2011-08-09T14:44:11-05:00 2010-09-30 MAINEHEALTH 110 FREE ST PORTLAND ME 041013908 990 2009-10-01 261475629 LINCOLN COUNTY HEALTH CARE INC LINC 2076338413 6 ST ANDREWS LANE BOOTHBAY HARBOR ME 04538 WAYNE PRINTY 2076338413 2011-08-09 false 2011-08-09 2009 2016-02-24 21:20:13Z JAMES DONOVAN 6 ST ANDREWS LANE BOOTHBAY HARBOR ME 04538 8890227 false X WWW.LCHCARE.ORG X 2008 ME LINCOLN 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. 21 16 122 0 145000 151290 7387827 8738965 -28 0 7532827 8890227 0 0 5758491 6912869 0 311211 1563323 1827366 7321814 8740235 211013 149992 6762765 5411153 6174240 10603362 588525 -5192209 LINCOLN 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. false false 7689939 8734302 LINCOLN 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. 86861 4663 THE 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. SEE LINCOLN COUNTY HEALTH CARE, INC. COMMUNITY BENEFITS STATEMENT - ATTACHED SEPARATELY 7776800 true true false false false false false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true true false false true 38 0 true 122 true false false false false false false false false false 21 16 false false false false true true true true true false false true true true true true true true true false X WAYNE PRINTY 2076338413 6 ST ANDREWS LANE BOOTHBAY HARBOR ME 04538 MARK FOURRE MD 2.00 X 0 260195 23336 ROBERT MCARTOR MD 2.00 X 0 175070 25735 DANIEL FRIEDLAND MD 2.00 X 0 157144 18069 STEVEN FEDER DO 2.00 X 0 151265 7423 ALAN BARKER MD 2.00 X 0 133340 6747 PHIL LATHROP 2.00 X X 0 0 0 PETER MUNDY 2.00 X X 0 0 0 DANIEL PYKETT 2.00 X X 0 0 0 ROBERT CONN 2.00 X X 0 0 0 WILLIAM BUTLER 2.00 X 0 0 0 CATHERINE GREGG 2.00 X 0 0 0 NORMAN HOCHGRAF 2.00 X 0 0 0 JAMES HUNT 2.00 X 0 0 0 JANE HURD 2.00 X 0 0 0 PATRICK LYDON 2.00 X 0 0 0 BARBARA MITCHELL 2.00 X 0 0 0 JOHN PEACOCK 2.00 X 0 0 0 JANE G SMITH 2.00 X 0 0 0 DAVID TRAHAN 2.00 X 0 0 0 REV DR MARY JO ZIMMERLI 2.00 X 0 0 0 JEFFREY CURTIS 2.00 X 0 0 0 JAMES DONOVAN 15.00 X 273039 0 22541 WAYNE PRINTY 15.00 X 180029 0 19218 LISA MCILWAIN 50.00 X 159738 0 18167 MELISSA TURNER 50.00 X 141334 0 11753 STACEY MILLER 50.00 X 135075 0 18007 JOHN BOWERS 50.00 X 133566 0 10929 BROOKS BETTS 50.00 X 129760 0 17316 STEPHEN COOK MD 2.00 X 0 274916 18419 1152541 1151930 217660 8 true true false NORDX 102 CAMPUS DRIVE UNIT 18 SCARBOROUGH ME 04074 EXTERNAL SVCS 482574 QUALITY ANESTHESIA SERVICES INC 489 CROSS POINT ROAD EDGECOMB ME 04556 HEALTHCARE PROF 173144 BAKER NEWMAN AND NOYES 280 FORE STREET PORTLAND ME 04101 EXTERNAL SVCS 150887 SPRING HARBOR COMMUNITY SERVICES 123 ANDOVER STREET WESTBROOK ME 04092 HEALTHCARE PROF 132989 4 151290 151290 FEES FOR SERVICES 900099 8738965 8738965 8738965 -28 -28 8890227 8738965 -28 495070 495070 4985454 4815427 170027 109998 106245 3753 924943 895446 29497 397404 384984 12420 484825 484825 34510 34510 85021 85021 150233 89567 47868 12798 51777 25546 26231 212097 167115 44982 421568 421568 202853 198065 4788 38652 37794 858 250 250 53765 53765 RECRUITMENT FEE 61886 61886 DUES & SUBSCRIPTIONS 20453 14606 5847 MEDICAL SUPPLIES 9476 9466 10 8740235 7776800 652224 311211 430820 -457245 15033 319730 261515 372237 80656 298413 291581 150854 5698769 5164448 6762765 5411153 998199 1663037 50000 5176041 8890325 6174240 10603362 X 573492 -5343063 15033 50854 100000 588525 -5192209 6762765 5411153 X false true true X false X X X false false false LINCOLN COUNTY MEDICAL GROUP INC LINCOLN COUNTY MEDICAL GROUP INC 263878235 7 true true true 0 4 LINCOLN 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false 100000 100000 1.00000 false false false 15248 2429 12819 356989 78227 278762 291581 DUE FROM RELATED PARTIES 5105835 INVESTMENT IN BUILDING (FIELDCREST) 58613 5164448 DUE TO RELATED PARTIES 8890325 8890325 INTENDED USES FOR ENDOWMENT FUNDS SCHEDULE D, PAGE 2, PART V, LINE 4 LCH NURSING SCHOOL ENDOWMENT. X X X X false false false false false false false false false MARK FOURRE MD 260195 7963 15373 283531 ROBERT MCARTOR MD 151411 23659 3591 22144 200805 DANIEL FRIEDLAND MD 157144 5360 12709 175213 STEVEN FEDER DO 151265 4740 2683 158688 JAMES DONOVAN 223039 40000 10000 7963 14578 295580 WAYNE PRINTY 167272 12757 5599 13619 199247 LISA MCILWAIN 145598 14140 4875 13292 177905 MELISSA TURNER 126934 14400 2592 9161 153087 STACEY MILLER 135075 4744 13263 153082 STEPHEN COOK MD 274916 7963 10456 293335 FIRST ACHIEVEMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4A CONTINUED FROM PAGE 2 HOSPICE SERVICES, AND HOME MONITORING, AS WELL AS MULTI-SPECIALTY PHYSICIAN GROUP PRACTICES. SECOND ACHIEVEMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4B 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. CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PAGE 6, PART VI, LINE 6 THE SOLE CORPORATE MEMBER (CORPORATOR) IS MAINEHEALTH - EIN 01-0431680. ELECTION OF MEMBERS AND THEIR RIGHTS FORM 990, PAGE 6, PART VI, LINE 7A THE 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 MEMBERS FORM 990, PAGE 6, PART VI, LINE 7B DECISIONS 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 990 FORM 990, PAGE 6, PART VI, LINE 11 EDUCATION 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 POLICY FORM 990, PAGE 6, PART VI, LINE 12C ANY 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 OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A IN 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 OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B IN 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 EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION ARE MADE AVAILABLE UPON REQUEST. ADDITIONAL INFORMATION SCHEDULE R MAINE 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 INFORMATION SCHEDULE O FORM 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. MAINE MEDICAL CENTER 22 BRAMHALL STREET PORTLAND ME 04102 010238552 HOSPITAL ME 501 3 NA MAINEHEALTH 110 FREE STREET PORTLAND ME 04101 010431680 HEALTHCARE ME 501 11C NA NORDX 102 CAMPUS DRIVE 118 SCARBOROUGH ME 04074 010511356 MEDICALLAB ME 501 9 NA MAINE MENTAL HEALTH PARTNERS 123 ANDOVER ROAD WESTBROOK ME 04092 263426990 HEALTHCARE ME 501 11C NA WESTERN MAINE HEALTH CARE CORP 181 MAIN STREET NORWAY ME 04268 010411788 HEALTHCARE ME 501 11C NA WALDO COUNTY HEALTHCARE INC PO BOX 287 BELFAST ME 049150287 222864961 HEALTHCARE ME 501 11C NA GERIATRIC RESOURCE NETWORK 465 CONGRESS STREET SUITE 600 PORTLAND ME 04101 010542842 HEALTHCARE ME 501 7 NA WEBBER HOSPITAL ASSOC DBA SMMC PO BOX 626 BIDDEFORD ME 040050626 010179500 HOSPITAL ME 501 3 NA HOMEHLTH-VISITING NURSES OF S ME 15 INDUSTRIAL PARK DRIVE SACO ME 04072 222571902 HEALTHCARE ME 501 9 NA LINCOLN COUNTY MEDICAL GROUP INC 6 SAINT ANDREWS LANE BOOTHBAY HARBOR ME 04538 263878235 PHYS SVC ME 501 7 NA COVES EDGE INC 26 SCHOONER STREET DAMARISCOTTA ME 04543 010382340 LT CARE SV ME 501 9 NA MILES MEMORIAL HOSPITAL 35 MILES STREET DAMARISCOTTA ME 04543 010211796 HOSPITAL ME 501 3 NA ST ANDREWS HOSPITAL 6 SAINT ANDREWS LANE BOOTHBAY HARBOR ME 04538 010153960 HOSPITAL ME 501 3 NA MAINE PHYSICIAN HOSPITAL ORG 110 FREE STREET PORTLAND ME 04101 010527540 HEALTHCARE ME N/A SYNERNET INC 110 FREE STREET PORTLAND ME 04101 010539789 HEALTHCARE ME N/A false false true false false false false true false true true false true true true true true true MILES MEMORIAL HOSPITAL R 5370328 COVES EDGE INC R 944607 ST ANDREWS HOSPITAL R 2289643 COVES EDGE INC P 6948350 MILES MEMORIAL HOSPITAL P 24905601 ST ANDREWS HOSPITAL P 11073794