STREET | PORTLAND | ME | 04102 | EXTERNAL SVCS | 1950614 |
| INSIGHT HEALTH CORP | |||||
| PO BOX 847689 | DALLAS | TX | 75284 | DIAGNOSTIC SVCS | 591334 |
| MAINE MEDICAL PARTNERS | |||||
| 301C US ROUTE 1 | SCARBOROUGH | ME | 04074 | ADMIN SVCS | 432350 |
| NAVIX DIAGNOSTIC INC | |||||
| PO BOX 347203 | PITTSBURGH | PA | 15251 | DIAGNOSTIC SVCS | 394321 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 17 | NumberOfContractorsGT100K |
| All Other Contributions | 135974 | AllOtherContributions |
| Total Contributions | 135974 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | FEES FOR SERVICES | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 10603519 | TotalRevenueColumn |
| Related Or Exempt Function Income | 10603519 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 10603519 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8835 | TotalRevenueColumn |
| Exclusion | $8,835 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 159051 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 152355 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 6696 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6696 | TotalRevenueColumn |
| Related Or Exempt Function Income | 6696 | RelatedOrExemptFunctionIncome |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10755024 | TotalRevenueColumn |
| Related Or Exempt Function Income | 10610215 | RelatedOrExemptFunctionIncome |
| Exclusion | $8,835 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11739 | Total |
| Program Services | 11739 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 613248 | Total |
| Program Services | 613248 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3639368 | Total |
| Program Services | 3450728 | ProgramServices |
| Fundraising | 188640 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 113845 | Total |
| Program Services | 108709 | ProgramServices |
| Fundraising | 5136 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 730680 | Total |
| Program Services | 699848 | ProgramServices |
| Fundraising | 30832 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 282526 | Total |
| Program Services | 271225 | ProgramServices |
| Fundraising | 11301 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 60750 | Total |
| Program Services | 10750 | ProgramServices |
| Management And General | 50000 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 63545 | Total |
| Management And General | 63545 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1143178 | Total |
| Program Services | 1090737 | ProgramServices |
| Management And General | 38210 | ManagementAndGeneral |
| Fundraising | 14231 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 89651 | Total |
| Program Services | 89651 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 194145 | Total |
| Program Services | 160141 | ProgramServices |
| Fundraising | 34004 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1688801 | Total |
| Program Services | 1688801 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 261090 | Total |
| Program Services | 261090 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 59249 | Total |
| Program Services | 58311 | ProgramServices |
| Fundraising | 938 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 110006 | Total |
| Program Services | 110006 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 94617 | Total |
| Program Services | 94617 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2644 | Total |
| Program Services | 2644 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| INTEGRATED SERVICES | 1623927 | 1081914 | 542013 | |
| DUES & SUBSCRIPTIONS | 32550 | 21245 | 11305 | |
| MEDICAL SUPPLIES | 11201 | 11189 | 12 | |
| OTHER EXPENSES | 6361 | 6361 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 481 | Total |
| Program Services | 481 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10833602 | Total |
| Program Services | 9843435 | ProgramServices |
| Management And General | 693768 | ManagementAndGeneral |
| Fundraising | 296399 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 323633 | BOY |
| EOY | 645665 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 298 | BOY |
| EOY | 156506 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 166425 | BOY |
| EOY | 65350 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 790972 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 500804 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 347007 | BOY |
| EOY | 290168 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 546247 | BOY |
| EOY | 462457 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7036933 | BOY |
| EOY | 12138895 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8420543 | BOY |
| EOY | 13759041 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1884044 | BOY |
| EOY | 1973710 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 84789 | BOY |
| EOY | 219163 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2242054 | BOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8558630 | BOY |
| EOY | 13360603 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12769517 | BOY |
| EOY | 15553476 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -4870691 | BOY |
| EOY | -2240988 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 221717 | BOY |
| EOY | 146553 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 300000 | BOY |
| EOY | 300000 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -4348974 | BOY |
| EOY | -1794435 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8420543 | BOY |
| EOY | 13759041 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -78578 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 16956 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 2616161 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type3 Func Int | X | SupportingOrg509a3Type3FuncInt |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (4 entries)
| Business Name Line2Name/BusinessNameLine2 | EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | Supported Organization NotifiedSupportedOrganizationNotified | Organized In USOrganizedInUS | AmountAmount |
|---|---|---|---|---|---|---|
| LINCOLN COUNTY MEDICAL GROUP INC | ||||||
| LINCOLN COUNTY MEDICAL GROUP INC | 263878235 | 7 | true | true | true | $0 |
| ST ANDREWS HOSPITAL | ||||||
| ST ANDREWS HOSPITAL | 010153960 | 3 | true | true | true | $0 |
| MILES MEMORIAL HOSPITAL | ||||||
| MILES MEMORIAL HOSPITAL | 010211796 | 3 | true | true | true | $0 |
| COVES EDGE INC | ||||||
| COVES EDGE INC | 010382340 | 9 | true | true | true | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 4 | TotalNumberOfSupportedOrgs |
| General Explanation | LINCOLN COUNTY HEALTH CARE, INC. (LCH) IS THE PARENT COMPANY OF MILES MEMORIAL HOSPITAL, ST. ANDREWS HOSPITAL, COVE'S EDGE, INC. AND LINCOLN COUNTY MEDICAL GROUP, INC.. LCH PROVIDES MANAGEMENT SERVICES TO THESE FOUR TAX EXEMPT ENTITIES. THESE SERVICES INCLUDE LEADERSHIP, HUMAN RESOURCES, ACCOUNTING, DEVELOPMENT AND INFORMATION TECHNOLOGY SERVICES. LINCOLN COUNTY MEDICAL GROUP'S APPLICATION FOR TAX EXEMPT STATUS HAS BEEN FILED WITH THE IRS. | GeneralExplanation |
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 D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 300000 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 14745 | InvestmentEarningsOrLosses |
| Administrative Expenses | -14745 | AdministrativeExpenses |
| End Of Year Balance | 300000 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 100000 | BeginningOfYearBalance |
| Contributions | 200000 | Contributions |
| End Of Year Balance | 300000 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 100000 | BeginningOfYearBalance |
| End Of Year Balance | 100000 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributions | 100000 | Contributions |
| End Of Year Balance | 100000 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 15248 | OtherCostOrOtherBasis |
| Depreciation | 10712 | Depreciation |
| Book Value | 4536 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 771179 | OtherCostOrOtherBasis |
| Depreciation | 490092 | Depreciation |
| Book Value | 281087 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4545 | OtherCostOrOtherBasis |
| Book Value | 4545 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 290168 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| PREPAID CAPITAL COSTS | 6452577 |
| DUE FROM RELATED PARTIES | 5307085 |
| IS SHARED CAPITAL | 250620 |
| INVESTMENT IN ACO | 70000 |
| INVESTMENT IN BUILDING (FIELDCREST) | 58613 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 12138895 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE TO RELATED PARTIES | Description |
| Amount | $13,360,603 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 13360603 | TotalOfAmounts |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | INTENDED USES FOR ENDOWMENT FUNDS | Identifier |
| Return Reference | SCHEDULE D, PAGE 2, PART V, LINE 4 | ReturnReference |
| Explanation | ENDOWMENT INTENDED USE IS FOR THE LCH NURSING SCHOOL ENDOWMENT | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | SCHOLARSHIPS FOR STUDENTS | TypeOfGrant |
| Number Of Recipients | 8 | NumberOfRecipients |
| Amount Of Cash Grant | 11739 | AmountOfCashGrant |
| Method Of Valuation | FMV | MethodOfValuation |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES | Identifier |
| Return Reference | SCHEDULE I, PAGE 1, PART I, LINE 2 | ReturnReference |
| Explanation | N/A | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)
| TitleTitle | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|
| GARTH MILLER MD | |||||||||||
| TRUSTEE | 367323 | 98000 | 8125 | 20851 | 494299 | ||||||
| MARK FOURRE MD | |||||||||||
| TRUSTEE | 288067 | 2233 | 8125 | 19689 | 318114 | ||||||
| JOHN MURRAY MD | |||||||||||
| TRUSTEE | 234909 | 15200 | 6424 | 19609 | 276142 | ||||||
| AQUILINO ALAMO MD | |||||||||||
| TRUSTEE | 198319 | 18500 | 7202 | 18942 | 242963 | ||||||
| STEVEN FEDER DO | |||||||||||
| TRUSTEE | 139168 | 20356 | 5187 | 17518 | 182229 | ||||||
| DANIEL FRIEDLAND MD | |||||||||||
| TRUSTEE | 119851 | 39300 | 5481 | 21152 | 185784 | ||||||
| ROBERT MCARTOR MD | |||||||||||
| TRUSTEE | 135663 | 21596 | 28729 | 13819 | 199807 | ||||||
| JAMES DONOVAN | |||||||||||
| CEO | 253508 | 41000 | 40450 | 8125 | 21671 | 364754 | |||||
| WAYNE PRINTY | |||||||||||
| CFO | 185759 | 20275 | 6203 | 18829 | 231066 | ||||||
| CYNTHIA LEAVITT | |||||||||||
| SENIOR VP OPERATION | 171477 | 22044 | 5604 | 12416 | 211541 | ||||||
| STACEY MILLER | |||||||||||
| VP PHYS SVCS | 143171 | 8069 | 5026 | 21834 | 178100 | ||||||
| ALAN BARKER MD | |||||||||||
| FORMER TRUSTEE | 135472 | 4523 | 17872 | 157867 | |||||||
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS | SCHEDULE J, PAGE 1, PART I, LINE 4 | ROBERT MCARTOR, M.D. 0 16,876 0 |
| OTHER ADDITIONAL INFORMATION | SCHEDULE J, PART III | PART 1, LINE 4: THE NONQUALIFIED PAYMENTS ARE FROM RELATED ORGANIZATIONS WHERE THE INDIVIDUAL IS EMPLOYED. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| FIRST ACCOMPLISHMENT DESCRIPTION | FORM 990, PAGE 2, PART III, LINE 4A | CONTINUED FROM PAGE 2 INDEPENDENT LIVING FACILITIES, A HOME HEALTH AGENCY WHICH INCLUDES PROFESSIONAL AND PRIVATE DUTY HOME SERVICES, HOSPICE SERVICES, AND HOME MONITORING, AS WELL AS MULTI-SPECIALTY PHYSICIAN GROUP PRACTICES. PLEASE REFER TO THE COMMUNITY BENEFITS STATEMENT FOR A MORE DETAILED DESCRIPTION OF ITS PROGRAMS. |
| SECOND ACCOMPLISHMENT DESCRIPTION | FORM 990, PAGE 2, PART III, LINE 4B | CONTINUED FROM PAGE 2 HOSPITAL, COVE'S EDGE LONG-TERM CARE, MAINEGENERAL HOSPITAL AND RIVERVIEW PSYCHIATRIC CENTER FOR STUDENT CLINICAL EXPERIENCES. STUDENTS ATTEND NURSING COURSES IN CLASSROOMS AT THE LINCOLN COUNTY HEALTHCARE EDUCATION CENTER LOCATED AT 66A CHAPMAN STREET, IN DAMARISCOTTA. CLASSES ARE TRANSMITTED FROM CENTRAL MAINE COMMUNITY COLLEGE'S MAIN CAMPUS IN AUBURN VIA VIDEOCONFERENCING TO THE EDUCATION CENTER OR CLASSES ARE TAUGHT LIVE AT THE LINCOLN COUNTY HEALTHCARE EDUCATION CENTER AND TRANSMITTED TO THE CLASS AT CENTRAL MAINE COMMUNITY COLLEGE. AN AGREEMENT WITH LINCOLN ACADEMY WILL ALLOW STUDENTS TO USE THEIR LINCOLN ACADEMY'S LABS FOR CENTRAL MAINE COMMUNITY CENTER'S ANATOMY AND PHYSIOLOGY COURSE. LINCOLN COUNTY HEALTHCARE PROVIDES ADMINISTRATION SERVICES, CLINICAL TRAINING, EQUIPMENT, SUPPLIES, TECHNICAL SUPPORT, AND THREE SCHOLARSHIPS TO SELECTED STUDENTS FOR FULL TUITION AND FEES FOR EACH YEAR OF THE NURSING PROGRAM. PLEASE REFER TO THE COMMUNITY BENEFITS STATEMENT FOR A MORE DETAILED DESCRIPTION OF ITS PROGRAMS. |
| CLASSES OF MEMBERS OR STOCKHOLDERS | FORM 990, PAGE 6, PART VI, LINE 6 | THE SOLE CORPORATE MEMBER (CORPORATOR) IS MAINEHEALTH - EIN 01-0431680. |
| ELECTION OF MEMBERS AND THEIR RIGHTS | FORM 990, PAGE 6, PART VI, LINE 7A | THE MEMBER ELECTS THE BOARD OF TRUSTEES. ALL OFFICERS OF THE BOARD OF TRUSTEES ARE ELECTED BY THE BOARD, AND EACH MUST BE A TRUSTEE. OFFICERS OF THE CORPORATION ARE ELECTED ANNUALLY BY THE BOARD. |
| DECISIONS SUBJECT TO APPROVAL OF MEMBERS | FORM 990, PAGE 6, PART VI, LINE 7B | DECISIONS OF THE GOVERNING BODY SUCH AS BUDGETS, BUSINESS STRATEGIES, SIGNIFICANT FINANCIAL COMMITMENTS, AMENDMENTS TO THE ARTICLES OF INCORPORATION, AND ELECTION OF THE PRESIDENT/CEO AMONG OTHER DECISIONS, ARE SUBJECT TO THE APPROVAL OF THE SOLE MEMBER. |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | THE FINANCE COMMITTEE PERFORMS A DETAILED REVIEW OF THE FORM 990. THE FORM 990 IS THEN MADE AVAILABLE TO THE FULL BOARD. THE CHIEF FINANCIAL OFFICER ALSO PERFORMS A DETAILED REVIEW OF THE ENTIRE FORM 990 BEFORE SIGNING AND PRIOR TO FILING. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON THE PART OF A TRUSTEE, PHYSICIAN, OFFICER OR MANAGER (E.G., A MEMBER OF LINCOLN COUNTY HEALTHCARE LEADERSHIP TEAM, DIRECTOR, MANAGER OR PERSON RESPONSIBLE FOR PURCHASING) MUST BE DISCLOSED TO THE APPLICABLE BOARD, BOARD COMMITTEE OR, IN THE CASE OF AN ADMINISTRATIVE DECISION THAT IS NOT SUBJECT TO BOARD OR COMMITTEE APPROVAL, TO THE MANAGER'S IMMEDIATE SUPERVISOR. SUCH DISCLOSURES SHALL BE MADE A MATTER OF RECORD. DISCLOSURE WILL BE MADE AT THE TIME OF INITIAL AFFILIATION WITH LINCOLN COUNTY HEALTHCARE, ANNUALLY AND WHEN THE INTEREST BECOMES A MATTER FOR BOARD OR COMMITTEE ACTION OR ADMINISTRATIVE DECISION. DISCLOSURE FORMS SHALL BE COMPLETED ANNUALLY BY TRUSTEES AND OFFICERS AT THE TIME OF THE ANNUAL MEETING, AND ANNUALLY BY VICE PRESIDENTS, DIRECTORS, AND MANAGERS IN CONJUNCTION WITH THEIR ANNUAL PERFORMANCE REVIEW. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | FORM 990, PAGE 6, PART VI, LINE 15A | IN CONSULTATION WITH SULLIVAN COTTER, THE MAINEHEALTH BOARD COMPENSATION COMMITTEE ESTABLISHES APPROPRIATE COMPENSATION PARAMETERS FOR EACH MEMBER ORGANIZATIONS CEO AND CERTAIN MEMBERS OF THEIR SENIOR MANAGEMENT TEAM. WORKING WITHIN THOSE PARAMETERS, THE LINCOLN COUNTY HEALTH CARE, INC. (LCH) BOARD DETERMINES THE LEVEL OF COMPENSATION FOR ITS CEO. THE FINDINGS OF THE COMPENSATION COMMITTEE ARE MADE TRANSPARENT TO, AND VOTED ON BY, THE FULL GOVERNING BOARD. THIS TOTAL EXECUTIVE COMPENSATION IS FILED PUBLICLY BY THE ORGANIZATION, AND INCLUDES TOTAL CASH COMPENSATION AND TOTAL VALUE OF ALL BENEFITS AND PERQUISITES ASSOCIATED WITH POSITION (SUCH AS HOUSING ALLOWANCES, SOCIAL CLUB MEMBERSHIPS, SIGNING BONUSES, ETC.). THE BOARD TAKES NECESSARY ACTION TO PREVENT THE CEO FROM VOTING OR DIRECTLY PARTICIPATING IN THE FINAL COMMITTEE DETERMINATION OF (HER/HIS) OWN COMPENSATION. THE ORGANIZATIONS EXECUTIVE COMPENSATION PROCEDURE RELIES UPON APPROPRIATE DATA FOR COMPARABILITY (E.G. COMPENSATION LEVELS PAID BY BOTH TAXABLE AND TAX-EXEMPT SIMILARLY SITUATED ORGANIZATIONS AND INDEPENDENT COMPENSATION SURVEYS BY NATIONALLY RECOGNIZED INDEPENDENT FIRMS). FINALLY, THE ORGANIZATION REFRAINS FROM ALLOWING EXECUTIVE COMPENSATION TO EVER BE BASED SOLELY ON LCHS REVENUES OR OTHER SIMILAR PROFIT-SHARING STRATEGIES. |
| COMPENSATION PROCESS FOR OFFICERS | FORM 990, PAGE 6, PART VI, LINE 15B | IN CONSULTATION WITH SULLIVAN COTTER, THE MAINEHEALTH BOARD COMPENSATION COMMITTEE ESTABLISHES APPROPRIATE COMPENSATION PARAMETERS FOR EACH MEMBER ORGANIZATIONS CEO AND CERTAIN MEMBERS OF THEIR SENIOR MANAGEMENT TEAM. WORKING WITHIN THOSE PARAMETERS, THE LINCOLN COUNTY HEALTH CARE, INC. (LCH) BOARD DETERMINES THE LEVEL OF COMPENSATION FOR ITS CEO. THE FINDINGS OF THE COMPENSATION COMMITTEE ARE MADE TRANSPARENT TO, AND VOTED ON BY, THE FULL GOVERNING BOARD. THIS TOTAL EXECUTIVE COMPENSATION IS FILED PUBLICLY BY THE ORGANIZATION, AND INCLUDES TOTAL CASH COMPENSATION AND TOTAL VALUE OF ALL BENEFITS AND PERQUISITES ASSOCIATED WITH POSITION (SUCH AS HOUSING ALLOWANCES, SOCIAL CLUB MEMBERSHIPS, SIGNING BONUSES, ETC.). THE BOARD TAKES NECESSARY ACTION TO PREVENT THE CEO FROM VOTING OR DIRECTLY PARTICIPATING IN THE FINAL COMMITTEE DETERMINATION OF (HER/HIS) OWN COMPENSATION. THE ORGANIZATIONS EXECUTIVE COMPENSATION PROCEDURE RELIES UPON APPROPRIATE DATA FOR COMPARABILITY (E.G. COMPENSATION LEVELS PAID BY BOTH TAXABLE AND TAX-EXEMPT SIMILARLY SITUATED ORGANIZATIONS AND INDEPENDENT COMPENSATION SURVEYS BY NATIONALLY RECOGNIZED INDEPENDENT FIRMS). FINALLY, THE ORGANIZATION REFRAINS FROM ALLOWING EXECUTIVE COMPENSATION TO EVER BE BASED SOLELY ON LCHS REVENUES OR OTHER SIMILAR PROFIT-SHARING STRATEGIES. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION ARE MADE AVAILABLE UPON REQUEST. |
| OTHER FEES FOR SERVICES | FORM 990, PART IX, LINE 11G | PURCHASED SERVICES 1,090,737 38,210 14,231 |
| OTHER CHANGES IN NET ASSETS EXPLANATION | FORM 990, PART XI, LINE 9 | EQUITY TRANSFERS -258,900 INTERCOMPANY EQUITY TRANSFERS 2,875,005 NON-OPERATING INCOME 56 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (13 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| MAINE MEDICAL CENTER | ||||||||||
| 22 BRAMHALL STREET | PORTLAND | ME | 04102 | 010238552 | HOSPITAL | ME | 501C3 | 3 | MH | false |
| MAINEHEALTH (MH) | ||||||||||
| 110 FREE STREET | PORTLAND | ME | 04101 | 010431680 | HEALTHCARE | ME | 501C3 | 11C | NA | false |
| NORDX | ||||||||||
| 301A US ROUTE 1 | SCARBOROUGH | ME | 04074 | 010511356 | MEDICALLAB | ME | 501C3 | 9 | MH | false |
| MAINE MENTAL HEALTH PARTNERS | ||||||||||
| 123 ANDOVER ROAD | WESTBROOK | ME | 04092 | 263426990 | HEALTHCARE | ME | 501C3 | 11C | MH | false |
| WESTERN MAINE HEALTH CARE CORP | ||||||||||
| 181 MAIN STREET | NORWAY | ME | 04268 | 010411788 | HEALTHCARE | ME | 501C3 | 11C | MH | false |
| WALDO COUNTY HEALTHCARE INC | ||||||||||
| PO BOX 287 | BELFAST | ME | 049150287 | 222864961 | HEALTHCARE | ME | 501C3 | 11C | MH | false |
| GERIATRIC RESOURCE NETWORK | ||||||||||
| 110 FREE STREET | PORTLAND | ME | 04101 | 010542842 | HEALTHCARE | ME | 501C3 | 7 | MH | false |
| HOMEHLTH-VISITING NURSES OF S ME | ||||||||||
| 15 INDUSTRIAL PARK DRIVE | SACO | ME | 04072 | 222571902 | HEALTHCARE | ME | 501C3 | 9 | MH | false |
| LINCOLN COUNTY MEDICAL GROUP INC | ||||||||||
| 6 SAINT ANDREWS LANE | BOOTHBAY HARBOR | ME | 04538 | 263878235 | PHYS SVC | ME | 501C3 | 7 | MH | false |
| COVES EDGE INC | ||||||||||
| 26 SCHOONER STREET | DAMARISCOTTA | ME | 04543 | 010382340 | LT CARE SV | ME | 501C3 | 9 | LCH | false |
| MILES MEMORIAL HOSPITAL | ||||||||||
| 35 MILES STREET | DAMARISCOTTA | ME | 04543 | 010211796 | HOSPITAL | ME | 501C3 | 3 | LCH | false |
| ST ANDREWS HOSPITAL | ||||||||||
| 6 SAINT ANDREWS LANE | BOOTHBAY HARBOR | ME | 04538 | 010153960 | HOSPITAL | ME | 501C3 | 3 | LCH | false |
| PEN BAY HEALTHCARE | ||||||||||
| 4 WHITE STREET | ROCKLAND | ME | 04841 | 222494475 | ADMIN | ME | 501C3 | 11C | MH | false |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAINEHEALTH ACCOUNTABLE CARE ORG | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 FREE STREET | AddressLine1 |
| City | PORTLAND | City |
| State | ME | State |
| ZIP Code | 04101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 452929273 | EIN |
| Primary Activity | ACO | PrimaryActivity |
| Legal Domicile State | ME | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAINEHEALT | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Share Of EOY Assets | 69764 | ShareOfEOYAssets |
| Disproportionate Allocations | false | DisproportionateAllocations |
| General Or Managing Partner | true | GeneralOrManagingPartner |
| Percentage Ownership | 0.02650 | PercentageOwnership |
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|
| MAINE PHYSICIAN HOSPITAL ORG | ||||||||
| 110 FREE STREET | PORTLAND | ME | 04101 | 010527540 | HEALTHCARE | ME | N/A | false |
| SYNERNET INC | ||||||||
| 110 FREE STREET | PORTLAND | ME | 04101 | 010539789 | HEALTHCARE | ME | N/A | false |
| SOUTHERN MAINE HEALTH CARE | ||||||||
| PO BOX 626 | BIDDEFORD | ME | 040050626 | 461211705 | HOSPITAL | ME | N/A | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (22 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| MILES MEMORIAL HOSPITAL | |
| O | 2591124 |
| COVES EDGE INC | |
| O | 488327 |
| ST ANDREWS HOSPITAL | |
| O | 929865 |
| COVES EDGE INC | |
| S | 1525499 |
| MILES MEMORIAL HOSPITAL | |
| S | 6373013 |
| ST ANDREWS HOSPITAL | |
| S | 2340526 |
| MILES MEMORIAL HOSPITAL | |
| L | 155081 |
| ST ANDREWS HOSPITAL | |
| K | 92881 |
| COVES EDGE INC | |
| Q | 8810668 |
| MILES MEMORIAL HOSPITAL | |
| Q | 34968971 |
| ST ANDREWS HOSPITAL | |
| Q | 10080762 |
| MILES MEMORIAL HOSPITAL | |
| O | 2591124 |
| COVES EDGE INC | |
| O | 488327 |
| ST ANDREWS HOSPITAL | |
| O | 929865 |
| COVES EDGE INC | |
| S | 1525499 |
| MILES MEMORIAL HOSPITAL | |
| S | 6373013 |
| ST ANDREWS HOSPITAL | |
| S | 2340526 |
| MILES MEMORIAL HOSPITAL | |
| L | 155081 |
| ST ANDREWS HOSPITAL | |
| K | 92881 |
| COVES EDGE INC | |
| Q | 8810668 |
| MILES MEMORIAL HOSPITAL | |
| Q | 34968971 |
| ST ANDREWS HOSPITAL | |
| Q | 10080762 |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ADDITIONAL INFORMATION | Identifier |
| Return Reference | SCHEDULE R | ReturnReference |
| Explanation | LINCOLN COUNTY MEDICAL GROUPS APPLICATION FOR TAX EXEMPT STATUS HAS BEEN FILED WITH THE IRS | Explanation |