REDINGTON-FAIRVIEW GENERAL HOSPITAL: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- REDINGTON-FAIRVIEW GENERAL HOSPITAL (EIN 01-0284446)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-19
- IRS object ID
- 201101399349300305
- Schema version
- 2009v1.7
- 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 K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-19T07:43:36-07:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Macdonald Page & Co LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 30 Long Creek Dr | AddressLine1 |
| City | South Portland | City |
| State | ME | State |
| ZIP Code | 04106 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010284446 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REDINGTON-FAIRVIEW GENERAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | REDI | NameControl |
| Phone | 2074745121 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 468 | AddressLine1 |
| City | SKOWHEGAN | City |
| State | ME | State |
| ZIP Code | 04976 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DANA C KEMPTON | Name |
| Title | CFO | Title |
| Date Signed | 2011-05-19 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | George Rafuse | Name |
| Phone | 2077745701 | Phone |
| Self Employed | X | SelfEmployed |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 69928031 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| All Affiliates Included | false | AllAffiliatesIncluded |
| Organization501c | X | Organization501c |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1969 | YearFormation |
| State Legal Domicile | ME | StateLegalDomicile |
| Activity Or Mission Description | REDINGTON-FAIRVIEW GENERAL HOSPITAL'S MISSION IS TO DEVELOP, PROVIDE AND FACILITATE HIGH QUALITY, COMPREHENSIVE, COST EFFECTIVE HEALTH SERVICES FOR THE PEOPLE WE SERVE. WE AFFIRM A COMMITMENT TO MAINTAIN OUR UNIQUE COMMUNITY HOSPITAL IDENTITY, OFFERING PERSONALIZED SERVICES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 666 | TotalNbrEmployees |
| Total Nbr Volunteers | 36 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 803485 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 724054 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 62920407 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 68259527 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1702313 | InvestmentIncomePriorYear |
| Investment Income Current Year | 675029 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 306813 | OtherRevenuePriorYear |
| Other Revenue Current Year | 269421 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 65733018 | TotalRevenuePriorYear |
| Total Revenue Current Year | 69928031 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 36823801 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 41783803 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 23872879 | OtherExpensePriorYear |
| Other Expenses Current Year | 26249366 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 60696680 | TotalExpensesPriorYear |
| Total Expenses Current Year | 68033169 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 5036338 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1894862 | RevenuesLessExpensesCY |
| Total Assets BOY | 91398270 | TotalAssetsBOY |
| Total Assets EOY | 95475177 | TotalAssetsEOY |
| Total Liabilities BOY | 43124747 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 43761463 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 48273523 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 51713714 | NetAssetsOrFundBalancesEOY |
| Mission Description | REDINGTON-FAIRVIEW GENERAL HOSPITAL WILL PROVIDE A LEADERSHIP ROLE TO...DEVELOP, PROVIDE AND/OR FACILITATE HEALTH CARE SERVICES THAT ARE CONSISTENT, EFFECTIVE, ACCESSIBLE, SAFE, PATIENT CENTERED, TIMELY, AND EFFICIENTLY PROVIDED.PROVIDE, MAINTAIN, COORDINATE OR FACILITATE SERVICES THAT ASSURE ACCESS TO PREVENTATIVE, EMERGENCY, ACUTE, AMBULATORY, AND REHABILITATIVE CARE.RECRUIT AND MAINTAIN COMPETENT, PROFESSIONAL MEDICAL AND HOSPITAL STAFF AND SUPPORT THEM IN ACCOMPLISHING THE GOALS OF OUR MISSION,VISION AND STRATEGIC PLAN.MAINTAIN FLEXIBILITY TO RESPOND TO THE NEEDS OF THOSE WE SERVE.DEVELOP COLLABORATIVE AND COOPERATIVE RELATIONSHIPS WITH OTHER HEALTH CARE DELIVERERS, SUPPORT ORGANIZATIONS AND EMPLOYERS IN THE AREA | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 35452539 | Expense |
| Revenue | 52571416 | Revenue |
| Description | RFGH PROVIDES 24 HOUR SEVEN DAY A WEEK EMERGENCY SERVICES. THESE SERVICES INCLUDE AN EMERGENCY DEPARTMENT STAFFED WITH PHYSICIANS 24 HOURS A DAY AS WELL AS AN AMBULANCE SERVICE WHICH OPERATES 24 HOURS A DAY. DURING FISCAL 2010, RFGH HAD 24,648 EMERGENCY DEPARTMENT VISITS AND 3,105 AMBULANCE RUNS. IN ADDITION TO EMERGENCY SERVICES, THE HOSPITAL PROVIDES A FULL RANGE OF SERVICES, RADIOLOGY, C.T., ULTRASOUND, NUCLEAR MEDICINE, BLOOD BANK, PATHOLOGY, CARDIOLOGY AND LABORATORY SERVICES. IN TOTAL, THESE SERVICES TREATED APPROXIMATELY 55,000 PATIENTS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 12444655 | Expense |
| Revenue | 9265280 | Revenue |
| Description | REDINGTON-FAIRVIEW GENERAL HOSPITAL (RFGH) IS LICENSED AS A CRITICAL ACCESS HOSPITAL OPERATING 25 BEDS. RFGH EMPLOYS HOSPITALISTS WHO ARE PHYSICIANS DEDICATED TO THE TREATMENT OF INPATIENTS. INPATIENTS SERVICES INCLUDES MEDICAL AND SURGICAL, SPECIAL CARE, OBSTETRICS AND PEDIATRICS. DURING FISCAL 2010, RFGH PROVIDED INPATIENT SERVICES TO 1,685 PATIENTS WHO STAYED 5,121 PATIENT DAYS. MEDICARE AND MEDICAID PATIENTS REPRESENTED 85% OF RFGH'S INPATIENTS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 9904190 | Expense |
| Revenue | 6422832 | Revenue |
| Description | RFGH OPERATES A NUMBER OF PHYSICIAN OFFICES IN ORDER TO BETTER SERVE THE RESIDENTS OF SOMERSET COUNTY. DURING FISCAL 2010, THESE PHYSICIAN SPECIALTIES INCLUDED INTERNAL MEDICINE, GENERAL SURGERY, ORTHOPEDICS, PEDIATRICS,FAMILY MEDICINE AND NEUROLOGY. DURING FISCAL 2010, THESE PHYSICIAN SPECIALTIES HAD 39,243 PATIENT VISITS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 618463 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 618463 | TotalOfOtherProgramServiceGrnt |
| Total Program Service Expense | 58419847 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 66 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 666 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Form990-T Filed | false | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Form8886 T Filed | false | Form8886TFiled |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Non Deductible Disclosure | false | NonDeductibleDisclosure |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Quid Pro Quo Disclosure | false | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Filed Lieu1041 | false | FiledLieu1041 |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Policies Reference Chapters | false | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | RICHARD D WILLETT | NamePerson |
| Telephone Number | 2078582315 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 46 FAIRVIEW AVE | AddressLine1 |
| City | SKOWHEGAN | City |
| State | ME | State |
| ZIP Code | 049760468 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (16 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| WILLIAM LANEY | |||||||
| Treasurer | 2.00 | X | X | 0 | 0 | 0 | |
| VIRGINIA HOWARD | |||||||
| Director | 2.00 | X | 0 | 0 | 0 | ||
| TIRUNELLAI R SHANKAR | |||||||
| ER PHYSICIAN | 50.00 | 378341 | 0 | 9638 | X | ||
| RICHARD D WILLETT | |||||||
| CEO/SECRETARY | 50.00 | X | 303780 | 0 | 245037 | ||
| MICHAEL LAMBKE MD | |||||||
| Director | 2.00 | X | 0 | 0 | 0 | ||
| MICHAEL CURRAN MD | |||||||
| Director | 50.00 | X | 433237 | 0 | 9692 | ||
| MICHAEL BLAB MD | |||||||
| ORTHO SURGEON | 50.00 | 343932 | 0 | 9692 | X | ||
| L JOSEPH CLARK | |||||||
| Vice President | 2.00 | X | X | 0 | 0 | 0 | |
| JOHN COMIS MD | |||||||
| ER PHYSICIAN | 50.00 | 306699 | 0 | 9692 | X | ||
| JEFFREY LLOYD | |||||||
| Director | 2.00 | X | 0 | 0 | 0 | ||
| GINA GOMEZ MD | |||||||
| Director | 50.00 | X | 199238 | 0 | 12525 | ||
| DONNA FINLEY | |||||||
| Director | 2.00 | X | 0 | 0 | 0 | ||
| DONALD ZAFROS MD | |||||||
| ER PHYSICIAN | 0. | 218604 | 0 | 11872 | X | ||
| DEEP ACHARYA | |||||||
| ER PHYSICIAN | 50.00 | 300325 | 0 | 9558 | X | ||
| DANA C KEMPTON | |||||||
| CFO | 50.00 | X | 203724 | 0 | 99461 | ||
| CHRISTOPHER PERKINS | |||||||
| President | 2.00 | X | X | 0 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2687880 | TotalReportableCompFromOrg |
| Total Other Compensation | 417167 | TotalOtherCompensation |
| Number Individuals GT100 K | 22 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| VISTA STAFFING SOLUTIONS | |||||
| 275 EAST 200 SOUTH | SALT LAKE CITY | UT | 84111 | CLINICAL STAFFING | 632543 |
| QUEST DIAGNOSTIC INC | |||||
| 5763 COLLECTION CENTER DR | CHICAGO | IL | 60693 | LAB TESTING | 270134 |
| MONITOR BUILDERS INC | |||||
| 225 FRIEND STREET | BOSTON | MA | 02114 | CONTRACTOR | 3372979 |
| MAINE GENERAL HEALTH ASSOCIATE | |||||
| 333 STONE ST | AUGUSTA | ME | 04330 | LAB TESTING | 279463 |
| COMPHEALTH | |||||
| 6440 SO MILLROCK DR | SALT LAKE CITY | UT | 84121 | CLINICAL STAFFING | 322872 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Government Grants | 332792 | GovernmentGrants |
| All Other Contributions | 391262 | AllOtherContributions |
| Total Contributions | 724054 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT REVENUE | Description |
| Total Revenue Column | 68259527 | TotalRevenueColumn |
| Related Or Exempt Function Income | 68259527 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 68259527 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 675029 | TotalRevenueColumn |
| Exclusion | $675,029 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|
| OTHER MISCELLANEOUS | 45367 | 45367 | |
| CAFETERIA | 224054 | $224,054 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 269421 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 69928031 | TotalRevenueColumn |
| Related Or Exempt Function Income | 68304894 | RelatedOrExemptFunctionIncome |
| Exclusion | $899,083 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1495209 | Total |
| Program Services | 643207 | ProgramServices |
| Management And General | 852002 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29536011 | Total |
| Program Services | 25831086 | ProgramServices |
| Management And General | 3704925 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1952925 | Total |
| Program Services | 1707955 | ProgramServices |
| Management And General | 244970 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6708423 | Total |
| Program Services | 5866935 | ProgramServices |
| Management And General | 841488 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2091235 | Total |
| Program Services | 1828916 | ProgramServices |
| Management And General | 262319 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 79707 | Total |
| Management And General | 79707 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51100 | Total |
| Management And General | 51100 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9378 | Total |
| Management And General | 9378 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 136352 | Total |
| Management And General | 136352 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2035522 | Total |
| Program Services | 2035522 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 190180 | Total |
| Management And General | 190180 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4447207 | Total |
| Program Services | 3965880 | ProgramServices |
| Management And General | 481327 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1363046 | Total |
| Program Services | 170977 | ProgramServices |
| Management And General | 1192069 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1367865 | Total |
| Program Services | 1178222 | ProgramServices |
| Management And General | 189643 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 59825 | Total |
| Program Services | 48311 | ProgramServices |
| Management And General | 11514 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 221169 | Total |
| Program Services | 190506 | ProgramServices |
| Management And General | 30663 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1246385 | Total |
| Program Services | 1073584 | ProgramServices |
| Management And General | 172801 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3673688 | Total |
| Program Services | 3288849 | ProgramServices |
| Management And General | 384839 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 778045 | Total |
| Management And General | 778045 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| PHARMACEUTICALS | 2779374 | 2779374 |
| Misc and other expenses | 1468804 | 1468804 |
| MEDICAID PROVIDER TAX | 1103698 | 1103698 |
| Equipment & Maintenance | 1548890 | 1548890 |
| Bad debt EXPENSE | 3689131 | 3689131 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68033169 | Total |
| Program Services | 58419847 | ProgramServices |
| Management And General | 9613322 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3578172 | BOY |
| EOY | 7925485 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11200487 | BOY |
| EOY | 3813445 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7037536 | BOY |
| EOY | 7759417 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 909886 | BOY |
| EOY | 601779 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1145036 | BOY |
| EOY | 1231570 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 340102 | BOY |
| EOY | 324134 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 59546045 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 28589912 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31335956 | BOY |
| EOY | 30956133 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27941314 | BOY |
| EOY | 35242494 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7909781 | BOY |
| EOY | 7620720 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 91398270 | BOY |
| EOY | 95475177 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9954462 | BOY |
| EOY | 9295468 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25715377 | BOY |
| EOY | 25310978 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7454908 | BOY |
| EOY | 9155017 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43124747 | BOY |
| EOY | 43761463 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47501010 | BOY |
| EOY | 50934656 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 772513 | BOY |
| EOY | 779058 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 48273523 | BOY |
| EOY | 51713714 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 91398270 | BOY |
| EOY | 95475177 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
| Federal Grant Audit Performed | false | FederalGrantAuditPerformed |
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) |
|---|---|---|
| Form4720 Filed4955 Tax | false | Form4720Filed4955Tax |
| Correction Made | false | CorrectionMade |
Total Direct Lobbying TotalDirectLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 9734 | FilingOrganizationsTotals |
Total Lobbying Expenditures TotalLobbyingExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 9734 | FilingOrganizationsTotals |
Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 68023432 | FilingOrganizationsTotals |
Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 68033166 | FilingOrganizationsTotals |
Lobbying Nontaxable LobbyingNontaxableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 1000000 | FilingOrganizationsTotals |
Grassroots Nontaxable GrassrootsNontaxableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 250000 | FilingOrganizationsTotals |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed | false | Form4720Filed |
Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 1000000 | CurrentYearMinus3 |
| Current Year Minus2 | 1000000 | CurrentYearMinus2 |
| Current Year Minus1 | 1000000 | CurrentYearMinus1 |
| Current Year | 1000000 | CurrentYear |
| Total | 4000000 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmount |
Total Lobbying Expenditures2 TotalLobbyingExpenditures2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 8880 | CurrentYearMinus3 |
| Current Year Minus2 | 9094 | CurrentYearMinus2 |
| Current Year Minus1 | 9378 | CurrentYearMinus1 |
| Current Year | 9734 | CurrentYear |
| Total | 37086 | Total |
Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 250000 | CurrentYearMinus3 |
| Current Year Minus2 | 250000 | CurrentYearMinus2 |
| Current Year Minus1 | 250000 | CurrentYearMinus1 |
| Current Year | 250000 | CurrentYear |
| Total | 1000000 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmount |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 278681 | OtherCostOrOtherBasis |
| Book Value | 278681 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 35820882 | OtherCostOrOtherBasis |
| Depreciation | 12639186 | Depreciation |
| Book Value | 23181696 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 23446482 | OtherCostOrOtherBasis |
| Depreciation | 15950726 | Depreciation |
| Book Value | 7495756 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 30956133 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| SOMERSET FITNESS CENTER | 46659 |
| ESTIMATED THIRD PARTY SETTLEMENTS | 6759405 |
| DISCOUNT ON BONDS PAYABLE | 70268 |
| DEFERRED FINANCING CHARGES | 744388 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 7620720 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | LIABILITY FOR PENSION BENEFITS | Description |
| Amount | $9,155,017 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 9155017 | TotalOfAmounts |
| Total Revenue | 69928031 | TotalRevenue |
| Total Expenses | 68033169 | TotalExpenses |
| Excess Or Deficit For Year | 1894862 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 1868550 | NetUnrealizedGLOnInvestments |
| Other | -$323,221 | OtherAmount |
| Total Adjustments | 1545329 | TotalAdjustments |
| Excess Or Deficit Per FS | 3440191 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 71796581 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 1868550 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | 1868550 | RevenueNotRptdF990 |
| Revenue Subtotal | 69928031 | RevenueSubtotal |
| Total Revenue Per Form990 | 69928031 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 68033169 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 68033169 | ExpensesSubtotal |
| Total Expenses Per Form990 | 68033169 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part X | Part X : FIN48 Footnote | SCHEDULE D - PART X:IN JUNE 2006, THE FINANCIAL ACCOUNTING BOARD (FASB) ISSUED FASB INTERPRETATION 48 (FIN 48), ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES - AN INTERPRETATION OF FASB STATEMENT 109. FIN 48 CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS IN ACCORDANCE WITH FASB STATEMENT NO.109, ACCOUNTING FOR INCOME TAXES, FIN 48 ALSO PRESCRIBES A "MORE LIKELY THAN NOT" RECOGNITION THRESHOLD AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN AS WELL AS PRESCRIBES A COMPREHENSIVE MODEL FOR DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE, AND TRANSITION.IN DECEMBER 2009, THE FASB PUBLISHED FASB STAFF POSITION 48-3, EFFECTIVE DATE OF FASB INTERPRETATION NO. 48 FOR CERTAIN NONPUBLIC ENTERPRISES (FSP FIN 49-3), WHICH DEFERS THE EFFECTIVE DATE OF FIN 48 FOR NONPUBLIC ENTERPRISES FOR FISCAL YEARS BEGINNING AFTER DECEMBER 15, 2008. THE HOSPITAL HAS ELECTED THE DEFERRAL OF THE EFFECTIVE DATE AND WILL ADOPT FIN 48 IN ITS 2010 FISCAL YEAR FINANCIAL STATEMENTS.THE HOSPITAL PRESENTLY EVALUATES THE LIKELIHOOD OF UNCERTAIN TAX POSITION BY USING THE PROVISION OF FASB STATEMENT NO.5, ACCOUNTING FOR CONTINGENCIES. THE HOSPITAL DOES NOT EXPECT THERE TO BE AN IMPACT ON ITS FINANCIAL POSITION AND CHANGES IN NET ASSET AS A RESULT OF ADOPTING FIN 48.SCHEDULE D, PART XI LINE 8:THE EFFECT OF THE ADOPTION OF FASB STATEMENT NO. 158 AND THE CONTINGENT APPLICATION. |
| Part XI, Line 8 | Part XI, Line 8: Other Changes in Net Assets or Fund Balances | ADOPTION OF FASB 158 AND CONTINUING APPLICATION $ -323221 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 240.000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 336.000000000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | false | AnnualCommunityBenefitReport |
| Report Publically Available | false | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 996875 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 996875 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01470 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 996875 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 996875 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01470 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 618572 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 618572 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00910 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9904190 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8307355 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1596835 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02350 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10522762 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8307355 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2215407 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03260 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11519637 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8307355 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3212282 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04720 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $2,474,617 | BadDebtExpenseAmount |
| Amount Attributable To | 123731 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 23565587 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 22726298 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 839289 | MedicareSurplusOrShortfall |
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REDINGTON-FAIRVIEW GENERAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 46 FAIRVIEW AVENUE PO BOX 468 | AddressLine1 |
| City | SKOWHEGAN | City |
| State | ME | State |
| ZIP Code | 04976 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| Critical Access Hospital | X | CriticalAccessHospital |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Needs Assessment | SEE ATTACHED STATEMENT | NeedsAssessment |
| Patient Education Assistance | SEE ATTACHED STATEMENT | PatientEducationAssistance |
| Community Building Activities | SEE ATTACHED STATEMENT | CommunityBuildingActivities |
| Other Information | SEE ATTACHED STATEMENT | OtherInformation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
| Rebuttable Presumption Procedure | false | RebuttablePresumptionProcedure |
Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg |
|---|---|---|---|---|
| TIRUNELLAI R SHANKAR | ||||
| 248078 | 130263 | 9638 | 387979 | |
| RICHARD D WILLETT | ||||
| 303780 | 20516 | 548817 | 224521 | |
| MICHAEL CURRAN MD | ||||
| 345781 | 87456 | 9692 | 442929 | |
| MICHAEL BLAB MD | ||||
| 343932 | 9692 | 353624 | ||
| JOHN COMIS MD | ||||
| 306699 | 9692 | 316391 | ||
| GINA GOMEZ MD | ||||
| 187753 | 11485 | 12525 | 211763 | |
| DONALD ZAFROS MD | ||||
| 218604 | 11872 | 230476 | ||
| DEEP ACHARYA | ||||
| 300325 | 9558 | 309883 | ||
| DANA C KEMPTON | ||||
| 203724 | 13687 | 303185 | 85774 | |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Sch J, Part I, Line 7 | Identifier |
| Return Reference | Part I, Line 7: Non-Fixed payments not listed above | ReturnReference |
| Explanation | SCH J, PART 1, LINE 7 - NON-FIXED PAYMENTS NOT LISTED ABOVE ~ PHYSCIANS EMPLOYED BY THE HOSPITAL PARTICIPATE IN AN INCENTIVE BASED COMPENSATION PROGRAM THE PROGRAM IS BASED UPON A REVENUE TARGET WHICH WILL PRODUCE A TARGET COMPENSATION LEVEL, WHICH IS BASED UPON BOTH LOCAL AND NATIONAL BENCHMARK INFORMATION IN ORDER FOR THE INCENTIVES FOR THE PHYSICIANS TO MATCH THE HOSPITALS MISSION,THE PROGRAM IS BASED UPON THE HOSPITAL'S ACTUAL CHARGES, SO THAT THE PHYSICIAN WILL HAVE AN INCENTIVE TO TAKE ALL PATIENTS REGARDLESS OF ABILITY TO PAY THE SUM OF ALL CHARGES FOR SERVICES PERFORMED BY THE PHYSICIAN IS TABULATED ON A QUARTERLY BASIS THAT TABULATION ISTHEN DIVIDED BY THE REVENUE TARGET, WHICH IS MULTIPLIED TIMES THE TARGET COMPENSATION LEVEL IF A PHYSICIAN ACTUAL COMPENSATION IS LESS THANN THE CALCULATED SALARY, THE PHYSICIAN WILL RECEIVE A BONUS PAYMENT THAT RECOGNIZES THE PHYSICIAN'S CONTRIBUTION TO THE HOSPITAL'S ACHIEVEMENT OF ITS CHARITABLE MISSION TO PROVIDE HEALTHY SERVICES FOR THE BENEFIT OF THE COMMUNITY. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer |
|---|---|---|---|---|---|---|
| MAINE HEALTH & HIGHER EDUCATION FACILITY | ||||||
| 010314384 | 560427JA5 | 2010-06-24 | 108030000 | BOND REFINANCING | false | false |
| MAINE HEALTH & HIGHER EDUCATION FACILITY AUTHORITY | ||||||
| 010314384 | 560425V80 | 2007-11-01 | 72040461 | REPLACEMENT OF TWO BOILERS, PURCHASE OF A BACK-UP GENERATOR | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 4867784 | TotalProceeds |
| Amount In Reserve Fund | 389000 | AmountInReserveFund |
| Amount Defeased | 4187686 | AmountDefeased |
| Issuance Costs From Proceeds | 38937 | IssuanceCostsFromProceeds |
| Year Of Subst Completion | 2010 | YearOfSubstCompletion |
| Current Refunding | true | CurrentRefunding |
| Advance Refunding | true | AdvanceRefunding |
| Final Allocation Made | true | FinalAllocationMade |
| Adequate Books And Recds Maintaind | true | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | false | OwningBondFinancedProperty |
| Any Lease Arrangements | false | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | false | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | false | AnyResearchAgreements |
| Bond Counsel Routinely Engaged | false | BondCounselRoutinelyEngaged |
| Post Issuance Compliance Procdrs | true | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | false | Form8038TFiled |
| Variable Rate Issue | false | VariableRateIssue |
| Hedge Identified In Books And Recds | false | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | false | GrossProceedsInvested |
| Exception To Rebate | false | ExceptionToRebate |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Form 990, Part VI, Line 19 | Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | REDINGTON FAIRVIEW GENERAL MAKE ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST |
| Form 990, Part VI, Line 12c | Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | ANNUALLY THE CONFLICT OF INTERESTS DISCLOSURE IS REVIEWED WITH THE MEMBERS OF THE BOARD AND DIRECTORS, WHO THEN SIGN THE DISCLOSURE |
| Form 990, Part VI, Line 11 | Form 990, Part VI, Line 11: Form 990 Review Process | PRIOR TO THE FILING THE FORM 990, THE HOSPITAL'S CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER REVIEWED THE FILING IN DETAIL WITH THE EXECUTIVE COMMITTEE OF THE HOSPITAL BOARD, WHICH IS COMPOSED OF THE PRESIDENT, THE VICE PRESIDENT, AND THE TREASURER OF THE HOSPITAL. THE OFFICERS FOUND THE FILING TO BE COMPREHENSIVE AND COMPLETE. THE OTHER SIX HOSPITAL BOARD MEMBERS HAVE BEEN NOTIFIED THAT THE FORM 990 IS AVAILABLE FOR THE DETAILED REVIEW IF THEY SHOULD SO DESIRE. |
| Form 990, Part III, Line 4d | Form 990, Part III, Line 4d : Other Program Services Description | OTHER PROGRAM SERVICES 4: FORM 990, PART III, LINE 4D: OTHER PROGRAM SERVICES DESCRIPTIONThe Healthy Maine Partnership (HMP) work-plan is being carried out by through the funding of the HMP grant, support of RFGH, and additional funding obtained through the efforts of GSPHC. The New Balance Foundation has partially funded the Physical Activity Program Coordinator (HMP/NB) and in this second year a Nutrition Program Coordinator (HMP) Angela Norton was hired. The Substance Abuse Prevention Program Director was a grant funded position for Substance Abuse Prevention (OSA) however beginning July 2010 RFGH will be hiring a Substance Use Prevention program Coordinator to add to SHH staff. This is community work done primarily through schools and worksites in partnership with a variety of community partners.Work plan objectives are all on line in a program called KIT, and are required to be kept current with quarterly reports to Me. CDC and OSA. The following additional funds have been secured or are being pursued for carrying out continued work:New Balance Foundation grant for Move More Kids ($170,000)Lifeboat Foundation ($16,000)Living Well Chronic Disease Self Management ($4,000)Lead Poisoning regional HMP funds ($30,501.81)Additional OSA funds for programming ($34,280.27)Maine Community Foundation ($7,502.73)Maine CVH funds for Worksites ($34,081)EMHS Lets Go 5210 Grant ($4,000)SVH Travel and Technology grant ($880)In addition, we received the following grants:Maine Community Foundation ($5,000) for a Jackman Consolidated School Greenhouse grant Rotary Feed the Kids initiative (Business and NBF supported winter feeding program donations for Rotary) USDA funding for community summer feeing programs (Bingham, Skowhegan and SAD 74 Carrabec started still looking to do Madison area) Program Data (much of our work is establishing policy and environmental changes which impacts large populations of people and is hard to measure total impact besides # of policies or environmental changes made ie trail developed or tobacco policy put in place for SAD 54).Move More Kids! 2010 Highlightso 2010 Move More Kids 8-week Summer Transit Service- over 1,400 familieso 8,766 children and adults involved in physical activityo 1,593 hours dedicated to support MMK activities from other sources of fundingand/or through volunteers.o 11 new area trained lifeguardso Over 1,300 school children snow shoed as part of the Snow Shoe Program thiswinter despite lack of snow.o Successful After school physical activity programs offered in both Madison &Bingham schoolso Over 100 certified trainers trained to use equipment/offer programs related tophysical activity.Additional partnerships formed as a result of the Move More Kids Initiative to provide:* Feed the Kids Program w/Skowhegan Rotary: served 1,458 hot meals to Madison families.* Lifeboat Foundation- expanding nutrition & physical activity opportunities to alternativeeducation students.Additional partnerships formed as a result of the Move More Kids Initiative. Move More:.498 active members enrolled in the Move More Program. Monthly newsletter e-mailed to over 396 members 12 Indoor Walking locations offered indoor walking in Somerset County. Jackman 'Big Losers' and Move, More Kids Program, (MMK), both received recognition at the Maine Fitness Awards. Work site Wellness: 25 businesses worked with in 3 chambers to deliver policy and environmental changes (tobacco and Substance Abuse policies) Wellnotes distributed through these businesses to their employees and familiesTobaccoSuccesses - We delivered 248 packets to businesses in our service area that included information on therecent law changes in September 2009, the 6"x6" "Smoke Free Area" signs, sample business sized cards for the tobacco Help Line and Secondhand smoke as well as a letter describing the services that our Coalition can provide for policy and environmental change. Callbacks were made, with contacts reached at 46 of the businesses. Two motels sought further T |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOMERSET FITNESS CENTER INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 3158 | AddressLine1 |
| City | SKOWHEGAN | City |
| State | ME | State |
| ZIP Code | 04976 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010524417 | EIN |
| Primary Activities | FITNESS ACTIVITIES FOR MEMBERS | PrimaryActivities |
| Legal Domicile State | ME | LegalDomicileState |
| Total Income | -9298 | TotalIncome |
| EOY Assets | 146617 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REDINGTON FAIRVIEW GENERAL HOSPITAL | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (2 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 |
|---|---|---|---|---|---|---|---|---|---|
| FAIRVIEW HOSPITAL INC | |||||||||
| PO BOX 468 | SKOWHEGAN | ME | 04976 | 010222130 | SOLE SUPPORTING ORGANIZATION OF RFGH | ME | 501 c (3) | 11 (d) | NA |
| REDINGTON MEMORIAL HOSPITAL ASSN | |||||||||
| PO BOX 468 | SKOWHEGAN | ME | 04976 | 010211154 | SOLE SUPPORTING ORGANIZATION OF RFGH | ME | 501 c (3) | 11 (d) | NA |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOMERSET SPORTS & FITNESS CENTER | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 3158 | AddressLine1 |
| City | SKOWHEGAN | City |
| State | ME | State |
| ZIP Code | 04976 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010524417 | EIN |
| Primary Activity | FITNESS CENTER | PrimaryActivity |
| Legal Domicile State | ME | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RFGH | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |