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LincolnHealth Group: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
LincolnHealth Group (EIN 26-1475629)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-09
IRS object ID
201132219349301808
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)
Timestamp2011-08-09T14:44:11-05:00Timestamp
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)
EIN261475629EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LINCOLN COUNTY HEALTH CARE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLINCNameControl
Phone2076338413Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line16 ST ANDREWS LANEAddressLine1
CityBOOTHBAY HARBORCity
StateMEState
ZIP Code04538ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWAYNE PRINTYName
TitleCFOTitle
Phone2076338413Phone
Date Signed2011-08-09DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

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 PersonJAMES DONOVANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line16 ST ANDREWS LANEAddressLine1
CityBOOTHBAY HARBORCity
StateMEState
ZIP Code04538ZIPCode
FieldValueIRS element (for citing)
Gross Receipts8890227GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.LCHCARE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2008YearFormation
State Legal DomicileMEStateLegalDomicile
Activity Or Mission DescriptionLINCOLN COUNTY HEALTH CARE, INC. (LCHC) WAS ESTABLISHED TO PROMOTE AND SUPPORT INTEGRATED & COST-EFFECTIVE HEALTH CARE SERVICES FOR THE RESIDENTS AND VISITORS OF LINCOLN COUNTY, MAINE.ActivityOrMissionDescription
Nbr Voting Members Governing Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees122TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year145000ContributionsGrantsPriorYear
Contributions Grants Current Year151290ContributionsGrantsCurrentYear
Program Service Revenue Prior Year7387827ProgramServiceRevenuePriorYear
Program Service Revenue CY8738965ProgramServiceRevenueCY
Investment Income Current Year-28InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year7532827TotalRevenuePriorYear
Total Revenue Current Year8890227TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5758491SalariesEtcPriorYear
Salaries Etc Current Year6912869SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year311211TotalFundrsngExpCurrentYear
Other Expense Prior Year1563323OtherExpensePriorYear
Other Expenses Current Year1827366OtherExpensesCurrentYear
Total Expenses Prior Year7321814TotalExpensesPriorYear
Total Expenses Current Year8740235TotalExpensesCurrentYear
Revenues Less Expenses Prior Year211013RevenuesLessExpensesPriorYear
Revenues Less Expenses CY149992RevenuesLessExpensesCY
Total Assets BOY6762765TotalAssetsBOY
Total Assets EOY5411153TotalAssetsEOY
Total Liabilities BOY6174240TotalLiabilitiesBOY
Total Liabilities EOY10603362TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY588525NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-5192209NetAssetsOrFundBalancesEOY
Mission DescriptionLINCOLN COUNTY HEALTH CARE, INC. (LCHC) WAS ESTABLISHED TO PROMOTE AND SUPPORT INTEGRATED & COST-EFFECTIVE HEALTH CARE SERVICES FOR THE RESIDENTS AND VISITORS OF LINCOLN COUNTY, MAINE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense7689939Expense
Revenue8734302Revenue
DescriptionLINCOLN COUNTY HEALTH CARE, INC. (LCHC) IS THE PARENT COMPANY OF MILES MEMORIAL HOSPITAL, ST. ANDREWS HOSPITAL, COVE'S EDGE, INC. AND LINCOLN COUNTY MEDICAL GROUP, INC. LCHC PROVIDES MANAGEMENT SERVICES TO THESE FOUR TAX EXEMPT ENTITIES WHICH INCLUDE A SOLE COMMUNITY HOSPITAL, A CRITICAL ACCESS HOSPITAL, TWO LONG TERM CARE FACILITIES THAT OFFER SKILLED AND LONG TERM NURSING CARE AS WELL AS DEMENTIA AND ADULT DAY CARE, ASSISTED LIVING, AND INDEPENDENT LIVING FACILITIES, A HOME HEALTH AGENCY WHICH INCLUDES PROFESSIONAL AND PRIVATE DUTY HOME SERVICES, (CONTINUED ON SCHEDULE O) CONTINUED FROM PAGE 2 HOSPICE SERVICES, AND HOME MONITORING, AS WELL AS MULTI-SPECIALTY PHYSICIAN GROUP PRACTICES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense86861Expense
Revenue4663Revenue
DescriptionTHE LINCOLN COUNTY HEALTHCARE EDUCATION CENTER IS A COLLABORATIVE EFFORT OF CENTRAL MAINE COMMUNITY COLLEGE AND LINCOLN COUNTY HEALTHCARE. THE NEW SCHOOL, THE FIRST COLLEGE DEGREE PROGRAM IN LINCOLN COUNTY, OPENED IN SEPTEMBER 2008 TO EIGHT STUDENTS. FIRST YEAR STUDENTS HAVE THE OPTION TO EARN A LICENSED PRACTICAL NURSING (LPN) WITHIN A YEAR AND WILL HAVE A FIVE YEAR GRACE PERIOD TO COMPLETE THE REQUIREMENTS FOR THE RN CREDENTIAL, SHOULD THEY CHOOSE, OR CONTINUE ON FOR A SECOND YEAR TO BECOME A REGISTERED NURSE. THE PROGRAM COLLABORATIVELY WORKS WITH (CONTINUED ON SCHEDULE O) CONTINUED FROM PAGE 2 COLLEGES, CLINICAL DEPARTMENTS OF THE HOSPITAL, LONG TERM CARE FACILITIES, MAINEHEALTH, LINCOLN ACADEMY, AND LOCAL BUSINESSES. STUDENTS RECEIVE CLASSROOM TRAINING AT CENTRAL MAINE COMMUNITY COLLEGE AND IN CLASSROOMS AT THE LINCOLN COUNTY HEALTHCARE EDUCATION CENTER LOCATED AT 66A CHAPMAN STREET, IN DAMARISCOTTA. AN AGREEMENT WITH LINCOLN ACADEMY WILL ALLOW STUDENTS TO USE THEIR LABS FOR A PERCENTAGE OF THEIR WORK. CLINICAL TRAINING WILL BE AT MILES MEMORIAL HOSPITAL, ST. ANDREWS HOSPITAL, AND AT OUR LONG-TERM FACILITIES IN BOTH COMMUNITIES. LINCOLN COUNTY HEALTH CARE PROVIDES ADMINISTRATION SERVICES, CLINICAL TRAINING, EQUIPMENT, SUPPLIES, TECHNICAL SUPPORT, AND TWO FULL SCHOLARSHIPS TO THE SCHOOL.Description

Activity3 Activity3

FieldValueIRS element (for citing)
DescriptionSEE LINCOLN COUNTY HEALTH CARE, INC. COMMUNITY BENEFITS STATEMENT - ATTACHED SEPARATELYDescription
FieldValueIRS element (for citing)
Total Program Service Expense7776800TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
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
HospitalfalseHospital
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 EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109638NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees122NumberOfEmployees
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 Members21NbrVotingGoverningBodyMembers
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
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonWAYNE PRINTYNamePerson
Telephone Number2076338413TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16 ST ANDREWS LANEAddressLine1
CityBOOTHBAY HARBORCity
StateMEState
ZIP Code04538ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
MARK FOURRE MD
TRUSTEE2.00X026019523336
ROBERT MCARTOR MD
TRUSTEE2.00X017507025735
DANIEL FRIEDLAND MD
TRUSTEE2.00X015714418069
STEVEN FEDER DO
TRUSTEE2.00X01512657423
ALAN BARKER MD
TRUSTEE2.00X01333406747
PHIL LATHROP
CHAIRMAN2.00X000X
PETER MUNDY
VICE-CHAIR2.00X000X
DANIEL PYKETT
SECRETARY2.00X000X
ROBERT CONN
TREASURER2.00X000X
WILLIAM BUTLER
TRUSTEE2.00X000
CATHERINE GREGG
TRUSTEE2.00X000
NORMAN HOCHGRAF
TRUSTEE2.00X000
JAMES HUNT
TRUSTEE2.00X000
JANE HURD
TRUSTEE2.00X000
PATRICK LYDON
TRUSTEE2.00X000
BARBARA MITCHELL
TRUSTEE2.00X000
JOHN PEACOCK
TRUSTEE2.00X000
JANE G SMITH
TRUSTEE2.00X000
DAVID TRAHAN
TRUSTEE2.00X000
REV DR MARY JO ZIMMERLI
TRUSTEE2.00X000
JEFFREY CURTIS
TRUSTEE2.00X000
JAMES DONOVAN
CEO15.00273039022541X
WAYNE PRINTY
CFO15.00180029019218X
LISA MCILWAIN
VP OF HR50.00159738018167X
MELISSA TURNER
VP QUAL & RI50.00141334011753X
STACEY MILLER
VP PHYS SVCS50.00135075018007X
JOHN BOWERS
VP OF OPS50.00133566010929X
BROOKS BETTS
VP OF IS50.00129760017316X
STEPHEN COOK MD
TRUSTEE2.00027491618419X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1152541TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1151930TotalReportableCompFrmRltdOrgs
Total Other Compensation217660TotalOtherCompensation
Number Individuals GT100 K8NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1Address Line2AddressOfContractor/AddressUS/AddressLine2CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
NORDX
102 CAMPUS DRIVEUNIT 18SCARBOROUGHME04074EXTERNAL SVCS482574
QUALITY ANESTHESIA SERVICES INC
489 CROSS POINT ROADEDGECOMBME04556HEALTHCARE PROF173144
BAKER NEWMAN AND NOYES
280 FORE STREETPORTLANDME04101EXTERNAL SVCS150887
SPRING HARBOR COMMUNITY SERVICES
123 ANDOVER STREETWESTBROOKME04092HEALTHCARE PROF132989
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
All Other Contributions151290AllOtherContributions
Total Contributions151290TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionFEES FOR SERVICESDescription
Business Code900099BusinessCode
Total Revenue Column8738965TotalRevenueColumn
Related Or Exempt Function Income8738965RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue8738965TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column-28TotalRevenueColumn
Exclusion-$28ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8890227TotalRevenueColumn
Related Or Exempt Function Income8738965RelatedOrExemptFunctionIncome
Exclusion-$28ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total495070Total
Program Services495070ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4985454Total
Program Services4815427ProgramServices
Fundraising170027Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total109998Total
Program Services106245ProgramServices
Fundraising3753Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total924943Total
Program Services895446ProgramServices
Fundraising29497Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total397404Total
Program Services384984ProgramServices
Fundraising12420Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total484825Total
Management And General484825ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total34510Total
Management And General34510ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total85021Total
Management And General85021ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total150233Total
Program Services89567ProgramServices
Management And General47868ManagementAndGeneral
Fundraising12798Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total51777Total
Program Services25546ProgramServices
Fundraising26231Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total212097Total
Program Services167115ProgramServices
Fundraising44982Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total421568Total
Program Services421568ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total202853Total
Program Services198065ProgramServices
Fundraising4788Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total38652Total
Program Services37794ProgramServices
Fundraising858Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total250Total
Program Services250ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total53765Total
Program Services53765ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesFundraisingFundraising
RECRUITMENT FEE6188661886
DUES & SUBSCRIPTIONS20453146065847
MEDICAL SUPPLIES9476946610

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8740235Total
Program Services7776800ProgramServices
Management And General652224ManagementAndGeneral
Fundraising311211Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY430820BOY
EOY-457245EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY15033BOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY319730BOY
EOY261515EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis372237LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec80656LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY298413BOY
EOY291581EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY150854EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5698769BOY
EOY5164448EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6762765BOY
EOY5411153EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY998199BOY
EOY1663037EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY50000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5176041BOY
EOY8890325EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6174240BOY
EOY10603362EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY573492BOY
EOY-5343063EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY15033BOY
EOY50854EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY100000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY588525BOY
EOY-5192209EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6762765BOY
EOY5411153EOY
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)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1LINCOLN COUNTY MEDICAL GROUP INCBusinessNameLine1
Business Name Line2LINCOLN COUNTY MEDICAL GROUP INCBusinessNameLine2
FieldValueIRS element (for citing)
EIN263878235EIN
Type Of Organization7TypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Supported Organization NotifiedtrueSupportedOrganizationNotified
Organized In UStrueOrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs4TotalNumberOfSupportedOrgs
General ExplanationLINCOLN COUNTY HEALTH CARE, INC. (LCHC) IS THE PARENT COMPANY OF MILES MEMORIAL HOSPITAL, ST. ANDREWS HOSPITAL, COVE'S EDGE, INC. AND LINCOLN COUNTY MEDICAL GROUP, INC. LCHC PROVIDES MANAGEMENT SERVICES TO THESE FOUR TAX EXEMPT ENTITIES. THESE SERVICES INCLUDE LEADERSHIP, HUMAN RESOURCES, ACCOUNTING, DEVELOPMENT AND INFORMATION TECHNOLOGY SERVICES.GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS

Current Year CurrentYear

FieldValueIRS element (for citing)
Contributions100000Contributions
End Of Year Balance100000EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis15248OtherCostOrOtherBasis
Depreciation2429Depreciation
Book Value12819BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis356989OtherCostOrOtherBasis
Depreciation78227Depreciation
Book Value278762BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings291581TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM RELATED PARTIES5105835
INVESTMENT IN BUILDING (FIELDCREST)58613
FieldValueIRS element (for citing)
Total Book Value Other Assets5164448TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO RELATED PARTIESDescription
Amount$8,890,325Amount
FieldValueIRS element (for citing)
Total Of Amounts8890325TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierINTENDED USES FOR ENDOWMENT FUNDSIdentifier
Return ReferenceSCHEDULE D, PAGE 2, PART V, LINE 4ReturnReference
ExplanationLCH NURSING SCHOOL ENDOWMENT.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
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 (10 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsBase Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
MARK FOURRE MD
260195796315373283531
ROBERT MCARTOR MD
15141135912214420080523659
DANIEL FRIEDLAND MD
157144536012709175213
STEVEN FEDER DO
15126547402683158688
JAMES DONOVAN
2230394000010000796314578295580
WAYNE PRINTY
16727212757559913619199247
LISA MCILWAIN
14559814140487513292177905
MELISSA TURNER
1269341440025929161153087
STACEY MILLER
135075474413263153082
STEPHEN COOK MD
274916796310456293335

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FIRST ACHIEVEMENT DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4ACONTINUED FROM PAGE 2 HOSPICE SERVICES, AND HOME MONITORING, AS WELL AS MULTI-SPECIALTY PHYSICIAN GROUP PRACTICES.
SECOND ACHIEVEMENT DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4BCONTINUED FROM PAGE 2 COLLEGES, CLINICAL DEPARTMENTS OF THE HOSPITAL, LONG TERM CARE FACILITIES, MAINEHEALTH, LINCOLN ACADEMY, AND LOCAL BUSINESSES. STUDENTS RECEIVE CLASSROOM TRAINING AT CENTRAL MAINE COMMUNITY COLLEGE AND IN CLASSROOMS AT THE LINCOLN COUNTY HEALTHCARE EDUCATION CENTER LOCATED AT 66A CHAPMAN STREET, IN DAMARISCOTTA. AN AGREEMENT WITH LINCOLN ACADEMY WILL ALLOW STUDENTS TO USE THEIR LABS FOR A PERCENTAGE OF THEIR WORK. CLINICAL TRAINING WILL BE AT MILES MEMORIAL HOSPITAL, ST. ANDREWS HOSPITAL, AND AT OUR LONG-TERM FACILITIES IN BOTH COMMUNITIES. LINCOLN COUNTY HEALTH CARE PROVIDES ADMINISTRATION SERVICES, CLINICAL TRAINING, EQUIPMENT, SUPPLIES, TECHNICAL SUPPORT, AND TWO FULL SCHOLARSHIPS TO THE SCHOOL.
CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PAGE 6, PART VI, LINE 6THE SOLE CORPORATE MEMBER (CORPORATOR) IS MAINEHEALTH - EIN 01-0431680.
ELECTION OF MEMBERS AND THEIR RIGHTSFORM 990, PAGE 6, PART VI, LINE 7ATHE MEMBER ELECTS THE BOARD OF TRUSTEES. ALL OFFICERS OF THE BOARD OF TRUSTEES ARE ELECTED BY THE BOARD, AND EACH MUST BE A TRUSTEE. OFFICERS OF THE CORPORATION ARE ELECTED ANNUALLY BY THE BOARD.
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 MAINEHEALTH.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11EDUCATION WAS PROVIDED TO THE FINANCE COMMITTEE CONCERNING THE REVISED IRS FORM 990. THE FINANCE COMMITTEE PERFORMS A DETAILED REVIEW OF THE FORM 990. THE FORM 990 IS THEN MADE AVAILABLE TO THE FULL BOARD. THE CHIEF FINANCIAL OFFICER ALSO PERFORMS A DETAILED REVIEW OF THE ENTIRE FORM 990 BEFORE SIGNING AND PRIOR TO FILING.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON THE PART OF A TRUSTEE, PHYSICIAN, OFFICER OR MANAGER (E.G., A MEMBER OF LINCOLN COUNTY HEALTHCARE LEADERSHIP TEAM, DIRECTOR, MANAGER OR PERSON RESPONSIBLE FOR PURCHASING) MUST BE DISCLOSED TO THE APPLICABLE BOARD, BOARD COMMITTEE OR, IN THE CASE OF AN ADMINISTRATIVE DECISION THAT IS NOT SUBJECT TO BOARD OR COMMITTEE APPROVAL, TO THE MANAGER'S IMMEDIATE SUPERVISOR. SUCH DISCLOSURES SHALL BE MADE A MATTER OF RECORD. DISCLOSURE WILL BE MADE AT THE TIME OF INITIAL AFFILIATION WITH LINCOLN COUNTY HEALTHCARE, ANNUALLY AND WHEN THE INTEREST BECOMES A MATTER FOR BOARD OR COMMITTEE ACTION OR ADMINISTRATIVE DECISION. DISCLOSURE FORMS SHALL BE COMPLETED ANNUALLY BY TRUSTEES AND OFFICERS AT THE TIME OF THE ANNUAL MEETING, AND ANNUALLY BY VICE PRESIDENTS, DIRECTORS, AND MANAGERS IN CONJUNCTION WITH THEIR ANNUAL PERFORMANCE REVIEW.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15AIN CONSULTATION WITH TOWERS PERRIN, THE MAINEHEALTH BOARD COMPENSATION COMMITTEE ESTABLISHES APPROPRIATE COMPENSATION PARAMETERS FOR EACH MEMBER ORGANIZATIONS CEO AND CERTAIN MEMBERS OF THEIR SENIOR MANAGEMENT TEAM. WORKING WITHIN THOSE PARAMETERS, THE LINCOLN COUNTY HEALTH CARE, INC. (LCHC) BOARD DETERMINES THE LEVEL OF COMPENSATION FOR ITS CEO. THE FINDINGS OF THE COMPENSATION COMMITTEE ARE MADE TRANSPARENT TO, AND VOTED ON BY, THE FULL GOVERNING BOARD. THIS TOTAL EXECUTIVE COMPENSATION IS FILED PUBLICLY BY THE ORGANIZATION, AND INCLUDES TOTAL CASH COMPENSATION AND TOTAL VALUE OF ALL BENEFITS AND PERQUISITES ASSOCIATED WITH POSITION (SUCH AS HOUSING ALLOWANCES, SOCIAL CLUB MEMBERSHIPS, SIGNING BONUSES, ETC.). THE BOARD TAKES NECESSARY ACTION TO PREVENT THE CEO FROM VOTING OR DIRECTLY PARTICIPATING IN THE FINAL COMMITTEE DETERMINATION OF (HER/HIS) OWN COMPENSATION. THE ORGANIZATIONS EXECUTIVE COMPENSATION PROCEDURE RELIES UPON APPROPRIATE DATA FOR COMPARABILITY (E.G. COMPENSATION LEVELS PAID BY BOTH TAXABLE AND TAX-EXEMPT SIMILARLY SITUATED ORGANIZATIONS AND INDEPENDENT COMPENSATION SURVEYS BY NATIONALLY RECOGNIZED INDEPENDENT FIRMS). FINALLY, THE ORGANIZATION REFRAINS FROM ALLOWING EXECUTIVE COMPENSATION TO EVER BE BASED SOLELY ON LCHCS REVENUES OR OTHER SIMILAR PROFIT-SHARING STRATEGIES.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BIN CONSULTATION WITH TOWERS PERRIN, THE MAINEHEALTH BOARD COMPENSATION COMMITTEE ESTABLISHES APPROPRIATE COMPENSATION PARAMETERS FOR EACH MEMBER ORGANIZATIONS CEO AND CERTAIN MEMBERS OF THEIR SENIOR MANAGEMENT TEAM. WORKING WITHIN THOSE PARAMETERS, THE LINCOLN COUNTY HEALTH CARE, INC. (LCHC) BOARD DETERMINES THE LEVEL OF COMPENSATION FOR ITS CEO. THE FINDINGS OF THE COMPENSATION COMMITTEE ARE MADE TRANSPARENT TO, AND VOTED ON BY, THE FULL GOVERNING BOARD. THIS TOTAL EXECUTIVE COMPENSATION IS FILED PUBLICLY BY THE ORGANIZATION, AND INCLUDES TOTAL CASH COMPENSATION AND TOTAL VALUE OF ALL BENEFITS AND PERQUISITES ASSOCIATED WITH POSITION (SUCH AS HOUSING ALLOWANCES, SOCIAL CLUB MEMBERSHIPS, SIGNING BONUSES, ETC.). THE BOARD TAKES NECESSARY ACTION TO PREVENT THE CEO FROM VOTING OR DIRECTLY PARTICIPATING IN THE FINAL COMMITTEE DETERMINATION OF (HER/HIS) OWN COMPENSATION. THE ORGANIZATIONS EXECUTIVE COMPENSATION PROCEDURE RELIES UPON APPROPRIATE DATA FOR COMPARABILITY (E.G. COMPENSATION LEVELS PAID BY BOTH TAXABLE AND TAX-EXEMPT SIMILARLY SITUATED ORGANIZATIONS AND INDEPENDENT COMPENSATION SURVEYS BY NATIONALLY RECOGNIZED INDEPENDENT FIRMS). FINALLY, THE ORGANIZATION REFRAINS FROM ALLOWING EXECUTIVE COMPENSATION TO EVER BE BASED SOLELY ON LCHCS REVENUES OR OTHER SIMILAR PROFIT-SHARING STRATEGIES.
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 AND LINCOLN COUNTY MEDICAL GROUP BOTH HAVE APPLIED FOR PUBLIC CHARITY TAX-EXEMPT STATUS WITHIN THE DUE DATE REQUIRED TO RECEIVE IRS APPROVAL RETROACTIVE TO THE LEGAL DATE OF FORMATION.
ADDITIONAL INFORMATIONSCHEDULE OFORM 990, PART XI, LINE 2A, FINANCIAL STATEMENTS AND REPORTING THE FINANCIAL RESULTS OF THE ORGANIZATION WERE PART OF A CONSOLIDATED FINANCIAL STATEMENT AUDIT PREPARED FOR LINCOLN COUNTY HEALTH CARE, INC. (EIN 26-1475629) AND ITS SUBSIDIARIES.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (13 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
MAINE MEDICAL CENTER
22 BRAMHALL STREETPORTLANDME04102010238552HOSPITALME5013NA
MAINEHEALTH
110 FREE STREETPORTLANDME04101010431680HEALTHCAREME50111CNA
NORDX
102 CAMPUS DRIVE 118SCARBOROUGHME04074010511356MEDICALLABME5019NA
MAINE MENTAL HEALTH PARTNERS
123 ANDOVER ROADWESTBROOKME04092263426990HEALTHCAREME50111CNA
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
LINCOLN COUNTY MEDICAL GROUP INC
6 SAINT ANDREWS LANEBOOTHBAY HARBORME04538263878235PHYS SVCME5017NA
COVES EDGE INC
26 SCHOONER STREETDAMARISCOTTAME04543010382340LT CARE SVME5019NA
MILES MEMORIAL HOSPITAL
35 MILES STREETDAMARISCOTTAME04543010211796HOSPITALME5013NA
ST ANDREWS HOSPITAL
6 SAINT ANDREWS LANEBOOTHBAY HARBORME04538010153960HOSPITALME5013NA

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 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
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 OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetstrueExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
MILES MEMORIAL HOSPITAL
R5370328
COVES EDGE INC
R944607
ST ANDREWS HOSPITAL
R2289643
COVES EDGE INC
P6948350
MILES MEMORIAL HOSPITAL
P24905601
ST ANDREWS HOSPITAL
P11073794