HOULTON REGIONAL HOSPITAL: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- HOULTON REGIONAL HOSPITAL (EIN 23-7134386)
- Tax period
- 2020-10-01 to 2021-09-30
- Filed
- 2022-08-15
- IRS object ID
- 202212279349302896
- Schema version
- 2020v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule K
- Schedule L
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-08-15T10:46:30-07:00 | ReturnTs |
| Tax Period End | 2021-09-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237134386 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOULTON REGIONAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HOUL | BusinessNameControlTxt |
| Phone | 2075322900 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20 HARTFORD ST | AddressLine1Txt |
| City | HOULTON | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04730 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SHAWN ANDERSON | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Signature | 2022-08-12 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | SHAWN | PersonFirstNm |
| Person Last | ANDERSON | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Federated Assurance Level | FAL1 | FederatedAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SHAWN D ANDERSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20 HARTFORD ST | AddressLine1Txt |
| City | HOULTON | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04730 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $55,667,237 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | houltonregional.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1973 | FormationYr |
| Legal Domicile State | ME | LegalDomicileStateCd |
| Activity Or Mission | HOULTON REGIONAL HOSPITAL'S PURPOSE IS TO PROVIDE SAFE, COMPASSIONATE, QUALITY, COST EFFECTIVE CARE TO THE COMMUNITIES WE SERVE. WE ARE DEDICATED TO IMPROVING THE HEALTH STATUS OF THOSE WE SUPPORT THROUGH EDUCATION, TREATMENT AND REHABILITATION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 442 | TotalEmployeeCnt |
| Total Volunteers | 19 | TotalVolunteersCnt |
| Total Gross UBI | $2,300 | TotalGrossUBIAmt |
| PY Contributions Grants | $1,678,380 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,584,617 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $46,430,929 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $46,044,655 | CYProgramServiceRevenueAmt |
| PY Investment Income | $332,431 | PYInvestmentIncomeAmt |
| CY Investment Income | $474,903 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $48,441,740 | PYTotalRevenueAmt |
| CY Total Revenue | $54,104,175 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $28,409,961 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $28,159,530 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $19,422,042 | PYOtherExpensesAmt |
| CY Other Expenses | $19,305,343 | CYOtherExpensesAmt |
| PY Total Expenses | $47,832,003 | PYTotalExpensesAmt |
| CY Total Expenses | $47,464,873 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $609,737 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $6,639,302 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $36,054,389 | TotalAssetsBOYAmt |
| Total Assets EOY | $35,852,334 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $31,817,131 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $24,214,875 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,237,258 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $11,637,459 | NetAssetsOrFundBalancesEOYAmt |
| Mission | HOULTON REGIONAL HOSPITAL'S PURPOSE IS TO PROVIDE SAFE, COMPASSIONATE, QUALITY, COST EFFECTIVE CARE TO THE COMMUNITIES WE SERVE. WE ARE DEDICATED TO IMPROVING THE HEALTH STATUS OF THOSE WE SUPPORT THROUGH EDUCATION, TREATMENT AND REHABILITATION. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $42,340,817 | ExpenseAmt |
| Revenue | $46,044,655 | RevenueAmt |
| Desc | PROVISION OF HEALTH CARE SERVICES IN RURAL MAINE. DURING THE FISCAL YEAR ENDED 9/30/21, 1,099 PEOPLE HAD AN INPATIENT STAY (INCLUDING SWING BEDS); 86,623 OUTPATIENT SERVICES WERE RENDERED; 8,804 PEOPLE WERE SERVED IN THE EMERGENCY ROOM. OF THESE SERVICES, 55 ACCOUNTS (REPRESENTING 14 PEOPLE AND $89,495) WERE WRITTEN OFF AS CHARITY CARE. | Desc |
| Total Program Service Expenses | $42,340,817 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (true) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 74 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 442 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CYNTHIA M THOMPSON | PersonNm |
| Phone | 2075322900 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20 HARTFORD ST | AddressLine1Txt |
| City | HOULTON | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04730 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| HASSAN E ABOULEISH MD | |||||||
| Vice President | 40.00 | 0.00 | Yes (X) | Yes (X) | $460,200 | $0 | $0 |
| ERIC RAU | |||||||
| GEN SURGEON | 40.00 | 0.00 | $415,545 | $0 | $29,556 | ||
| JENNIFER CAVALARI | |||||||
| HOSPITALIST | 40.00 | 0.00 | $342,719 | $0 | $9,914 | ||
| SHAWN D ANDERSON | |||||||
| CEO | 40.00 | 0.00 | Yes (X) | $312,936 | $0 | $14,705 | |
| KIMBERLY MAYS-DE-PEREZ | |||||||
| OB/GYN PHYSICIAN | 40.00 | 0.00 | $274,966 | $0 | $27,097 | ||
| SOLOMON OLABIYI MD | |||||||
| Director | 40.00 | 0.00 | Yes (X) | $250,996 | $0 | $33,393 | |
| PAUL MONTE ALEXANDER | |||||||
| CRNA | 40.00 | 0.00 | $240,576 | $0 | $0 | ||
| CATHY CHASSE | |||||||
| CRNA | 40.00 | 0.00 | $212,203 | $0 | $9,914 | ||
| CYNTHIA THOMPSON | |||||||
| CFO | 40.00 | 0.00 | Yes (X) | $172,653 | $0 | $0 | |
| C REGINA BROWN | |||||||
| COO | 40.00 | 0.00 | Yes (X) | $134,026 | $0 | $27,097 | |
| KARL WOODS DMD | |||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| LYNETTE MCLAUGHLIN | |||||||
| President | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ELLEN HALLIDAY | |||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| SCOTT ALLEN | |||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| DOUG HAZLETT | |||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| GARY BOSSIE | |||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| MAX LYNDS | |||||||
| Secretary | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| NANCY KETCH | |||||||
| Treasurer | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,816,820 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $151,676 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 32 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (true) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| BLUE WATER EMERGENCY PARTNERS LLC | |||||
| 14 MAINE STREET | BRUNSWICK | ME | 04011 | EMERGENCY PHYSICIANS | $3,272,177 |
| HOULTON INTERNAL MEDICINE PA | |||||
| 22 HARTFORD ST | HOULTON | ME | 04730 | INTERNAL MEDICINE | $598,250 |
| ARUNDEL INTERNAL MEDICINE PC | |||||
| 5 ELM STREET | HOULTON | ME | 04730 | HOSPITALIST SVCS | $525,128 |
| INTERNAL MEDICINE OF HOULTON | |||||
| 52 HIGH STREET | HOULTON | ME | 04730 | INTERNAL MEDICINE | $460,200 |
| JOHN C RUSSELL MD | |||||
| 2912 202ND AVENUE CT E | LAKE TAPPS | WA | 98391 | UROLOGIST | $430,356 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 18 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Government Grants | $7,384,176 | GovernmentGrantsAmt |
| All Other Contributions | $200,441 | AllOtherContributionsAmt |
| Noncash Contributions | $3,630 | NoncashContributionsAmt |
| Total Contributions | $7,584,617 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| BILLING SERVICE FEES | 561000 | $2,300 | $2,300 | ||
| MEDICARE & MEDICAID PYMTS | $25,260,457 | $25,260,457 | |||
| PATIENT FEES | $65,825,406 | $65,825,406 | |||
| VENDING, CAFETERIA, MISC | $2,182,147 | $2,084,020 | $98,127 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$47,225,655 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$47,225,655 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $46,044,655 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $161,166 | TotalRevenueColumnAmt |
| Exclusion | $161,166 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,876,799 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,563,062 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $313,737 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $313,737 | TotalRevenueColumnAmt |
| Exclusion | $313,737 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $54,104,175 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $45,944,228 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,300 | UnrelatedBusinessRevenueAmt |
| Exclusion | $573,030 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,406,006 | TotalAmt |
| Program Services | $744,589 | ProgramServicesAmt |
| Management And General | $661,417 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,801,898 | TotalAmt |
| Program Services | $19,133,219 | ProgramServicesAmt |
| Management And General | $1,668,679 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,457,066 | TotalAmt |
| Program Services | $4,020,329 | ProgramServicesAmt |
| Management And General | $436,737 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,494,560 | TotalAmt |
| Program Services | $1,336,757 | ProgramServicesAmt |
| Management And General | $157,803 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,476 | TotalAmt |
| Management And General | $19,476 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,814 | TotalAmt |
| Management And General | $57,814 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,968 | TotalAmt |
| Management And General | $7,968 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,074 | TotalAmt |
| Management And General | $21,074 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,308,928 | TotalAmt |
| Program Services | $6,868,069 | ProgramServicesAmt |
| Management And General | $440,859 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,101 | TotalAmt |
| Management And General | $16,101 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $122,444 | TotalAmt |
| Management And General | $122,444 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $622,832 | TotalAmt |
| Management And General | $622,832 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $153,689 | TotalAmt |
| Program Services | $130,741 | ProgramServicesAmt |
| Management And General | $22,948 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,547 | TotalAmt |
| Program Services | $58,057 | ProgramServicesAmt |
| Management And General | $2,490 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $296,185 | TotalAmt |
| Program Services | $200,707 | ProgramServicesAmt |
| Management And General | $95,478 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,022,422 | TotalAmt |
| Program Services | $880,559 | ProgramServicesAmt |
| Management And General | $141,863 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $406,076 | TotalAmt |
| Program Services | $164,572 | ProgramServicesAmt |
| Management And General | $241,504 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $6,237,877 | $6,235,338 | $2,539 |
| MEDICAID TAX - STATE OF MAINE | $892,288 | $892,288 | |
| UTILITIES | $718,542 | $618,843 | $99,699 |
| MAINTENANCE/SERVICE CONTRACTS | $503,319 | $503,319 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $837,761 | TotalAmt |
| Program Services | $553,430 | ProgramServicesAmt |
| Management And General | $284,331 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,464,873 | TotalAmt |
| Program Services | $42,340,817 | ProgramServicesAmt |
| Management And General | $5,124,056 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,827,974 | BOYAmt |
| EOY | $1,834,485 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,523,237 | BOYAmt |
| EOY | $8,845,340 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,912 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,784,704 | BOYAmt |
| EOY | $6,206,088 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $862,194 | BOYAmt |
| EOY | $999,115 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $789,845 | BOYAmt |
| EOY | $661,336 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $45,181,962 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $34,783,922 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,315,339 | BOYAmt |
| EOY | $10,398,040 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,781,258 | BOYAmt |
| EOY | $5,736,623 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,149,926 | BOYAmt |
| EOY | $1,171,307 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,054,389 | BOYAmt |
| EOY | $35,852,334 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,103,344 | BOYAmt |
| EOY | $7,903,078 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,682,878 | BOYAmt |
| EOY | $9,602 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,789,476 | BOYAmt |
| EOY | $3,878,489 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $151,517 | BOYAmt |
| EOY | $161,290 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,089,916 | BOYAmt |
| EOY | $12,262,416 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,817,131 | BOYAmt |
| EOY | $24,214,875 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,120,162 | BOYAmt |
| EOY | $11,522,005 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,096 | BOYAmt |
| EOY | $115,454 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,237,258 | BOYAmt |
| EOY | $11,637,459 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,054,389 | BOYAmt |
| EOY | $35,852,334 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $6,639,302 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $760,899 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed Section4955 Tax | false | Form4720FiledSection4955TaxInd |
| Correction Made | false | CorrectionMadeInd |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $7,968 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $7,968 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
| Form4720 Filed4912 Tax | false | Form4720Filed4912TaxInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1i - Other Activities Description | FormAndLineReferenceDesc |
| Explanation | OTHER LOBBYING AMOUNTS REPRESENT AN ALLOCABLE PORTION OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION AND THE MAINE HOSPITAL ASSOCIATION. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $203,049 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $50,445 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $455 | AdministrativeExpensesAmt |
| End Year Balance | $253,039 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $172,422 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $31,127 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $500 | AdministrativeExpensesAmt |
| End Year Balance | $203,049 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $171,521 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,401 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $500 | AdministrativeExpensesAmt |
| End Year Balance | $172,422 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $154,065 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $17,956 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $500 | AdministrativeExpensesAmt |
| End Year Balance | $171,521 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $131,722 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $22,843 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $500 | AdministrativeExpensesAmt |
| End Year Balance | $154,065 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | false | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $193,107 | OtherCostOrOtherBasisAmt |
| Book Value | $193,107 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $24,289,051 | OtherCostOrOtherBasisAmt |
| Depreciation | $18,375,488 | DepreciationAmt |
| Book Value | $5,913,563 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,521,021 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,633,775 | DepreciationAmt |
| Book Value | $2,887,246 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,178,783 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,774,659 | DepreciationAmt |
| Book Value | $1,404,124 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $10,398,040 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| 457 PLAN ASSETS | $897,199 |
| BORROWING COLLATERALIZED BY PATIENT ACCT | $667,022 |
| DUE TO THIRD PARTY PAYORS | $9,911,020 |
| LINE OF CREDIT | $746,763 |
| ST CAPITAL LEASE | $40,412 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $12,262,416 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $54,844,000 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $760,899 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $760,899 | RevenueNotReportedAmt |
| Revenue Subtotal | $54,083,101 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $21,074 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $21,074 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $54,104,175 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $47,443,799 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $47,443,799 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $21,074 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $21,074 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $47,464,873 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part V, Line 4: Intended uses of the endowment fund. | FormAndLineReferenceDesc |
| Explanation | THE CORPUS OF THE ENDOWMENT IS PERMANENTLY RESTRICTED, WITH ANY EARNINGS AVAILABLE TO PROMOTE THE HOSPITAL'S EXEMPT PURPOSE. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 150.000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | false | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
| Report Publically Available | false | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,401,175 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,401,175 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02950 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,718,372 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,733,866 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,984,506 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04180 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,119,547 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,733,866 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,385,681 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07130 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 10 | ActivitiesOrProgramsCnt |
| Persons Served | 131 | PersonsServedCnt |
| Total Community Benefit Expns | $11,263 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,263 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,370 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,945 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,425 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $47,677 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,560 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $40,117 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 10 | ActivitiesOrProgramsCnt |
| Persons Served | 131 | PersonsServedCnt |
| Total Community Benefit Expns | $71,310 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,505 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $53,805 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 10 | ActivitiesOrProgramsCnt |
| Persons Served | 131 | PersonsServedCnt |
| Total Community Benefit Expns | $11,190,857 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,751,371 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,439,486 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07240 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Reimbursed By Medicare | $16,166,347 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $17,271,688 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,105,341 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOULTON REGIONAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20 HARTFORD STREET | AddressLine1Txt |
| City | HOULTON | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04730 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.houltonregional.org | WebsiteAddressTxt |
| State License | 39174 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | SWING BED PROGRAM & 2 RHCS | OtherDesc |
| Facility Reporting Group | 1 | FacilityReportingGroupCd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOULTON REGIONAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www2.houltonregional.org | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | https://www.maine.gov/dhhs/mecdc/phdata/ | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | http://www2.houltonregional.org/wp-content/uploads/2019/10/2 | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 150.0000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 150.0000 | FPGFamilyIncmLmtDscntCarePct |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | https://www2.houltonregional.org/wp-cont | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https://houltonregional.org/wp-content/u | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | http://www2.houltonregional.org/wp-conte | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Facility: HOULTON REGIONAL HOSPITAL - Part V, Section B, Line 5 | THE RESULTS FROM THE SURVEY WERE DISTRIBUTED TO ALL INVOLVED AGENCIES. STAFF FROM HOULTON REGIONAL ARE PART OF THE AROOSTOOK DISTRICT COORDINATING COUNCIL FOR PUBLIC HEALTH THAT IS TAKING THE LEAD TO ADDRESS THE NEEDS FOR OUR COUNTY. WE ALSO RELY ON FEEDBACK FROM OUR PATIENTS, EMPLOYEES, MEDICAL STAFF, AND BOARD MEMBERS REGARDING SERVICE NEEDS. |
| Facility: HOULTON REGIONAL HOSPITAL - Part V, Section B, Line 6a | THE HOSPITAL PARTICIPATED IN THE MAINE SHARED HEALTH NEEDS ASSESSMENT SURVEY THAT INCLUDED NORTHERN LIGHT HEALTH MEMBER HOSPITALS; CENTRAL MAINE HEALTHCARE; MAINEGENERAL HEALTH; MAINE HEALTH; STATE OF MAINE CENTERS FOR DISEASE CONTROL EPIDEMIOLOGISTS; UNIVERSITY OF SOUTHERN MAINE'S MUSKIE SCHOOL OF PUBLIC SERVICE, ALONG WITH MANY OTHER COLLABORATING ORGANIZATIONS AND TRIBAL OR PUBLIC HEALTH DEPARTMENTS. |
| Facility: HOULTON REGIONAL HOSPITAL - Part V, Section B, Line 11 | THE HOSPITAL IS WORKING TO ADDRESS 6 KEY AREAS IN RESPONSE TO THE MOST RECENT HEALTH NEEDS ASSESSMENT: PHYSICAL ACTIVITY, NUTRITION AND WEIGHT; MENTAL HEALTH; SUBSTANCE USE; ACCESS TO CARE; OLDER ADULT HEALTH/HEALTHY AGING; AND CARDIOVASCULAR DISEASE.EFFORTS UNDERTAKEN INCLUDE: PATIENT EDUCATION, CASE MANAGEMENT SERVICES, REFERRALS TO SPECIALTY AND COMMUNITY AGENCIES, USE OF OUR FACILITY SPACE FOR SUPPORT GROUP MEETINGS, ADJUSTING OFFICE PRACTICE HOURS, AND CONTINUED REVIEW OF OUR SERVICE LINES.WE REVIEW THE COMMUNITY NEEDS ON AN ONGOING BASIS AGAINST THE AVAILABLE RESOURCES THAT WE HAVE AND ALSO AGAINST OUR SCOPE OF LICENSE OR PRACTICE. |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| SIGRID E TOMPKINS RURAL HEALTH CENTER | ||||
| 22 HARTFORD STREET | HOULTON | ME | 04730 | RURAL HEALTH CENTER |
| HOULTON FAMILY PRACTICE | ||||
| 22 HARTFORD STREET | HOULTON | ME | 04730 | RURAL HEALTH CENTER |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used) | DISCOUNTED CARE PROVIDED IN THE RHC SETTING, BEGINNING AT 150% OF FPG. |
| Part I, Line 7 - Explanation of Costing Methodology | COST-TO-CHARGE RATIO WAS USED TO DERIVE CHARITY CARE AND DISCOUNTS AT COST IN THE TABLE. COST-TO-CHARGE RATIO WAS ALSO USED TO DERIVE THE COST OF MEDICAID SERVICES, WHICH IS INCLUDED AS A PORTION OF THE UNREIMBURSED MEDICAID COMMUNITY BENEFIT EXPENSE. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. |
| Part I, Line 7g - Costs Associated With Physicans Clinics | HRH CONTRACTS WITH A LOCAL BEHAVIORAL HEALTH AGENCY TO PROVIDE CRISIS INTERVENTION SERVICES IN OUR EMERGENCY DEPARTMENT. THIS SERVICE IS USED TO STABILIZE EMERGENT PATIENTS AND THEN REFER OR TRANSFER THEM FOR FURTHER CARE. THIS LEVEL OF SERVICE IS OFTEN NOT COVERED BY PATIENT INSURANCE, SO HRH ENDS UP COVERING THE MAJORITY OF THESE COSTS. THIS SUBSIDY IS CALCULATED BY ESTIMATING THE COLLECTION RATE FROM PATIENTS OR THEIR INSURANCE AND THEN SUBTRACTING THIS FROM THE INVOICES RECEIVED FROM THE EXTERNAL AGENCY:COLLECTIONS RECEIVED $ 9,945INVOICES PAID FOR SERVICES ($12,370)NET COMMUNITY BENEFIT $ 2,245 |
| Part III, Line 8 - Explanation Of Shortfall As Community Benefit | ADDITIONAL MEDICARE SHORTFALL - REVENUES AND COSTS NOT INCLUDED IN THE MEDICARE COST REPORT: COST PROFESSIONAL REPORT FEES TOTALREIMBURSEMENT 14,475,905 1,690,442 16,166,347COSTS 15,253,732 2,017,956 17,271,688SHORTFALL (777,827) ( 327,514) (1,105,341)THE HOSPITAL BILLS FOR VARIOUS PHYSICIAN SERVICES THROUGHOUT THE YEAR. THE CHARGES AND COSTS RELATED TO THOSE PROFESSIONAL SERVICES ARE NOT REPORTED IN THE HOSPITAL'S COST REPORT.PROFESSIONAL FEE REIMBURSEMENT: WHEN PREPARING THE COST REPORT TOTAL CHARGES BY DEPARTMENT ARE TAKEN FROM THE GENERAL LEDGER, DETAIL REPORTS BY PROCEDURE FOR INPATIENT/OUTPATIENT ARE GENERATED FOR THOSE DEPARTMENTS THAT INCLUDE PROFESSIONAL SERVICE REVENUE, AND PROFESSIONAL SERVICE REVENUE IS THEN SUBTRACTED FROM TOTAL REVENUE TO ARRIVE AT REVENUE TO REPORT ON WORKSHEET C ON THE COST REPORT. THE SAME REPORTS WERE RUN FOR ONLY MEDICARE PROFESSIONAL SERVICE REVENUE BY INPATIENT AND OUTPATIENT. INPATIENT MEDICARE PROFESSIONAL FEE REVENUE WAS THEN REDUCED BY THE INPATIENT MEDICARE PROFESSIONAL FEE DEDUCTIONS FROM REVENUE ON THE GENERAL LEDGER TO ARRIVE AT INPATIENT PROFESSIONAL FEE REIMBURSEMENT. OUTPATIENT MEDICARE PROFESSIONAL FEE REIMBURSEMENT WAS DERIVED BY MULTIPLYING THE GROSS REIMBURSEMENT ON THE CAH-FEE REIMBURSED PROVIDER SUMMARY REPORT (REPORT TYPE 855) BY THE PERCENTAGE OF PROFESSIONAL CHARGES INCLUDED IN THE SAME REPORT.PROFESSIONAL FEE COSTS: MEDICARE PROFESSIONAL FEE COSTS WERE DERIVED BY DETERMINING THE PERCENTAGE OF PROFESSIONAL FEE REVENUE BY SPECIALTY SERVICE RELATED TO MEDICARE AND MULTIPLYING THE SPECIFIC PROFESSIONAL COSTS SUMMARIZED BY SPECIALTY SERVICE (A-8-2 SUPPORT) BY THE MEDICARE PERCENTAGE.SHORTFALL: THE PROFESSIONAL FEE REIMBURSEMENT IS $327,514 LESS THAN THE PROFESSIONAL FEE COSTS. |
| Part III, Line 9b - Provisions On Collection Practices For Qualified Patients | THE HOSPITAL HAS MANY INDIVIDUAL POLICIES THAT RELATE TO COLLECTIONS. THE HOSPITAL HAS A FREE CARE DISCOUNT POLICY WHICH SPECIFIES THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE. WHEN AN APPLICATION IS RECEIVED THAT MEETS THE INCOME ELIGIBILITY REQUIREMENTS, A SEARCH OF THE BILLING/ACCOUNTS RECEIVABLE IS PERFORMED TO LOCATE ALL ACCOUNTS FOR MEMBERS OF THE HOUSEHOLD. THE ACCOUNTS FOR HOUSEHOLD MEMBERS ARE THEN FLAGGED AS "FREE", BALANCES ARE WRITTEN OFF, AND AN APPROVAL LETTER IS MAILED TO THE APPLICANT. A COPY OF THE APPLICATION IS PLACED IN THE FREE CARE BINDER AND RETAINED THERE FOR THREE MONTHS, WHICH IS THE LENGTH OF TIME AN APPLICATION IS VALID AND IN EFFECT. THE PATIENT IS LINKED IN OUR ELECTRONIC MEDICAL RECORD TO A CODE SETUP FOR FINANCIAL ASSISTANCE. THIS REQUIRES AN ACCOUNT REVIEW BEFORE ANY BILLS ARE GENERATED TO THE PATIENT. IF THEY ARE STILL WITHIN THEIR VALID 3 MONTH APPLICATION, THE BALANCE IS WRITTEN-OFF AS CHARITY CARE AND THE PATIENT IS NOT BILLED. A SIMILAR PROCESS IS IN PLACE FOR THE SLIDING FEE DISCOUNTS THAT ARE AVAILABLE TO PATIENTS OF THE HOSPITAL-BASED RURAL HEALTH CLINICS. |
| Part VI, Line 2 - Needs Assessment | THE HOSPITAL PARTICIPATED IN THE 2019 MAINE SHARED HEALTH NEEDS ASSESSMENT SURVEY. THE RESULTS WERE DISTRIBUTED TO ALL PARTICIPATING AGENCIES, HAVE BEEN REVIEWED BY HOSPITAL LEADERSHIP AND AN IMPLEMENTATION PLAN APPROVED. A TAB OF OUR WEBSITE HAS BEEN DEVOTED TO THIS CHNA AND MANY REPORTS ARE LINKED FOR REFERENCE. THE HOSPITAL CONTINUES TO SEEK IMPROVEMENT IN MANY AREAS. A MORE COMPLETE EXPLANATION IS INCLUDED WITH OUR RESPONSE TO PART V, SECTION B, QUESTION 11. |
| Part VI, Line 3 - Patient Education of Eligibility for Assistance | PATIENTS ARE MADE AWARE OF THE CHARITY CARE POLICY THROUGH SIGNAGE IN WAITING ROOMS, DIRECT NOTIFICATION BY STAFF, INFORMATIONAL BROCHURES, NOTICES PRINTED ON THE BACK OF PATIENT BILLS, AND POSTINGS ON OUR WEBSITE. IN ORDER TO QUALIFY FOR CHARITY CARE, THE PATIENT IS ASKED TO PROVIDE A MEDICAID DENIAL LETTER. IF THE PATIENT DOES NOT KNOW HOW TO APPLY FOR STATE ASSISTANCE PROGRAMS, THEY ARE REFERRED TO THE LOCAL HEALTH AND HUMAN SERVICES OFFICE. IF THE PATIENT IS AN INPATIENT, THE HOSPITAL'S SOCIAL SERVICES DEPARTMENT WILL ASSIST THE PATIENT IN FILING STATE AND FEDERAL ASSISTANCE APPLICATIONS. THE HOSPITAL ALSO HAS A FINANCIAL COUNSELOR WHO MEETS WITH BOTH INPATIENTS AND OUTPATIENTS THAT HAVE BILLING OR ASSISTANCE RELATED QUESTIONS. THIS SAME STAFF PERSON ADMINISTERS THE HOSPITAL'S PRESCRIPTION ASSISTANCE PROGRAM. |
| Part VI, Line 4 - Community Information | HRH SERVES THE COMMUNITIES LOCATED IN SOUTHERN AROOSTOOK COUNTY AS WELL AS A FEW COMMUNITIES IN BORDERING COUNTIES. THE SERVICE AREA IS GEOGRAPHICALLY ISOLATED FROM THE LARGER POPULATION CENTER OF BANGOR, ME. TRAVEL WITHIN THE SERVICE AREA AND TO OUT-OF-AREA DESTINATIONS IS FURTHER COMPLICATED BY THE HARSH MAINE WINTERS.THE POPULATION IN AROOSTOOK COUNTY IS OLDER THAN THE STATEWIDE AVERAGE. BASED ON 2021 CENSUS BUREAU STATISTICS, 25.1% OF THE SERVICE AREA POPULATION IS ELDERLY (65+ YEARS), WHICH IS HIGHER THAN THE STATE % OF ELDERLY. THIS HIGHER CONCENTRATION OF ELDERLY COULD CONTRIBUTE TO A DISPROPORTIONATE UTILIZATION OF HEALTH CARE SERVICES.HRH SERVICE AREA RESIDENTS ARE POORER AND CONFRONTED BY A SIGNIFICANTLY HIGHER UNEMPLOYMENT RATE THAN MAINERS AS A WHOLE. MOST INCOME MEASURES FOR AROOSTOOK COUNTY ARE LOWER AND POVERTY IS HIGHER THAN STATEWIDE AVERAGES. 30% OF THE SERVICE AREA RESIDENTS ARE CONSIDERED TO BE LOW-INCOME (LESS THAN 200% OF THE FEDERAL POVERTY LEVEL) ACCORDING TO 2021 STATISTICS FROM THE CENSUS BUREAU COMPARED TO 23% IN THE UNITED STATES AS A WHOLE. AVERAGE UNEMPLOYMENT IN AROOSTOOK COUNTY FOR 2021 WAS 5.7% COMPARED TO 4.6% FOR MAINE AS A WHOLE.WITH RESPECT TO INSURANCE STATUS IN COMPARISON TO THE STATE, MORE SERVICE AREA RESIDENTS ARE COVERED BY MEDICAID AND MEDICARE OR ARE UNINSURED. |
| Part VI, Line 5 - Promotion of Community Health | AT HRH, ALL QUALIFIED PHYSICIANS IN THE COMMUNITY ARE ELIGIBLE FOR MEDICAL STAFF PRIVILEGES AT THE HOSPITAL. NO QUALIFIED PHYSICIANS HAVE BEEN DENIED PRIVILEGES.THE HOSPITAL IS GOVERNED BY A COMMUNITY BOARD WITH BOARD MEMBERS RESIDING IN THE HOSPITAL'S SERVICE AREA. BOARD MEMBERS COME FROM VARIOUS PROFESSIONAL BACKGROUNDS. THE BOARD MEETS A MINIMUM OF TEN TIMES PER YEAR. EACH MEETING STARTS OFF WITH A BOARD EDUCATION SESSION ON TOPICS SUCH AS QUALITY IMPROVEMENT, REIMBURSEMENT METHODOLOGIES, COMPLIANCE, AND REGULATORY REPORTING OR CHANGES.THE HOSPITAL COORDINATES CONTINUING MEDICAL EDUCATION (CME) FOR ITS MEDICAL STAFF. MANY OF THE SESSIONS ARE PERFORMED IN CONJUNCTION WITH THE QUARTERLY MEDICAL STAFF MEETINGS AND ARE TOPICS THAT THE MEDICAL STAFF HAS EXPRESSED AN INTEREST IN. THE MAJORITY OF THE SESSIONS ARE SPONSORED BY THE HOSPITAL, HELD IN THE HOSPITAL CONFERENCE ROOMS, AND THE SPEAKERS DONATE THEIR TIME.THE HOSPITAL PROVIDES VARIOUS MEDICAL SCREENING PROGRAMS TO THE COMMUNITY, WITH A FOCUS ON OFFERING ADDITIONAL SERVICES FOR OUR PEDIATRIC PATIENTS. THESE INCLUDE NUTRITIONAL ADVICE, VISION SCREENINGS, AND DENTAL FLUORIDE VARNISH. HRH RENTS OFFICE SPACE TO THE VA ON A WEEKLY BASIS TO ALLOW THEM TO HOLD A CLINIC IN OUR LOCAL AREA, PROVIDING EASIER ACCESS TO CARE FOR OUR VETERANS. LASTLY, HRH HAS ALLOWED NORTHERN MAINE COMMUNITY COLLEGE TO USE SPACE IN OUR CENTER FOR COMMUNITY HEALTH EDUCATION TO HOUSE A NURSING CLASS. THIS HAS ALLOWED MORE STUDENTS TO PURSUE THEIR DEGREE, AS THEY DO NOT HAVE TO TRAVEL SO FAR TO ATTEND CLASSES.DUE TO THE CONTINUED COVID-19 PANDEMIC DURING OUR YEAR ENDED 9/30/21, WE HAD TO LIMIT SOME OF OUR COMMUNITY ACTIVITIES FOR EITHER INFECTION PREVENTION PURPOSES OR DUE TO STATE VACCINATION MANDATES. EXAMPLES OF THESE ACTIVITES ARE: USE OF OUR CONFERENCE ROOM SPACE TO HOST COMMUNITY SUPPORT GROUPS; PHASE III CARDIOPULMONARY REHAB CLASSES; LAMAZE CLASSES; AND ALLOWING OUR STAFF TO GO INTO SCHOOLS FOR EDUCATIONAL FORUMS OR EVENTS. IT IS OUR PLAN TO REESTABLISH THESE ACTIVITIES ONCE THE PANDEMIC SUFFICIENTLY ENDS. HRH DID HOLD COVID-19 TESTING AND VACCINATION CLINICS IN COMMUNITY WIDE SETTINGS AND ALSO PROVIDED PANDEMIC RELATED SERVICE ANNOUNCEMENTS USING VARIOUS MEDIA PLATFORMS. THESE WERE OF BENEFIT TO OUR COMMUNITY, BUT OUR COST WAS ABLE TO BE COVERED THROUGH USE OF FEDERAL CARES ACT PROVIDER RELIEF FUNDS. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|
| C REGINA BROWN | ||||
| COO | $133,580 | $446 | $27,097 | $161,123 |
| CATHY CHASSE | ||||
| CRNA | $210,946 | $1,257 | $9,914 | $222,117 |
| CYNTHIA THOMPSON | ||||
| CFO | $172,441 | $212 | $172,653 | |
| ERIC RAU | ||||
| GEN SURGEON | $414,855 | $690 | $29,556 | $445,101 |
| HASSAN E ABOULEISH MD | ||||
| Vice President | $460,200 | $460,200 | ||
| JENNIFER CAVALARI | ||||
| HOSPITALIST | $342,588 | $131 | $9,914 | $352,633 |
| KIMBERLY MAYS-DE-PEREZ | ||||
| OB/GYN PHYSICIAN | $273,893 | $1,073 | $27,097 | $302,063 |
| PAUL MONTE ALEXANDER | ||||
| CRNA | $239,147 | $1,429 | $240,576 | |
| SHAWN D ANDERSON | ||||
| CEO | $302,646 | $10,290 | $14,705 | $327,641 |
| SOLOMON OLABIYI MD | ||||
| Director | $250,811 | $185 | $33,393 | $284,389 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II, Compensation from Unrelated Organizations | FormAndLineReferenceDesc |
| Explanation | DURING 2020, DR HASSAN ABOULEISH WAS COMPENSATED BY INTERNAL MEDICINE OF HOULTON, AN UNRELATED ORGANIZATION, FOR SERVICES RENDERED TO THE HOSPITAL. AMOUNTS PAID BY THE HOSPITAL TO INTERNAL MEDICINE OF HOULTON FOR SERVICES RENDERED BY DR ABOULEISH TOTAL $460,200 DURING 2020. THE HOSPITAL IS NOT MADE AWARE OF THE ACTUAL AMOUNT OF COMPENSATION PAID TO DR ABOULEISH BY INTERNAL MEDICINE OF HOULTON, AND AS SUCH, HAS DISCLOSED AND REPORTED THE AMOUNT PAID TO THE UNRELATED ORGANIZATION ON FORM 990, PART VII, COLUMN D AND SCH J PART II PURSUANT TO THE 990 INSTRUCTIONS. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTHORITY | ||||||||
| A | 010314384 | 56042RLG5 | 2017-06-27 | $1,215,000 | REFINANCE EXISTING DEBT | false | false | Yes (true) |
| MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTHORITY 2010B | ||||||||
| B | 010314384 | 560427JA5 | 2010-06-24 | $2,965,000 | REFINANCE EXISTING DEBT | false | false | Yes (true) |
| MAINE HEALTH & HIGHER EDU | ||||||||
| C | 010314384 | 560427WV4 | 2013-05-23 | $2,380,000 | REFINANCE EXISTING DEBT | false | false | Yes (true) |
| MAINE HEALTH & HIGHER EDU | ||||||||
| D | 010314384 | 5604274R4 | 2015-07-30 | $820,000 | REFINANCE EXISTING DEBT | false | Yes (true) | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|
| A | $515,000 | $1,215,000 | $27,420 | $1,187,580 | 2017 | Yes (true) | false | Yes (true) | Yes (true) |
| B | $2,165,000 | $2,965,000 | $44,927 | $2,920,073 | 2010 | Yes (true) | false | Yes (true) | Yes (true) |
| C | $2,052,938 | $2,380,000 | $34,370 | $2,345,630 | 2013 | Yes (true) | false | Yes (true) | Yes (true) |
| D | $450,000 | $820,000 | $23,767 | $796,233 | 2015 | Yes (true) | false | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | D | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Engage Bond Counsel Contracts | false | EngageBondCounselContractsInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Procs Nonqualified Bond Remdtd | false | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd | Exception To RebateExceptionToRebateInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|
| A | false | Yes (true) | false | false | false | |||
| B | false | false | false | false | Yes (true) | false | false | |
| C | false | false | false | false | Yes (true) | false | ||
| D | false | Yes (true) | false | false | false |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | false |
| B | false |
| C | false |
| D | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part VI | FormAndLineReferenceDesc |
| Explanation | SCHEDULE K, PART III, LINE 7 AND SCHEDULE K, PART VTHE HOSPITAL HAS CURRENTLY ESTABLISHED SOME OF THE PRACTICES AND PROCEDURES NECESSARY FOR POST-ISSUANCE COMPLIANCE. THE HOSPITAL CURRENTLY MONITORS COMPLIANCE WITH BOND DOCUMENTS THROUGH OUR INTERNAL COMPLIANCE COMMITTEE. WE ARE ALSO REQUIRED BY THE ISSUER TO SUBMIT QUARTERLY DOCUMENTS AS PART OF OUR BOND AGREEMENTS. WE ARE WORKING WITH OUR AUDITORS AND ATTORNEY TO IMPROVE WRITTEN POLICIES. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAINE HEALTH & HIGHER EDU | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 010314384 | BondIssuerEIN |
| CUSIP | 56042RTR3 | CUSIPNum |
| Bond Issued | 2019-07-31 | BondIssuedDt |
| Issue Price | $2,535,000 | IssuePriceAmt |
| Purpose | REFINANCE EXISTING DEBT | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | Yes (true) | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $180,000 | RetiredAmt |
| Total Proceeds | $2,535,000 | TotalProceedsAmt |
| In Reserve Fund | $202,750 | InReserveFundAmt |
| Issuance Costs From Proceeds | $40,320 | IssuanceCostsFromProceedsAmt |
| Other Spent Proceeds | $2,291,930 | OtherSpentProceedsAmt |
| Substantial Completion | 2019 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | Yes (true) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | false | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Engage Bond Counsel Contracts | false | EngageBondCounselContractsInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Remedial Action Taken | false | RemedialActionTakenInd |
| Procs Nonqualified Bond Remdtd | false | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (true) | RebateNotDueYetInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | false | ProceduresCorrectiveActionInd |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| INTERNAL MED OF HOULTON | |||
| DIR 100% OWNER | $460,200 | PHYSICIAN SERVICES | false |
| SARAH LYNDS | |||
| DIR DAUGH-LAW | $74,748 | WAGES/EMPLOYMENT | false |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 11b: Form 990 Review Process | COPY PROVIDED TO EACH BOARD MEMBER FOR REVIEW, BEFORE RETURN WAS FILED. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | ANNUALLY, DIRECTORS, OFFICERS, AND KEY EMPLOYEES SHALL COMPLETE A CONFLICT OF INTEREST STATEMENT, IN ACCORDANCE WITH THE HOSPITAL'S CONFLICT OF INTEREST POLICY, DISCLOSING ANY POTENTIAL BUSINESS AND PROFESSIONAL CONFLICTS WHICH MAY ARISE. POTENTIAL CONFLICTS WILL BE REVIEWED ON AN ANNUAL BASIS BY THE BOARD OF DIRECTORS. SHOULD A DIRECTOR ENCOUNTER A SPECIFIC CONFLICT OF INTEREST IN ANY MEETING OF THE BOARD OR A BOARD COMMITTEE, THAT DIRECTOR WILL EXCUSE THEMSELVES FROM THE MEETING, WILL NOT PARTICIPATE IN DISCUSSION OF THE ISSUE AND WILL NOT VOTE. |
| Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management | WAGES FOR THE CEO, CFO, COO, AND CNO ARE COMPARED AGAINST THE NORTHERN NEW ENGLAND COMPENSATION SURVEY ON A BI-ANNUAL BASIS BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | PHYSICIAN SALARIES ARE COMPARED AGAINST TWO DIFFERENT SETS OF COMPARATIVE DATA - THE MGMA PHYSICIAN COMPENSATION SURVEY AND THE NORTHER NEW ENGLAND COMPENSATION SURVEY. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | THE BY-LAWS OF HOULTON REGIONAL HOSPITAL ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. |
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