NORTHERN MAINE MEDICAL CENTER: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- NORTHERN MAINE MEDICAL CENTER (EIN 01-0234189)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-15
- IRS object ID
- 201212289349300306
- Schema version
- 2010v3.4
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-15T06:00:29-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Baker Newman & Noyes | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Box 507 | AddressLine1 |
| City | Portland | City |
| State | ME | State |
| ZIP Code | 04112 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010234189 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Northern Maine Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | NORT | NameControl |
| Phone | 2078343155 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 194 East Main Street | AddressLine1 |
| City | Fort Kent | City |
| State | ME | State |
| ZIP Code | 04743 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Peter J Sirois | Name |
| Title | CEO | Title |
| Phone | 2078343155 | Phone |
| Date Signed | 2012-08-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Nicholas E Porto | Name |
| Phone | 2078792100 | Phone |
| Date Prepared | 2012-08-14 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Peter J Sirois | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 194 East Main Street | AddressLine1 |
| City | Fort Kent | City |
| State | ME | State |
| ZIP Code | 04743 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 46293266 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.nmmc.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1948 | YearFormation |
| State Legal Domicile | ME | StateLegalDomicile |
| Activity Or Mission Description | Acute care and long term care hospital and mental health services facility | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 5 | NbrIndependentVotingMembers |
| Total Nbr Employees | 605 | TotalNbrEmployees |
| Total Nbr Volunteers | 45 | TotalNbrVolunteers |
| Total Gross UBI | 37783 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -34290 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 227660 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 183185 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 43910006 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 45886057 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -187032 | InvestmentIncomePriorYear |
| Investment Income Current Year | 16282 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -76212 | OtherRevenuePriorYear |
| Other Revenue Current Year | 141455 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 43874422 | TotalRevenuePriorYear |
| Total Revenue Current Year | 46226979 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 20965773 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 20381884 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 25855470 | OtherExpensePriorYear |
| Other Expenses Current Year | 25786540 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 46821243 | TotalExpensesPriorYear |
| Total Expenses Current Year | 46168424 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -2946821 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 58555 | RevenuesLessExpensesCY |
| Total Assets BOY | 29391825 | TotalAssetsBOY |
| Total Assets EOY | 29171280 | TotalAssetsEOY |
| Total Liabilities BOY | 14493190 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 14216089 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 14898635 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 14955191 | NetAssetsOrFundBalancesEOY |
| Mission Description | The mission of Northern Maine Medical Center is to provide, coordinate, or support access to high quality, affordable health care, and to positively impact our communities' quality of life by improving health status. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 36849416 | Expense |
| Revenue | 45905238 | Revenue |
| Description | Medical care & ancillary services; nursing home & skilled services; physician services | Description |
| Total Program Service Expense | 36849416 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| 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 | 1 | 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 | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| 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 | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | 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 | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 77 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 605 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| 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 | 0 | QuidProQuoContributions |
| 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 | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 5 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 1 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| 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 |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Nancy Marquis | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2078343155 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 194 East Main Street | AddressLine1 |
| City | Fort Kent | City |
| State | ME | State |
| ZIP Code | 04743 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (33 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Norman Fournier | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Guy Raymond | |||||||
| Director | 52.00 | X | 375265 | 0 | 21890 | ||
| John Ezzy | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Frances LaBrie | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Clifford Ouellette | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| James Thibodeau | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Bob Bellefleur | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Rita C Cannan | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Richard Cost | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Fern Desjardins | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Wally Desjardin | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Roy Gardner | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Nelson Jandreau | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| John Martin | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Bill Melvin | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Dr David Mitchell | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Kim Ouellette | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Ronald Paradis | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| David Parent | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| James Roy | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Kathy Roy | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Michael Sullivan MD | |||||||
| Director | 47.00 | X | 385945 | 0 | 21890 | ||
| Joan Sylvain | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Fred Wetmore | |||||||
| President | 2.00 | X | 0 | 0 | 0 | X | |
| Dan Vaillancourt | |||||||
| President | 1.00 | X | 0 | 0 | 0 | X | |
| Glenn Lamarr | |||||||
| Vice President | 1.00 | X | 0 | 0 | 0 | X | |
| Ronald Daigle | |||||||
| Secretary | 1.00 | X | 0 | 0 | 0 | X | |
| Martin B Bernstein | |||||||
| CEO | 50.00 | 198494 | 0 | 9533 | X | ||
| Roger L Lagasse | |||||||
| CFO | 50.00 | 135879 | 0 | 11538 | X | ||
| Peter J Sirois | |||||||
| CEO | 50.00 | 164448 | 0 | 21725 | X | ||
| Scott Richards | |||||||
| Pharmacist | 50.00 | 152768 | 0 | 22570 | X | ||
| Joanne Fortin | |||||||
| D.O.N. | 50.00 | 123380 | 0 | 9924 | X | ||
| David Jones MD | |||||||
| ER Physician | 50.00 | 311519 | 0 | 7853 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1847698 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 126923 | TotalOtherCompensation |
| Number Individuals GT100 K | 8 | 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 |
|---|---|---|---|---|---|
| Quest Diagnostics | |||||
| 12436 Collection Center Drive | Chicago | IL | 60693 | Lab Test Services | 314497 |
| Brian Gretta MD | |||||
| 63 Merganser Cove Road | Orrs Island | ME | 04066 | ER Physician Services | 187311 |
| Cary Medical Center | |||||
| 163 Van Buren Road Suite 1 | Caribou | ME | 04736 | Lab Test Analysis Services | 185786 |
| Roof Systems of Maine | |||||
| PO Box 1134 | Bangor | ME | 04401 | Contractor Services | 140310 |
| New England Pharmacy Solutions | |||||
| PO Box 771 | Brunswick | ME | 04011 | Remote Pharmacy Coverage | 126500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 9 | NumberOfContractorsGT100K |
| Government Grants | 76495 | GovernmentGrants |
| All Other Contributions | 106690 | AllOtherContributions |
| Total Contributions | 183185 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Patient Service Revenu | 623000 | 43735198 | 43735198 | |
| Meaningful Use Revenue | 623000 | 1506543 | 1506543 | |
| Miscellaneous Revenue | 623000 | 493749 | 455966 | 37783 |
| Cafeteria Revenue | 900099 | 150567 | 150567 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 45886057 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7527 | TotalRevenueColumn |
| Exclusion | $7,527 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 84491 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 84491 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 84491 | TotalRevenueColumn |
| Exclusion | $84,491 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 75042 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 66287 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 8755 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8755 | TotalRevenueColumn |
| Exclusion | $8,755 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Insurance Captive | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 56964 | TotalRevenueColumn |
| Related Or Exempt Function Income | 56964 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 56964 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 46226979 | TotalRevenueColumn |
| Related Or Exempt Function Income | 45905238 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 37783 | UnrelatedBusinessRevenue |
| Exclusion | $100,773 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1160434 | Total |
| Program Services | 782718 | ProgramServices |
| Management And General | 377716 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15886911 | Total |
| Program Services | 13216099 | ProgramServices |
| Management And General | 2670812 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42328 | Total |
| Program Services | 34784 | ProgramServices |
| Management And General | 7544 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2043733 | Total |
| Program Services | 1689676 | ProgramServices |
| Management And General | 354057 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1248478 | Total |
| Program Services | 1025963 | ProgramServices |
| Management And General | 222515 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 180023 | Total |
| Program Services | 111153 | ProgramServices |
| Management And General | 68870 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 98456 | Total |
| Program Services | 60790 | ProgramServices |
| Management And General | 37666 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 612484 | Total |
| Program Services | 378170 | ProgramServices |
| Management And General | 234314 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8869012 | Total |
| Program Services | 5476054 | ProgramServices |
| Management And General | 3392958 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1472706 | Total |
| Program Services | 909303 | ProgramServices |
| Management And General | 563403 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 480592 | Total |
| Program Services | 296735 | ProgramServices |
| Management And General | 183857 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2246096 | Total |
| Program Services | 1386822 | ProgramServices |
| Management And General | 859274 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 904483 | Total |
| Program Services | 558461 | ProgramServices |
| Management And General | 346022 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| Valley Medical Associat | 8518998 | 8518998 |
| Provision for Bad Debts | 1254803 | 1254803 |
| Health Care Provider Ta | 1148887 | 1148887 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46168424 | Total |
| Program Services | 36849416 | ProgramServices |
| Management And General | 9319008 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2446668 | BOY |
| EOY | 1452018 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1336455 | BOY |
| EOY | 2046079 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5067316 | BOY |
| EOY | 5574399 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29548 | BOY |
| EOY | 25291 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 725624 | BOY |
| EOY | 701365 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 555925 | BOY |
| EOY | 484039 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 37138318 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 21560119 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17353794 | BOY |
| EOY | 15578199 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34953 | BOY |
| EOY | 32952 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30430 | BOY |
| EOY | 28190 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1811112 | BOY |
| EOY | 3248748 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29391825 | BOY |
| EOY | 29171280 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5213239 | BOY |
| EOY | 4402224 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8834343 | BOY |
| EOY | 7892499 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 445608 | BOY |
| EOY | 1921366 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14493190 | BOY |
| EOY | 14216089 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14506439 | BOY |
| EOY | 14570814 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 392196 | BOY |
| EOY | 384377 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14898635 | BOY |
| EOY | 14955191 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29391825 | BOY |
| EOY | 29171280 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 58555 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -1999 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| 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 | $6,375 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 6375 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Explanation of Other Lobbying Activities: | Identifier |
| Return Reference | Part II-B, Line 1i: | ReturnReference |
| Explanation | The Organization paid $25,164 in dues to MHA, of which 15.5% was used for lobbying; and, $10,135 to AHA, of which 24.42% was used for lobbying. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 392196 | BeginningOfYearBalance |
| Contributions | 105945 | Contributions |
| Investment Earnings Or Losses | 715 | InvestmentEarningsOrLosses |
| Other Expenditures | 114479 | OtherExpenditures |
| End Of Year Balance | 384377 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 402401 | BeginningOfYearBalance |
| Contributions | 95643 | Contributions |
| Investment Earnings Or Losses | 5196 | InvestmentEarningsOrLosses |
| Other Expenditures | 111044 | OtherExpenditures |
| End Of Year Balance | 392196 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 719671 | BeginningOfYearBalance |
| Contributions | 81375 | Contributions |
| Investment Earnings Or Losses | 3267 | InvestmentEarningsOrLosses |
| Other Expenditures | 401912 | OtherExpenditures |
| End Of Year Balance | 402401 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.00000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.00000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 1.00000 | 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 | 196477 | OtherCostOrOtherBasis |
| Book Value | 196477 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 18915483 | OtherCostOrOtherBasis |
| Depreciation | 7361399 | Depreciation |
| Book Value | 11554084 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1769734 | OtherCostOrOtherBasis |
| Depreciation | 1058508 | Depreciation |
| Book Value | 711226 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 16256624 | OtherCostOrOtherBasis |
| Depreciation | 13140212 | Depreciation |
| Book Value | 3116412 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 15578199 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Deferred Compensation | 483483 |
| Cash Surrender Value of Life Insurance | 177744 |
| Construction in Progress | 151628 |
| Interest in Synernet Reinsurance | 929350 |
| Meaningful Use Receivables | 1506543 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 3248748 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Deferred Compensation | $483,483 |
| Estimated Third-Party Payor Settlements | $1,437,883 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1921366 | TotalOfAmounts |
| Total Revenue | 46226979 | TotalRevenue |
| Total Expenses | 46168424 | TotalExpenses |
| Excess Or Deficit For Year | 58555 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -1999 | NetUnrealizedGLOnInvestments |
| Total Adjustments | -1999 | TotalAdjustments |
| Excess Or Deficit Per FS | 56556 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 46224980 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -1999 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | -1999 | RevenueNotRptdF990 |
| Revenue Subtotal | 46226979 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 46226979 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 46168424 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 46168424 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 46168424 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Intended Use of Endowment Funds: | Part V, Line 4: | To help insure the long-term financial health of the Organization. |
| Description of Uncertain Tax Positions Under FIN 48: | Part X: | Northern Maine Medical Center is a not-for-profit corporation as described in Section 501(c)(3) of the Internal Revenue Code (the Code), and is exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Management evaluated the Medical Center's tax positions and concluded the Medical Center has maintained its tax-exempt status, does not have any significant unrelated business income and had taken no uncertain tax positions that require adjustment or disclosure in the consolidated financial statements. With few exceptions, the Medical Center is no longer subject to income tax examination by the U.S. federal or state tax authorities for years before 2008. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent250 | X | Pcent250 |
| Free Disc Care Medically Indigent | 0 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 0 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 385435 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 385435 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00860 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11140823 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8875507 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2265316 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05040 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11526258 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8875507 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2650751 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05900 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 28967 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9211 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 19756 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 17604986 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8601522 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9003464 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.20050 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 17633953 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8610733 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9023220 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.20090 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 29160211 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 17486240 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11673971 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.25990 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 14516 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 14516 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 14516 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 14516 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $757,649 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 10392790 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 9607600 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 785190 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 0 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 2 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours | Er OtherErOther | OtherOther |
|---|---|---|---|---|---|---|---|---|---|
| Northern Maine Medical Center | |||||||||
| 1 | 194 East Main Street | Fort Kent | ME | 04743 | X | X | X | ||
| Forest Hill | |||||||||
| 2 | 20 Bolduc Avenue | Fort Kent | ME | 04743 | X | Licensed Hospital Related Facility | |||
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Northern Maine Medical Center | 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 |
| Other | X | Other |
| Needs Assessment Conducted | 10 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 1 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| On Request | X | OnRequest |
| Other Method | X | OtherMethod |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Other Needs Addressed | X | OtherNeedsAddressed |
| All Needs Addressed | 0 | AllNeedsAddressed |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 250.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Lawsuit | X | PermitLawsuit |
| Permit Lien On Residence | X | PermitLienOnResidence |
| Collection Activities | 1 | CollectionActivities |
| Lawsuit | X | Lawsuit |
| Lien On Residence | X | LienOnResidence |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| 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 | 1 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (22 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| Part I, Line 3c: Northern Maine Medical Center uses the Federal Poverty Guidelines to determine eligibility. | |
| Part I, Line 6a: Northern Maine Medical Center prepares a community benefit report through its annual report process. Within the annual report, the Hospital describes community benefit in financial terms and a summary of services provided. | |
| Part I, Line 7: In the IRS Form 990, Schedule H instructions a template, Worksheet 2, was provided as a way to determine the overall cost-to-charge ratio that could be applied throughout the IRS Form 990, Schedule H. Where applicable, the Hospital has utilized the Worksheet 2 template calculation. The only areas where we did not utilize this template calculation were as follows:A. IRS Form 990, Schedule H, Worksheet 6, Subsidized Health Services (which is 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 hospital clinical services and hospital-owned physician practices, SNF, RHCs, ER, and Psych. In addition, when we were compiling the subsidized services and practices 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 Form 990, Schedule H, Worksheet 3, Unreimbursed Medicaid and Other Means Tested Government Programs (which is the supporting schedule for Part 1, Lines 7b and 7c), and Worksheet 6, Medicaid allowable costs for the subsidized health services listed on line 1c above (which is part of the line 7g costs), we did not use the Worksheet 2 percentage when calculating the Medicaid allowable costs. Instead, we utilized the actual Medicaid filed cost report for the allowable costs. In addition, for any prior year settlements that were received during the current year, we have netted the settlement against what was filed. | |
| Part I, Line 7g: Northern Maine Medical Center has several provider-based physician practices, a skilled nursing facility (SNF), rural health centers (RHCs), an emergency room (ER), and an inpatient psychiatric unit (Psych). Per the instructions for IRS Form 990, Schedule H, Worksheet 6, we are allowed to include any applicable physician practice, SNF, RHCs, ER and Psych that the Hospital subsidizes (i.e., operates at a loss). As such, we have included the following provider-based physician practices, SNF, RHCs and Psych units that operate at a loss (i.e., subsidized by the hospital) and the associated costs of these practices: a. Forest Hill Manor - Skilled Nursing Facility b. Northern Maine Medical Center - Inpatient Psych Unit c. Northern Maine Medical Center - Emergency Room d. Valley Medical Associates RHCs i. Fort Kent ii. Acadia Family Health iii. Station Hill iv. Valley Medical Associates e. Endoscopy f. Valley Medical Associates - Orthopedics/Prosthetics g. Diabetes (includes Dietary Consultation) h. Valley Medical Associates - Oncology i. Ophthalmology j. Ear, Nose, and Throat k. Neurology l. Cardiac Rehab m. CPR/EMT Services n. Wellness o. Valley Medical Associates - Several individual physician practices p. Valley Medical Associates - Anesthesiology q. Valley Medical Associates - Clinic at University of Fort Kent r. Valley Medical Associates - UrologyThe above listed hospital clinical services and hospital-owned physician practices have a community benefit (i.e., aggregate loss or subsidy from the Hospital) of approximately $9.0 million. In addition, the community benefit also does not take into account bad debts, charity care, and contractual adjustments. Thus, this community benefit of approximately $9.0 million is a conservative figure that reconciles to the community benefit reported on IRS Form 990, Schedule H, Part I, Line 7g, Column e. | |
| Part I, L7 Col(f): As part of the Hospital's total expenses, there is $1,254,803 of bad debts. This amount has been removed from the Part I, Line 7, Column f calculation per the IRS instructions. | |
| Part II: N/A | |
| Part III, Line 4: Northern Maine Medical Center classifies bad debts as an operating expense. The Hospital follows the Medicare guidelines for allowable bad debts. It uses the following criteria: a. Reasonable collection efforts were made b. The accounts were uncollectible c. There is no likelihood of recovery at any time in the futureThe bad debt expense at cost was the total write-offs reduced by the ratio of patient care cost to charges. | |
| Part III, Line 8: The IRS Form 990, Schedule H instructions/guidance provided a template (Worksheet 2) as a way to determine the overall cost-to-charge ratio that could be applied throughout the IRS Form 990, Schedule H in order to convert charges to cost. Where applicable, we have utilized the Worksheet 2 template calculation. We did not utilize this template calculation on IRS Form 990, Schedule H, Worksheet B, Lines 2 & 6, Medicare Allowable Costs and Payments Related to the Subsidized Health Services, where we utilized the Medicare cost report estimated cost and payment for these services.The Hospital believes that the clinics and units listed in 1c above should be, and are considered, a community benefit due to the fact that without the Hospital subsidizing and offering these clinics and units, the community at large would have to travel at least 45 minutes to the nearest like-hospital and that hospital's service offerings. Additionally, in order to receive inpatient psych services, patients would have to travel at least 4 hours to the nearest inpatient psych unit. As such, Northern Maine believes that by offering, and thus subsidizing, these clinics and units within its community - and thus benefiting the community members by having easy access and commute for these services - it benefits the community at large. | |
| Part III, Line 9b: When a patient is referred out to collections but then applies for free or discounted care, the account is pulled back from collections when it is determined that they qualify for one of the programs. If the collection agency suspects that someone may need to apply for one of the programs, it refers the patient back to us. If a patient contacts us after being sent to collections, and qualifies for financial assistance, we then notify the agency to stop the collection process. We make every effort to screen as many people as possible before we send them to collections. | |
| Part V, Section B, Line 1j: 1a Northern Maine Medical Center (NMMC) is located in Fort Kent, Maine (Aroostook County). Aroostook County is considered rural by the State of Maine and the United States Census Bureau. The hospital service area (HSA) as defined by the Maine Health Data Organization (MHDO) uses the statistical method to determine where the greatest proportion of residents received their inpatient care. The following towns make up the NMMC HSA as defined by the MHDO: Allagash, Eagle Lake, Fort Kent, Frenchville, Grand Isle, Madawaska, New Canada, St. Agatha, St. Francis, St. John Plt, Wallagrass, Winterville Plt., Big Twenty Twp and several surrounding unorganized territories. In 2009, the percentage of Fort Kent residents with income below the poverty level was 36.4%. The percentage of children below the poverty level was 36.7% in 2009. The percentage of the population aged 65 and over was 18% in Aroostook County. The unemployment rate in Aroostook County was 9.3% in 2011, which was higher than the State's rate of 7.8%. Of the individuals 25 years or older in Aroostook County, 23% do not have a high school diploma compared to 15% overall in the State. 1b Northern Maine Medical Center utilizes an electronic medical record system and its related physician practices abstract data for inclusion in disease registries, which provide a vast amount of data relative to patients in care. The needs assessment provides a much broader picture of the community as a whole, including the health status of individuals not in care, as well as functional health status and social demographics (such as employment, income and education levels). The local units of the State's public health infrastructure (known as "Healthy Maine Partnerships") are also integrated into the process so that their data relative to health, environmental and social measures are part of the community dissemination process.1c Northern Maine Medical Center engaged multiple health resource leaders in the community forum invitation list (as described in Section 1g). Additional resources and leaders needed were identified in the breakout sessions (see question for breakout participants, Section 1g). In the Fort Kent service area, key collaborators going forward will include: Northern Maine Medical Center and its owned physician practices, Cary Medical Center, The Aroostook Medical Center, Fish River Rural Health Center, local schools, Aroostook Home Health Services/Valley Home Health Services, Aroostook Mental Health Center, UMFK, and Twin Rivers.1d-1e-1f EMHS, the primary tertiary center utilized by Northern Maine Medical Center, routinely conducts a community health needs assessment (hereafter referred to simply as "needs assessment") across the service area of all of its member hospitals. The most recent assessment, published in 2011, was conducted under a contract with the University of New England Center for Health Planning, Policy and Research (CHPPR) and the University of Southern Maine's Muskie School for Public Health. Using a methodology developed by CHPPR over decades of work, the assessment integrates primary data from a telephone survey to heads of households with secondary data retrieved from state databases (ED usage, Mortality, Cancer Registry, etc.). That data is reviewed in the context of multiple health related domains to develop a composite view of health status, behavioral risks, and barriers to access and care. Results are compared to national and state benchmarks to produce priorities and recommendations as prepared by the consultants.1g See question #31h On a statewide basis, the research consultants developed an advisory committee that met two times during the assessment research and drafting of the publication. These individuals represented a broad spectrum of backgrounds, and include: Carol Bell, Healthy Maine Partnership director; Kelly Bentley, Healthy Maine Partnership director; Gail Dana-Sacco, Wabanaki Center (serving tribal populations); Patricia Hart, Maine Development Foundation; Barbara Leonard, MPH, Maine Health Access Foundation (philanthropic foundation focused on access to care in Maine); Becca Matusovich, Maine Center for Disease Control; Lisa Miller, Bingham Foundation (philanthropic foundation); Dora Ann Mills, MD, Maine Center for Disease Control; Elizabeth 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, NAACP; and, Ted 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 (see Section 5). | Northern Maine Medical Center |
| Part V, Section B, Line 3: On a statewide basis, the research consultants developed an advisory committee that met two times during the assessment research and drafting of the publication. These individuals represented a broad spectrum of backgrounds, and include: Carol Bell, Healthy Maine Partnership director; Kelly Bentley, Healthy Maine Partnership director; Gail Dana-Sacco, Wabanaki Center (serving tribal populations); Patricia Hart, Maine Development Foundation; Barbara Leonard, MPH, Maine Health Access Foundation (philanthropic foundation focused on access to care in Maine); Becca Matusovich, Maine Center for Disease Control; Lisa Miller, Bingham Foundation (philanthropic foundation); Dora Ann Mills, MD, Maine Center for Disease Control; Elizabeth 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, NAACP; and, Ted Trainer, Public Health Coordinating Council Shawn Yardley, City of Bangor, Department of Health and Welfare. | Northern Maine Medical Center |
| 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), MaineGeneral (in central Maine) and MaineHealth (in southern Maine). Multiple collaborators were involved in the dissemination of the assessment findings and establishment of priorities (see Section 5). | Northern Maine Medical Center |
| Part V, Section B, Line 5c: In conjunction with EMHS, Northern Maine Medical Center co-hosted a community forum with The Aroostook Medical Center and Cary Medical Center to present an overview of local assessment results and recommendations. Invitees included: other area hospitals, physician leaders, federally qualified health centers, healthy Maine partnerships, district liaisons linked to Maine CDC, home health and long term care leaders, social service agencies, leaders of the tribal communities, business leaders, legislative leaders, and 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 were members of the assessment development steering committee providing selected data results, trends over time and the priorities and recommendations as suggested by the research consultants.In addition to the community forums, the entire statewide assessment (both narrative and data sets) was posted to the EMHS website. After the forums, power point presentations used at the forum, as well as input collected in the breakout sessions, were also posted on the website. Forum participants were encouraged to go to the website to review the assessment in detail, and access the data for local planning. Media releases were also sent to local news outlets in combination with the forums, encouraging new articles on the forum and inviting all members of the public to view the report on the website.Instructions on the website assist viewers to download and/or print sections of the report. Individuals without computer or printer access were provided a phone number where they can request a printed assessment. | Northern Maine Medical Center |
| Part V, Section B, Line 6i: 6a Northern Maine Medical Center plans to meet the prioritized needs through the following initiatives and resources:- NMMC will implement a wellness program for its employees. As one of the larger employers in the area, NMMC can then work with other large employers to implement similar programs.- NMMC will rebuild its patient education component. A diabetic educator has been hired and we are seeking certification for our diabetic education program. - NMMC will implement an electronic medical record in its physician practices to better monitor its patients with chronic conditions and help improve management of their conditions.- NMMC will collaborate with other local hospitals and providers to ensure the necessary specialty services are available.- NMMC will increase community awareness of mental health services available.- NMMC will participate with Health Info Net, Maine's Health Information Exchange, to improve quality and effectiveness through better information exchange. 6g Breakout #1 - Access, Quality and Effectiveness - The following needs were identified through the Community Health Needs Assessment and discussed during the breakout sessions:- Physical Health - Continue to increase insurance coverage- Dental Health - Improved Medicaid reimbursement- Dental Health - Co-locate dental offices with hospitals & physicians- Dental Health - Expand dental hygiene education in rural settings- Continue work of pilot projects- Clearinghouse to review and publish findings from the pilot projectsBreakout #2 - Chronic Disease - The following needs were identified through the Community Health Needs Assessment and discussed during the breakout sessions:- Policy and medical practice changes to improve: patient self-management, community care teams, use of evidence based guidelines- Continued implementation of EMR/PHR and disease registries Breakout #3 Mental Health and Substance Abuse The following needs were identified through the Community Health Needs Assessment and discussed during the breakout sessions:- Collaborative, community level prevention programs for specific populations and age groups- Primary care and ED education for use of screening tools, diagnosis and treatment tools- Coordinate local substance abuse services and resources for primary care providersBreakout #4 - Prevention, Obesity - The following needs were identified through the Community Health Needs Assessment and discussed during the breakout sessions:- Incentives/disincentives for smoking & obesity- Link to employment, the provision of medical care, and community programs- County/public health district/hospital service area online resource guide | Northern Maine Medical Center |
| Part V, Section B, Line 7: Northern Maine Medical Center was unable to address all needs identified due to limited staff and financial resources. Certain needs, such as increased insurance coverage and improved Medicaid reimbursement for dental services, have not been addressed since NMMC can only be a portion of the solution; other entities will need to be involved to address all of the needs. NMMC is in the process of rebuilding its patient education component, so certain needs, such as community level prevention programs and primary care and ED education tools, will be addressed once the education framework is in place again. | Northern Maine Medical Center |
| Part V, Section B, Line 19d: Individuals are billed at gross amounts and charges are adjusted accordingly, if they qualify for assistance. | Northern Maine Medical Center |
| Part V, Section B, Line 21: Individuals are billed at gross amounts and charges are adjusted accordingly, if they qualify for assistance. | Northern Maine Medical Center |
| Schedule H, Part V, Line 2: The community needs assessment was last conducted in fiscal year end 2011. However, for purposes of this Schedule H, Part V, Line 2, IRS instructions call for the year to be listed as the beginning of the fiscal year. | |
| Part VI, Line 2: Please see Schedule H, Part V, Section B, Line 1 for a description of NMMC's assessment process. | |
| 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 various 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/discounted care and providing information on MaineCare. For inpatients, there is a book in each room which provides all the information on all programs available.Through the patient accounting department, we provide information about these statements. We also counsel patients on the phone about all the programs available whether it is Medicaid or a hospital program. | |
| Part VI, Line 4: Northern Maine Medical Center is a 94 staffed bed (29 A&P beds, 6 ICU beds, 14 Psych beds, and 45 SNF beds), full-service, acute-care, not-for profit hospital located in Fort Kent, Maine (Aroostook 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, psych inpatient, SNF, 24-hour emergency center, diagnostic, and surgical services. Along with these hospital services, the Hospital employs/contracts with the majority of primary and specialty care physicians in the area. | |
| Part VI, Line 6: Northern Maine Medical Center is a local, not-for-profit hospital that serves its local communities and people regardless of their ability to pay. Northern Maine 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. Northern Maine'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 J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | 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 | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Guy Raymond | |||||||||||||
| 375265 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 21890 | 0 | 397155 | 0 | 0 | 0 |
| Michael Sullivan MD | |||||||||||||
| 385945 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 21890 | 0 | 407835 | 0 | 0 | 0 |
| Martin B Bernstein | |||||||||||||
| 198494 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 9533 | 0 | 208027 | 0 | 0 | 0 |
| Peter J Sirois | |||||||||||||
| 164448 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 21725 | 0 | 186173 | 0 | 0 | 0 |
| Scott Richards | |||||||||||||
| 152768 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 22570 | 0 | 175338 | 0 | 0 | 0 |
| David Jones MD | |||||||||||||
| 311519 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 7853 | 0 | 319372 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Part I, Line 4a | ReturnReference |
| Explanation | Martin Bernstein and Roger Lagasse resigned from their positions as CEO and CFO, respectively, during the year. As part of their retirement, the following severance packages were paid: Martin Bernstein's severance pay and benefit package totaled $51,796 Roger Lagasse's severance pay and benefit package totaled $5,262 | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Michelle Sirois | |||
| Related to an officer of NMMC | 58395 | Compensation for services as an employee of NMMC. | 0 |
| Nola Sirois | |||
| Related to an officer of NMMC | 22272 | Compensation for services as an employee of NMMC. | 0 |
| Robin Werntgen | |||
| Related to an officer of NMMC | 53851 | Compensation for services as an employee of NMMC. | 0 |
| Daigle Oil Company | |||
| President of Daigle Oil Company is a Board Member of NMMC | 163866 | Purchase of heating oil | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section A, line 2 | Peter Sirois and Glenn Lamarr have a family relationship. | |
| Form 990, Part VI, Section A, line 4 | In May of 2011, the Organization revised its bylaws. A summary of the significant changes are as follows: -Composition of the board of directors was reduced to not less than eight and not more than eleven, with the goal of maintaining a complement of nine trustees. -The board of directors shall include only one physician who is a member of the medical staff (down from three). The physician member shall have voting rights and may not be an officer of the medical staff. | |
| Form 990, Part VI, Section B, line 11 | The Form 990 is prepared by the Organization's independent public accounting firm and thoroughly reviewed by the CFO and controller. | |
| The enforcement of the conflict of interest policy is achieved through annual reporting and ongoing monitoring. | Form 990, Part VI, Section B, line 12c | |
| The executive committee of the board of directors determines the compensation of the CEO using compensation studies and comparability data. The CEO determines the compensation of other officers and key employees in a similar manner. | Form 990, Part VI, Section B, line 15 | |
| The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. | Form 990, Part VI, Section C, line 19 | |
| Guy Raymond and Michael Sullivan, M.D. show reportable compensation on Form 990, Part VII, Section A for services performed in their capacity as employees of Northern Maine Medical Center. Their compensation does not reflect payment for their services as board members of the Hospital or any related organization. | Form 990, Part VII, Section A: | |
| Changes in Net Assets or Fund Balances: | Net unrealized losses on investments: -1,999. | Form 990, Part XI, line 5: |
| Oversight of Audit | The audit process has not changed from the prior year. | Form 990, Part XII, Line 2c: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Valley Medical Association | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 194 East Main Street | AddressLine1 |
| City | Fort Kent | City |
| State | ME | State |
| ZIP Code | 04743 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 223245434 | EIN |
| Primary Activities | Medical Physician Practice | PrimaryActivities |
| Legal Domicile State | ME | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | 3 | PublicCharityStatus |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Controlled Org | 1 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 1 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Valley Medical Association | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | Q | TransactionType |
| Amount Involved | 8518998 | AmountInvolved |
| Method Of Amt Determination | Actual Outlay | MethodOfAmtDetermination |