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VNA HOME & HOSPICE: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
VNA HOME & HOSPICE (EIN 01-0246804)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-10-10
IRS object ID
201312839349301016
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-10-10T15:27:22-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN020400296EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BRAD BORBIDGE PABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1197 LOUDON ROAD STE 350AddressLine1
CityCONCORDCity
StateNHState
ZIP Code03301ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN010246804EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1VNA Home Health & HospiceBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlVNAHNameControl
Phone2077808624Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line150 Foden RoadAddressLine1
CitySouth PortlandCity
StateMEState
ZIP Code04106ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCOLLEEN HILTONName
TitleChief Executive OfficerTitle
Phone2077808624Phone
Date Signed2013-10-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDIMITRIOS PANACOPOULOS CPAName
PTINP01603705PTIN
Phone6032240849Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonColleen HiltonNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line150 Foden RoadAddressLine1
CitySouth PortlandCity
StateMEState
ZIP Code04106ZIPCode
FieldValueIRS element (for citing)
Gross Receipts13905372GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.vnahomehealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1921YearFormation
State Legal DomicileMEStateLegalDomicile
Activity Or Mission DescriptionProviding clinically excellent, compassionate home health and hospice care to individuals and patientsActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members20NbrIndependentVotingMembers
Total Nbr Employees327TotalNbrEmployees
Total Nbr Volunteers198TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year176221ContributionsGrantsPriorYear
Contributions Grants Current Year165406ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11068613ProgramServiceRevenuePriorYear
Program Service Revenue CY13141397ProgramServiceRevenueCY
Investment Income Prior Year-30351InvestmentIncomePriorYear
Investment Income Current Year598569InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year11214483TotalRevenuePriorYear
Total Revenue Current Year13905372TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year8306586SalariesEtcPriorYear
Salaries Etc Current Year9769736SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2424262OtherExpensePriorYear
Other Expenses Current Year2721236OtherExpensesCurrentYear
Total Expenses Prior Year10730848TotalExpensesPriorYear
Total Expenses Current Year12490972TotalExpensesCurrentYear
Revenues Less Expenses Prior Year483635RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1414400RevenuesLessExpensesCY
Total Assets BOY13141867TotalAssetsBOY
Total Assets EOY14404947TotalAssetsEOY
Total Liabilities BOY1200099TotalLiabilitiesBOY
Total Liabilities EOY1048779TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY11941768NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY13356168NetAssetsOrFundBalancesEOY
Mission DescriptionProviding clinically excellent, compassionate home health and hospice care to individuals and patientsMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense10587479Expense
Revenue13141397Revenue
DescriptionHome care & hospice- Providing clinically excellent, compassionate home health and hospice care to individuals and families.Description
Total Program Service Expense10587479TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109629NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees327NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members20NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Colleen HiltonBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2077808624TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line150 Foden RoadAddressLine1
Citysouth portlandCity
StateMEState
ZIP Code04106ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Isabella T Thurston
Chair1.00XX000
Lauren Epstein
Vice Chair1.00XX000
Peter Bagg
Board Member1.00X000
Margaret Fournier
Board Member1.00X000
Joanne Hale
Board Member1.00X000
Rene Daniel
Secretary1.00XX000
Jonathan Keck
Board Member1.00X000
Joyce Mahany
Board Member1.00X000
Robert Nadeau
Board Member1.00X000
Pete Plummer
Board Member1.00X000
Wilma Rose
Board Member1.00X000
Debra Taylor
Treasurer1.00XX000
James Violette
Board Member1.00X000
Kathleen Health
Board Member1.00X000
Jeffrey Oldfield
Board Member1.00X000
Patricia Small
Board Member1.00X000
Deborah Whiteworth
Board Member1.00X000
Ann Marie Briggs
Board Member1.00X000
Lisa Brenner
Board Member1.00X000
Susan Spokes
Board Member1.00X000
Colleen Hilton
CEO40.00X020211827812
Suzi Tracy
Director of Finance40.00X94125017997
FieldValueIRS element (for citing)
Total Reportable Comp From Org94125TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs202118TotalReportableCompFrmRltdOrgs
Total Other Compensation45809TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants88033GovernmentGrants
All Other Contributions77373AllOtherContributions
Total Contributions165406TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionHome CareDescription
Business Code621610BusinessCode
Total Revenue Column13141397TotalRevenueColumn
Related Or Exempt Function Income13141397RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue13141397TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column87205TotalRevenueColumn
Exclusion$87,205ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities511364Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities511364Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column511364TotalRevenueColumn
Exclusion$511,364ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column13905372TotalRevenueColumn
Related Or Exempt Function Income13141397RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$598,569ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total112122Total
Program Services53363ProgramServices
Management And General58759ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7723847Total
Program Services6787945ProgramServices
Management And General935902ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total341125Total
Program Services297836ProgramServices
Management And General43289ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total967204Total
Program Services844466ProgramServices
Management And General122738ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total625438Total
Program Services546070ProgramServices
Management And General79368ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total8196Total
Management And General8196ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total45000Total
Management And General45000ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total456099Total
Management And General456099ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total9901Total
Program Services8645ProgramServices
Management And General1256ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total333854Total
Program Services291488ProgramServices
Management And General42366ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total314994Total
Program Services314994ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total20586Total
Program Services17974ProgramServices
Management And General2612ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total148161Total
Program Services129359ProgramServices
Management And General18802ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total12690Total
Program Services11080ProgramServices
Management And General1610ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Program Supplies682266682266
Equipment Rental37779832985547943
Telephone13065511407516580
Other Expenses1105519652214029

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total70485Total
Program Services61541ProgramServices
Management And General8944ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total12490972Total
Program Services10587479ProgramServices
Management And General1903493ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2915826BOY
EOY3349482EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY12586BOY
EOY11108EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2709398BOY
EOY2330993EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY12527BOY
EOY12527EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2476638LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1429087LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY443040BOY
EOY1047551EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7048490BOY
EOY7653286EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY13141867BOY
EOY14404947EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1182599BOY
EOY1048779EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY17500BOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1200099BOY
EOY1048779EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY11894480BOY
EOY13301871EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY38040BOY
EOY44266EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY9248BOY
EOY10031EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11941768BOY
EOY13356168EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13141867BOY
EOY14404947EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1414400ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years187496CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years193460CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years137681CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year176221CurrentTaxYearMinus1Year
Current Tax Year165406CurrentTaxYear
Total860264Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9949188CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10215270CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11146527CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11068613CurrentTaxYearMinus1Year
Current Tax Year13141397CurrentTaxYear
Total55520995Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10136684CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10408730CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11284208CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11244834CurrentTaxYearMinus1Year
Current Tax Year13306803CurrentTaxYear
Total56381259Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5000CurrentTaxYearMinus3Years
Total10000Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5000CurrentTaxYearMinus3Years
Total10000Total
FieldValueIRS element (for citing)
Public Support Total50956371259PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years112554CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years100789CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years91832CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year107866CurrentTaxYearMinus1Year
Current Tax Year87205CurrentTaxYear
Total500246Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years112554CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years100789CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years91832CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year107866CurrentTaxYearMinus1Year
Current Tax Year87205CurrentTaxYear
Total500246Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10249238CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10509519CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11376040CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11352700CurrentTaxYearMinus1Year
Current Tax Year13394008CurrentTaxYear
Total56881505Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99100PublicSupportPercentage509
Prior Year Support Percentage0.98960PriorYearSupportPercentage
Investment Income Percentage0.00880InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01020PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance9248BeginningOfYearBalance
Investment Earnings Or Losses783InvestmentEarningsOrLosses
End Of Year Balance10031EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance9050BeginningOfYearBalance
Investment Earnings Or Losses198InvestmentEarningsOrLosses
End Of Year Balance9248EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance8649BeginningOfYearBalance
Investment Earnings Or Losses401InvestmentEarningsOrLosses
End Of Year Balance9050EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance8552BeginningOfYearBalance
Investment Earnings Or Losses97InvestmentEarningsOrLosses
End Of Year Balance8649EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Contributions8500Contributions
Investment Earnings Or Losses52InvestmentEarningsOrLosses
End Of Year Balance8552EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis180811OtherCostOrOtherBasis
Depreciation120343Depreciation
Book Value60468BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2295827OtherCostOrOtherBasis
Depreciation1308744Depreciation
Book Value987083BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1047551TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionAssets limited as to UseDescription
Book Value7653286BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets7653286TotalBookValueOtherAssets
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt13905372TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal13905372RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99013905372TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt12490972TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal12490972ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99012490972TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of Intended Use of Endowment Funds:Part V, Line 4:interest earned is used for operations
Description of Uncertain Tax Positions Under FIN 48:Part X, Line 2:Income Taxes The Association is a public charity under Section 501(c) (3) of the Internal Revenue Code. As a public charity, the Association is exempt from state and federal income taxes on income earned in accordance with its tax exempt purpose. Unrelated business income is subject to state and federal income tax. Management has evaluated the Associations tax position and concluded that the Association has no unrelated business income or uncertain tax positions that require adjustment to the financial statements.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Discretionary Spending AccountXDiscretionarySpendingAccount
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonColleen HiltonNamePerson
TitleCEOTitle
Base Compensation Filing Org0BaseCompensationFilingOrg
Comp Based On Related Orgs144206CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs43492BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs14420OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs8235DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs19577NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org0TotalCompensationFilingOrg
Total Compensation Related Orgs229930TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part I, Line 1aAS PART OF COMPENSATION PLAN, EXECUtives receive a discretionary spending account for certain eligible expenses incurred. Payments of these expenses are made on a grossed up basis.
Part I, Line 1bTHe organization has and follows a written policy regarding payment or reimbursement or provsion of the expenses on Line 1a.
Part I, Line 4bColleen Hilton received a taxable SERP payment of $14,420.
Part I, Line 7Company compensation programs include various incentive/bonus programs where non fixed payments may be made in relation to performance or goal achievements.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Section A, line 6Sole member is Mercy Health System of Maine.
Form 990, Part VI, Section A, line 7aProposed nominees for election as directors of the corporation are subject to approval by the member. Vacancies on the board of directors leaving fewer than fifteen members for more than thirty days may be filled by the member. The member also has the right to remove directors subject to approval of the corporations board of directors.
Form 990, Part VI, Section A, line 7bCertain powers have been expressly reserved to the member, action by the corporation shall not be taken until the member has exercised their reserve powers in accordance with their governing documents.
Form 990, Part VI, Section B, line 11Review of completed 990 with Finance Committee, Board of Directors, and Affiliates.
Form 990, Part VI, Section B, line 12cThrough annual reveiw by quality manager.
Form 990, Part VI, Section B, line 15.Semiannual State Comparative Market Analysis
Form 990, Part VI, Section C, line 19UPON REQUEST

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
Mercy Hospital
144 State StreetPortlandME04101010211534HospitalME501(C)(3)3N/A0
Mercy Health System of Maine
144 State StreetPortlandME04101010484074Health SystemME501(C)(3)11 aN/A0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg