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MAINE BEHAVIORAL HEALTHCARE: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
MAINE BEHAVIORAL HEALTHCARE (EIN 01-0524834)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-09
IRS object ID
201122219349301347
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-08-09T12:46:31-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MAINEHEALTHBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1110 FREE STAddressLine1
CityPORTLANDCity
StateMEState
ZIP Code041013908ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN010524834EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SPRING HARBOR HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSPRINameControl
Phone2077612200Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1123 ANDOVER ROADAddressLine1
CityWESTBROOKCity
StateMEState
ZIP Code04092ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGREG BOWERSName
TitleCFOTitle
Phone2077612200Phone
Date Signed2011-08-08DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Date Prepared2011-08-09DatePrepared
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDENNIS P KINGNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1123 ANDOVER ROADAddressLine1
CityWESTBROOKCity
StateMEState
ZIP Code04092ZIPCode
FieldValueIRS element (for citing)
Gross Receipts31958754GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.SPRINGHARBOR.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1999YearFormation
State Legal DomicileMEStateLegalDomicile
Activity Or Mission DescriptionSPRING HARBOR HOSPITAL OFFERS PEOPLE IN MENTAL HEALTH CRISIS HIGH-QUALITY, INDIVIDUALIZED TREATMENT TO SUPPORT THEIR ONGOING RECOVERY.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees558TotalNbrEmployees
Total Nbr Volunteers17TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year421564ContributionsGrantsPriorYear
Contributions Grants Current Year512270ContributionsGrantsCurrentYear
Program Service Revenue Prior Year31891425ProgramServiceRevenuePriorYear
Program Service Revenue CY31372997ProgramServiceRevenueCY
Investment Income Prior Year-4023InvestmentIncomePriorYear
Investment Income Current Year71479InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year32308966TotalRevenuePriorYear
Total Revenue Current Year31956746TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year22157730SalariesEtcPriorYear
Salaries Etc Current Year21606624SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year66003TotalFundrsngExpCurrentYear
Other Expense Prior Year9726069OtherExpensePriorYear
Other Expenses Current Year9985886OtherExpensesCurrentYear
Total Expenses Prior Year31883799TotalExpensesPriorYear
Total Expenses Current Year31592510TotalExpensesCurrentYear
Revenues Less Expenses Prior Year425167RevenuesLessExpensesPriorYear
Revenues Less Expenses CY364236RevenuesLessExpensesCY
Total Assets BOY33940652TotalAssetsBOY
Total Assets EOY33228255TotalAssetsEOY
Total Liabilities BOY25267208TotalLiabilitiesBOY
Total Liabilities EOY25061476TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY8673444NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY8166779NetAssetsOrFundBalancesEOY
Mission DescriptionSPRING HARBOR HOSPITAL OFFERS PEOPLE IN MENTAL HEALTH CRISIS HIGH-QUALITY, INDIVIDUALIZED TREATMENT TO SUPPORT THEIR ONGOING RECOVERY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense13024964Expense
Revenue14840200Revenue
DescriptionADULT SERVICES - ADULT TREATMENT FOCUSES ON RAPID STABILIZATION OF SYMPTOMS AND APPROPRIATE AFTERCARE FOR EACH PATIENT. TREATMENT INCLUDES A COMPREHENSIVE EVALUATION OF PERTINENT PSYCHIATRIC, PSYCHOLOGICAL, DEVELOPMENTAL, AND MEDICAL FACTORS. THE TEAM DEVELOPS AND IMPLEMENTS INDIVIDUALIZED TREATMENT PLANS AND ENLISTS COMMUNITY SUPPORT TO ENSURE APPROPRIATE FOLLOW-UP CARE FOR EACH PATIENT. SEE ATTACHED COMMUNITY BENEFIT REPORT FOR MAINE MENTAL HEALTH PARTNERS & SUBSIDIARIES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense9201061Expense
Revenue10483375Revenue
DescriptionCHILD AND ADOLESCENT SERVICES -OUR 28 YOUTH BEDS SERVE CHILDREN AND ADOLESCENTS WHO REQUIRE ACUTE MENTAL HEALTHCARE AND SUBSTANCE ABUSE INTERVENTION. PROGRAMMING INCLUDES COMPREHENSIVE PSYCHIATRIC EVALUATION, INDIVIDUAL AND FAMILY THERAPY, RECREATIONAL AND GROUP THERAPY, MEDICATION MANAGEMENT, PARENT EDUCATION, AND ON-SITE ACADEMIC INSTRUCTION. THE UNITS SPECIALIZE IN THE TREATMENT OF DIAGNOSES COMMON TO YOUTH, INCLUDING ANXIETY,PSYCHOTIC OR DEPRESSIVE DISORDERS, OPPOSITIONAL/DEFIANT DISORDER, ATTENTION DEFICIT/HYPERACTIVITY DISORDER(ADD/ADHD), AND POST-TRAUMATIC STRESS DISORDER (PTSD).Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense4821536Expense
Revenue5493494Revenue
DescriptionDEVELOPMENTAL DISORDERS PROGRAM - THE STATE'S ONLY HOSPITAL PROGRAM FOR YOUTH WITH AUTISM AND MENTAL ILLNESS,THE DEVELOPMENTAL DISORDERS PROGRAM DELIVERS HIGH-QUALITY TREATMENT OUTCOMES THROUGH A COMBINATION OF EXPERT PROGRAMMING, SPECIALLY TRAINED CAREGIVERS, AND THE INDIVIDUAL POTENTIAL OF EACH PATIENT. THE PROGRAM OFFERS INTENSIVE TREATMENT FOR AGGRESSION, SELF-INJURY, IMPAIRMENT IN FUNCTIONING, AND MENTAL HEALTH CHALLENGES IN CHILDREN AGES 2 TO 21 WHO HAVE A DEVELOPMENTAL DISORDER AND CANNOT CURRENTLY FUNCTION SAFELY OUTSIDE THE HOSPITAL SETTING.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense487927Expense
Revenue555928Revenue
DescriptionCAFETERIA AND VENDING UNITS SALES, OTHER REVENUE FROM MEDICAL RECORDS, RENT FROM A RELATED PARTY, AND EDUCATIONAL SERVICES.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp487927TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev555928TotalOfOtherProgramServiceRev
Total Program Service Expense27535488TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementstrueConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109611NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees558NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledMEStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonGREG BOWERS CFONamePerson
Telephone Number2077612200TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1123 ANDOVER ROADAddressLine1
CityWESTBROOKCity
StateMEState
ZIP Code04092ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
RICHARD PETERSEN
TRUSTEE1.00X094184532644
DENNIS P KING
CEO25.00X049490127368X
FRANK LAVOIE MD
TRUSTEE1.00X032114213931
BRIAN RINES PHD
CHAIR3.00X000X
DAVID LAKARI
VICE CHAIR3.00X000X
CHERYL LEE RUST
SECRETARY3.00X000X
ROSALYNE BERNSTEIN
TRUSTEE1.00X000
SHERI BOULOS
TRUSTEE1.00X000
RICHARD CARRIUOLO
TRUSTEE1.00X000
JANIS COHEN
TRUSTEE1.00X000
JAMES HARNAR
TRUSTEE1.00X000
NANCY HASENFUS MD
TRUSTEE1.00X000
TRACY HAWKINS
TRUSTEE1.00X000
LESTER W HODGDON
TRUSTEE1.00X000
LISA C HOOK
TRUSTEE1.00X000
NANCY POND
TRUSTEE1.00X000
JOHN SHOOS
TRUSTEE1.00X000
ANNA H WELLS
TRUSTEE1.00X000
ROGER F WOODMAN JR
TRUSTEE1.00X000
FRANCIS G MCGINTY
TREASURER1.00062168732688X
GIRARD ROBINSON
CMO12.50041008443335X
DONALD E QUIGLEY ESQ
ASST SEC1.00034524532688X
RICHARD HANLEY
COO37.50018171319008X
MARY JANE KREBS
CNO17.50017565218329X
GREGORY BOWERS
CFO15.00016121018093X
JOHN MURPHY MD
PHYSICIAN40.00207054020217X
MARK FULTON MD
PHYSICIAN40.00204436020025X
WILLIAM BRENAN MD PHD
PHYSICIAN40.00197337019650X
MATTHEW SIEGEL MD
PHYSICIAN40.00190097015746X
JAMES RAY DO
PHYSICIAN40.00183313019103X
FieldValueIRS element (for citing)
Total Reportable Comp From Org982237TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3653479TotalReportableCompFrmRltdOrgs
Total Other Compensation332825TotalOtherCompensation
Number Individuals GT100 K14NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CARDINAL HEALTH
3763 COLLECTION DRIVECHICAGOIL60693PHARMACEUTICAL643306
US FOODSERVICE INC
PO BOX D 3155BOSTONMA022413155FOOD SERVICE342541
NORDX
102 CAMPUS DRIVE UNIT 118SCARBOROUGHME04074LAB PROCESSING183575
E-PHARM PRO
601 UPLAND AVE STE 223-224UPLANDPA19015PHARMACEUTICAL111398
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Federated Campaigns292FederatedCampaigns
All Other Contributions511978AllOtherContributions
Total Contributions512270TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
ADULT SERVICES6230001484020014840200
CHILD & ADOLESCENT6230001048337510483375
DEVELOPMENTAL DISORDERS62300054934945493494
RENT INCOME531120264804264804
CAFETERIA722210234238234238

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column56886TotalRevenueColumn
Related Or Exempt Function Income56886RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue31372997TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column73487TotalRevenueColumn
Exclusion$73,487ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2008Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-2008Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-2008TotalRevenueColumn
Related Or Exempt Function Income-2008RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column31956746TotalRevenueColumn
Related Or Exempt Function Income31370989RelatedOrExemptFunctionIncome
Exclusion$73,487ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total586211Total
Program Services186481ProgramServices
Management And General399730ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total16818191Total
Program Services16484300ProgramServices
Management And General276923ManagementAndGeneral
Fundraising56968Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total447547Total
Program Services434121ProgramServices
Management And General13426ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2486881Total
Program Services2412275ProgramServices
Management And General74606ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1267794Total
Program Services1229760ProgramServices
Management And General38034ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total3065076Total
Management And General3065076ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1182Total
Management And General1182ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total3990Total
Management And General3990ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total737339Total
Program Services734276ProgramServices
Management And General3150ManagementAndGeneral
Fundraising-87Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total10717Total
Program Services10395ProgramServices
Management And General322ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total421629Total
Program Services397893ProgramServices
Management And General16026ManagementAndGeneral
Fundraising7710Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total7764Total
Program Services7531ProgramServices
Management And General233ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1905132Total
Program Services1847978ProgramServices
Management And General57154ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total41177Total
Program Services40265ProgramServices
Management And General483ManagementAndGeneral
Fundraising429Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total48753Total
Program Services46334ProgramServices
Management And General2419ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1038319Total
Program Services1007169ProgramServices
Management And General31150ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total168130Total
Program Services163995ProgramServices
Management And General4135ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesFundraisingFundraisingManagement And GeneralManagementAndGeneral
HOSPITAL TAX672068672068
PHARMACY SERVICES616185616185
PROVISION FOR BAD DEBT597104597104
FOOD SERVICES419318419085233
MEMBERSHIP DUES100077963477502980

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total131926Total
Program Services131926ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total31592510Total
Program Services27535488ProgramServices
Management And General3991019ManagementAndGeneral
Fundraising66003Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1813BOY
EOY1665EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY7933763BOY
EOY9178192EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY9803BOY
EOY9803EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2554775BOY
EOY1955577EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY214953BOY
EOY249042EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY198884BOY
EOY112803EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis28190418LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7327126LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY21808031BOY
EOY20863292EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY417253BOY
EOY613192EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY801377BOY
EOY244689EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY33940652BOY
EOY33228255EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2471969BOY
EOY2732554EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY22795239BOY
EOY22188897EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
EOY140025EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY25267208BOY
EOY25061476EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY8246388BOY
EOY7753144EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY77056BOY
EOY63635EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY350000BOY
EOY350000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8673444BOY
EOY8166779EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY33940652BOY
EOY33228255EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
Form1120 Pol FiledfalseForm1120PolFiled
Form4720 FiledfalseForm4720Filed
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$5,806OtherActivitiesAmount
Total Lobbying Expenditures IIB5806TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax
Substantially All Dues NondeductfalseSubstantiallyAllDuesNondeduct
Only In House LobbyingfalseOnlyInHouseLobbying
Agree To Carryover Prior YearfalseAgreeToCarryoverPriorYear

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
Return ReferenceSCHEDULE C, PART II-B, LINE 1IReturnReference
ExplanationA PORTION OF MEMBERSHIP DUES PAID REPRESENTS LOBBYING ACTIVITIES. LOBBYING PORTION OF MAINE HOSPITAL ASSOCIATION DUES: 4,732 LOBBYING PORTION OF AMERICAN HOSPITAL ASSOCIATION DUES: 1,074 TOTAL DUES PAID REPRESENTING LOBBYING ACTIVITIES: 5,806Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Preservation Of Open SpaceXPreservationOfOpenSpace
Total Number Of Easements1TotalNumberOfEasements
Total Acreage54TotalAcreage
Nmbr States In Which Easements Held1NmbrStatesInWhichEasementsHeld
Written Policy MonitoringfalseWrittenPolicyMonitoring
Staff Hours Spent On Enforcement5StaffHoursSpentOnEnforcement
Expenses Incurred For Enforcement250ExpensesIncurredForEnforcement
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance350000BeginningOfYearBalance
Investment Earnings Or Losses33229InvestmentEarningsOrLosses
Other Expenditures33229OtherExpenditures
End Of Year Balance350000EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance350000BeginningOfYearBalance
Investment Earnings Or Losses7350InvestmentEarningsOrLosses
Other Expenditures7350OtherExpenditures
End Of Year Balance350000EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1212130OtherCostOrOtherBasis
Book Value1212130BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis23401632OtherCostOrOtherBasis
Depreciation5092782Depreciation
Book Value18308850BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis732069OtherCostOrOtherBasis
Depreciation398249Depreciation
Book Value333820BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2844587OtherCostOrOtherBasis
Depreciation1836095Depreciation
Book Value1008492BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings20863292TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO AFFILIATESDescription
Amount$140,025Amount
FieldValueIRS element (for citing)
Total Of Amounts140025TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ACCOUNTING FOR CONSERVATION EASEMENTSSCHEDULE D, PAGE 1, PART II, LINE 9IN 2002 SPRING HARBOR HOSPITAL ACQUIRED A 54-ACRE PARCEL OF LAND DESIGNATED AS A CONSERVATION EASEMENT WHICH WAS CONVEYED AS PART OF A LAND PURCHASE UPON WHICH THE HOSPITAL WAS BUILT.
INTENDED USES FOR ENDOWMENT FUNDSSCHEDULE D, PAGE 2, PART V, LINE 4THE INCOME GENERATED FROM THIS PERMANENT ENDOWMENT ARE INTENDED TO BE USED PRIMARILY FOR THE SERVICES PROVIDED BY SPRING HARBOR HOSPITAL'S CHILD AND ADOLESCENT PROGRAMS.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage1.75000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CarefalseFPGReferenceDiscountedCare
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense3432671TotalCommunityBenefitExpense
Net Community Benefit Expense3432671NetCommunityBenefitExpense
Percent Of Total Expense0.10870PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense3432671TotalCommunityBenefitExpense
Net Community Benefit Expense3432671NetCommunityBenefitExpense
Percent Of Total Expense0.10870PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense93300TotalCommunityBenefitExpense
Net Community Benefit Expense93300NetCommunityBenefitExpense
Percent Of Total Expense0.00300PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense99250TotalCommunityBenefitExpense
Net Community Benefit Expense99250NetCommunityBenefitExpense
Percent Of Total Expense0.00310PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense12100TotalCommunityBenefitExpense
Net Community Benefit Expense12100NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense204650TotalCommunityBenefitExpense
Net Community Benefit Expense204650NetCommunityBenefitExpense
Percent Of Total Expense0.00650PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense3637321TotalCommunityBenefitExpense
Net Community Benefit Expense3637321NetCommunityBenefitExpense
Percent Of Total Expense0.11510PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$371,996BadDebtExpenseAmount
Amount Reimbursed By Medicare3504015AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare4576015CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-1072000MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

FieldValueIRS element (for citing)
Business Name Line1SPRING HARBOR HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1123 ANDOVER ROADAddressLine1
CityWESTBROOKCity
StateMEState
ZIP Code04092ZIPCode

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Income Based CriteriaSPRING HARBOR HOSPITAL DOES NOT PROVIDE DISCOUNTED CARE, ONLY FREE CARE, FOR WHICH THE FPG IS USED TO DETERMINE ELIGIBILITY.IncomeBasedCriteria
Annual Community Benefit ExplnSPRING HARBOR'S ANNUAL COMMUNITY BENEFIT REPORT INFORMATION IS CONTAINED IN A REPORT PREPARED BY SPRING HARBOR'S PARENT ORGANIZATION, MAINE MENTAL HEALTH PARTNERS.AnnualCommunityBenefitExpln
Costing Method UsedCHARITY CASE COST DATA PRESENTED IN THIS SECTION HAS BEEN CALCULATED BY ASSIGNING THE AVERAGE OVERALL SPRING HARBOR RATIO OF COST TO CHARGES TO THE ACTUAL GROSS AMOUNT OF CHARITY CARE CHARGES RECORDED BY THE HOSPITAL DURING THE PERIOD. OTHER BENEFIT COST DATA HAS BEEN CALCULATED THROUGH THE USE OF A COMBINATION OF ACTUAL GENERAL LEDGER SPECIFIC COST DATA, AND THE USE OF EMPLOYEE TIME STUDIES. ALL OTHER BENEFIT COST DATA IN PART I, LINE 7 MATCHES THE DATA PRESENTED FOR SPRING HARBOR HOSPITAL IN MAINE MENTAL HEALTH PARTER'S ANNUAL COMMUNITY BENEFIT REPORT.CostingMethodUsed
Bad Debt FootnoteSPRING HARBOR HOSPITAL DOES NOT HAVE A SPECIFIC FOOTNOTE IN THE FINANCIAL STATEMENTS THAT DESCRIBES "BAD DEBT EXPENSE." HOWEVER, REFERENCE IS MADE WITHIN THE FOOTNOTES TO A BAD DEBT POLICY IN A COUPLE OF INSTANCES. WITHIN THE FOOTNOTE DESCRIBING "SIGNIFICANT ACCOUNTING POLICES" IS THE SECTION TITLED "ACCOUNTS RECEIVABLE," WHERE THE FOLLOWING EXPLAINS THE BAD DEBT RESERVE: "THE RESERVE FOR UNCOLLECTIBLE ACCOUNTS IS PROVIDED BASED ON AN ANALYSIS BY MANAGEMENT OF THE COLLECTIBILITY OF OUTSTANDING BALANCES. MANAGEMENT CONSIDERS THE AGE OF OUTSTANDING BALANCES AND PAST COLLECTION EFFORTS IN DETERMINING THE RESERVE FOR UNCOLLECTIBLE ACCOUNTS. ACCOUNTS DEEMED UNCOLLECTIBLE ARE CHARGED OFF AGAINST THE ESTABLISHED RESERVE." ALSO WITHIN THE "SIGNIFICANT ACCOUNTING POLICIES" IS THE SECTION TITLED "CHARITY CARE AND BAD DEBTS," WHERE THE FOLLOWING DESCRIBES THE BAD DEBT EXPENSE: "REVENUE FOR SERVICES RENDERED TO INDIVIDUALS FROM WHOM PAYMENT IS EXPECTED AND ULTIMATELY NOT RECEIVED IS WRITTEN OFF AND INCLUDED AS PART OF THE ALLOWANCE FOR BAD DEBTS." THE AMOUNT OF EXPENSE ASSOCIATED WITH THE PROVISION OF SERVICES, ULTIMATELY WRITTEN OFF AS BAD DEBT AT SPRING HARBOR, HAS BEEN CALCULATED AT 371,996 FOR THE CURRENT FISCAL YEAR. THIS AMOUNT WAS CALCULATED BY ASSIGNING THE AVERAGE OVERALL SPRING HARBOR RATIO OF COST TO CHARGES TO THE GROSS AMOUNT OF CHARGES WRITTEN OFF AS BAD DEBT DURING THE FISCAL PERIOD. BAD DEBT EXPENSE REPRESENTS HEALTHCARE SERVICES SPRING HARBOR HAS PROVIDED WITHOUT COMPENSATION. AS A TAX-EXEMPT HOSPITAL, SPRING HARBOR PROVIDES NECESSARY PATIENT CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THE SERVICES. A PORTION OF SPRING HARBOR'S BAD DEBT EXPENSE IS ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR APPLICATION PROCESS. SPRING HARBOR CANNOT DETERMINE THE AMOUNT OF BAD DEBT EXPENSE THAT COULD BE REASONABLY ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR DIFFICULT PERSONAL OR ECONOMIC CIRCUMSTANCES RELATED TO A PORTION OF OUR COMMUNITY BASED PATIENT POPULATION. THEIR MEDICAL BILLS OFTEN PLACE THESE INDIVIDUALS IN UNTENABLE POSITIONS WHERE THEY ARE NOT ABLE TO HANDLE THEIR PERSONAL DEBT AND THEN THEIR NEW MEDICAL DEBT. HOWEVER, BECAUSE OF THEIR INCOME LEVEL, THEY DO NOT QUALIFY FOR FREE CARE. BY PROVIDING NECESSARY HEALTHCARE SERVICES TO THOSE INDIVIDUALS EITHER WHO FAIL TO APPLY FOR FINANCIAL ASSISTANCE OR WHO ARE EXPERIENCING DIFFICULT PERSONAL OR ECONOMIC CIRCUMSTANCES, SPRING HARBOR BELIEVES THAT BAD DEBT EXPENSE SHOULD BE INCLUDED AS A COMMUNITY BENEFIT.BadDebtFootnote
Shortfall As Community BenefitSPRING HARBOR HOSPITAL IS CURRENTLY REIMBURSED BY MEDICARE PART A (FOR INPATIENT SERVICES) THROUGH A PROSPECTIVE PAYMENT SYSTEM (PPS) DAY RATE METHODOLOGY, WHILE MEDICARE PART B REIMBURSES THE HOSPITAL FOR PROFESSIONAL SERVICES RENDERED THROUGH A FEE SCHEDULE FOR EACH SERVICE PROVIDED. IN BOTH CASES (PART A AND PART B), THE REIMBURSEMENT PROVIDED DOES NOT FULLY COVER THE HOSPITAL'S COSTS TO PROVIDE SERVICES TO MEDICARE BENEFICIARIES. ACTUAL FY10 COSTS TO PROVIDE CARE FOR MEDICARE PATIENTS HAS BEEN CALCULATED AT 4,576,000, WHILE TOTAL ACTUAL MEDICARE REIMBURSEMENT PROVIDED TOTALED 3,504,000. THE COST CALCULATION WAS DETERMINED USING STANDARD MEDICARE PART A COST REPORTING METHODOLOGIES (COST TO CHARGE RATIOS), COUPLED WITH IN-HOUSE SPRING HARBOR ANALYSIS OF PART B COSTS. THE DIFFERENCE BETWEEN ACTUAL COST AND MEDICARE REIMBURSEMENT OF 1,072,000 REPRESENTS THE COST OF ACTUAL UNREIMBURSED CARE PROVIDED TO MEDICARE BENEFICIARIES. SPRING HARBOR HOSPITAL BELIEVES THAT THE MEDICARE SHORTFALL SHOULD BE INCLUDED AS A COMMUNITY BENEFIT BECAUSE THE HOSPITAL HAS A CLEAR MISSION COMMITMENT TO SERVING ELDERLY PATIENTS AND ADULTS WITH DISABILITIES THROUGH THE PROVISION OF SPECIFIC SUBSIDIZED PROGRAMS DEVELOPED TO HELP IMPROVE THE HEALTH STATUS OF THESE PATIENTS. IF THESE CRITICAL SUBSIDIZED PROGRAMS WERE NOT PROVIDED BY THE HOSPITAL, THEY WOULD BECOME THE OBLIGATION OF THE FEDERAL GOVERNMENT.ShortfallAsCommunityBenefit
Debt Collection PolicySPRING HARBOR HOSPITAL OFFERS FINANCIAL ASSISTANCE TO PATIENTS WHO HAVE NO MEANS TO PAY FOR THEIR CARE BY MAINTAINING CHARITY/INDIGENT CARE PROGRAMS. CHARITY CARE IS PROVIDED TO THOSE PATIENTS WHO COMPLETE AN APPLICATION AND WHO OFFER EVIDENCE THAT THEY MEET THE ELIGIBILITY REQUIREMENTS. THOSE PATIENTS WHO REFUSE APPLICATION OR WHO FAIL TO MEET THE REQUIREMENTS FOR UNCOMPENSATED CARE ARE PURSUED FOR COLLECTION. UNSUCCESSFUL ATTEMPTS AT COLLECTION MAY RESULT IN THE ACCOUNT BEING WRITTEN OFF AS BAD DEBT. FOR THOSE PATIENTS THAT DO QUALIFY FOR CHARITY CARE, ACCOUNT BALANCES ARE ADJUSTED ACCORDINGLY ONCE THEIR CHARITY CARE APPLICATION HAS BEEN APPROVED. MORE DETAILS REGARDING THE CHARITY CARE PROCESS AT SPRING HARBOR ARE MAINTAINED IN THE HOSPITAL'S WRITTEN (AND PUBLICLY AVAILABLE) CHARITY CARE POLICY.DebtCollectionPolicy
Needs AssessmentSPRING HARBOR HOSPITAL IS A MEMBER OF MAINEHEALTH, WHICH CONDUCTS A THOROUGH COMMUNITY NEEDS ASSESSMENT AND DIRECTS ITS MEMBER ORGANIZATIONS TO RESPOND TO THE NEEDS IDENTIFIED. MAINEHEALTH MEMBERS ALSO PARTICIPATE IN VARIOUS INITIATIVES TO KEEP THOSE ASSESSMENTS UP TO DATE. SOME OF THESE INITIATIVES INCLUDE: - CLINICAL STRATEGIC PLANNING - FINANCIAL STRATEGIC PLANNING - FACILITY PLANNING - MANPOWER PLANNING - PHYSICIAN RECRUITMENT STRATEGIC PLANNING - EMERGENCY PREPAREDNESS PLANNING IN ADDITION TO THESE INTERNAL ASSESSMENTS, MAINEHEALTH MEMBER ORGANIZATIONS ALSO REVIEW AND ACT ON MANY OF THE RECOMMENDATIONS PROVIDED BY EXTERNAL GROUPS SUCH AS THE MAINE CENTER FOR DISEASE CONTROL AND PREVENTION AND THE "STATE HEALTH PLAN" CREATED BY THE ADVISORY COMMITTEE FOR HEALTH SYSTEMS DEVELOPMENT.NeedsAssessment
Patient Education AssistanceSPRING HARBOR HOSPITAL DISTRIBUTES A PATIENT FINANCIAL POLICIES BROCHURE TO EACH PATIENT UPON ADMISSION, WHICH INCLUDES (BUT IS NOT LIMITED TO) INFORMATION ON HOW TO ACCESS AND APPLY FOR SPRING HARBOR HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM, FINANCIAL COUNSELING SERVICES, MAINECARE, MEDICARE AND SOCIAL SECURITY.PatientEducationAssistance
Community InformationSPRING HARBOR HOSPITAL'S SERVICE REGION ENCOMPASSES THE SOUTHERNMOST 11 COUNTIES OF MAINE AND ITS APPROXIMATELY 960,000 RESIDENTS (THREE QUARTERS OF THE STATE POPULATION). OF THIS NUMBER, IT IS ESTIMATED THAT 7% OF CHILDREN AND 23% OF ADULTS HAVE A DIAGNOSABLE MENTAL ILLNESS. THIS EQUATES TO A POTENTIAL POPULATION SERVED OF 190,000 MAINE RESIDENTS.CommunityInformation
Other InformationSPRING HARBOR HOSPITAL, IN PARTNERSHIP WITH MAINEHEALTH AND MMC MENTAL HEALTH NETWORK, DEVELOPED A PROGRAM TO IMPROVE PRIMARY CARE/MENTAL HEALTH INTEGRATION AND HELPS PEOPLE WITH DEPRESSION AND THOSE WHO CARE FOR AND ABOUT THEM. THE PROGRAM TRAINS PRIMARY CARE PROVIDERS ON THE DIAGNOSIS AND TREATMENT OF PATIENTS, AND MANY PHYSICIANS USE AN ELECTRONIC REGISTRY TO TRACK OUTCOME MEASURES. THE PROGRAM CONDUCTS A COLLABORATIVE "LEARNING COMMUNITY" EXPLORING THE EFFECTIVENESS, EFFICIENCY AND COST/BENEFIT OF INTEGRATION WITH 6 PAIRS OF PRIMARY CARE/MENTAL HEALTH PARTNERS.OtherInformation
Affiliated Health Care SystemSPRING HARBOR HOSPITAL IS A MEMBER OF MAINE MENTAL HEALTH PARTNERS. MAINE MENTAL HEALTH PARTNERS MISSION IS TO FACILITATE, PROMOTE, AND MAINTAIN A HIGH-QUALITY, INTEGRATED SYSTEM OF MENTAL HEALTH SERVICES IN THE MAINEHEALTH REGION BY: - PROMOTING INDIVIDUALS' SUCCESSFUL FUNCTIONING IN THE COMMUNITY (I.E., "RECOVERY") - SUPPORTING ACCESS TO SAFE, HIGH-QUALITY CARE DELIVERED AS CLOSE AS POSSIBLE TO AN INDIVIDUAL'S HOME AND AT THE BEST POSSIBLE COST - DESIGNING, DEVELOPING, AND SUPPORTING A CONTINUUM OF CARE THAT FULFILLS EACH REGION'S MENTAL HEALTH NEEDS - ADVOCATING LOCALLY, STATEWIDE, REGIONALLY, AND NATIONALLY TO ENHANCE MENTAL HEALTH FOR MAINE PEOPLE - CREATING A MODEL SYSTEM OF LEADERSHIP, CLINICAL EXCELLENCE, INNOVATION AND EXPERTISEAffiliatedHealthCareSystem
Reports Filed With StatesMEReportsFiledWithStates

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsBase Compensation Filing OrgBaseCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
RICHARD PETERSEN
614632165000162213490027744974489
DENNIS P KING
28183255000158069490022468522269
FRANK LAVOIE MD
321142245011481335073
FRANCIS G MCGINTY
40322269000149465490027788654375
GIRARD ROBINSON
3060214337060693490038435453419
DONALD E QUIGLEY ESQ
2577853500052460490027788377933
RICHARD HANLEY
16671315000557013438200721
MARY JANE KREBS
15565220000547212857193981
GREGORY BOWERS
14251018700502713066179303
JOHN MURPHY MD
207054640513812227271
MARK FULTON MD
204436623013795224461
WILLIAM BRENAN MD PHD
197337599013660216987
MATTHEW SIEGEL MD
190097195413792205843
JAMES RAY DO
183313562313480202416

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTSSCHEDULE J, PAGE 1, PART I, LINE 4RICHARD PETERSEN 0 150,923 0 DENNIS P. KING 0 144,079 0 FRANCIS G. MCGINTY 0 147,054 0 GIRARD ROBINSON 0 56,890 0 DONALD E. QUIGLEY, ESQ 0 45,208 0
OTHER ADDITIONAL INFORMATIONSCHEDULE J, PART IIITHE NONQUALIFIED PAYMENTS SHOWN ABOVE ARE FROM RELATED ORGANIZATIONS WHERE THE INDIVIDUALS ARE EMPLOYED. PART I, LINE 1A THE ORGANIZATION PAID DUES TO THE CUMBERLAND CLUB, A SOCIAL CLUB. THE CLUB IS USED TO CONDUCT BUSINESS MEETINGS. THE CLUB'S MEMBERSHIP RESTRICTIONS REQUIRE THAT THE MEMBERSHIP BE IN THE NAME OF AN INDIVIDUAL, NOT A BUSINESS. THEREFORE, THE MEMBERSHIP IS UNDER THE NAME OF THE CEO, DENNIS KING. NONE OF THESE DUES ARE TREATED AS A TAXABLE BENEFIT TO THE CEO.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ALL OTHER ACHIEVEMENTS DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4DCAFETERIA AND VENDING UNITS SALES, OTHER REVENUE FROM MEDICAL RECORDS, RENT FROM A RELATED PARTY, AND EDUCATIONAL SERVICES.
CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PAGE 6, PART VI, LINE 6MAINE MENTAL HEALTH PARTNERS (MMHP) IS THE SOLE MEMBER OF SPRING HARBOR HOSPITAL. MAINEHEALTH (EIN01-0431680), AS THE SOLE MEMBER OF MMHP, HAS THE RIGHT TO APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BODY OF MMHP AND ITS SUBSIDIARIES.
ELECTION OF MEMBERS AND THEIR RIGHTSFORM 990, PAGE 6, PART VI, LINE 7ATHE SOLE MEMBER, MAINE MENTAL HEALTH PARTNERS MAY ELECT THE BOARD OF DIRECTORS FROM A SLATE OF NOMINEES SUBMITTED BY THE CORPORATION. THE OFFICERS ARE ELECTED BY THE BOARD OF TRUSTEES, EXCEPT THAT THE CFO, COO, CHIEF MEDICAL OFFICER AND CHIEF CLINICAL & NURSING OFFICER ARE APPOINTED BY THE BOARD OF TRUSTEES BASED UPON A RECOMMENDATION OF THE CEO.
DECISIONS SUBJECT TO APPROVAL OF MEMBERSFORM 990, PAGE 6, PART VI, LINE 7BDECISIONS OF THE GOVERNING BODY SUCH AS BUDGETS, BUSINESS STRATEGIES, SIGNIFICANT FINANCIAL COMMITMENTS, AMENDMENTS TO THE ARTICLES OF INCORPORATION, AND ELECTION OF THE PRESIDENT/CEO AMONG OTHER DECISIONS, ARE SUBJECT TO APPROVAL BY MAINE MENTAL HEALTH PARTNERS & MAINEHEALTH.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11THE FINANCE COMMITTEE PERFORMS A DETAILED REVIEW OF THE FORM 990. THE FORM 990 IS THEN MADE AVAILABLE TO THE FULL BOARD. A FINAL DETAILED REVIEW OF THE FORM 990 IS PERFORMED BY THE CHIEF FINANCIAL OFFICER BEFORE SIGNING AND PRIOR TO FILING.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CCONFLICT OF INTEREST STATEMENTS ARE OBTAINED ANNUALLY. THE ORGANIZATION REVIEWS THE RESPONSES TO THESE DOCUMENTS AND ADDRESSES ANY ISSUES IMMEDIATELY.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ASPRING HARBOR HOSPITAL BOARD OF DIRECTORS ARE RESPONSIBLE FOR AN ANNUAL EVALUATION OF THE PRESIDENT/CEO AND THE OTHER KEY ADMINISTRATIVE EMPLOYEES OF THE ORGANIZATION. FOR THOSE KEY ADMINISTRATIVE EMPLOYEES THAT ARE SHARED WITH MMHP, COMPENSATION IS EVALUATED BY THE MMHP GOVERNANCE COMMITTEE AND APPROVED BY THE ORGANIZATION'S BOARD OF DIRECTORS. IN ADDITION, THE ORGANIZATION UTILIZES THE SERVICES OF AN INDEPENDENT COMPENSATION CONSULTING FIRM, AND INDUSTRY SURVEY.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BTHE MEMBER IS RESPONSIBLE FOR AN ANNUAL EVALUATION OF THE PRESIDENT/CEO AND THE OTHER KEY ADMINISTRATIVE EMPLOYEES OF THE ORGANIZATION. COMPENSATION IS EVALUATED BY THE COMPENSATION COMMITTEE APPOINTED BY THE MEMBER, AND THE ORGANIZATION'S BOARD OF TRUSTEES MUST APPROVE OF THE COMPENSATION. IN ADDITION, THE ORGANIZATION UTILIZES THE SERVICES OF AN INDEPENDENT COMPENSATION CONSULTING FIRM, AND INDUSTRY SURVEY.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION ARE MADE AVAILABLE UPON REQUEST.
ADDITIONAL INFORMATIONSCHEDULE RMAINE MENTAL HEALTH PARTNERS IS AWAITING FINAL APPROVAL OF THEIR PUBLIC CHARITY TAX-EXEMPT STATUS FROM THE IRS.
ADDITIONAL INFORMATIONSCHEDULE OFORM 990, PART XI, LINE 2B THE FINANCIAL RESULTS OF THE ORGANIZATION WERE PART OF A CONSOLIDATED FINANCIAL STATEMENT AUDIT PREPARED FOR MAINE MENTAL HEALTH PARTNERS (EIN 26-3426990) AND ITS SUBSIDIARIES.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (12 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Business Name Line2NameOfDisregardedEntity/BusinessNameLine2
MAINEHEALTH
110 FREE STREETPORTLANDME04101010431680HEALTHCAREME50111CNA
MAINE MENTAL HEALTH PARTNERS
123 ANDOVER ROADWESTBROOKME04092263426990HEALTHCAREME50111CNA
SPRING HARBOR COMMUNITY SERVICES
123 ANDOVER ROADWESTBROOKME04092010524835HEALTHCAREME5019NA
COMMUNITY COUNSELING CENTER
165 LANCASTER STREETPORTLANDME04101010288362HEALTHCAREME5017NA
MAINE MEDICAL CENTER
22 BRAMHALL STREETPORTLANDME04102010238552HOSPITALME5013NA
NORDX
102 CAMPUS DRIVE 118SCARBOROUGHME04074010511356MEDICALLABME5019NA
LINCOLN COUNTY HEALTH CARE INC
6 ST ANDREWS LANEBOOTHBAY HARBORME04538261475629HEALTHCAREME50111CNAC/O CHIEF FINANCIAL OFFICER
WESTERN MAINE HEALTH CARE CORP
181 MAIN STREETNORWAYME04268010411788HEALTHCAREME50111CNA
WALDO COUNTY HEALTHCARE INC
PO BOX 287BELFASTME049150287222864961HEALTHCAREME50111CNA
GERIATRIC RESOURCE NETWORK
465 CONGRESS STREET SUITE 600PORTLANDME04101010542842HEALTHCAREME5017NA
WEBBER HOSPITAL ASSOC DBA SMMC
PO BOX 626BIDDEFORDME040050626010179500HOSPITALME5013NA
HOMEHLTH-VISITING NURSES OF S ME
15 INDUSTRIAL PARK DRIVESACOME04072222571902HEALTHCAREME5019NA

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
MAINE PHYSICIAN HOSPITAL ORG
110 FREE STREETPORTLANDME04101010527540HEALTHCAREMEN/A
SYNERNET INC
110 FREE STREETPORTLANDME04101010539789HEALTHCAREMEN/A
INTEGRATED BEHAVIORAL HEALTH INC
123 ANDOVER ROADWESTBROOKME04092208736290HEALTHCAREMEN/A
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg