ST JOSEPH HOSPITAL: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- ST JOSEPH HOSPITAL (EIN 01-0212435)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-08-09
- IRS object ID
- 201242229349301184
- Schema version
- 2011v1.2
- 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 C
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-09T13:38:53-05:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010494526 | EIN |
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 | PO 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 | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010212435 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Joseph Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STJO | NameControl |
| Phone | 2072621000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 360 Broadway PO Box 403 | AddressLine1 |
| City | Bangor | City |
| State | ME | State |
| ZIP Code | 044020403 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Kevin Sedgwick | Name |
| Title | CFO | Title |
| Phone | 2072621000 | Phone |
| Date Signed | 2012-07-30 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | E Drew Cheney | Name |
| PTIN | P00182972 | PTIN |
| Phone | 2078792100 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Edwin Clift | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 360 Broadway PO Box 403 | AddressLine1 |
| City | Bangor | City |
| State | ME | State |
| ZIP Code | 044020403 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 101223193 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.stjoseph-me.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1960 | YearFormation |
| State Legal Domicile | ME | StateLegalDomicile |
| Activity Or Mission Description | Community Hospital committed to wellness promotion, holistic healing & healthcare sevices | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 964 | TotalNbrEmployees |
| Total Nbr Volunteers | 115 | TotalNbrVolunteers |
| Total Gross UBI | 53503 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 28523 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 25894 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 25408 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 93265916 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 96211654 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1193715 | InvestmentIncomePriorYear |
| Investment Income Current Year | 652196 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 75683 | OtherRevenuePriorYear |
| Other Revenue Current Year | 48605 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 94561208 | TotalRevenuePriorYear |
| Total Revenue Current Year | 96937863 | 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 | 42111715 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 41892683 | 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 | 46403075 | OtherExpensePriorYear |
| Other Expenses Current Year | 46362793 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 88514790 | TotalExpensesPriorYear |
| Total Expenses Current Year | 88255476 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 6046418 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 8682387 | RevenuesLessExpensesCY |
| Total Assets BOY | 54361823 | TotalAssetsBOY |
| Total Assets EOY | 55078752 | TotalAssetsEOY |
| Total Liabilities BOY | 30953685 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 34131081 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 23408138 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 20947671 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | "St. Joseph Healthcare-committed to wellness promotion and holistic healing-provides healthcare services which embody compassion, competence and community." ... not just words, but a way of life - a noble statement of what we are, meticulously crafted after thoughtful consideration, study and examination of all the things we do, big and small, day and night, caring for our patients. These are the words we live by, each and every one of us who comprise the caring community of St. Joseph Healthcare. We take our Mission seriously. Those we serve depend on it.St. Joseph Hospital provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age or ability to pay. Although reimbursement for services rendered is critical to operation and stability, it is recognized that not all individuals possess the ability to purchase essential medical services and further that our mission is to serve the community with respect to providing healthcare services. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 8302251 | Expense |
| Revenue | 20433915 | Revenue |
| Description | St. Joseph Hospital provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of St. Joseph Hospital, it is recognized that not all individuals possess the ability to purchase essential medical services and further that our mission is to serve the community with respect to providing healthcare services and healthcare education.St. Joseph Hospital served 4,227 inpatients representing 20,066 patient days and served more than 79,714 outpatients representing more than 3,363,931 tests and procedures performed. St. Joseph Hospital provides care to persons covered by governmental programs at below cost. Recognizing its mission to the community, services are provided to both Medicare and Medicaid patients. The unreimbursed value of providing care to these patients is $78,996,801. In addition, St. Joseph Hospital provided charity care totaling $2,593,374 and provided $5,780,363 in services to those unable to pay. Charity care is also provided through many reduced price services and fee programs offered throughout the year based upon activities and services which St. Joseph Hospital believes will serve a bona fide community health need.For more information regarding the services and programs provided at St. Joseph Hospital and the hospital's commitment to serve all members of the community please visit our website at www.stjoeshealing.org or contact the Public Affairs office at (207)262-1720. 1) Surgical Department - Our Surgery Center was the first hospital-based day surgery facility in Maine. It features a caring staff, including its own dedicated anesthesia team, in the modern surroundings of our surgical center, which has six spacious suites. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1741414 | Expense |
| Revenue | 15301040 | Revenue |
| Description | 2) Endoscopy Department - Our physicians are committed to provide the highest quality digestive disease health care in Northern and Eastern Maine including the performance of life-saving endoscopic screenings and procedures. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3116276 | Expense |
| Revenue | 19043738 | Revenue |
| Description | 3) Emergency Room - 16-bed Emergency Department is open 24 hours a day, seven days a week. It includes seven cardiac care rooms, including three critical care rooms, and rooms for treatment of emergency cases in Obstetrics/Gynecology, Orthopedics and Ophthalmology (conditions and injuries of the eyes). There are also several suture rooms and a digital X-ray unit. The Emergency Department is staffed around the clock by physicians, physician assistants, registered nurses, CNAs and a secretary. Emergency Department greeters are also available from 7 a.m. to 11:30 p.m. Greeters help patients with registration and provide comfort to them during their visit. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 57729140 | Expense |
| Grants | 0 | Grants |
| Revenue | 38178810 | Revenue |
| Description | Other healthcare services | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 57729140 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 38178810 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 70889081 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 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 | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | 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 | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 1 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 102 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 964 | 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 | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | 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 |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kevin Sedgwick | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2079071200 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 360 Broadway | AddressLine1 |
| City | Bangor | City |
| State | ME | State |
| ZIP Code | 04402 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (22 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 |
|---|---|---|---|---|---|---|---|
| Braverman Melvin | |||||||
| Trustee | 0.10 | X | 0 | 0 | 0 | ||
| Clift Erwin | |||||||
| Chairman/President | 0.10 | X | 0 | 0 | 0 | X | |
| Renedo MD David | |||||||
| Trustee | 0.10 | X | 0 | 0 | 0 | ||
| Marie Sr Nancy | |||||||
| Trustee | 0.10 | X | 0 | 0 | 0 | ||
| Smith Vaughn | |||||||
| Trustee | 0.10 | X | 0 | 0 | 0 | ||
| Cyr Joseph | |||||||
| Trustee | 0.10 | X | 0 | 0 | 0 | ||
| Woodford Wayne | |||||||
| Treasurer/EVP/CFO | 40.00 | X | 220092 | 0 | 20866 | X | |
| Jennings Ned | |||||||
| Trustee | 0.10 | X | 0 | 0 | 0 | ||
| Demaso William | |||||||
| Trustee | 0.10 | X | 0 | 0 | 0 | ||
| Durgin Nelson | |||||||
| Vice President | 0.10 | X | 0 | 0 | 0 | X | |
| Ryckman Lee | |||||||
| Secretary | 0.10 | X | 0 | 0 | 0 | X | |
| Norberta Sr Mary CSSF | |||||||
| President/CEO (part-year) | 40.00 | X | 341292 | 0 | 9255 | X | |
| Prybylo Mary | |||||||
| President/CEO (part-year) | 40.00 | X | 97252 | 0 | 6146 | X | |
| Welch Robert | |||||||
| Trustee | 0.10 | X | 0 | 0 | 0 | ||
| Wlodarski Frederick | |||||||
| Trustee | 0.10 | X | 0 | 0 | 0 | ||
| Pechinski Sheila | |||||||
| Trustee | 0.10 | X | 0 | 0 | 0 | ||
| Dubois Monsignor Andrew | |||||||
| Trustee | 0.10 | X | 0 | 0 | 0 | ||
| Buckley MD PhD Paul | |||||||
| ED Physician | 40.00 | 276073 | 0 | 12659 | X | ||
| Renzi MD Richard | |||||||
| ED Physician | 40.00 | 297773 | 0 | 24585 | X | ||
| Pattavina MD Charles | |||||||
| ED Physician | 40.00 | 345051 | 0 | 13796 | X | ||
| Dancoes Thomas | |||||||
| ED Physician | 40.00 | 292950 | 0 | 28234 | X | ||
| Markowitz MD Charles | |||||||
| ED Physician | 40.00 | 254511 | 0 | 27908 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2124994 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 143449 | TotalOtherCompensation |
| Number Individuals GT100 K | 26 | 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 |
|---|---|---|---|---|---|
| Spectrum Medical Group | |||||
| 324 Gannett Drive | So Portland | ME | 04106 | Anesthesia services | 1698527 |
| King's Medical Company | |||||
| 1894 Georgetown Road | Hudson | OH | 44236 | MRI Services | 727180 |
| Dahl-Chase Diagnostic Services | |||||
| 417 State Street | Bangor | ME | 04401 | Pathology services | 665292 |
| Sunbury Medical Associates | |||||
| 133 Corporate Drive | Bangor | ME | 04401 | PT/OT Services | 630389 |
| Synernet Inc | |||||
| 222 St John Street | Portland | ME | 04102 | Transcription services | 554419 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 16 | NumberOfContractorsGT100K |
| All Other Contributions | 25408 | AllOtherContributions |
| Total Contributions | 25408 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Net Patient Services | 621110 | 92957503 | 92957503 | |
| Medical/Laboratory | 621500 | 2601577 | 2548074 | 53503 |
| Services to Affiliates | 541200 | 652574 | 652574 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 96211654 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 628420 | TotalRevenueColumn |
| Exclusion | $628,420 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 4212657 | Securities |
| Other | 67791 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 4235164 | Securities |
| Other | 21508 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -22507 | Securities |
| Other | 46283 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 23776 | TotalRevenueColumn |
| Exclusion | $23,776 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 44763 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 28658 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 16105 | TotalRevenueColumn |
| Exclusion | $16,105 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | GIFT SHOP | Description |
| Business Code | 453000 | BusinessCode |
| Total Revenue Column | 32500 | TotalRevenueColumn |
| Related Or Exempt Function Income | 32500 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 32500 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 96937863 | TotalRevenueColumn |
| Related Or Exempt Function Income | 96190651 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 53503 | UnrelatedBusinessRevenue |
| Exclusion | $668,301 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1038556 | Total |
| Program Services | 814228 | ProgramServices |
| Management And General | 224328 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33367971 | Total |
| Program Services | 26160489 | ProgramServices |
| Management And General | 7207482 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 199947 | Total |
| Program Services | 156758 | ProgramServices |
| Management And General | 43189 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4867946 | Total |
| Program Services | 3816470 | ProgramServices |
| Management And General | 1051476 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2418263 | Total |
| Program Services | 1895918 | ProgramServices |
| Management And General | 522345 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 170850 | Total |
| Program Services | 133946 | ProgramServices |
| Management And General | 36904 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 86121 | Total |
| Program Services | 67519 | ProgramServices |
| Management And General | 18602 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 128846 | Total |
| Program Services | 101015 | ProgramServices |
| Management And General | 27831 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7460595 | Total |
| Program Services | 5849106 | ProgramServices |
| Management And General | 1611489 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 121800 | Total |
| Program Services | 95491 | ProgramServices |
| Management And General | 26309 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17127926 | Total |
| Program Services | 13428294 | ProgramServices |
| Management And General | 3699632 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1379969 | Total |
| Program Services | 1081896 | ProgramServices |
| Management And General | 298073 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2500697 | Total |
| Program Services | 1960546 | ProgramServices |
| Management And General | 540151 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9637 | Total |
| Program Services | 7555 | ProgramServices |
| Management And General | 2082 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 136374 | Total |
| Program Services | 106917 | ProgramServices |
| Management And General | 29457 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 771105 | Total |
| Program Services | 604546 | ProgramServices |
| Management And General | 166559 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3652816 | Total |
| Program Services | 2863808 | ProgramServices |
| Management And General | 789008 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1729482 | Total |
| Program Services | 1355914 | ProgramServices |
| Management And General | 373568 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Provision for bad debt | 5780362 | 5780362 | |
| State tax | 2075115 | 2075115 | |
| Maintenance & repairs | 1656316 | 1298552 | 357764 |
| Gift shop | 33019 | 33019 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1541763 | Total |
| Program Services | 1201617 | ProgramServices |
| Management And General | 340146 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 88255476 | Total |
| Program Services | 70889081 | ProgramServices |
| Management And General | 17366395 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1861 | BOY |
| EOY | 1861 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5892454 | BOY |
| EOY | 124950 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6149071 | BOY |
| EOY | 7391509 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1012980 | BOY |
| EOY | 758317 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1169830 | BOY |
| EOY | 1765636 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 62809816 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 40891089 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23017796 | BOY |
| EOY | 21918727 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13052858 | BOY |
| EOY | 17963368 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 1603616 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4064973 | BOY |
| EOY | 3550768 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 54361823 | BOY |
| EOY | 55078752 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7890761 | BOY |
| EOY | 6177949 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14559121 | BOY |
| EOY | 13651816 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2207421 | BOY |
| EOY | 1095392 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6296382 | BOY |
| EOY | 13205924 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30953685 | BOY |
| EOY | 34131081 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21119338 | BOY |
| EOY | 18839746 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2288800 | BOY |
| EOY | 2107925 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23408138 | BOY |
| EOY | 20947671 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 54361823 | BOY |
| EOY | 55078752 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 8682387 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -11142854 | ReconcilationOtherChanges |
| 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 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 | $14,253 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 14253 | 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 | American Hospital Association dues paid was $24,834, of which 24.6% was allocated for lobbying activities. Maine Health Association dues paid was $52,543, of which 15.5% was allocated for lobbying activities. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2288800 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -180875 | InvestmentEarningsOrLosses |
| End Of Year Balance | 2107925 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2072249 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 216551 | InvestmentEarningsOrLosses |
| End Of Year Balance | 2288800 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1869854 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 202395 | InvestmentEarningsOrLosses |
| End Of Year Balance | 2072249 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2478837 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -608983 | InvestmentEarningsOrLosses |
| End Of Year Balance | 1869854 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.00000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 47578 | OtherCostOrOtherBasis |
| Book Value | 47578 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 27155070 | OtherCostOrOtherBasis |
| Depreciation | 16891957 | Depreciation |
| Book Value | 10263113 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3184846 | OtherCostOrOtherBasis |
| Depreciation | 2005734 | Depreciation |
| Book Value | 1179112 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 30898168 | OtherCostOrOtherBasis |
| Depreciation | 21993398 | Depreciation |
| Book Value | 8904770 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1524154 | OtherCostOrOtherBasis |
| Book Value | 1524154 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 21918727 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Deferred financing costs, net | 151719 |
| Beneficial interest in perpetual trust | 2106860 |
| Malpractice claims reserve | 1292189 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 3550768 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Pension obligations | $7,333,398 |
| Estimated 3rd party payor settlements | $4,247,840 |
| Professional liability loss reserves | $1,624,686 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 13205924 | TotalOfAmounts |
| Total Revenue | 96937863 | TotalRevenue |
| Total Expenses | 88255476 | TotalExpenses |
| Excess Or Deficit For Year | 8682387 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -600954 | NetUnrealizedGLOnInvestments |
| Other | -$10,541,900 | OtherAmount |
| Total Adjustments | -11142854 | TotalAdjustments |
| Excess Or Deficit Per FS | -2460467 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 96320804 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | -600954 | OtherRevenues |
| Revenue Not Rptd F990 | -600954 | RevenueNotRptdF990 |
| Revenue Subtotal | 96921758 | RevenueSubtotal |
| Other Revenues Not Included | 16105 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 16105 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 96937863 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 88277983 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 22507 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 22507 | ExpensesNotRptdF990 |
| Expenses Subtotal | 88255476 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 88255476 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Intended Use of Endowment Funds: | Part V, Line 4: | Ensure the long-term financial viability of the organization. |
| Description of Uncertain Tax Positions Under FIN 48: | Part X: | Tax-exempt organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. The System has evaluated the positions taken on its filed tax returns. The System has concluded no uncertain income tax positions exist at December 31, 2011. |
| Part XI, Line 8 - Other Adjustments: | Transfers to affiliates -7,401,205. Adjustment to long-term pension obligations -3,140,695. Total to Schedule D, Part XI, Line 8: -10,541,900. | |
| Part XII, Line 2d - Other Adjustments: | Unrealized losses -600,954. | |
| Part XII, Line 4b - Other Adjustments: | Fundraising event direct expenses 16,105. | |
| Part XIII, Line 2d - Other Adjustments: | Realized losses 22,507. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Marlene's | NameOfEvent1 |
| Gross Receipts Event1 | 30619 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 30619 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 13731 | OtherDirectExpensesEvent1 |
| Name Of Event2 | Coach Trip | NameOfEvent2 |
| Gross Receipts Event2 | 6508 | GrossReceiptsEvent2 |
| Gross Revenue Event2 | 6508 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 3731 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 2 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 7636 | GrossReceiptsOtherEvents |
| Gross Revenue Other Events | 7636 | GrossRevenueOtherEvents |
| Other Direct Expenses Other Events | 11196 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 44763 | GrossReceiptsTotal |
| Gross Revenue Total Events | 44763 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 28658 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 28658 | DirectExpenseSummaryEvents |
| Net Income Summary | 16105 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent350 | X | Pcent350 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2085 | PersonsServed |
| Total Community Benefit Expense | 1153241 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1153241 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01400 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 6543 | PersonsServed |
| Total Community Benefit Expense | 13039970 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5254102 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7785868 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09440 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 8628 | PersonsServed |
| Total Community Benefit Expense | 14193211 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5254102 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8939109 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10840 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 9 | NumberOfActivitiesOrPrograms |
| Persons Served | 562 | PersonsServed |
| Total Community Benefit Expense | 17531 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 17531 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 16 | NumberOfActivitiesOrPrograms |
| Persons Served | 805 | PersonsServed |
| Total Community Benefit Expense | 955631 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 955631 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01160 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 16 | NumberOfActivitiesOrPrograms |
| Persons Served | 1573 | PersonsServed |
| Total Community Benefit Expense | 121202 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 121202 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00150 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 41 | NumberOfActivitiesOrPrograms |
| Persons Served | 2940 | PersonsServed |
| Total Community Benefit Expense | 1094364 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1094364 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01330 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 41 | NumberOfActivitiesOrPrograms |
| Persons Served | 11568 | PersonsServed |
| Total Community Benefit Expense | 15287575 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5254102 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10033473 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.12170 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $2,630,065 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 27261606 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 33458964 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -6197358 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Joseph Hospital | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 360 Broadway PO Box 403 | AddressLine1 |
| City | Bangor | City |
| State | ME | State |
| ZIP Code | 04401 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Joseph Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 350.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Medical Indigency | X | MedicalIndigency |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Collection Activities | 0 | CollectionActivities |
| 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 | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| Part I, Line 3c: The organization does utilize FPG to determine eligibility. | ||
| Part I, Line 6a: The community benefit report is based on the Catholic Health Association guidelines and utilizes the association's CBISA software to record the benefits. | ||
| Part I, Line 7: The cost to charge ratio was derived from Worksheet 2 and the Bad Debt Expense from Part IX, line 25, column A of $5,780,362 has been removed from the denominator. | ||
| Part II: Community building activities consisted of physical improvements, community support and environmental improvements. Physical improvements were a result of employees assisting the local elderly population in a variety of projects through the Eastern Area Agency on Aging. Community support consisted of American Red Cross blood drives, sending supplies to troops overseas, maintaining a community vegetable stand and providing pastoral care to the community. | ||
| Part III, Line 4: Costs are from the accounting system using cost-to-charge ratios from the as filed Medicare Cost Report. St. Joseph Hospital does not factor in discounts and payments in determining Bad Debt Expense. Charges for services rendered to individuals from whom payment is expected and ultimately not received are written off and in 2011 included as an operating expense as part of the provision for bad debts. | ||
| Part III, Line 8: Costs are from the accounting system using cost-to-charge ratios from the as filed Medicare Cost Report, but none of these costs are being claimed as a community benefit in Part I, line 7. | ||
| Part III, Line 9b: Our collection policy R.019 does address patients who have benevolence. If they qualify for free care, then their balance is written off. If they qualify for cost share, then their balance follows the same billing and collection process as any other self pay account. | ||
| Part V, Section B, Line 19d: For patients with income less than 200% of FPL the patient has no financial responsibility. For patients up to 300% FPL, the hospital uses a sliding fee scale which is substantially less than all negotiated commercial insurance rates. | St. Joseph Hospital | |
| Part VI, Line 2: The Hospital participated in the Community Statewide Health Needs Assessment which was conducted during 2010 and published in 2011. The major findings for the area the Hospital serves included a high level of obesity, diabetes, smoking, urological services, breast care services, hip procedures and geriatrics. The Hospital is also a participant in a Beacon Grant and as such has been focused on managing patients with chronic issues through a care management program in our primary care practice. | ||
| Part VI, Line 3: Each inpatient receives a packet upon admission that includes a description of the Hospital's Free Care Policy. If an inpatient has any questions during the stay, a patient ombudsman is available to assist. Signage is placed in all outpatient registration sites and applications are available. Staff is available to answer questions. Upon billing, included with the statement is a notification that free care is available, the poverty guidelines and a number for assistance.The policy is also posted on the hospital's website. | ||
| Part VI, Line 4: St. Joseph Healthcare treats patients from a seven county area north of Waterville with a population of 421,616, 31.7% of Maine's population (based on 2010 census data) which encompasses a land area of 22,846 square miles. The Hospital's immediate primary and secondary areas include Penobscot County, the towns of Bucksport and Ellsworth in Hancock County, and the town of Milo in Piscataquis County. In 2011, 42.2% of our admissions were less than 65 years old and 57.8% were older than 65 years old. The 2010 U.S. Census reports that within the population of St. Joseph Healthcare's primary service area (Penobscot County) was 95.4% white and 51.1% female. 89.2% graduated from high school, 70.5% owned a home, and the median household income was $40,301. | ||
| Part VI, Line 5: In response to public health needs, St. Joseph provides numerous free services including blood drives, pulmonary rehabilitation services to the Bangor Y, and free blood pressure and stroke screening. The organization also provides numerous educational opportunities which helped enhance community health. Among them were influenza education, health education for seniors through the Hammond Street Senior Center and the St. Joseph's Senior Wise program, patient education through the Maine Breast and Cervical Health program, ongoing donations of meeting space for numerous support groups and educational activities and continuing support of clinical education for nursing and medical students. | ||
| Part VI, Line 6: St. Joseph Healthcare is comprised of St. Joseph Hospital (an acute care hospital), St. Joseph Ambulatory Care, Inc, (physician group that provides primary and specialty care), and Alternative Health Serves, Inc. (which provides home health and hospice services). By joining Covenant Health System, St. Joseph Healthcare is now aligned with two other acute care hospitals and multiple skilled nursing and assisted living facilities. | ||
| ME | Reports Filed With States | Part VI, Line 7 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Woodford Wayne | |||||||||||||
| 220092 | 0 | 0 | 0 | 0 | 0 | 750 | 0 | 20116 | 0 | 240958 | 0 | 0 | 0 |
| Norberta Sr Mary CSSF | |||||||||||||
| 341292 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 9255 | 0 | 350547 | 0 | 0 | 0 |
| Buckley MD PhD Paul | |||||||||||||
| 240829 | 0 | 34450 | 0 | 794 | 0 | 3404 | 0 | 9255 | 0 | 288732 | 0 | 0 | 0 |
| Renzi MD Richard | |||||||||||||
| 245563 | 0 | 51340 | 0 | 870 | 0 | 0 | 0 | 24585 | 0 | 322358 | 0 | 0 | 0 |
| Pattavina MD Charles | |||||||||||||
| 318271 | 0 | 25859 | 0 | 921 | 0 | 4541 | 0 | 9255 | 0 | 358847 | 0 | 0 | 0 |
| Dancoes Thomas | |||||||||||||
| 219421 | 0 | 52820 | 0 | 20709 | 0 | 3649 | 0 | 24585 | 0 | 321184 | 0 | 0 | 0 |
| Markowitz MD Charles | |||||||||||||
| 229448 | 0 | 24240 | 0 | 823 | 0 | 3323 | 0 | 24585 | 0 | 282419 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Part I, Line 7 | ReturnReference |
| Explanation | Charles Pattavina, Thomas Dancoes, Richard Renzi, Paul Buckley and Charles Markowitz received incentive bonuses. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MHHEFA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 010314384 | IssuerEIN |
| Date Issued | 2010-06-24 | DateIssued |
| Issue Price | 16207915 | IssuePrice |
| Description Of Purpose | Refinance Series 1998B, 1999A and 2001A revenue bonds | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 16207915 | TotalProceeds |
| Amount In Reserve Fund | 1260488 | AmountInReserveFund |
| Refunding Escrow | 1480903 | RefundingEscrow |
| Issuance Costs From Proceeds | 137832 | IssuanceCostsFromProceeds |
| Other Spent Proceeds | 565 | OtherSpentProceeds |
| Year Of Subst Completion | 2010 | YearOfSubstCompletion |
| Current Refunding | 1 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | 1 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 0 | ExceptionToRebate |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section B, line 11 | There is a formal presentation of the 990 to the Finance Committee and copies are provided to all board members. | |
| Form 990, Part VI, Section B, line 12c | Each member is required to complete a form disclosing any conflicts of interest. These conflicts are known; any member with a conflict of interest is asked to leave the meeting or abstain from voting or both. | |
| Form 990, Part VI, Section B, line 15 | Through compensation surveys/studies and employment contracts compensations are determined by the compensation committee and approved by the board. | |
| Form 990, Part VI, Section C, line 19 | The organization makes its governing documents, policies and financial statements available to the public upon each individual request. | |
| Form 990, Part XI, line 5: | Net unrealized losses on investments: -600,954. Transfers to affiliates -7,401,205. Adjustment to long-term pension obligations -3,140,695. Total to Form 990, Part XI, Line 5: -11,142,854. | Changes in Net Assets or Fund Balances: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| St Joseph Healthcare Foundation | |||||||||||
| 360 Broadway | Bangor | ME | 044020403 | 222480149 | Diversified holistic health care services | ME | 501(C)(3) | Line 11a, I | Covenant Health Systems Inc | 1 | |
| St Joseph Ambulatory Care Inc | |||||||||||
| 360 Broadway | Bangor | ME | 044020403 | 222480373 | Ambulatory care and clinical services | ME | 501(C)(3) | Line 11a, I | St Joseph Healthcare Foundation | 1 | |
| Alternative Health Services | |||||||||||
| 360 Broadway | Bangor | ME | 044020403 | 010422885 | Home health agency | ME | 501(C)(3) | Line 3 | St Joseph Healthcare Foundation | 1 | |
| M & J Company | |||||||||||
| 360 Broadway | Bangor | ME | 044020403 | 222480150 | Real Estate holding company | ME | 501(C)(2) | St Joseph Healthcare Foundation | 1 | ||
| Covenant Health Systems Inc | |||||||||||
| 100 Ames Pond Dr | Tewksbury | MA | 01876 | 222484505 | Sponsoring & operating a health care system | MA | 501(c)(3) | Line 9 | 0 | N/A | |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Strauss Inc | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 360 Broadway | AddressLine1 |
| City | Bangor | City |
| State | ME | State |
| ZIP Code | 044020403 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010391369 | EIN |
| Primary Activity | Medical transcription | PrimaryActivity |
| Legal Domicile State | ME | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Joseph Healthcare Foundation | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C | TypeOfEntity |
| 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 | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| M & J Company | ||
| J | 1057249 | Actual amount transferred |
| M & J Company | ||
| K | 102228 | Actual amount transferred |