YORK HOSPITAL: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- YORK HOSPITAL (EIN 01-0212444)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-12
- IRS object ID
- 201833169349301848
- Schema version
- 2017v2.3
- 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 G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-12T10:41:50-06:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 010494526 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Baker Newman & Noyes | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 507 | AddressLine1Txt |
| City | Portland | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04112 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010212444 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | York Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | YORK | BusinessNameControlTxt |
| Phone | 2073634321 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15 Hospital Drive | AddressLine1Txt |
| City | York | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 03909 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Robin LaBonte | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 2073634321 | PhoneNum |
| Signature | 2018-11-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Nicholas E Porto | PreparerPersonNm |
| PTIN | P01310283 | PTIN |
| Phone | 2078792100 | PhoneNum |
| Preparation | 2018-11-08 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 208.105.168.164 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-11-08 | IPDt |
| IP Tm | 13:52:13 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | FE685E981FEE36D4C64CA412F9EC06E5E5813BB8 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 86AD5A998A217BD7885303F5109AB5202568ED7D | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Jud Knox | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15 Hospital Drive | AddressLine1Txt |
| City | York | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 03909 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $194,822,395 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.yorkhospital.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1904 | FormationYr |
| Legal Domicile State | ME | LegalDomicileStateCd |
| Activity Or Mission | Community Hospital | ActivityOrMissionDesc |
| Voting Members Governing Body | 30 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 20 | VotingMembersIndependentCnt |
| Total Employee | 1455 | TotalEmployeeCnt |
| Total Volunteers | 178 | TotalVolunteersCnt |
| Total Gross UBI | $3,251,890 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$65,571 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $737,994 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,598,645 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $173,552,221 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $175,260,130 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,370,620 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,742,244 | CYInvestmentIncomeAmt |
| PY Other Revenue | $128,252 | PYOtherRevenueAmt |
| CY Other Revenue | $146,246 | CYOtherRevenueAmt |
| PY Total Revenue | $176,789,087 | PYTotalRevenueAmt |
| CY Total Revenue | $179,747,265 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $196,513 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $159,407 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $96,015,394 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $99,563,066 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $159,076 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $80,668,236 | PYOtherExpensesAmt |
| CY Other Expenses | $79,221,499 | CYOtherExpensesAmt |
| PY Total Expenses | $176,880,143 | PYTotalExpensesAmt |
| CY Total Expenses | $178,943,972 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$91,056 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $803,293 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $140,133,572 | TotalAssetsBOYAmt |
| Total Assets EOY | $143,822,446 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $59,100,282 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $58,354,955 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $81,033,290 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $85,467,491 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Community Hospital | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $170,449,236 | ExpenseAmt |
| Grant | $159,407 | GrantAmt |
| Revenue | $172,156,582 | RevenueAmt |
| Desc | York Hospital is a not-for-profit health care center established to provide health care services to the York county area. It offers both inpatient and outpatient acute services and has 79 licensed acute beds. The Hospital has outpatient satellite services in Wells, Kittery, Berwick, North Berwick, South Berwick and Sanford.York Hospital is committed to providing exceptional care to patients and their families. All efforts must be thoughtful, kind, and loving. York Hospital is dedicated to creating and nurturing a fabric of compassionate relationships among physicians, caregivers, patients, and families to offer sensitive, understandable, high-quality medical care experiences. | Desc |
| Total Program Service Expenses | $170,449,236 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | 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 | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | 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 | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| 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 | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 57 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1455 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 30 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 20 | 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 | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | 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 | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedureInd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Robin LaBonte CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2073634321 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15 Hospital Drive | AddressLine1Txt |
| City | York | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 03909 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| Todd Adams MD | |||||||
| Trustee/Physician | 40.00 | Yes (X) | $212,297 | $0 | $35,914 | ||
| Douglas Bracy | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Meghan Brandt RN | |||||||
| Trustee/RN | 36.00 | Yes (X) | $71,288 | $0 | $13,297 | ||
| Lorraine Boston | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Ken Fellows MD | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Erich Fogg PA-C | |||||||
| Trustee/Physician Assistant | 40.00 | Yes (X) | $168,464 | $0 | $33,692 | ||
| Robert Foley | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| James Gilroy MD FACP | |||||||
| Trustee/Physician | 40.00 | Yes (X) | $198,558 | $0 | $29,048 | ||
| Madeline Hayes | |||||||
| Trustee (part year) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| John Houlihan | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Ann Lee Hussey | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Jeffrey Lockhart MD | |||||||
| Trustee/Anesthesiologist | 40.00 | Yes (X) | $540,023 | $0 | $40,478 | ||
| Daniel Morrison | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Michael O'Keefe | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Kelly Parker-Mello MD | |||||||
| Trustee/Pediatrician | 40.00 | Yes (X) | $172,988 | $0 | $5,305 | ||
| Deborah Pease | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Lawrence Petrovich MD | |||||||
| Trustee/Cardiologist | 40.00 | Yes (X) | $516,943 | $0 | $38,920 | ||
| Suzi Raeside | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Brett Rankin MD | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Gary Samia | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Chris Kehl | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Mark Foster | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Connie James | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Jennifer Cutts MD | |||||||
| Trustee/Chief Medical Officer/Radiologist | 40.00 | Yes (X) | $441,857 | $0 | $30,757 | ||
| David Speert MD | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Frederick Thaler MD | |||||||
| Trustee/Physician | 40.00 | Yes (X) | $120,486 | $0 | $12,317 | ||
| Henry F Warner Jr | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Jud Knox | |||||||
| Trustee/President/Leader | 40.00 | Yes (X) | $408,610 | $0 | $159,944 | Yes (X) | |
| Ala Reid | |||||||
| Trustee/Chairman | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Wendy Cote | |||||||
| Trustee/Vice Chairman | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Christopher Crane | |||||||
| Trustee/Treasurer | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Robin LaBonte | |||||||
| CFO/Leader | 40.00 | $305,400 | $0 | $39,332 | Yes (X) | ||
| Jeffrey Colnes MD | |||||||
| Cardiologist | 40.00 | $627,788 | $0 | $39,317 | Yes (X) | ||
| Peter Dourdoufis MD | |||||||
| Cardiologist | 40.00 | $750,398 | $0 | $32,593 | Yes (X) | ||
| John Fani Srour MD | |||||||
| Cardiologist | 40.00 | $551,190 | $0 | $30,553 | Yes (X) | ||
| David Cunningham MD | |||||||
| Cardiologist | 40.00 | $494,688 | $0 | $39,189 | Yes (X) | ||
| Paul Chesis MD | |||||||
| Radiologist | 40.00 | $550,736 | $0 | $30,290 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,131,714 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $610,946 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 137 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Quest Diagnostic | |||||
| 12436 Collection Center Drive | Chicago | IL | 60693 | Contract Laboratory Services | $746,659 |
| Seacoast Pathology Inc | |||||
| PO Box 100519 | Atlanta | GA | 30384 | Contract Pathology Services | $694,965 |
| Medifis | |||||
| PO Box 5068 | New York | NY | 10087 | Locum Tenums Services | $603,284 |
| Sports Medicine Atlantic Orthopedics | |||||
| 1900 LaFayette Road Suite F | Portsmouth | NH | 03801 | Orthopedic Physician Coverage | $529,525 |
| CPSI | |||||
| PO Box 850309 | Mobile | AL | 36685 | Collection Services | $376,414 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 21 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $15,000 | FederatedCampaignsAmt |
| Fundraising | $51,190 | FundraisingAmt |
| Government Grants | $166,362 | GovernmentGrantsAmt |
| All Other Contributions | $1,366,093 | AllOtherContributionsAmt |
| Noncash Contributions | $15,454 | NoncashContributionsAmt |
| Total Contributions | $1,598,645 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Patient Services | 621400 | $135,363,987 | $135,363,987 | |
| Lab | 621500 | $32,147,826 | $31,985,951 | $161,875 |
| Pharmacy | 446110 | $5,786,068 | $2,696,053 | $3,090,015 |
| Miscellaneous Program Services | 621400 | $1,152,029 | $1,152,029 | |
| Cafeteria | 722210 | $715,230 | $715,230 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $94,990 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $94,990 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $175,260,130 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $500,850 | TotalRevenueColumnAmt |
| Exclusion | $500,850 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $148,342 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $148,342 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $148,342 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $148,342 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $16,800,851 | SecuritiesAmt |
| Other | $462,341 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $14,616,300 | SecuritiesAmt |
| Other | $405,498 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,184,551 | SecuritiesAmt |
| Other | $56,843 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,241,394 | TotalRevenueColumnAmt |
| Exclusion | $2,241,394 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $44,292 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $51,190 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $53,295 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$9,003 | TotalRevenueColumnAmt |
| Exclusion | -$9,003 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $1,500 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $37 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,463 | TotalRevenueColumnAmt |
| Exclusion | $1,463 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Gain on Refinance of Debt | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $5,444 | TotalRevenueColumnAmt |
| Exclusion | $5,444 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $5,444 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $179,747,265 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $172,156,582 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $3,251,890 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,740,148 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $250 | TotalAmt |
| Program Services | $250 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $159,157 | TotalAmt |
| Program Services | $159,157 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,595,918 | TotalAmt |
| Program Services | $3,413,261 | ProgramServicesAmt |
| Management And General | $182,657 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,071,782 | TotalAmt |
| Program Services | $73,780,796 | ProgramServicesAmt |
| Management And General | $3,226,803 | ManagementAndGeneralAmt |
| Fundraising | $64,183 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,783,268 | TotalAmt |
| Program Services | $1,726,927 | ProgramServicesAmt |
| Management And General | $54,768 | ManagementAndGeneralAmt |
| Fundraising | $1,573 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,077,581 | TotalAmt |
| Program Services | $11,561,744 | ProgramServicesAmt |
| Management And General | $505,970 | ManagementAndGeneralAmt |
| Fundraising | $9,867 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,034,517 | TotalAmt |
| Program Services | $4,819,039 | ProgramServicesAmt |
| Management And General | $211,450 | ManagementAndGeneralAmt |
| Fundraising | $4,028 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $356,963 | TotalAmt |
| Management And General | $356,963 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $158,346 | TotalAmt |
| Program Services | $63,338 | ProgramServicesAmt |
| Management And General | $95,008 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,176 | TotalAmt |
| Program Services | $21,176 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,393,425 | TotalAmt |
| Program Services | $9,684,411 | ProgramServicesAmt |
| Management And General | $1,709,014 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $528,482 | TotalAmt |
| Program Services | $502,058 | ProgramServicesAmt |
| Management And General | $21,139 | ManagementAndGeneralAmt |
| Fundraising | $5,285 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,109,901 | TotalAmt |
| Program Services | $6,753,346 | ProgramServicesAmt |
| Management And General | $285,244 | ManagementAndGeneralAmt |
| Fundraising | $71,311 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,618 | TotalAmt |
| Program Services | $4,156 | ProgramServicesAmt |
| Management And General | $462 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,698,205 | TotalAmt |
| Program Services | $4,843,474 | ProgramServicesAmt |
| Management And General | $854,731 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $222,930 | TotalAmt |
| Program Services | $211,784 | ProgramServicesAmt |
| Management And General | $8,917 | ManagementAndGeneralAmt |
| Fundraising | $2,229 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,403 | TotalAmt |
| Program Services | $41,993 | ProgramServicesAmt |
| Management And General | $7,410 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $663,364 | TotalAmt |
| Program Services | $563,859 | ProgramServicesAmt |
| Management And General | $99,505 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,754,793 | TotalAmt |
| Program Services | $4,041,574 | ProgramServicesAmt |
| Management And General | $713,219 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,563,699 | TotalAmt |
| Program Services | $1,563,699 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Medical Supplies/Fees | $24,069,141 | $24,069,141 |
| Provision for bad debt | $10,387,180 | $10,387,180 |
| Pharmacy Supplies | $8,716,925 | $8,716,925 |
| Healthcare provider tax | $3,462,951 | $3,462,951 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,997 | TotalAmt |
| Program Services | $56,997 | ProgramServicesAmt |
| Management And General | $2,400 | ManagementAndGeneralAmt |
| Fundraising | $600 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $178,943,972 | TotalAmt |
| Program Services | $170,449,236 | ProgramServicesAmt |
| Management And General | $8,335,660 | ManagementAndGeneralAmt |
| Fundraising | $159,076 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,194,157 | BOYAmt |
| EOY | $604,770 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,713,847 | BOYAmt |
| EOY | $2,269,539 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $292,963 | BOYAmt |
| EOY | $131,855 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,866,724 | BOYAmt |
| EOY | $22,024,268 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,700,051 | BOYAmt |
| EOY | $4,568,888 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $987,807 | BOYAmt |
| EOY | $1,090,335 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $134,119,158 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $80,830,641 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,162,964 | BOYAmt |
| EOY | $53,288,517 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,331,255 | BOYAmt |
| EOY | $43,462,400 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,449,886 | BOYAmt |
| EOY | $5,426,738 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,433,918 | BOYAmt |
| EOY | $10,955,136 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $140,133,572 | BOYAmt |
| EOY | $143,822,446 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,026,661 | BOYAmt |
| EOY | $15,375,434 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,857,245 | BOYAmt |
| EOY | $8,795,478 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,594,263 | BOYAmt |
| EOY | $7,359,177 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,622,113 | BOYAmt |
| EOY | $26,824,866 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,100,282 | BOYAmt |
| EOY | $58,354,955 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,329,947 | BOYAmt |
| EOY | $72,129,790 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,354,947 | BOYAmt |
| EOY | $9,573,340 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,348,396 | BOYAmt |
| EOY | $3,764,361 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,033,290 | BOYAmt |
| EOY | $85,467,491 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $140,133,572 | BOYAmt |
| EOY | $143,822,446 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $803,293 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $5,392,564 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$1,761,656 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $21,176 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $21,176 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Maine Hospital Association dues totaled $52,789, of which $10,452 was available for lobbying. American Hospital Association dues totaled $16,284, of which $3,224 was available for lobbying. York Hospital also paid $7,500 directly to the Coalition to Protect America's Healthcare as a fair share contribution to a lobbying campaign to promote public health awareness and education. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $11,703,343 | BeginningYearBalanceAmt |
| Contributions | $367,880 | ContributionsAmt |
| Investment Earnings Or Losses | $1,864,700 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $598,222 | OtherExpendituresAmt |
| End Year Balance | $13,337,701 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $11,395,935 | BeginningYearBalanceAmt |
| Contributions | $269,308 | ContributionsAmt |
| Investment Earnings Or Losses | $762,506 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $724,406 | OtherExpendituresAmt |
| End Year Balance | $11,703,343 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $11,333,784 | BeginningYearBalanceAmt |
| Contributions | $1,030,609 | ContributionsAmt |
| Investment Earnings Or Losses | -$113,275 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $855,183 | OtherExpendituresAmt |
| End Year Balance | $11,395,935 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,896,475 | BeginningYearBalanceAmt |
| Contributions | $601,780 | ContributionsAmt |
| Investment Earnings Or Losses | $170,465 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $334,936 | OtherExpendituresAmt |
| End Year Balance | $11,333,784 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $9,387,385 | BeginningYearBalanceAmt |
| Contributions | $326,240 | ContributionsAmt |
| Investment Earnings Or Losses | $1,607,261 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $424,411 | OtherExpendituresAmt |
| End Year Balance | $10,896,475 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.28220 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.71780 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,904,522 | OtherCostOrOtherBasisAmt |
| Book Value | $3,904,522 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $72,399,065 | OtherCostOrOtherBasisAmt |
| Depreciation | $34,518,957 | DepreciationAmt |
| Book Value | $37,880,108 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,258,144 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,582,015 | DepreciationAmt |
| Book Value | $676,129 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $53,819,827 | OtherCostOrOtherBasisAmt |
| Depreciation | $43,729,669 | DepreciationAmt |
| Book Value | $10,090,158 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $737,600 | OtherCostOrOtherBasisAmt |
| Book Value | $737,600 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $53,288,517 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Medical Malpractice Insurance Recoveries Receivable | $10,106,054 |
| Other Receivables | $849,082 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $10,955,136 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Assets Held on Behalf of 3rd Party | $1,120,520 |
| Pension Obligation | $12,999,696 |
| Estimated 3rd-Party Payor Settlements | $2,023,079 |
| Estimated Professional Liability Losses | $10,681,571 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $26,824,866 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $183,431,505 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $5,392,564 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $53,332 | OtherRevenueAmt |
| Revenue Not Reported | $5,445,896 | RevenueNotReportedAmt |
| Revenue Subtotal | $177,985,609 | RevenueSubtotalAmt |
| Other Revenues Not Included | $1,761,656 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $1,761,656 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $179,747,265 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $178,997,304 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $53,332 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $53,332 | ExpensesNotReportedAmt |
| Expenses Subtotal | $178,943,972 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $178,943,972 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | Temporarily Restricted Funds Biewend (12/82)- Principal and income restricted for purchase of new equipment (at Board discretion after consultation with certain members of the family) and the acquisition of land and buildings other than an addition to the present hospital buildings. Page (1945) - To be used for support and maintenance of district visiting nurses. Palmer/Perkins Nursing Scholarship - See Permanently Restricted Funds section for description. Baldwin Fund for Nursing Excellence - Financial support for nurses who need to be re-certified and current in their health care skills, including advanced training or change of focus. Scholarships for support staff who are interested in entering the field of nursing. Financial assistance to help defray the costs of ongoing orientation, classroom instruction and clinical training of new York Hospital nurses. To help defray the costs associated with the York Hospital's summer intern program for young nursing students who are currently enrolled in a nursing school. Winkler Fund-Funds to be used for Nursing Education. Rose Voignier Education Fund-Funds to be used for staff education. Breast Cancer Living Well Fund-Funds to be used for breast cancer patients. Cancer Living Well Fund-Funds to be used for cancer patients. Hancock Healthy Aging Fund - Funds to be used for support of programs and services that promote and benefit the physical, emotional, spiritual and overall health and well-being of our community as they age. Womens Heart Health Fund - Funds to be used for the support of the York Hospital cardiology center, Heart Care for Women, specializing in women's heart care and diagnostics where the approach is to treat health of women as a whole, minimizing the risk of heart disease and keeping the heart healthy. Permanently Restricted Funds: Elizabeth B. Perkins - Principal to remain in perpetuity, the income for the care of patients who are unable to pay for proper treatment. Gerrity - 80% of income is unrestricted. 20% is to be reinvested as principal. Cowey - Income and gains to be used for pediatrics (corpus only to be kept intact). Forristall - To be used for SNF (corpus only to be kept intact). Mason - To be used for free work provided to patients who cannot afford to pay (corpus only to be kept intact). Brewster - Income and gains to be used for any form of diabetes research and care (corpus only to be kept intact). Palmer/Perkins Endowment - Principal to be kept intact and the income to be used for nursing education for the staff. Sidelinger - (6/88) Principal to be kept intact and the income to be used for general purposes of the support, upkeep and maintenance of the hospital as determined by the Board. Oncology Fund-Income to be used for support programs for patients, their families and caregivers. York Health Foundation - Principal and income to be reinvested. These funds are held for a third party, York Health Foundation. York Health Foundation may make contributions to the Hospital and when this is done the funds are transferred from this fund into the respective York funds (all others above) as deemed adequate depending on restriction, if any. |
| Part X, Line 2: | The Hospital is a not-for-profit corporation and is tax-exempt under Section 501(c)(3) of the Internal Revenue Code. Tax-exempt organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the Financial Accounting Standards Board, assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. The Hospital has evaluated the position taken on its filed tax returns. The Hospital has concluded no uncertain income tax positions exist at December 31, 2017. The Hospital's tax years from 2014 through 2017 are open and subject to examination. |
| Part XI, Line 2d - Other Adjustments: | Special events expenses 53,332. |
| Part XI, Line 4b - Other Adjustments: | Adjustment to Long-Term Pension Obligations 1,761,656. |
| Part XII, Line 2d - Other Adjustments: | Special events expenses 53,332. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Hancock Gala 2016 | Event1Nm |
| Gross Receipts Event1 | $42,525 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $20,775 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $21,750 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $0 | CashPrizesEvent1Amt |
| Non Cash Prizes Event1 | $453 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $1,036 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $14,820 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $300 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $3,978 | OtherDirectExpensesEvent1Amt |
| Event2 | Golf Tournament | Event2Nm |
| Gross Receipts Event2 | $28,340 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $17,800 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $10,540 | GrossRevenueEvent2Amt |
| Cash Prizes Event2 | $0 | CashPrizesEvent2Amt |
| Non Cash Prizes Event2 | $4,997 | NonCashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $9,395 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $5,975 | FoodAndBeverageEvent2Amt |
| Entertainment Event2 | $0 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $707 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 2 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $24,617 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $12,615 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $12,002 | GrossRevenueOtherEventsAmt |
| Cash Prizes Other Events | $1,958 | CashPrizesOtherEventsAmt |
| Non Cash Prizes Other Events | $1,468 | NonCashPrizesOtherEventsAmt |
| Rent Fclty Costs Other Events | $1,199 | RentFcltyCostsOtherEventsAmt |
| Food And Beverage Other Events | $1,870 | FoodAndBeverageOtherEventsAmt |
| Entertainment Other Events | $300 | EntertainmentOtherEventsAmt |
| Oth Direct Expnss Other Events | $4,839 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $95,482 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $51,190 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $44,292 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $1,958 | CashPrizesTotalEventsAmt |
| Non Cash Prizes Total Events | $6,918 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $11,630 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $22,665 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $600 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $9,524 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $53,295 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$9,003 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 951 | PersonsServedCnt |
| Total Community Benefit Expns | $2,817,534 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,817,534 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01670 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 4711 | PersonsServedCnt |
| Total Community Benefit Expns | $10,984,724 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,726,957 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $257,767 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 5662 | PersonsServedCnt |
| Total Community Benefit Expns | $13,802,258 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,726,957 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,075,301 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01820 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $336,878 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,111 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $320,767 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00190 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $56,914,798 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $25,006,815 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $31,907,983 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.18930 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $57,251,676 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $25,022,926 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $32,228,750 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.19120 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 5662 | PersonsServedCnt |
| Total Community Benefit Expns | $71,053,934 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $35,749,883 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $35,304,051 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.20940 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,479,300 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $30,426,520 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $40,697,636 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$10,271,116 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | 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 | York Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15 Hospital Drive | AddressLine1Txt |
| City | York | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 03909 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.yorkhospital.com | WebsiteAddressTxt |
| State License | 38066 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | York Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | 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 |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | Please see Part V | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | Please see Part V | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | Please see Part V | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | Please see Part V | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | Please see Part V | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | Please see Part V | 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 |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| York Hospital | Part V, Section B, Line 3j: A shared vision of a healthy Southern York County; socio-economic characteristics by town, and a community themes and strengths assessment. |
| York Hospital | Part V, Section B, Line 5: Between October and December 2015, York Hospital undertook a community health needs assessment (CHNA) to identify the health needs of those living in the Hospital's entire service area. The assessment updated the one completed in June 2013. The Hospital partnered with the Choose to be Healthy Coalition (CTBH), a comprehensive community health coalition. CTBH has a membership purposefully comprised of those representing diverse community sectors such as education, law enforcement, behavioral health care, social service agencies, municipalities, and business. The advisory board provided guidance within its regular monthly meeting. Members included representation from:Faith CommunityHigh School Nurse (York)Parent (York) with degree in Community HealthMiddle & High School Parent (SAD 60)Behavioral Health CounselorHigh School Nurse (Wells) & ParentOut-patient Clinical Care representativeYork Hospital Community Health Patient-Centered Medical Home DevelopmentPhD in Public HealthDirector of York Community Action Services & Town of York General Assistance ProgramYork Hospital RepresentativeEliot community member |
| York Hospital | Part V, Section B, Line 6b: York Hospital's CHNA was conducted with Choose To Be Healthy (CTBH), a community health coalition with a membership purposefully comprised of those representing diverse community sectors, such as education, health care, business, municipalities, law enforcement, etc. |
| York Hospital | Part V, Section B, Line 11: Please see the attached Community Health Needs Assessment Action Plan Progress Report for details on how York Hospital is addressing the significant needs identified in its most recently conducted CHNA. |
| York Hospital | Part V, Section B, Line 13b: In addition to providing free care to patients with household income at or below 200% of the FPG, during 2017 York Hospital also offered a 25% discount to self-pay patients and a HELP Financial Assistance Program offered to patients that had no insurance or were underinsured. Reduction of their hospital bills was based on household income and the amount owed. |
| York Hospital | Part V, Section B, Line 16j: The patients' billing statement lists the phone number and website address to use for more information regarding the Financial Assistance Program. |
| York Hospital | Part V, Section B, Line 20e: In the unlikely event that a patient eligible for financial assistance may not have been identified before being sent to outside collections the collection agency working for York Hospital is aware of our financial assistance policy so that they may also identify these accounts with the inability to pay. York Hospital will not impose extraordinary collections actions such as wage garnishments, liens on residences, or other legal action for any patient without first making reasonable efforts to determine whether that patient is eligible for financial assistance under this policy. |
| Schedule H, Part V-B, Line 7a | York Hospital's Community Health Needs Assessment can be found on its website at:https://3in582vhz3idyvmvbcxnd14u-wpengine.netdna-ssl.com/wp-content/uploads/York_Hospital_CHNA_Report_2015-1.pdf |
| Schedule H, Part V-B, Line 7b: | Other websites where York Hospital's Community Health Needs Assessment can be found:http://ctbh.org/wp-content/uploads/2016/09/York_Hospital_CHNA_Report_2015.pdf |
| Schedule H, Part V-B, Line 16a: | York Hospital's Financial Assistance Policy is available on their website at: www.yorkhospital.com/financial-assistance-program/financial-assistance-policy/ |
| Schedule H, Part V-B, Line 16b: | York Hospital's FAP Application is available on their website at:www.yorkhospital.com/financial-assistance-program/free-medical-care/ |
| Schedule H, Part V-B, Line 16c: | York Hospital's FAP Plain Language Summary is available on their website at:https://www.yorkhospital.com/financial-assistance-program/ |
| Schedule H, Part V-B, Line 10: | The Hospital's Implementation Plan is included on pages 33-36 of the 2015 CHNA, available here: https://3in582vhz3idyvmvbcxnd14u-wpengine.netdna-ssl.com/wp-content/uploads/York_Hospital_CHNA_Report_2015.pdfThe 2017 Implementation Plan Progress Report is attached to this return along with the organization's audited financial statements. The current progress report can also be found here: https://3in582vhz3idyvmvbcxnd14u-wpengine.netdna-ssl.com/wp-content/uploads/YH-CHNA-Implementation-Plan-Progress-Report-2017-1.pdf. |
| Schedule H, Part V-B, Line 16i: | 501(r) Regulations require that hospitals translate their financial assistance policy (FAP) into primary languages spoken by limited English proficient (LEP) populations in their hospital service area. Should a LEP population demographic exceed 5% of the community residents or 1,000 individuals, whichever is less, a hospital must make available translated copies of its FAP. The hospital provides for the tranlsation of its FAP into French and Spanish. This translation is performed via the ability of the user to select on the https://www.yorkhospital.com/ website (in the upper lefthand corner) to select the applicable language translation. |
| Schedule H, Part V-B, Line 22: | Individuals who qualify under the Hospital's financial assistance policy receive a 100% write off of charges. Accordingly, no box has been checked to indicate how the Hospital determines the maximum amount that may be charged to FAP-eligible patients. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 13 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (13 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Wells Medical Services | ||||
| 112-114 Sanford Road | Wells | ME | 04090 | General Medical & Surgical |
| 2 - York Hospital at Long Sands | ||||
| 127 Long Sands Road | York | ME | 03909 | General Medical & Surgical |
| 3 - Kittery Medical Services-Walker Street | ||||
| 35 Walker Street | Kittery | ME | 03904 | General Medical & Surgical |
| 4 - York Hosp Outpatient Physical Therapy | ||||
| 16 Long Sands Road | York | ME | 03909 | General Medical & Surgical |
| 5 - South Berwick Medical Services | ||||
| 57 Portland Street | South Berwick | ME | 03908 | General Medical & Surgical |
| 6 - Neurology Associates of York Hospital | ||||
| 233 York Street | York | ME | 03909 | General Medical & Surgical |
| 7 - Berwick Medical Services | ||||
| 4 Dana Drive | Berwick | ME | 03901 | General Medical & Surgical |
| 8 - York Hospital Medical Services-Route 1 | ||||
| 343 US Route 1 | York | ME | 03901 | General Medical & Surgical |
| 9 - Kittery Medical Services | ||||
| 75 US Route 1 | Kittery | ME | 03904 | General Medical & Surgical |
| 10 - Internal Medicine of York | ||||
| 12 Hospital Drive | York | ME | 03909 | General Medical & Surgical |
| 11 - Psychiatry Associates of York Hospital | ||||
| 32 York Street | York | ME | 03909 | General Medical & Surgical |
| 12 - North Berwick Medical Services | ||||
| 23 Wells Street | North Berwick | ME | 03906 | General Medical & Surgical |
| 13 - York Hospital Sanford | ||||
| 1474 Main Street | Sanford | ME | 04073 | General Medical & Surgical |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | In addition to its financial assistance program, during 2017 York Hospital offered a 25% discount to self-pay patients and a HELP Financial Assistance Program offered to patients that had no insurance or were underinsured. Reduction of their hospital bills was based on household income and the amount owed. |
| Part I, Line 7: | York Hospital has several hospital clinical services and hospital-owned physician practices. Per instructions for IRS Form 990, Schedule H, Worksheet 6, organizations may include any applicable physician practice that the Hospital subsidizes (i.e., operates at a loss) in the completing of Schedule H. Therefore, the Hospital has included the following hospital clinical services and hospital-owned physician practices that operate at a loss (i.e., are subsidized by the Hospital) and the associated costs of these practices:a. Endocrinology Practiceb. Berwick Walk-In Clinicc. Kittery Family Practice d. Emergency Room (the Hospital has ER facilities located at the main hospital campus and also in Wells)e. Home Health Agencyf. Recovery Centerg. OB/GYN Practice h. Wells Walk-Ini. Rheumatology Practicej. Neurology Practicek. Psychiatry Practicel. Urology Practicem. Physical Therapy Practicen. Pulmonary Practiceo. Great Works Family Practicep. Family Medicine in Wellsq. York Family Practicer. Webhannet Internal Medicine Practices. Pediatric Practicet. York Walk-Inu. Surgical Associatesv. North Berwick Family Practicew. Cardiovascular Practicex. Kittery Walk-Iny. Internal Medicine, York Practicez. Sanford Walk-InThe above-listed hospital clinical services and hospital-owned physician practices have a community benefit (i.e. aggregate loss or subsidy from the Hospital) of approximately $31.91 million. In addition, the community benefit does not take into account bad debts, charity care, or contractual adjustments. Thus, this community benefit of approximately $31.91 million is a conservative figure that reconciles to the community benefit information reported on IRS Form 990, Schedule H, Part I, Line 7g, Column e.Form 990, Schedule H instructions/guidance contains a template (Worksheet 2) that may be used to determine the overall cost to charge ratio that could be applied throughout Schedule H in order to convert charges to cost. Where applicable, the Hospital has utilized Worksheet 2 for various calculations. The only areas where Worksheet 2 was not utilized for Part 1, Line 7 were the following:a. Schedule H Worksheet 6, Subsidized Health Services (the supporting worksheet for Part I, Line 7g), the Hospital did not utilize Worksheet 2 when calculating the percentage used when determining the profit/loss of each hospital clinical service and hospital-owned physician practice. Instead, when compiling the subsidized hospital clinical services and hospital-owned physician practices listed in 1c above, the Hospital utilized the actual estimated costs on the modified Medicare cost report instead of applying the Worksheet 2 cost to charge percentage. b. Schedule H Worksheet 3, Unreimbursed Medicaid and Other Means Tested Government Programs (the supporting schedule for Part I, Lines 7b and 7c), and Worksheet 6, Medicaid Allowable Costs for Subsidized Health Services, listed in line 1c above (which is part of the line 7g costs). The Hospital did not utilize the Worksheet 2 percentage when calculating the Medicaid allowable cost. Instead, the Hospital utilized the actual Medicaid filed cost report for the allowable costs. |
| Part I, Line 7, Column (f): | The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 10,387,180. |
| Part II, Community Building Activities: | Not Applicable |
| Part III, Line 2: | The Hospital utilized Worksheet 2 from the IRS Schedule H instructions/guidance to determine the ratio of patient care cost to charge (43.12% for fiscal year 2017) and multiplied this ratio by the Hospital's total bad debt expense of $10,387,180 to determine the Part II, Line 2 bad debt expense of $4,479,300. |
| Part III, Line 3: | Patients who qualify for financial assistance have 100% of their liability written off, so no portion of it is included in the Hospital's bad debt expense. |
| Part III, Line 4: | See Footnote 2 on page 10 of the attached audited financial statements. |
| Part III, Line 8: | Form 990, Schedule H instructions/guidance contains a template (Worksheet 2) that may be used to determine the overall cost to charge ratio that could be applied throughout Schedule H in order to convert charges to cost. Where applicable, the Hospital has utilized Worksheet 2 for various calculations. The only areas where Worksheet 2 was not utilized for Part III, Line 8 was Schedule H, Worksheet B, Line 2 & 6, Medicare Allowable Costs and Payments Related to Subsidized Health Services. The Hospital utilized the Medicare cost report estimated cost and payment for these services. The Hospital believes that its hospital clinical services, hospital-owned physician practices, emergency room, and home health agency listed above should be considered a community benefit, as community members benefit by having easy access to these services, facilities, and programs which are both offered and subsidized. These facilities and programs are offered and thus subsidized through the Hospital. |
| Part III, Line 9b: | Accounts with self-pay balances that show no evidence of patient payments or eligibility for financial assistance that have completed a patient dunning cycle (120 days approximately) may be transferred to a collection agency. Any patient account that has applied for any of York Hospital's financial assistance programs and supplied all required documentation will be held in a pending status until a determination is made. |
| Part VI, Line 2: | York Hospital has focused on three goals identified in its Community Health Needs Assessment: lowering the % of overweight and obese community members in the service area by the end of 2018, decrease the number of opiate poisoning (ED Visits) per 100,000 population by 25% by December 2019, and reduce the number of York Hospital Primary Care Practice patients who are current smokers by 5% by December 2019.York Hospital has posted the most current CHNA, Implementation Plan, and Implementation Plan Progress Report for the following CHNA goals at the following address: https://www.yorkhospital.com/990-chna/Obesity Goal:- Continue to offer a healthy weight management program at least 5 times per year. - Develop an evaluation plan that tracks participants at 6 months, one year after participation.- Support the expansion of the Eastern Trail through towns of Wells, North Berwick, South Berwick, Eliot, and Kittery.- Sponsor a series of six "Walk with the Doc" community walks with York Hospital Family Practice physicians, on local land trust properties. Opiate Poisoning Goal- Expand outpatient addiction treatment services to include Medication Assisted Treatment including buprenorphine and naltrexone.- Expand obstetrical services to include Medication Assisted Treatment (buprenorphine) for pregnant women who abuse opiates.- Enact a responsible opioid prescribing policy throughout the York Hospital system including physician practices, emergency department, and impatient care.- Continue to implement Student Intervention and Reintegration (SIRP) in partnership with area high schools and Sweetser, Inc. at least quarterly.- Partner with Choose to Be Healthy Coalition to support youth substance abuse prevention activities. This will include in-kind support for the Drug Free Communities grant such as rent, bookkeeping, and HR department support, etc.Tobacco Usage Goal:- Work with the Center for Tobacco Independence to allow for electronic referrals of patients who smoke directly to CTI from our EMRs.- Implement EMR changes to help support the use of brief interventions and referrals for tobacco users.- Promote resources on Choose To Be Healthy Coalition and hospital websites.- Promote tobacco addiction treatment resources on Choose To Be Healthy Coalition and hospital websites.- Make Tobacco Helpline materials available in all York Hospital physician offices. |
| Part VI, Line 3: | The patients' billing statement lists the phone number and website address to use for more information regarding the Financial Assistance Program. The York Hospital financial assistance guidelines are posted at patient registration areas. Additionally, information regarding financial assistance is available on the Hospital's website. |
| Part VI, Line 4: | York Hospital's primary service area includes the following communities in Southern York County Maine: Berwick, Eliot, Kittery, North Berwick, Ogunquit, South Berwick, Wells, Sanford, and York. The Hospital's secondary service area includes: Kennebunk and Lebanon, Maine, and Portsmouth, Dover, Rollinsford, and Somersworth, New Hampshire. Approximately 4% of York Hospital patients utilize Medicaid and approximately 50% of York Hospital patients utilize Medicare. According to the United States Census Bureau, in 2017, 8.1% of York County Residents lived in poverty (http://www.census.gov/). |
| Part VI, Line 5: | The board of trustees is made up of members from all communities served by York Hospital. All medical staff are eligible to participate if they meet privileging criteria. All hospital profits are reinvested in the facilities, equipment and services for the communities. |
| Part VI, Line 6: | Not Applicable |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (4 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| Continuing Education/Seminars and Workshops | 160 | $29,889 |
| New Graduate Nursing Orientation | 3 | $48,384 |
| Ritz Carlton Excellence in Patient Experience | 80 | $47,000 |
| Health Stream Online Learning Library | 900 | $33,884 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | The scholarship funds are monitored by the Education Committee, which manages the funds in accordance with the donor's wishes. The committee does this by determining what the spending policy is at the beginning of the year by fund category. Some funds are restricted to nursing education, others to non-nursing education. The funds can be used for those who want to attend workshops or seminars or to further their education through a post-secondary accredited school. Funds are also used for orientation programs. Requests for funding must be made through a formal process. Each person requesting funds must prepare an application which must be approved by a director or leader. The form is then submitted to the Education Committee for review and approval. All amounts are also tracked and reviewed in accounting to ensure that the monies are used in accordance with the donor's wishes. Annually, the Director of Development reports fund activity directly to donors that request it. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | 0 | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | 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 | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Todd Adams MD | ||||||||||||||
| Trustee/Physician | $208,647 | $0 | $3,650 | $0 | $0 | $0 | $6,495 | $0 | $29,419 | $0 | $248,211 | $0 | $0 | $0 |
| Erich Fogg PA-C | ||||||||||||||
| Trustee/Physician Assistant | $168,464 | $0 | $0 | $0 | $0 | $0 | $5,225 | $0 | $28,467 | $0 | $202,156 | $0 | $0 | $0 |
| James Gilroy MD FACP | ||||||||||||||
| Trustee/Physician | $194,565 | $0 | $3,993 | $0 | $0 | $0 | $5,810 | $0 | $23,238 | $0 | $227,606 | $0 | $0 | $0 |
| Jeffrey Lockhart MD | ||||||||||||||
| Trustee/Anesthesiologist | $540,023 | $0 | $0 | $0 | $0 | $0 | $9,379 | $0 | $31,099 | $0 | $580,501 | $0 | $0 | $0 |
| Kelly Parker-Mello MD | ||||||||||||||
| Trustee/Pediatrician | $172,280 | $0 | $708 | $0 | $0 | $0 | $3,054 | $0 | $2,251 | $0 | $178,293 | $0 | $0 | $0 |
| Lawrence Petrovich MD | ||||||||||||||
| Trustee/Cardiologist | $442,353 | $0 | $74,590 | $0 | $0 | $0 | $8,258 | $0 | $30,662 | $0 | $555,863 | $0 | $0 | $0 |
| Jennifer Cutts MD | ||||||||||||||
| Trustee/Chief Medical Officer/Radiol | $441,857 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $30,757 | $0 | $472,614 | $0 | $0 | $0 |
| Jud Knox | ||||||||||||||
| Trustee/President/Leader | $408,610 | $0 | $0 | $0 | $0 | $0 | $129,462 | $0 | $30,482 | $0 | $568,554 | $0 | $0 | $0 |
| Robin LaBonte | ||||||||||||||
| CFO/Leader | $305,400 | $0 | $0 | $0 | $0 | $0 | $9,493 | $0 | $29,839 | $0 | $344,732 | $0 | $0 | $0 |
| Jeffrey Colnes MD | ||||||||||||||
| Cardiologist | $470,718 | $0 | $157,070 | $0 | $0 | $0 | $8,764 | $0 | $30,553 | $0 | $667,105 | $0 | $0 | $0 |
| Peter Dourdoufis MD | ||||||||||||||
| Cardiologist | $452,250 | $0 | $298,148 | $0 | $0 | $0 | $2,040 | $0 | $30,553 | $0 | $782,991 | $0 | $0 | $0 |
| John Fani Srour MD | ||||||||||||||
| Cardiologist | $442,748 | $0 | $108,442 | $0 | $0 | $0 | $0 | $0 | $30,553 | $0 | $581,743 | $0 | $0 | $0 |
| David Cunningham MD | ||||||||||||||
| Cardiologist | $426,617 | $0 | $68,071 | $0 | $0 | $0 | $8,767 | $0 | $30,422 | $0 | $533,877 | $0 | $0 | $0 |
| Paul Chesis MD | ||||||||||||||
| Radiologist | $386,657 | $0 | $164,079 | $0 | $0 | $0 | $0 | $0 | $30,290 | $0 | $581,026 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a | Minimal rotary dues for president |
| Part I, Line 4b | Jud Knox, President, has a SERP Defined Benefit plan. The increase in actuarial value during 2017 was $120,000 and is included in Schedule J, Part II, Column C. The total obligation of the Hospital under this agreement was $2,799,438 December 31, 2017. The obligation is included in long-term pension and other obligations on the balance sheet and amounts funded for the plan are included in investments. |
| Part I, Line 7 | Performance-based variable compensation which is subject to review annually. |
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 |
|---|---|---|---|---|---|---|---|---|
| MHHEFA | ||||||||
| A | 010314384 | 560425UT5 | 2004-12-09 | $42,196,950 | CT scanner, nuclear me, radiology, MAMMO unit | 0 | 0 | 0 |
| MHHEFA | ||||||||
| B | 010314384 | 560525Z78 | 2008-06-19 | $48,451,841 | Imaging equipment | 0 | 0 | 0 |
| MHHEFA | ||||||||
| C | 010314384 | 5604253L2 | 2008-12-03 | $41,658,395 | Surgery center addition | 0 | 0 | 0 |
| MHHEFA | ||||||||
| D | 010314384 | 560427GE0 | 2009-12-10 | $93,040,181 | New CT and other equipment | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | UnspentUnspentAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $1,570,000 | $1,941,005 | $135,325 | $31,950 | $1,773,730 | 2005 | 0 | 0 | Yes (1) | Yes (1) | |
| B | $990,000 | $1,707,209 | $162,330 | $42,816 | $1,474,018 | 2008 | 0 | 0 | Yes (1) | Yes (1) | $28,044 |
| C | $815,000 | $2,788,576 | $341,545 | $46,861 | $2,400,170 | 2010 | 0 | 0 | Yes (1) | Yes (1) | |
| D | $1,060,000 | $1,827,960 | $194,925 | $29,377 | $1,603,658 | 2010 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
| C | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
| D | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Term Of GICTermOfGICPct | Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| FSA | |||||||||||
| A | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) | 24.000000000000 | Yes (1) | 0 | 0 |
| GEFCM | |||||||||||
| B | 0 | 0 | 0 | Yes (1) | 0 | 0 | Yes (1) | 28.000000000000 | Yes (1) | 0 | 0 |
| (no name) | |||||||||||
| C | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | ||
| (no name) | |||||||||||
| D | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | ||
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
| C | 0 |
| D | 0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Date Rebate Computation Performed | Issuer Name: MHHEFA Date the Rebate Computation was Performed: 06/19/2013 |
| Form 990, Schedule K, Part III, Line 9, IV, Line 7, and Part V: | Although formal, written policies are not in place to ensure that violations are timely identified and corrected, the bonds issuer, Maine Health & Higher Educational Facilities Authority (MHHEFA), monitors Section 148 requirements for York Hospital until funds are spent down enough to ensure none of the Hospital's tax exempt bonds become arbitrage bonds. Bond proceeds are placed in low yield investments and no funds are released to York Hospital until expenses have been incurred and receipts are provided to MHHEFA. Furthermore, the Hospital works closely with MHHEFA to ensure that safeguards are in place to take appropriate and timely remedial action should any violations of federal tax requirements occur. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| MHHEFA | ||||||||
| A | 010314384 | 560427JA5 | 2010-06-24 | $113,477,369 | Refinance 1993, 1998, 1999A & 2001D | 0 | 0 | 0 |
| MHHEFA | ||||||||
| B | 010314384 | 56042RLG5 | 2017-06-27 | $5,004,813 | Refinance 2007A | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $2,165,000 | $4,001,877 | $607,056 | $5,418,358 | $55,838 | 2010 | Yes (1) | Yes (1) | Yes (1) | Yes (1) |
| B | $5,004,813 | $483,431 | $5,360,081 | $65,045 | 2017 | Yes (1) | Yes (1) | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, line 11b | The Hospital's Form 990 is prepared with the assistance of an independent public accounting firm and thoroughly reviewed by the Hospital's finance staff before it is filed. The 990 is distributed to the Board of Trustees for their review after it is filed. |
| Form 990, Part VI, Section B, line 12c | Annually the Board of Trustees and the officers sign a conflict of interest form. |
| Form 990, Part VI, Section B, line 15 | The executive committee of the Board of Trustees utilizes an outside firm's database of CEO salaries to determine the CEO's compensation. The CEO determines the compensation of other officers or key employees using an outside firm's data to make sure the compensation is market based. |
| Form 990, Part VI, Section C, line 19 | The Hospital's governing documents, conflict of interest policy, and financial statements are available upon request. |
| Form 990, Part VI, Section A, Line 16b: | While York Hospital does not have a formal joint venture policy that is written, it does have procedures in place to ensure that hospital-related assets are not misappropriated which includes periodic review of any joint venture related activity. Furthermore, the Hospital's joint venture arrangements better enable it to provide health-care related services to the community it serves. |
| Form 990, Part XI, line 9: | Adjustment to Long Term Pension Obligations -1,761,656. |
| Form 990, Part XII, Line 2c: | The audit process has not changed from the prior year. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | York Health Services | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15 Hospital Drive | AddressLine1Txt |
| City | York | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 03909 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020469065 | EIN |
| Primary Activities | Heart health | PrimaryActivitiesTxt |
| Legal Domicile State | ME | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | Line 10 | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Shields Imaging at York Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 Congress Street Suite 204 | AddressLine1Txt |
| City | Quincy | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02169 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 815066570 | EIN |
| Primary Activities | Imaging | PrimaryActivitiesTxt |
| Legal Domicile State | ME | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | York Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | Related | PredominantIncomeTypeTxt |
| Share Of Total Income | $4,095 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $154,095 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | Yes (1) | GeneralOrManagingPartnerInd |
| Ownership | 0.50000 | OwnershipPct |
| 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 | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Shields Imaging at York Hospital LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | R | TransactionTypeTxt |
| Involved | $150,000 | InvolvedAmt |
| Method Of Amount Determination | Actual per books | MethodOfAmountDeterminationTxt |