LincolnHealth Group: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- LincolnHealth Group (EIN 26-1475629)
- Tax period
- 2018-10-01 to 2019-01-01
- Filed
- 2019-11-12
- IRS object ID
- 201913169349303031
- Schema version
- 2018v3.1
- 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 D
- Schedule I
- Schedule J
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-11-12T12:00:44-06:00 | ReturnTs |
| Tax Period End | 2019-01-01 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 261475629 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LincolnHealth Group | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LINC | BusinessNameControlTxt |
| Phone | 2076338402 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6 St Andrews Ln | AddressLine1Txt |
| City | Boothbay Harbor | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04538 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Wayne Printy | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 2076338402 | PhoneNum |
| Signature | 2019-11-08 | SignatureDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 63.247.60.254 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-11-12 | IPDt |
| IP Tm | 12:59:50 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | B45CD6F9D1811B9916B2A423673B63195B36551F | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 071534DF782BAFFC7F19FAE443616795F01F9B48 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-01-14 16:20:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Final Return | Yes (X) | FinalReturnInd |
| Principal Officer | James Donovan | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6 St Andrews Ln | AddressLine1Txt |
| City | Boothbay Harbor | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04538 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,324,254 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | mainehealth.org/lincolnhealth | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2008 | FormationYr |
| Legal Domicile State | ME | LegalDomicileStateCd |
| Activity Or Mission | LincolnHealth Group (LHG) was established to promote and support integrated & cost-effective health care services for the residents and visitors of Lincoln County, Maine. | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $77,902 | PYContributionsGrantsAmt |
| CY Contributions Grants | $20,100 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $9,748,878 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,293,084 | CYProgramServiceRevenueAmt |
| PY Investment Income | $19,928 | PYInvestmentIncomeAmt |
| CY Investment Income | $11,070 | CYInvestmentIncomeAmt |
| PY Other Revenue | $30,562 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $9,877,270 | PYTotalRevenueAmt |
| CY Total Revenue | $1,324,254 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $5,908 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $11,208 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,004,788 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,047,663 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $72,958 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,978,297 | PYOtherExpensesAmt |
| CY Other Expenses | $304,886 | CYOtherExpensesAmt |
| PY Total Expenses | $9,988,993 | PYTotalExpensesAmt |
| CY Total Expenses | $1,363,757 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$111,723 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$39,503 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $12,809,771 | TotalAssetsBOYAmt |
| Total Assets EOY | $0 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,276,429 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,533,342 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $0 | NetAssetsOrFundBalancesEOYAmt |
| Mission | See Schedule O | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,218,046 | ExpenseAmt |
| Grant | $11,208 | GrantAmt |
| Revenue | $1,293,084 | RevenueAmt |
| Desc | Management Services - LincolnHealth Group (LHG) is the parent company of LincolnHealth, LincolnHealth Cove's Edge and LincolnHealth Medical Partners, Inc. LHG provides management services to these three tax exempt entities which include 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, hospice services, and home monitoring, as well as multi-specialty physician group practices. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $47,601 | ExpenseAmt |
| Desc | Nursing School - The Education Center is a collaborative effort of Central Maine Community College and LincolnHealth Group, and is the first college degree program in Lincoln County. The program collaboratively works with colleges, clinical departments of the hospital and long term care facilities. Students receive classroom training at Central Maine Community College and in classrooms at the LincolnHealth Group Education Center located in Damariscotta. Clinical training is at LincolnHealth - Miles Campus and LincolnHealth Cove's Edge. LincolnHealth Group provides administration services, clinical training, equipment, supplies, technical support, telecommunications, and full scholarships in support of the nursing school program. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $1,265,647 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | Yes (1) | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Wayne Printy | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2076338402 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6 St Andrews Ln | AddressLine1Txt |
| City | Boothbay Harbor | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04538 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Aquilino Alamo MD | ||||||||
| Trustee | 0.40 | 50.00 | Yes (X) | $0 | $212,497 | $37,919 | ||
| James Cosgrove | ||||||||
| Trustee | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Leslie Fossel | ||||||||
| Trustee | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Timothy Fox MD | ||||||||
| Trustee | 0.40 | 50.00 | Yes (X) | $0 | $280,160 | $36,794 | ||
| Jack T Fulmer MD | ||||||||
| Secretary | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Bruce P Garren | ||||||||
| Treasurer | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Meagan G Hamblett | ||||||||
| Trustee | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Samira Hasan DO | ||||||||
| Trustee | 0.40 | 50.00 | Yes (X) | $0 | $383,109 | $34,929 | ||
| David Lawrence | ||||||||
| Vice Chairman | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| William Logan | ||||||||
| Chairman | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Bruce Lutsk | ||||||||
| Trustee | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Russell Mack MD | ||||||||
| Trustee | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Wayne Moore | ||||||||
| Trustee | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Sean O'Donnell MD | ||||||||
| Trustee | 0.40 | 50.00 | Yes (X) | $0 | $246,850 | $38,606 | ||
| Susan Porter | ||||||||
| Trustee | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Andrew Russ MD | ||||||||
| Trustee | 0.40 | 50.00 | Yes (X) | $0 | $267,804 | $41,605 | ||
| Louis Sell | ||||||||
| Trustee | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Denise Soucy MD | ||||||||
| Trustee | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Holly B Stover | ||||||||
| Trustee | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Peter W Wood | ||||||||
| Trustee | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| James Donovan | ||||||||
| CEO | 50.00 | 3.00 | $382,926 | $0 | $47,197 | Yes (X) | ||
| Wayne Printy | ||||||||
| CFO | 50.00 | 3.00 | $249,708 | $0 | $27,674 | Yes (X) | ||
| Cynthia Wade | ||||||||
| Executive VP & COO | 50.00 | 0.00 | $272,364 | $0 | $30,199 | Yes (X) | ||
| Scott Shott | ||||||||
| VP, Develop/Market | 50.00 | 0.00 | $120,495 | $0 | $31,313 | Yes (X) | ||
| Katharine Rose | ||||||||
| Dir Reimbursement | 50.00 | 0.00 | $124,769 | $0 | $20,582 | Yes (X) | ||
| Catherine Cole | ||||||||
| Dir Educ & Comm Out | 50.00 | 0.00 | $107,044 | $0 | $23,888 | Yes (X) | ||
| Patrick Parson | ||||||||
| Director Operations | 50.00 | 0.00 | $111,720 | $0 | $5,453 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,369,026 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,390,420 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $376,159 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LOCUMTENENSCOM LLC | PersonNm |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2655 NORTHWINDS PARKWAY | AddressLine1Txt |
| City | ALPHARETTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30009 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | Medical Staffing | ServicesDesc |
| Compensation | $215,268 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $20,100 | AllOtherContributionsAmt |
| Total Contributions | $20,100 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Fees for Services | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $1,293,084 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,293,084 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,293,084 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,070 | TotalRevenueColumnAmt |
| Exclusion | $11,070 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,324,254 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,293,084 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $11,070 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,208 | TotalAmt |
| Program Services | $11,208 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $194,450 | TotalAmt |
| Program Services | $194,450 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $685,253 | TotalAmt |
| Program Services | $643,384 | ProgramServicesAmt |
| Fundraising | $41,869 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,372 | TotalAmt |
| Program Services | $22,079 | ProgramServicesAmt |
| Fundraising | $1,293 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,203 | TotalAmt |
| Program Services | $89,843 | ProgramServicesAmt |
| Fundraising | $5,360 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,385 | TotalAmt |
| Program Services | $46,916 | ProgramServicesAmt |
| Fundraising | $2,469 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,883 | TotalAmt |
| Management And General | $2,883 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,569 | TotalAmt |
| Program Services | $5,000 | ProgramServicesAmt |
| Management And General | $9,569 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,896 | TotalAmt |
| Program Services | $52,814 | ProgramServicesAmt |
| Management And General | $12,406 | ManagementAndGeneralAmt |
| Fundraising | $3,676 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $279 | TotalAmt |
| Program Services | $279 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,168 | TotalAmt |
| Program Services | $56,806 | ProgramServicesAmt |
| Fundraising | $7,362 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,539 | TotalAmt |
| Program Services | $12,295 | ProgramServicesAmt |
| Management And General | $244 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,952 | TotalAmt |
| Program Services | $36,889 | ProgramServicesAmt |
| Fundraising | $4,063 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,070 | TotalAmt |
| Program Services | $11,070 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,055 | TotalAmt |
| Program Services | $25,055 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,766 | TotalAmt |
| Program Services | $11,503 | ProgramServicesAmt |
| Fundraising | $1,263 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,742 | TotalAmt |
| Program Services | $9,742 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Integrated Services | $34,439 | $34,439 | ||
| Dues and Subscriptions | $6,589 | $1,216 | $50 | $5,323 |
| Other Expenses | $939 | $659 | $280 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,363,757 | TotalAmt |
| Program Services | $1,265,647 | ProgramServicesAmt |
| Management And General | $25,152 | ManagementAndGeneralAmt |
| Fundraising | $72,958 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,681 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | 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) |
|---|---|---|
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,711 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $0 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $0 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $115,443 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $462,097 | BOYAmt |
| EOY | $0 | 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 | $12,113,839 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,809,771 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $457,311 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,527 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,767,591 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,276,429 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,088,620 | BOYAmt |
| EOY | $0 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $144,722 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $300,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,533,342 | BOYAmt |
| EOY | $0 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,809,771 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$39,503 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$49,486 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$5,444,353 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type2 | Yes (X) | SupportingOrgType2Ind |
| Supported Organizations | 3 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (3 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| LincolnHealth Medical Partners Inc | ||||
| 263878235 | 7 | Yes (1) | $0 | $0 |
| LincolnHealth | ||||
| 010153960 | 3 | Yes (1) | $0 | $0 |
| LincolnHealth Coves Edge | ||||
| 010382340 | 3 | Yes (1) | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 3 | SupportedOrganizationsTotalCnt |
| Support Sum | $0 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (1) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Majority Dir Trst Supported Org | Yes (1) | MajorityDirTrstSupportedOrgInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Supplemental Information: | FormAndLineReferenceDesc |
| Explanation | LincolnHealth Group (LHG) was the parent company of LincolnHealth, LincolnHealth Cove's Edge and LincolnHealth Medical Partners, Inc. LHG provided management services to these three tax exempt entities. These services included leadership, human resources, accounting, development and information technology services. | ExplanationTxt |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $300,000 | BeginningYearBalanceAmt |
| Contributions | $10,500 | ContributionsAmt |
| Investment Earnings Or Losses | $11,020 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $321,520 | OtherExpendituresAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $300,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $19,713 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$19,713 | OtherExpendituresAmt |
| End Year Balance | $300,000 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $300,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $6,434 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$6,434 | OtherExpendituresAmt |
| End Year Balance | $300,000 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $300,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $31,207 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$31,207 | OtherExpendituresAmt |
| End Year Balance | $300,000 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $300,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $11,899 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$11,899 | OtherExpendituresAmt |
| End Year Balance | $300,000 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | LHG Nursing School Endowment |
| Schedule D, Part V L 2e. | As Lincoln Health Group merged into MaineHealth (EIN: 01-0238552) on 1/1/19, the endowment balance was transferred to MaineHealth at the close of the period covered by this return. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | Scholarships for students attending the LincolnHealth Group/Central Maine Community College Nursing Program | GrantTypeTxt |
| Recipient | 7 | RecipientCnt |
| Cash Grant | $11,208 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2 - Procedures for Monitoring the Use of Grant Funds | FormAndLineReferenceDesc |
| Explanation | The students receiving the scholarships must be enrolled in LincolnHealth Group's Nursing School program to be eligible to receive a scholarship. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Aquilino Alamo MD | ||||||||||||||
| Trustee | $0 | $158,204 | $0 | $53,893 | $0 | $400 | $0 | $8,862 | $0 | $29,057 | $0 | $250,416 | $0 | $0 |
| Timothy Fox MD | ||||||||||||||
| Trustee | $0 | $275,160 | $0 | $0 | $0 | $5,000 | $0 | $10,146 | $0 | $26,649 | $0 | $316,955 | $0 | $0 |
| Samira Hasan DO | ||||||||||||||
| Trustee | $0 | $281,729 | $0 | $0 | $0 | $101,380 | $0 | $8,250 | $0 | $26,678 | $0 | $418,037 | $0 | $0 |
| Sean O'Donnell MD | ||||||||||||||
| Trustee | $0 | $198,650 | $0 | $0 | $0 | $48,200 | $0 | $10,227 | $0 | $28,379 | $0 | $285,456 | $0 | $0 |
| Andrew Russ MD | ||||||||||||||
| Trustee | $0 | $184,848 | $0 | $60,381 | $0 | $22,575 | $0 | $9,517 | $0 | $32,088 | $0 | $309,409 | $0 | $0 |
| James Donovan | ||||||||||||||
| CEO | $288,283 | $0 | $52,000 | $0 | $42,643 | $0 | $10,021 | $0 | $37,177 | $0 | $430,124 | $0 | $0 | $0 |
| Wayne Printy | ||||||||||||||
| CFO | $222,465 | $0 | $0 | $0 | $27,243 | $0 | $9,791 | $0 | $17,883 | $0 | $277,382 | $0 | $0 | $0 |
| Cynthia Wade | ||||||||||||||
| Executive VP & COO | $252,160 | $0 | $0 | $0 | $20,204 | $0 | $9,959 | $0 | $20,240 | $0 | $302,563 | $0 | $0 | $0 |
| Scott Shott | ||||||||||||||
| VP, Develop/Market | $119,795 | $0 | $0 | $0 | $700 | $0 | $5,045 | $0 | $26,267 | $0 | $151,807 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 3 - Related Org Methods Used for Compensation Explanation | FormAndLineReferenceDesc |
| Explanation | Top management officials are compensated by related organizations. These organizations used one or more of the methods shown at Part I, Line 3 to establish the compensation of top management. See description of process in Schedule O - Form 990, Part VI, Line 15 - Compensation for Top Official. | ExplanationTxt |
Schedule N IRS990ScheduleN
Liquidation Of Assets Table LiquidationOfAssetsTableGrp
Liquidation Of Assets Detail LiquidationOfAssetsDetail (13 entries)
| Assets Distri Or Expnss PaidAssetsDistriOrExpnssPaidDesc | DistributionDistributionDt | Fair Market Value Of AssetFairMarketValueOfAssetAmt | Method Of FMV DeterminationMethodOfFMVDeterminationTxt | EINEIN | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd |
|---|---|---|---|---|---|---|---|---|
| MaineHealth | ||||||||
| Cash & Cash Equivalents | 2019-01-01 | $64,146 | Book Value | 010238552 | 22 Bramhall Street | Portland | ME | 04102 |
| MaineHealth | ||||||||
| Prepaids & Other Current Assets | 2019-01-01 | $84,183 | Book Value | 010238552 | 22 Bramhall Street | Portland | ME | 04102 |
| MaineHealth | ||||||||
| Due From MH & Other Members | 2019-01-01 | $702,278 | Book Value | 010238552 | 22 Bramhall Street | Portland | ME | 04102 |
| MaineHealth | ||||||||
| Investments | 2019-01-01 | $439,292 | Book Value | 010238552 | 22 Bramhall Street | Portland | ME | 04102 |
| MaineHealth | ||||||||
| PPE, net | 2019-01-01 | $136,756 | Book Value | 010238552 | 22 Bramhall Street | Portland | ME | 04102 |
| MaineHealth | ||||||||
| Other Assets | 2019-01-01 | $9,631,532 | Book Value | 010238552 | 22 Bramhall Street | Portland | ME | 04102 |
| MaineHealth | ||||||||
| Accounts Payable & Other Current Liabilities | 2019-01-01 | -$100,468 | Book Value | 010238552 | 22 Bramhall Street | Portland | ME | 04102 |
| MaineHealth | ||||||||
| Accrued Payroll, Payroll Taxes, & Amounts Withheld | 2019-01-01 | -$425,512 | Book Value | 010238552 | 22 Bramhall Street | Portland | ME | 04102 |
| MaineHealth | ||||||||
| Deferred Revenue | 2019-01-01 | -$55,691 | Book Value | 010238552 | 22 Bramhall Street | Portland | ME | 04102 |
| MaineHealth | ||||||||
| Due to MH & Other Members | 2019-01-01 | -$5,189,299 | Book Value | 010238552 | 22 Bramhall Street | Portland | ME | 04102 |
| MaineHealth | ||||||||
| Net Assets Unrestricted | 2019-01-01 | -$4,865,308 | Book Value | 010238552 | 22 Bramhall Street | Portland | ME | 04102 |
| MaineHealth | ||||||||
| Net Assets Temporarily Restricted | 2019-01-01 | -$111,407 | Book Value | 010238552 | 22 Bramhall Street | Portland | ME | 04102 |
| MaineHealth | ||||||||
| Net Assets Permanently Restricted | 2019-01-01 | -$310,502 | Book Value | 010238552 | 22 Bramhall Street | Portland | ME | 04102 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor | Yes (1) | DirectorOfSuccessorInd |
| Employee Of Successor | Yes (1) | EmployeeOfSuccessorInd |
| Owner Of Successor | 0 | OwnerOfSuccessorInd |
| Receive Compensation | 0 | ReceiveCompensationInd |
| Assets Distributed | Yes (1) | AssetsDistributedInd |
| Required To Notify AG | Yes (1) | RequiredToNotifyAGInd |
| Attorney General Notified | Yes (1) | AttorneyGeneralNotifiedInd |
| Liabilities Paid | Yes (1) | LiabilitiesPaidInd |
| Bonds Outstanding | 0 | BondsOutstandingInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 2e: | Person(s) Involved: Bruce P. Garren; Aquilino Alamo, MD; Timothy Fox, MD; Samira Hasan, DO;Sean O'Donnell, MD; Andrew Russ, MD; James Donovan, CEO; Wayne Printy, CFO |
| Part I, Line 2e: | Explanation of Involvement: Bruce P. Garren trustee, became a member of MaineHealth's (EIN: 01-0238552)board of trustees upon LH's merger with MaineHealth on 1/1/2019.Aquilino Alamo, MD; Timothy Fox, MD; Samira Hasan, DO; Sean O'Donnell, MD;Andrew Russ, MD; James Donovan, CEO; Wayne Printy, CFO are employees ofMaineHealth. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part V, Line 1a | MaineHealth (EIN 01-0238552), acting on behalf of Maine Healthcare (EIN 01-0431680), filed 1,645 Form 1099s for the calendar year 2018 on behalf of the following organizations: Maine Healthcare, MaineHealth, Southern Maine Health Care, Coastal Healthcare Alliance, Pen Bay Medical Center, Waldo County General Hospital, Franklin Memorial Hospital, LincolnHealth Group, Memorial Hospital, Western Maine Healthcare, Maine Behavioral Healthcare, NorDx, MaineHealth Care at Home. |
| Form 990, Part V, Line 2a | MaineHealth (EIN 01-0238552) filed Form W-3, reporting 18,322 employees, for the calendar year 2018 on behalf of the following organizations: Maine Healthcare, MaineHealth, MMC Realty, Maine Medical Partners, NorDx, MaineHealth Care at Home and MaineHealth Cardiology, Southern Maine Health Care, Maine Behavioral Healthcare, Waldo County General Hospital and LincolnHealth Group. |
| Form 990, Part VI, Section A, line 6 | The sole corporate member (Corporator) is Maine Healthcare - EIN 01-0431680. |
| Form 990, Part VI, Section A, 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. |
| Form 990, Part VI, Section A, 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 the approval of the sole member. |
| Form 990, Part VI, Section B, line 11b | The Chief Financial Officer performs a detailed review of the entire Form 990. The Form 990 is also made available to the full board prior to filing. |
| Form 990, Part VI, Section B, 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 LincolnHealth Group's 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 LincolnHealth Group, 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. |
| Form 990, Part VI, Section B, line 15 | Line 15a - Compensation Process for Top Official The process followed for determining compensation of the CEO compensated by this or other related organization is a formal process performed annually by the Executive Committee of the Board of Directors. A related organization uses an outside firm, Sullivan Cotter, to perform an independent benchmark analysis for the CEO of LincolnHealth Group, along with other executives in the Maine Healthcare system. The firm meets with the Executive Committee to review each executive's benchmark report. The Committee then deliberates on Maine Healthcare's written salary and incentive plan philosophy before making a final decision. All decisions and meetings are captured in minutes and there are appropriate approvals at all levels. Line 15b - Compensation Process for Officers See process above under "Compensation Process for Top Official". |
| Form 990, Part VI, Section C, line 19 | Documents that are required to be open for public inspection are made available upon request. |
| Form 990, Part XI, line 9: | Merger of assets into MaineHealth (EIN:01-0238552) -5,287,217. Intercompany Equity Transfers -157,136. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Coastal Healthcare Alliance | |||||||||||
| PO Box 287 | Belfast | ME | 04915 | 222494475 | Healthcare | ME | 501(c)(3) | Line 12b, II | Maine Healthcare | 0 | |
| Franklin Community Health Network | |||||||||||
| 111 Franklin Health Commons | Farmington | ME | 04938 | 223209406 | Healthcare | ME | 501(c)(3) | Line 12b, II | Maine Healthcare | 0 | |
| Geriatric Resource Network | |||||||||||
| 110 Free Street | Portland | ME | 04101 | 010542842 | Healthcare | ME | 501(c)(3) | Line 7 | Maine Healthcare | 0 | |
| LincolnHealth | |||||||||||
| 35 Miles Street | Damariscotta | ME | 04543 | 010153960 | Hospital | ME | 501(c)(3) | Line 3 | LincolnHealth Group | Yes (1) | |
| LincolnHealth Cove's Edge | |||||||||||
| 35 Miles Street | Damariscotta | ME | 04543 | 010382340 | Healthcare | ME | 501(c)(3) | Line 3 | LincolnHealth Group | Yes (1) | |
| LincolnHealth Medical Partners Inc | |||||||||||
| 35 Miles Street | Damariscotta | ME | 04543 | 263878235 | Physician practices | ME | 501(c)(3) | Line 7 | LincolnHealth Group | Yes (1) | |
| Maine Behavioral Healthcare | |||||||||||
| 78 Atlantic Place | South Portland | ME | 04106 | 010524834 | Hospital | ME | 501(c)(3) | Line 3 | Maine Healthcare | 0 | |
| MaineHealth | |||||||||||
| 22 Bramhall Street | Portland | ME | 04102 | 010238552 | Hospital | ME | 501(c)(3) | Line 3 | Maine Healthcare | 0 | |
| MaineHealth Cardiology | |||||||||||
| 110 Free Street | Portland | ME | 04101 | 452525629 | Healthcare | ME | 501(c)(3) | Line 10 | Maine Healthcare | 0 | |
| MaineHealth Care at Home | |||||||||||
| 15 Industrial Park | Saco | ME | 04072 | 222571902 | Home health | ME | 501(c)(3) | Line 10 | Maine Healthcare | 0 | |
| NorDx | |||||||||||
| 301A US Route One | Scarborough | ME | 04074 | 010511356 | Lab | ME | 501(c)(3) | Line 10 | Maine Healthcare | 0 | |
| Southern Maine Health Care | |||||||||||
| PO Box 626 | Biddeford | ME | 04005 | 010179500 | Hospital | ME | 501(c)(3) | Line 3 | Maine Healthcare | 0 | |
| The Memorial Hospital | |||||||||||
| 3073 White Mountain Highway | North Conway | NH | 03860 | 020222156 | Hospital | NH | 501(c)(3) | Line 3 | Maine Healthcare | 0 | |
| Western Maine Health Care Corp | |||||||||||
| 181 Main Street | Norway | ME | 04268 | 010411788 | Healthcare | ME | 501(c)(3) | Line 12b, II | Maine Healthcare | 0 | |
| Maine Healthcare | |||||||||||
| 110 Free Street | Portland | ME | 04101 | 010431680 | Healthcare | ME | 501(c)(3) | Line 12c, III-FI | 0 | N/A | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MaineHealth ACO | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 Free Street | AddressLine1Txt |
| City | Portland | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 452929273 | EIN |
| Primary Activities | ACO | PrimaryActivitiesTxt |
| Legal Domicile State | ME | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MaineHealth | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | Related | PredominantIncomeTypeTxt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | Yes (1) | GeneralOrManagingPartnerInd |
| Ownership | 0.03330 | OwnershipPct |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Synernet Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 Free Street | AddressLine1Txt |
| City | Portland | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010539789 | EIN |
| Primary Activities | Administrative services | PrimaryActivitiesTxt |
| Legal Domicile State | ME | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| LincolnHealth | ||
| L | $64,228 | Fair market value |
| LincolnHealth Cove's Edge | ||
| O | $102,461 | Fair market value |
| LincolnHealth | ||
| O | $742,251 | Fair market value |
| LincolnHealth Cove's Edge | ||
| S | $141,253 | Fair market value |
| LincolnHealth | ||
| S | $1,032,340 | Fair market value |
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