EASTERN MAINE HEALTHCARE SYSTEMS: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- EASTERN MAINE HEALTHCARE SYSTEMS (EIN 01-0217211)
- Tax period
- 2016-09-25 to 2017-09-30
- Filed
- 2018-08-03
- IRS object ID
- 201842159349300739
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-08-03T11:37:25-07:00 | ReturnTs |
| Tax Period End | 2017-09-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-09-25 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010217211 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EASTERN MAINE HEALTHCARE SYSTEMS IH | BusinessNameLine1Txt |
| Business Name Line2 | INLAND HOSPITAL IH | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | EAST | BusinessNameControlTxt |
| Phone | 2079739081 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 KENNEDY MEMORIAL DRIVE | AddressLine1Txt |
| City | WATERVILLE | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04901 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | John J Doyle | PersonNm |
| Person Title | EMHS VP OF Finance | PersonTitleTxt |
| Signature | 2018-08-03 | SignatureDt |
| Discuss With Paid Preparer | false | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | John J Doyle | PrincipalOfficerNm |
| Gross Receipts | $161,254,018 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| Group Exemption | 5247 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.inlandhospital.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1945 | FormationYr |
| Legal Domicile State | ME | LegalDomicileStateCd |
| Activity Or Mission | Inland Hospital operates a 48-bed non-profit hospital and outlying clinics in the Waterville area, that provides medical, surgical, and acute care to all, regardless of ability to pay. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 696 | TotalEmployeeCnt |
| Total Volunteers | 262 | TotalVolunteersCnt |
| Total Gross UBI | $112,257 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$168,361 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $336,078 | PYContributionsGrantsAmt |
| CY Contributions Grants | $130,740 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $142,865,157 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $154,081,133 | CYProgramServiceRevenueAmt |
| PY Investment Income | $257,726 | PYInvestmentIncomeAmt |
| CY Investment Income | $668,894 | CYInvestmentIncomeAmt |
| PY Other Revenue | $143,336 | PYOtherRevenueAmt |
| CY Other Revenue | $306,316 | CYOtherRevenueAmt |
| PY Total Revenue | $143,602,297 | PYTotalRevenueAmt |
| CY Total Revenue | $155,187,083 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $42,362 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $36,345 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $45,507,978 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $47,778,004 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $98,213,740 | PYOtherExpensesAmt |
| CY Other Expenses | $105,806,464 | CYOtherExpensesAmt |
| PY Total Expenses | $143,764,080 | PYTotalExpensesAmt |
| CY Total Expenses | $153,620,813 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$161,783 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,566,270 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $50,196,750 | TotalAssetsBOYAmt |
| Total Assets EOY | $41,251,738 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $29,016,326 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $27,882,503 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $21,180,424 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $13,369,235 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | To care for and serve our community by providing Healthcare Services. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $132,724,159 | ExpenseAmt |
| Grant | $36,345 | GrantAmt |
| Revenue | $154,364,800 | RevenueAmt |
| Desc | Provided healthcare services regardless of ability to pay as well as education and promotion of health. Provided $2,976,974 other uncompensated care (at cost).Inland Hospital is a 48-bed facility that provides medical-surgical, and acute care. Inland is a non-profit hospital, serving all who need care, regardless of ability to pay. Inland Hospital also has outlying clinics in the region, allowing easier access for patients.Additional Statistics:Total Admissions 1,564Percent Occupancy of Available Beds 26%Emergency Room Visits 13,014Surgery Cases 1,596Services provided to those who could not pay $7,819,806.13 | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,254,122 | ExpenseAmt |
| Desc | Medicare shortfalls (at cost). 24,234 persons served. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,664,330 | ExpenseAmt |
| Desc | Medicaid shortfalls (at cost). 10,970 persons served. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $781,507 | TotalOtherProgSrvcExpenseAmt |
| Total Program Service Expenses | $142,424,118 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 123 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 696 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Org Filed In Lieu Of Form1041 | false | OrgFiledInLieuOfForm1041Ind |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | ME | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | John Doyle | PersonNm |
| Phone | 2079739081 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 43 WHITING HILL ROAD | AddressLine1Txt |
| City | BREWER | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04412 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| BETH GIBBS | |||||||||
| Board Member | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MARY M HOOD EMHS CEO | |||||||||
| Ex-officio | 0.50 | 50.00 | Yes (X) | $0 | $885,839 | $271,712 | Yes (X) | ||
| THOMAS DAVIS | |||||||||
| Vice Chair | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| BRYAN WARD ESQ | |||||||||
| Board Member | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| CHRISTOPHER L GAUNCE | |||||||||
| Board Member | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| BRIAN GILLIS DO | |||||||||
| Board Member | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| CATHERINE KIMBALL DO | |||||||||
| CHF OF STAFF/EX | 40.00 | 0.00 | Yes (X) | $274,370 | $0 | $21,100 | |||
| DONALD PLOURDE | |||||||||
| Vice Chair | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| MICHAEL F PHILLIPS JR ESQ | |||||||||
| Chair | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| SUZANNE UHL-MELANSON | |||||||||
| Board Member | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ROSEMARY WINSLOW | |||||||||
| Board Member | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM BRADFIELD MD | |||||||||
| Board Member | 40.00 | 0.00 | Yes (X) | $333,249 | $0 | $46,409 | |||
| JOHN DALTON | |||||||||
| Pres/Ex-Officio | 40.00 | 0.00 | Yes (X) | $759,102 | $0 | $38,569 | Yes (X) | ||
| C PATRICK MICHAUD | |||||||||
| Board Member | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| P JAMES NICHOLSON | |||||||||
| Board Member | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ALLAN L RANCOURT | |||||||||
| Board Member | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| GLENN MARTIN VP GEN COUNSEL | |||||||||
| Secretary | 0.50 | 50.00 | $0 | $368,621 | $90,480 | Yes (X) | |||
| PAUL BOLIN | |||||||||
| VP and CHRO | 0.50 | 50.00 | $0 | $197,240 | $42,346 | Yes (X) | |||
| TONY FILER SENIOR VPCFO | |||||||||
| Treasurer | 0.50 | 50.00 | $0 | $177,610 | $2,704 | Yes (X) | |||
| WALTER RICK BARRY | |||||||||
| VP OF PT CARE | 40.00 | 0.00 | $232,655 | $0 | $22,863 | Yes (X) | |||
| CHRIS FRAUENHOFER | |||||||||
| VP, FINANCE | 50.00 | 50.00 | $107,937 | $107,937 | $33,030 | Yes (X) | |||
| DEAN BITHER | |||||||||
| VP, Finance | 40.00 | 0.00 | $246,064 | $0 | $43,475 | Yes (X) | |||
| DANIEL J BOOTH | |||||||||
| VP of Operation | 40.00 | 0.00 | $233,971 | $0 | $21,364 | Yes (X) | |||
| GAVIN DUCKER DO | |||||||||
| VP-Med Affairs | 40.00 | 0.00 | $293,075 | $0 | $44,211 | Yes (X) | |||
| ANGELA GIBBS | |||||||||
| VP Quality | 40.00 | 0.00 | $5,130 | $0 | $103 | Yes (X) | |||
| DEEP ACHARYA | |||||||||
| Physician | 40.00 | 0.00 | $346,149 | $0 | $28,049 | Yes (X) | |||
| GLORIA SIMMS | |||||||||
| Physician | 40.00 | 0.00 | $301,771 | $0 | $36,719 | Yes (X) | |||
| EUGENE CHARLEBOIS DO | |||||||||
| Physician | 40.00 | 0.00 | $318,488 | $0 | $34,051 | Yes (X) | |||
| RICHARD T SAMSON MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $311,269 | $0 | $30,438 | Yes (X) | |||
| SIMON GIBBS MD | |||||||||
| Physician | 40.00 | 0.00 | $382,835 | $0 | $41,650 | Yes (X) | |||
| MICHAEL PALUMBO DO | |||||||||
| Former VP Med Affairs/CMO | 40.00 | 0.00 | $184,587 | $0 | $16,817 | Yes (X) | |||
| CONSTANCE BARRETT | |||||||||
| Former VP/CNO | 40.00 | 0.00 | $105,043 | $0 | $8,896 | Yes (X) | |||
| THEODORE HELBERG III | |||||||||
| Former VP HR South Region | 0.00 | 50.00 | $0 | $173,037 | $24,799 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,435,695 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,910,284 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $899,785 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 64 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| WEATHERBY LOCUMS INC | |||||
| PO BOX 972633 | DALLAS | TX | 753972633 | Physician Services | $995,811 |
| AMERICAN MOBILE NURSE | |||||
| 2735 COLLECTION CENTER DRIVE | CHICAGO | IL | 60693 | Md-Lv Temp Staff Svc | $670,913 |
| VISTA STAFFING SOLUTIONS | |||||
| FILE 50834 | LOS ANGELES | CA | 900740834 | Physician Services | $581,901 |
| COMPHEALTH INC | |||||
| PO BOX 972651 | DALLAS | TX | 753972651 | Physician Services | $522,059 |
| NURSE ANESTHESIA OF MAINE | |||||
| 141 N MAIN STREET STE 205 | BREWER | ME | 04412 | Professional CRNA's | $442,093 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 20 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $103,700 | RelatedOrganizationsAmt |
| All Other Contributions | $27,040 | AllOtherContributionsAmt |
| Noncash Contributions | $3,240 | NoncashContributionsAmt |
| Total Contributions | $130,740 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| CAFETERIA | 722210 | $183,268 | $183,268 | |
| EDUCATION REVENUE | 611710 | $9,555 | $9,555 | |
| PATIENT SERVICE REVENUE | 621990 | $153,888,310 | $153,776,015 | $112,295 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $154,081,133 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $57,092 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$38 | UnrelatedBusinessRevenueAmt |
| Exclusion | $57,130 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,615 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,615 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,615 | TotalRevenueColumnAmt |
| Exclusion | $3,615 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,529,825 | SecuritiesAmt |
| Other | $137,009 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,034,000 | SecuritiesAmt |
| Other | $21,032 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $495,825 | SecuritiesAmt |
| Other | $115,977 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $611,802 | TotalRevenueColumnAmt |
| Exclusion | $611,802 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $30,899 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $11,903 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,996 | TotalRevenueColumnAmt |
| Exclusion | $18,996 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEANINGFUL USE | 621990 | $283,180 | $283,180 |
| Misc Revenue | 621990 | $525 | $525 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $283,705 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $155,187,083 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $154,252,543 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $112,257 | UnrelatedBusinessRevenueAmt |
| Exclusion | $691,543 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,345 | TotalAmt |
| Program Services | $36,345 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,740,162 | TotalAmt |
| Program Services | $1,528,500 | ProgramServicesAmt |
| Management And General | $1,211,662 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,642,528 | TotalAmt |
| Program Services | $34,032,236 | ProgramServicesAmt |
| Management And General | $3,610,292 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $743,183 | TotalAmt |
| Program Services | $670,185 | ProgramServicesAmt |
| Management And General | $72,998 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,517,066 | TotalAmt |
| Program Services | $3,978,480 | ProgramServicesAmt |
| Management And General | $538,586 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,135,065 | TotalAmt |
| Program Services | $1,862,152 | ProgramServicesAmt |
| Management And General | $272,913 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,885 | TotalAmt |
| Management And General | $7,885 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,420 | TotalAmt |
| Management And General | $34,420 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,781 | TotalAmt |
| Program Services | $16,299 | ProgramServicesAmt |
| Management And General | $4,482 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,636,596 | TotalAmt |
| Program Services | $6,257,106 | ProgramServicesAmt |
| Management And General | $2,379,490 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $294,480 | TotalAmt |
| Program Services | $3,458 | ProgramServicesAmt |
| Management And General | $291,022 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,496,097 | TotalAmt |
| Program Services | $912,214 | ProgramServicesAmt |
| Management And General | $583,883 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,528,415 | TotalAmt |
| Program Services | $2,271,285 | ProgramServicesAmt |
| Management And General | $257,130 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,158,771 | TotalAmt |
| Program Services | $1,693,143 | ProgramServicesAmt |
| Management And General | $465,628 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,608 | TotalAmt |
| Program Services | $68,419 | ProgramServicesAmt |
| Management And General | $29,189 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $177,011 | TotalAmt |
| Program Services | $142,107 | ProgramServicesAmt |
| Management And General | $34,904 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $516,034 | TotalAmt |
| Program Services | $404,730 | ProgramServicesAmt |
| Management And General | $111,304 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,966,841 | TotalAmt |
| Program Services | $1,542,611 | ProgramServicesAmt |
| Management And General | $424,230 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,053,350 | TotalAmt |
| Program Services | $826,152 | ProgramServicesAmt |
| Management And General | $227,198 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Contractual Allowances | $68,490,956 | $68,490,956 | |
| Medical Supplies | $7,437,521 | $7,437,521 | |
| Provision for uncollectible ac | $6,226,849 | $6,193,821 | $33,028 |
| Charity Care | $1,625,986 | $1,625,986 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,036,863 | TotalAmt |
| Program Services | $2,430,412 | ProgramServicesAmt |
| Management And General | $606,451 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $153,620,813 | TotalAmt |
| Program Services | $142,424,118 | ProgramServicesAmt |
| Management And General | $11,196,695 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,513 | BOYAmt |
| EOY | $4,600 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,660 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,778,857 | BOYAmt |
| EOY | $16,758,827 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,268 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $671,246 | BOYAmt |
| EOY | $609,062 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $533,355 | BOYAmt |
| EOY | $598,450 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $45,684,617 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $28,937,399 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,348,124 | BOYAmt |
| EOY | $16,747,218 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,795 | BOYAmt |
| EOY | $45,795 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,755,932 | BOYAmt |
| EOY | $6,487,786 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,196,750 | BOYAmt |
| EOY | $41,251,738 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,881,159 | BOYAmt |
| EOY | $12,817,200 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $291 | BOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,338,127 | BOYAmt |
| EOY | $3,208,875 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $685,517 | BOYAmt |
| EOY | $482,593 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,111,232 | BOYAmt |
| EOY | $11,373,835 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,016,326 | BOYAmt |
| EOY | $27,882,503 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,446,438 | BOYAmt |
| EOY | $10,421,431 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $505,376 | BOYAmt |
| EOY | $689,863 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,228,610 | BOYAmt |
| EOY | $2,257,941 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,180,424 | BOYAmt |
| EOY | $13,369,235 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,196,750 | BOYAmt |
| EOY | $41,251,738 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,566,270 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$563,736 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$8,813,723 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed Section4955 Tax | false | Form4720FiledSection4955TaxInd |
| Correction Made | false | CorrectionMadeInd |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $11,470 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $11,470 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
| Form4720 Filed4912 Tax | false | Form4720Filed4912TaxInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1i - Other Activities Description | FormAndLineReferenceDesc |
| Explanation | Non-deductible portion of dues | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $313,844 | BeginningYearBalanceAmt |
| Contributions | $1,491,112 | ContributionsAmt |
| Investment Earnings Or Losses | $162,332 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $14,966 | OtherExpendituresAmt |
| End Year Balance | $1,952,322 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $300,947 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $27,062 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $14,165 | OtherExpendituresAmt |
| End Year Balance | $313,844 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $316,625 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$3,010 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $12,668 | OtherExpendituresAmt |
| End Year Balance | $300,947 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $303,162 | BeginningYearBalanceAmt |
| Contributions | $5,000 | ContributionsAmt |
| Investment Earnings Or Losses | $19,358 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $10,895 | OtherExpendituresAmt |
| End Year Balance | $316,625 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $273,459 | BeginningYearBalanceAmt |
| Contributions | $5,000 | ContributionsAmt |
| Investment Earnings Or Losses | $31,241 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $6,538 | OtherExpendituresAmt |
| End Year Balance | $303,162 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.04000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.96000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $83,162 | OtherCostOrOtherBasisAmt |
| Book Value | $83,162 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,465,634 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,332,101 | DepreciationAmt |
| Book Value | $7,133,533 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,427,896 | OtherCostOrOtherBasisAmt |
| Depreciation | $608,936 | DepreciationAmt |
| Book Value | $818,960 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $24,288,615 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,209,278 | DepreciationAmt |
| Book Value | $8,079,337 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,419,310 | OtherCostOrOtherBasisAmt |
| Depreciation | $787,084 | DepreciationAmt |
| Book Value | $632,226 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $16,747,218 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Assets Held Under Trust Indenture | $99,107 |
| Beneficial Interest in Perpetual Trusts | $572,219 |
| Board Designated Other | $3,440,875 |
| Interest in net assets held at EMHSF | $2,142,895 |
| Permanently Donor Restricted Funds | $5,000 |
| Temporarily Donor Restricted Funds | $227,690 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $6,487,786 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Amounts due to Related Org | $7,728,484 |
| Deferred Compensation | $3,223,770 |
| Liability Under Cap Lease Obligation | $193,334 |
| Reserve for Asset Disposal Costs | $228,247 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $11,373,835 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: Intended uses of the endowment fund. | Endowment funds are designated for purposes that align within the organization's exempt purpose. |
| Part X : FIN48 Footnote | EMHS, its hospitals, and certain other affiliates have been determined by the Internal Revenue Service to be tax-exempt charitable organizations as described in Section 501(c)(3) or 501(c)(2) of the Internal Revenue Code (the Code) and, accordingly, are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Accordingly, no provision for federal income taxes has been recorded in the accompanying consolidated financial statements for these organizations.Tax-exempt charitable 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 (FASB), 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 System has evaluated its tax position taken or expected to be taken on income tax returns and concluded the impact to be not material.Certain of the System's affiliates are taxable entities. Deferred taxes related to these entities are based on the difference between the financial statement and tax basis of assets and liabilities using enacted tax rates in effect in the years the differences are expected to reverse. The deferred tax assets and liabilities for these entities are not material. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent250 | Yes (X) | Percent250Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 581 | PersonsServedCnt |
| Total Community Benefit Expns | $781,507 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $781,507 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01010 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 10970 | PersonsServedCnt |
| Total Community Benefit Expns | $11,345,159 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,680,829 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,664,330 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04740 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $190,944 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $190,944 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00250 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 11551 | PersonsServedCnt |
| Total Community Benefit Expns | $12,317,610 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,680,829 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,636,781 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06000 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 12 | ActivitiesOrProgramsCnt |
| Persons Served | 40834 | PersonsServedCnt |
| Total Community Benefit Expns | $328,677 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $328,677 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00430 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 50 | PersonsServedCnt |
| Total Community Benefit Expns | $117,531 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $117,531 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 9143 | PersonsServedCnt |
| Total Community Benefit Expns | $106,902 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $106,902 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 18 | ActivitiesOrProgramsCnt |
| Persons Served | 50027 | PersonsServedCnt |
| Total Community Benefit Expns | $553,110 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $553,110 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00720 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 18 | ActivitiesOrProgramsCnt |
| Persons Served | 61578 | PersonsServedCnt |
| Total Community Benefit Expns | $12,870,720 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,680,829 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,189,891 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06720 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $5,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,000 | NetCommunityBenefitExpnsAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $5,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,000 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,976,974 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $20,349,402 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $25,603,524 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$5,254,122 | 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 (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Inland Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 Kennedy Memorial Drive | AddressLine1Txt |
| City | Waterville | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04901 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.inlandhospital.org | WebsiteAddressTxt |
| State License | State lic #38139 | 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 | Inland Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| 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 |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | http://www.inlandhospital.org/ | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | www.emhs.org/Community-Benefit/CHNA.aspx | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | http://www.emhs.org/Community-Benefit/CHNA/ | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 150.0000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 250.0000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | false | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | See Part V, Line 16i-j for URL | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Part V, Line 16i-j for URL | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See Part V, Line 16i-j for URL | 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 (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 5 - Account Input from Persons Who Represent the Community | The Maine Shared CHNA research team conducted a statewide survey among stakeholders to identify and prioritize significant health issues in communities across the state. The survey, coordinated with the Maine CDC, engaged public health expertise throughout the process. The survey was administered using a snowball approach where stakeholder agencies agreed to send the surveys to their members and stakeholders for participation. 1,639 people, representing more than 80 organizations and businesses in Maine, completed the survey. Respondents represented health care agencies, public health agencies, law enforcement, municipalities, schools, local businesses, social service agencies, and nongovernmental organizations. In addition to the stakeholder survey, each county conducted a number of community engagement opportunities (forums) to ensure broad interests of the local community were represented; Obtain stakeholder input on identifying significant health needs based on review of shared CHNA data; Solicit stakeholder feedback on prioritizing significant health needs, and; Identify local assets and resources that potentially may address local health priorities. The local forums were conducted in collaboration with the Maine CDC to solicit input from individuals representing populations with health disparities. The following organizations were in attendance at the December 10, 2015 DCC SHNAPP Waterville Shared CHNA Community Engagement Input Forum and provided valuable feedback on the Shared CHNA.Details about organizations: Sample of organizations KVCAP, Waterville Main Street, Kennebec Messalonskee Trails, Maine Children's Home, NAMI Maine, American Lung Assn., Healthy Northern Kennebec, Somerset Public Health, Healthy Sebasticook Valley, MaineGeneral (MG), Inland Hospital, Redington Fairview General Hospital, EMHS, HealthReach Community Health Centers, Kennebec Behavioral Health, MG Community Care, Assistance Plus, MSAD 59, Waterville/Vassalboro Before/After School Programs, MG Board of Directors, Maine CDC. Hospitals (MaineGeneral, Inland, EMHS, Redington Fairview), health care providers (HealthReach Community Health Centers), and behavioral health care providers (Kennebec Behavioral Health, MG Community Care) serve low income patients through Medicare/MaineCare and provide low-cost/no-cost services to medically underserved residents. Many public health programs and services (Healthy Northern Kennebec, Somerset Public Health, Healthy Sebasticook Valley), non-profit agencies (KVCAP, Maine Children's Home, NAMI Maine), and local/state government agencies (Maine CDC) specifically serve low-income and medically under-served residents. |
| Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs Assessment | The Shared CHNA was conducted through the Maine Shared Health Needs Assessment Planning Process (SHNAPP) a collaborative effort among Maine's four largest health-care systems Central Maine Healthcare, Eastern Maine Healthcare Systems (EMHS), MaineGeneral Health, MaineHealth and the Maine Center for Disease Control and Prevention, an office of the Maine Department of Health and Human Services (DHHS). EMHS member organizations participating in the Shared CHNA included Acadia Hospital, Blue Hill Memorial Hospital, Charles A. Dean Memorial Hospital, Eastern Maine Medical Center, Inland Hospital, Maine Coast Memorial Hospital, Mercy Hospital, Sebasticook Valley Health, and TAMC. |
| Part V, Line 11 - Explanation of Needs Not Addressed and Reasons Why | Inland Hospital non-selected priorities-Immunizations are provided in our medical practices and through a variety of community settings and programs.Behavioral/mental health and substance abuse - As a small hospital, we are unable to commit the financial resources to address the gaps at this time. Services are available by other organizations in the community and we work with our local Healthy Maine Partnership and local service providers to help address the needs. |
| Part V, Line 13b - Criteria For Providing Discounted Care If Not FPG | Due to software glitch, this is in reference to Part V, Line 14 Explain Method for Applying for Financial Assistance - See Part VI, Additional Information for explanation. |
| Part V, Line 16i - Other Means Hospital Facility Publicized the Policy | Response for 16a, 16b, 16c (list url) is http://inlandhospital.org/Patients-Visitors/Billing-Financial-Services.aspx under "Financial Assistance Program" |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (29 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| Heart First Diagnostics | ||||
| 244 Kennedy Memorial Drive | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Inland Family Care RHC | ||||
| 80 Main Street | Unity | ME | 04988 | Medical Office Building - Physician Service |
| Inland Family Care | ||||
| 74 Water Street | Oakland | ME | 04963 | Medical Office Building - Physician Service |
| New Horizons Health Care RHC | ||||
| 344 Lakewood Drive | Madison | ME | 04950 | Medical Office Building - Physician Service |
| Inland Neurology | ||||
| 246 Kennedy Memorial Drive Suite 20 | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Inland Womens Healthcare | ||||
| 180 Kennedy Memorial Drive Suite 10 | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Heart First Cardiology Assoc | ||||
| 244 Kennedy Memorial Drive 1st Floo | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Inland Family Care | ||||
| 16 Concourse West | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Inland Family Care RHC | ||||
| 167 Main Street | North Anson | ME | 04958 | Medical Office Building - Physician Service |
| Inland Medical Associates - Internists | ||||
| 174 Kennedy Memorial Drive | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Inland Diabetes & Nutrition Wellness | ||||
| 180 Kennedy Memorial Drive | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Inland Rheumatology | ||||
| 325-D Kennedy Memorial Drive | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Inland Family Care | ||||
| 10 Washington Street | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Inland Orthopedics & Inland Wound Care | ||||
| 25 First Park Drive Suite C | Oakland | ME | 04963 | Medical Office Building - Physician Service |
| Inland Surgical Associates | ||||
| 180 Kennedy Memorial Drive Suite 20 | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Inland Family Care Three Rivers | ||||
| 180 Kennedy Memorial Drive Suite 30 | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Inland Family Care Three Rivers | ||||
| 77 Sewall Street | Augusta | ME | 04330 | Medical Office Building - Physician Service |
| Inland Foot & Ankle | ||||
| 25 First Park Drive Suite D | Oakland | ME | 04963 | Medical Office Building - Physician Service |
| Inland Outpatient Imaging Services | ||||
| 25 First Park Drive | Oakland | ME | 04963 | Medical Office Building - Physician Service |
| Inland Outpatient Imaging Services | ||||
| 244 Kennedy Memorial Drive | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Inland Outpatient Imaging Services | ||||
| 167 Main Street | North Anson | ME | 04958 | Medical Office Building - Physician Service |
| Inland Outpatient Imaging Services | ||||
| 180 Kennedy Memorial Drive | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Inland Osteopathic Manipulative Medicine | ||||
| 16 Concourse West | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Inland Rehab Works Outpatient Services | ||||
| 366 Lakewood Road | Madison | ME | 04950 | Medical Office Building - Physician Service |
| Inland Rehab Works Outpatient Services | ||||
| 180 Kennedy Memorial Drive | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Inland Rehab Works Outpatient Services | ||||
| 80 Main Street | Unity | ME | 04988 | Medical Office Building - Physician Service |
| Inland Rehab Works Outpatient Services | ||||
| 30 Elm Plaza | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Mardens Cardiac Rehab Center | ||||
| 244 Kennedy Memorial Drive | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Sleep Diagnostic Center of Inland Hospital | ||||
| 180 Kennedy Memorial Drive Suite 20 | Waterville | ME | 04901 | Medical Office Building - Physician Service |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 6a - Related Organization Community Benefit Report | The Inland Hospital community benefit report is contained in an annual community benefit report prepared by Eastern Maine Healthcare Systems which is the parent organization of all related organizations. |
| Part I, Line 7 - Explanation of Costing Methodology | Ratio of Patient Care Cost-to-Charges is used in calculations. |
| Part I, Line 7, Column F - Explanation of Bad Debt Expense | $6,226,849 of bad debt expense, $1,625,986 of charity care, $68,490,956 of contractual allowances is included on Form 990, Part IX, line 25, column (A). |
| Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense | The costing methology used to determine the amount is cost to charge ratio. |
| Part III, Line 4 - Bad Debt Expense | Patient and trade accounts receivable are stated at the amount management expects to collect from outstanding balances. Management provides for probable uncollectible amounts through a charge to earnings and a valuation allowance based on its assessment of the current status of individual accounts. Balances that are still outstanding after management has used reasonable collection efforts are written off through a charge to the valuation allowance and the applicable patient accounts receivable. Credit is extended without collateral. |
| Part III, Line 8 - Explanation Of Shortfall As Community Benefit | Medicare losses should be treated as a community benefit because the losses are incurred in performing an important public service, and Maine hospitals experience one of the lowest Medicare reimbursement rates in the country. |
| Part III, Line 9b - Provisions On Collection Practices For Qualified Patients | All account guarantors who express an inability to pay inpatient and outpatient services will be screened for eligibility for charity care using an application and guidelines established by Inland Hospital. An account may be reconsidered for charity care at any time when new information is available about a patient's inability to pay. |
| Part VI - Patient Education of Eligibility for Assistance | At Inland Hospital, Patient Account Representatives are available to assist and answer any questions our patients may have regarding Financial Assistance. Additional interactive strategies are in places that include billing statements that have contact information added for the patient's convenience, providing all uninsured patients with financial assistance packets at point of registration. When a patient states that they are under-insured Financial Assistance Packet information is provided. For any other patient requests we receive (via emails and phone calls) packets are mailed. All patient accessible areas, such as hospital waiting areas, contain information to direct patients on how to receive financial assistance. Additionally, Inland Hospital provides online resources and tools to assist our patients with the necessary information regarding charity/financial assistance via www.inlandhospital.org. Inland Financial Counselors are Certified Application Counselors for the Federal Market Place and will assist customers with the Healthcare Market Place as requested. It is the policy of Inland Hospital to treat all patients requiring care without regard for ability to pay and to assist patients in arranging for settlement of their financial obligation. Under this program, medically necessary services will be provided to Maine residents at no cost. If a patient does not qualify for free hospital care, he or she is entitled to ask for a fair hearing. |
| Part VI - Community Information | Inland Hospital is a not-for-profit, community hospital located in Waterville, Maine with a mission to care for and serve our community. We serve residents in parts of Kennebec, Somerset, and Waldo Counties (mostly Kennebec). We are a 48-bed medical-surgical facility, with Lakewood, our 105-bed continuing care facility on the hospital campus, along with 13 primary and specialty care physician practices in Waterville and our surrounding communities of Unity, Oakland, and Madison. We also offer our primary care patients a Weekend Care service to help them avoid unnecessary, costly emergency room visits.Inland has two rural health centers in Unity and Madison serving medically underserved populations.Inland is the only inpatient hospital serving Waterville. The next nearest inpatient hospital is located 15 miles south of Waterville in Augusta. The nearest tertiary hospital is located 60 miles north of Waterville.2016 data from US Census ME.gov shows that Kennebec County has 122,151 residents. Median household income is $48,470. Somerset County has 52,228 residents with a $40,484 median income. |
| Part VI - Community Building Activities | Inland Hospital gets involved and gives back to our community to improve quality of life in Greater Waterville it's how we help fulfill our community service mission to care for and serve our community. Whether it's sponsoring scholarships to the local colleges, supporting physical activity and nutrition initiatives in our local schools, funding local public transportation, or supporting a cultural or economic development effort, Inland is proud to support and collaborate with groups that foster health and well-being. Our Community Benefit program contributed $60,000 total in 2017 towards health and community organizations and initiatives. $5,000 was granted to the Central Maine Growth Council for economic and workforce development efforts in our community. In addition, we offered free health screenings and education to the public through our health events, and contribute to health improvement through numerous community collaborations and public events. |
| Part VI - Explanation Of How Organization Furthers Its Exempt Purpose | At Inland we strive to live up to our non-profit mission every day by caring for community members who otherwise would have limited access to quality healthcare. Besides providing charity care and financial assistance, we believe we can also affect the health of the communities we serve beyond care inside our hospital. We agree with the World Health Organization which states, Health is a state of complete physical, mental, and social well-being, and not merely the absence of disease or infirmity. We have a vision to be a responsible corporate citizen whose actions can impact our community's overall well-being through commitments to priority issues. A hospital task force considered priority issues from the 2016 Community Health Needs Assessment and other data, and identified areas of significant needs to be addressed, as well as areas of need unable to be addressed by the hospital. An Implementation Strategy was developed and consisted of actions the hospital took to address the health need. Programs/resources the hospital committed to address the health need were identified along with planned collaborations with other area organizations. Inland Hospital focused on four key areas:1-Obesity - Goal: Obesity weight classification among Inland Family Care pediatric patients ages 2-18 will stop upward trend by Sept. 30, 2017. We achieved our stabilization goal with the rate of 29.3% as of September 30,2017.2-Mental health- Goal: Increase access to outpatient mental health services. We added a tele-mental health service at our downtown primary care practice in partnership with our system's mental health facility, Acadia Hospital, and we continue to recruit for additional mental health professionals.3-Substance abuse- Goal: Reduce prescription drug abuse and misuse in Inlands service area. We produced educational materials for patients and the public about pain control options and started to distribute them to our medical practices.4-Economic Opportunity/Poverty - Goal: Enhance public transportation in the community. We contributed funds to KVCAP, the local community action program for its public bus system.In addition to efforts led by Inland and our collaborating partners on the issues above, resources such as in-kind staff time and community benefit funding were dedicated to the following secondary issues:-Domestic Violence-Homelessness-Economic development-Education-Cultural SupportInland's 2017 Community Wellness initiatives included:a)The "World of Women's Wellness", the hospital's health fair for women. 500+ women attended the 20th annual event on April 1, 2017 and received more than 200 blood pressure screenings. More than 50 exhibitors linked attendees to local resources and services to improve health; 30+ of the exhibitors focused on priorities in our Community Health Improvement Plan.b)In an effort to combat the childhood obesity epidemic, in 2017 we continued our year-long program to reach families with children to encourage active lifestyles and healthier eating. Our "Let's Go! Family Fun Series" offers activities each month to engage families with children to be physically active and eat healthier through free and low cost resources and activities such as hiking, swimming, and cross-country skiing. We also provided $8,250 in funding for Let's Go! in 14 local schools, out-of-school and daycare sites through our Community Benefit program. Let's Go! is a nationally recognized childhood obesity prevention program that focuses on healthy habits and changing environments where children and families live, learn work and play.c)We utilized the Let's Go! program in the healthcare sectorspecifically our family practices. Three of Inland's family practices were recognized as Let's Go! Sites of Distinction in 2017 for their efforts to curb childhood obesity in our patient populations. Components of the program include displaying posters with the 5,210 healthy habits messages, tracking weight classification for patients ages 2-18, and using the Healthy Habits survey at all well-child visits to inspire respectful conversations around weight status and lifestyle behaviors. d)We added a full-time Community Health Program Coordinator to our Community Wellness staff to provide Let's Go! technical support to local schools, after-schools, and childcare sites.e)We continue to maintain and improve the Inland Woods Trail on the hospital campus (created in 2010) with support from several local organizations. The trails were developed to create a lasting way to impact health, and give residents an easy, free resource for regular activity. The trails are used regularly by residents, hospital staff, and local schools for walking, biking, and snowshoeing. We enhanced the trail and trailhead by adding a family-friendly Little Let's Go! Loop, and also a Little Free Library.f)We provided ongoing support for the Quarry Road Recreation Area, investing $42,500+ since 2013 in annual support, event and youth program sponsorships and in-kind contributions of staff volunteer hours and board participation.g)Inland provided the following Community Benefit funding in 2017: $4,250 to the Greater Waterville Area Food Bank for a new industrial refrigerator; $3,000 to Kennebec Behavioral Health to support outreach to homeless youth; $1,395 to Unity Barn Raisers for a local park expansion; $5,000 to Maine Farmland Trust for its Veggies for All community garden and food bank program. h)In addition, we employ a Community Health Navigator to help patients connect to local resources that help them overcome barriers to good health, such as housing, medication support, transportation, food support, and health care access.In addition, a majority of Inland Hospital's board of trustees is comprised of people who reside in our primary service area who are neither employees nor independent contractors of the organization, nor family members thereof. Inland extends medical staff privileges to qualified physicians in its community for some or all of its departments or specialties.The Inland Hospital Foundation helps by raising funds for everything from capital expansion projects to residential activities to help offset normal operating expenses.Inland Hospital utilizes surplus funds to support a medical simulation center on the hospital campus that is used for training of clinical staff. Examples of training include Advanced Cardiac Life Support, Neonatal Resuscitation Program, and Pediatric Advanced Life Support. Training is not limited to employees at Inland Hospital - we also offer courses to local Emergency Medical Technicians and to clinicians at other hospitals in our region. Inland Hospital invites men, women, and young adults to volunteer their time to further the hospital's mission. In 2017, volunteers from our community donated 10,367 hours of their time to Inland and Lakewood, our continuing care center. Some volunteers work in areas with direct contact with patients and families; others are involved in our community events and "behind the scenes" activities which enhance the care provided by the hospital.In 2017, more than 100 Inland and Lakewood employees engaged in our community by volunteering on local boards, committees and projects that helped contribute to a vital community. |
| Part VI - Affilated Health Care System Roles and Promotion | The 2016 Shared Community Health Needs Assessment conducted by EMHS (Eastern Maine Healthcare Systems) in collaboration with several member/affiliated hospitals and the many public health and community organizations across the state. The Shared Community Health Needs Assessment informs initiatives to promote community health across the system as well as within each member hospital's local service area. Each member hospital adopted a local implementation strategy and community health improvement plan, tailored to meet local needs.Inland Hospital has been part of EMHS (Eastern Maine Healthcare Systems) since 1998. As part of EMHS, we conducted the 2016 Shared Community Health Needs Assessment in collaboration with several member/affiliated hospitals and many public health and community organizations across eight Maine counties. |
| Part VI - States Where Community Benefit Report Filed | N/A |
| Part VI - Additional Information | Disclosure in accordance with Revenue Procedure 2015-21:Part V Facility Information, Section B Facility Policies and PracticesIn accordance with Revenue Procedure 2015-21, Inland is disclosing the following information with respect to Section 501(r) issues that were discovered during the 2017 tax year and how these have been corrected to satisfy 501(r) requirements.For all items:A good-faith effort was made to implement the requirements of the Section 501(r) regulations. Inland obtained information about the requirements and sought to implement them accordingly, but later identified some compliance gaps due to the detailed nature of the regulations.The issues were discovered in fiscal year 2017 during an internal audit of Inlands compliance with Sections 501(r)(3-4). The correction of these issues did not result in any changes to our overall processes and, therefore, Inland has not identified any persons directly affected by these issues. All individuals would have been in the same position had these issues not occurred.To ensure full compliance with Section 501(r) regulations, EMHS Community Health and Revenue Cycle Departments perform routine reviews to assure Inland is in compliance with Section 501(r). In addition, EMHS continues to engage EMHS Internal Audit to review Inlands compliance with Section 501(r).Specific issues and corrections:1. Approval of the Community Health Needs Assessment (CHNA) and Implementation Strategy a. Requirement: The CHNA must be documented in a written report that is adopted for the hospital facility by an authorized body of the hospital facility. An authorized body of the hospital facility also must adopt an implementation strategy to meet the community health needs identified through the CHNA on or before the 15th day of the fifth month after the end of such taxable year. b. Condition: While the Board minutes and related meeting materials retained for Inland demonstrated the Board's intent to approve both the CHNA and implementation strategy, the Board vote(s) as documented in the minutes did not clearly demonstrate that the Board approved both items. c. Corrective Action: A resolution was passed by Inlands Board to clarify the Board's intent to approve the CHNA and implementation strategy. d. Date Corrected: Inland: May 25, 20172.Information in the FAP regarding Amounts Generally Billed (AGB) a.Requirement: The FAP must include the method the hospital facility uses to determine the amounts generally billed to individuals who have insurance covering emergency or other medically necessary care and must state the AGB percentages or explain how members of the public may readily obtain such percentages.b.Condition: While the Plain Language Summary (PLS) indicated that AGB will be calculated using the look-back method, based on actual past claims paid to the hospital by Medicare and by other private insurers, the FAP did not adequately explain the method used to determine AGB, state the AGB percentages or explain how members of the public may readily obtain the AGB percentages (and these AGB percentages also were not otherwise readily available). c.Corrective Action: The FAP was updated to explain the method used to determine AGB. The FAP was also updated to state To request a free written description of how EMHS calculates the AGB or to find out the actual AGB for a particular EMHS hospital, please contact (207) 973-6473 or (207) 973-4483 or on the Web at http://emhs.org/Billing-help.aspx. Inlands AGB percentage was added to this Web site. d.Date Corrected: These revisions to the FAP were approved by EMHS Leadership in Fiscal Year 2017 and the EMHS Board of Directors at its October 4, 2017 meeting. The updated FAP was widely publicized upon approval by the EMHS Board of Directors. The AGB percentages were added to the EMHS Web site in January 2018.3. Presumptive eligibilitya. Requirement: The FAP must include whether and under what circumstances prior FAP-eligibility determinations are used for presumptive eligibility.b. Condition: The FAP explained that approved applications from one EMHS Member Organization will be honored at another EMHS Member Organization, but did not fully describe the circumstances under which prior FAP-eligibility determinations are used for presumptive eligibility.c. Corrective Action: The FAP has been updated to fully describe whether and under what circumstances prior-FAP eligibility determinations are used for presumptive eligibility. d. Date Corrected: These revisions to the FAP were approved by EMHS Leadership on May 1, 2018 and the revised FAP has been widely publicized. 4. Emergency Medical Care Language in the FAPa. Requirement: A written policy must be established to require that care will be provided, without discrimination, for emergency medical conditions to individuals regardless of whether they are FAP-eligible.b. Condition: It was and is Inlands practice to provide care for emergency conditions to individuals regardless of whether they are FAP-eligible; however, upon review of Inlands FAP it was determined that this practice was not explicitly stated.c. Corrective Action: The FAP was updated to explicitly state that EMHS Hospitals will provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility for assistance under the FAP and as required under the EMHS Emergency Medical Care Policy. d. Date Corrected: These revisions to the FAP were approved by EMHS Leadership in Fiscal Year 2017 and the EMHS Board of Directors at its October 4, 2017 meeting. The updated FAP was widely publicized upon approval by the EMHS Board of Directors. 5. Billing and Collection Practicesa. Requirement: The FAP (or separate billing and collection policy) must include information on the actions the hospital will take to collect outstanding balances, including the reasonable efforts made to determine FAP eligibility. This information must be widely publicized along with the FAP.b. Condition: The billing and collection practices were adequately described in the Billing and Collections Policy which was referenced in the widely publicized FAP. However, the Billing and Collections Policy itself was not widely publicized.c. Corrective Action: The required billing and collection practices were added to the FAP. d. Date Corrected: These revisions to the FAP were approved by EMHS Leadership in Fiscal Year 2017 and the EMHS Board of Directors at its October 4, 2017 meeting. The updated FAP was widely publicized upon approval by the EMHS Board of Directors.6. Widely Publicized a. Requirement: In order to ensure the FAP is widely publicized , a hospital must take several actions, one of which is to include a conspicuous written notice on billing statements that notifies and informs recipients about the availability of financial assistance under the hospital facility's FAP and includes the telephone number of the hospital facility office or department that can provide information about the FAP and FAP application process and the direct Web site address (or URL) where copies of the FAP, FAP application form and plain language summary of the FAP may be obtained.b. Condition: While Inlands billing statements included a conspicuous written notice to notify recipients about the availability of financial assistance, telephone numbers to the department that can provide more information about financial assistance, and the EMHS billing help Web site address, the billing statements did not clearly state the FAP documents could be obtained from the Web site address provided.c. Corrective Action: Billing statements were updated in Fiscal Year 2017 to clarify that certain FAP-related documents may be obtained from the Web site address provided on the statement. In Fiscal Year 2018, Inland made additional revisions to further clarify the language included on the billing statements.d. Date Corrected: June 15, 2017 with additional revisions made in Fiscal Year 2018.7. PLSa. Requirement: The PLS must include certain information, including a statement of the availability of translations of the FAP, FAP application form and PLS in other languages, and a statement that a FAP-eligible individual will not be charged more than AGB for emergency or other medically necessary care.b. Condition: While the PLS met most of the requirements of the regulation, it did not include a statement of the availability of translations of the FAP, FAP application form and PLS in other languages, and also did not clearly state that a FAP-eligible individual will not be charged more than AGB for emergency or other medically necessary care.c. Corrective Action: The PLS was updated to include a statement of the availability of translations of the FAP, FAP application form and PLS in other languages, and to clearly state that a FAP-eligible individual will not be charged more than AGB for emergency or other medically necessary care. d Date Corrected: After the revisions to the FAP were a |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
| Rebuttable Presumption Proc | false | RebuttablePresumptionProcInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CATHERINE KIMBALL DO | ||||||||||||
| CHF OF STAFF/EX | $203,304 | $67,215 | $3,851 | $9,792 | $11,308 | $295,470 | ||||||
| CHRIS FRAUENHOFER | ||||||||||||
| VP, FINANCE | $101,177 | $6,760 | $1,819 | $14,696 | $124,452 | $101,177 | $6,760 | $1,819 | $14,696 | $124,452 | ||
| CONSTANCE BARRETT | ||||||||||||
| Former VP/CNO | $86,173 | $11,934 | $6,936 | $2,106 | $6,790 | $113,939 | ||||||
| DANIEL J BOOTH | ||||||||||||
| VP of Operation | $209,560 | $18,625 | $5,786 | $8,966 | $12,398 | $255,335 | ||||||
| DEAN BITHER | ||||||||||||
| VP, Finance | $220,156 | $19,476 | $6,432 | $14,393 | $29,082 | $289,539 | ||||||
| DEEP ACHARYA | ||||||||||||
| Physician | $320,769 | $50 | $25,330 | $2,234 | $25,815 | $374,198 | ||||||
| EUGENE CHARLEBOIS DO | ||||||||||||
| Physician | $262,788 | $20,150 | $35,550 | $4,770 | $29,281 | $352,539 | ||||||
| GAVIN DUCKER DO | ||||||||||||
| VP-Med Affairs | $255,929 | $33,940 | $3,206 | $15,459 | $28,752 | $337,286 | ||||||
| GLENN MARTIN VP GEN COUNSEL | ||||||||||||
| Secretary | $362,009 | $6,612 | $69,889 | $20,591 | $459,101 | |||||||
| GLORIA SIMMS | ||||||||||||
| Physician | $299,554 | $2,217 | $11,570 | $25,149 | $338,490 | |||||||
| JOHN DALTON | ||||||||||||
| Pres/Ex-Officio | $280,230 | $14,979 | $463,893 | $21,200 | $17,369 | $797,671 | $450,000 | |||||
| MARY M HOOD EMHS CEO | ||||||||||||
| Ex-officio | $870,512 | $15,327 | $250,857 | $20,855 | $1,157,551 | |||||||
| MICHAEL PALUMBO DO | ||||||||||||
| Former VP Med Affairs/CMO | $125,933 | $14,514 | $44,140 | $10,227 | $6,590 | $201,404 | ||||||
| PAUL BOLIN | ||||||||||||
| VP and CHRO | $192,976 | $4,264 | $13,113 | $29,233 | $239,586 | |||||||
| RICHARD T SAMSON MD | ||||||||||||
| PHYSICIAN | $271,708 | $36,818 | $2,743 | $5,740 | $24,698 | $341,707 | ||||||
| SIMON GIBBS MD | ||||||||||||
| Physician | $374,691 | $4,221 | $3,923 | $13,645 | $28,005 | $424,485 | ||||||
| THEODORE HELBERG III | ||||||||||||
| Former VP HR South Region | $141,244 | $31,793 | $16,230 | $8,569 | $197,836 | |||||||
| TONY FILER SENIOR VPCFO | ||||||||||||
| Treasurer | $57,283 | $120,327 | $2,704 | $180,314 | ||||||||
| WALTER RICK BARRY | ||||||||||||
| VP OF PT CARE | $212,865 | $17,888 | $1,902 | $13,222 | $9,641 | $255,518 | ||||||
| WILLIAM BRADFIELD MD | ||||||||||||
| Board Member | $331,949 | $1,300 | $18,400 | $28,009 | $379,658 | |||||||
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 1a: Relevant information in regards to selections on 1a. | FormAndLineReferenceDesc |
| Explanation | The following received a wellness program incentive:Deep Acharya, highest compensated employee $407.00Walter Barry, officer 47.00Daniel Booth, officer 247.00William Bradfield, board member 72.00Eugene Charlebois, highest compensated employee 322.00Catherine Kimball, board member 357.00Gloria Simms, highest compensated employee 357.00The benefit is available for all employees. | ExplanationTxt |
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 |
|---|---|---|---|---|---|---|---|---|
| Maine Health and Higher Educational Facilities Authority | ||||||||
| A | 010314384 | 560425V80 | 2007-11-01 | $3,263,464 | ED Expansion & Purchase Prac | false | false | Yes (true) |
| Maine Health and Higher E | ||||||||
| B | 010314384 | 5604273W4 | 2015-07-14 | $1,169,738 | To refund the 2006A Bond | false | false | Yes (true) |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Refunding EscrowRefundingEscrowAmt | Other Spent ProceedsOtherSpentProceedsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $630,000 | $3,263,464 | $206,349 | $62,525 | $4,557 | $2,990,033 | 2008 | false | false | Yes (true) | Yes (true) | ||
| B | $105,000 | $1,169,738 | $92,638 | $25,336 | $282 | 2015 | false | Yes (true) | Yes (true) | Yes (true) | $890,000 | $161,482 |
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 | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd |
|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | false | Yes (true) | |||
| B | false | false | false | false | false | Yes (true) | 0.00200 | 0.00200 | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | No Rebate DueNoRebateDueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1Txt | Term Of GICTermOfGICPct | Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd | Rebate Not Due YetRebateNotDueYetInd |
|---|---|---|---|---|---|---|---|---|---|---|
| NA | ||||||||||
| A | false | Yes (true) | false | Yes (true) | FSA | 29.0000 | Yes (true) | false | false | |
| NA | ||||||||||
| B | false | false | false | false | false | Yes (true) | ||||
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part VI | FormAndLineReferenceDesc |
| Explanation | Part IV Line 2C, Column A - 12/4/17 - Date of Rebate Computation.Part IV, line 7 - The issuer (MHHEFA) has established written procedures to monitor the requirements of Section 148. The organization has entered into a tax regulatory agreement with the issuer that requires the organization to comply with the requirements of Section 148. The organization is working to establish its own written procedures to monitor such requirements. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Susan Palumbo | |||
| fam mem of officer | $43,770 | compensation | false |
| Sara Barry | |||
| fam mem of officer | $100,403 | compensation | false |
| Simon Gibbs | |||
| spouse of officer | $382,835 | compensation | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule L, Part V Supplemental Information | FormAndLineReferenceDesc |
| Explanation | Susan Palumbo is a family member of an officer of Inland Hospital.Sara Barry is a family member of a former officer of Inland Hospital.Simon Gibbs is a spouse of an officer of Inland Hospital. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4d: Other Program Services Description | OTHER PROGRAM SERVICES 4: Provided healthcare services regardless of ability to pay as well as education and promotion of health. Provided $2,976,974 other uncompensated care (at cost).Inland Hospital is a 48-bed facility that provides medical-surgical, and acute care. Inland is a non-profit hospital, serving all who need care, regardless of ability to pay. Inland Hospital also has outlying clinics in the region, allowing easier access for patients.Additional Statistics:Total Admissions 1,564Percent Occupancy of Available Beds 26%Emergency Room Visits 13,014Surgery Cases 1,596Services provided to those who could not pay $7,819,806.13 OTHER PROGRAM SERVICES 5: Please see the following excerpt from the EMHS Annual Report to the Community for details of community benefit projects at EMHS members:Coming together is a beginning; keeping together is progress; working together is success. The man who spoke these words understood the value of teamwork. He embraced technology in a way that nobody else had before him. His vision, passion, and innovation revolutionized the world. He made it possible for families to feel more connected despite living long distances apart. In many ways, EMHS shares the same goals championed 100 years ago by industrialist and automaker, Henry Ford.Like Ford, we know that we are succeeding by working together. Our new integrated, system wide electronic health record (EHR) will allow all our hospitals, primary care practices, and other members within the EMHS family to share information seamlessly. Using this system, we can collaborate more effectively and improve patient care.By mass-producing the automobile, Ford helped rural Americans feel connected. We are connecting people through technology, too. People who live in rural communities can talk one-on-one through a computer screen with doctors who may be several states away, thanks to our investments in telemedicine. Patients have access to specialists that would have been out of reach without this technology.Ford was an innovator. We too are embracing innovation in the way we deliver care. Our partnership with Dana-Farber Cancer Institute affords opportunities for cancer patients to access clinical trials closer to home at our Lafayette Family Cancer Center in Brewer. We are using paramedics to make routine house calls in our rural communities to perform wellness checks. This service is helping patients avoid trips to the hospital or doctor's office while getting compassionate care in the comfort of their own homes.Of course, all of these initiatives require dedicated people who are committed to teamwork. It's the very reason why we take extraordinary measures to recruit and retain our employees. We have added a new nurse residency program, which is already showing signs of success in addressing a critical statewide nursing shortage and providing our nurses the tools they need to thrive. By working together, we can continue to do great things.To borrow another line from Henry Ford, If everyone is moving forward together, then success takes care of itself. In the pages that follow are numerous testaments to the innovative spirit underscoring many successes this past year throughout our system. While the hard work will continue, we are pleased to share with you the progress we are making towards achieving our vision to be a nationally recognized model of excellence in healthcare.M. Michelle Hood, FACHEEMHS President and CEOBarry McCrumEMHS Board ChairCONNECTING WORLD CLASS CARETerry White longs for the day that she can return to the sandy shores of Myrtle Beach to feel the warm Carolina sunshine on her face and the ocean waves splashing upon her feet. She has plans to go back to visit family and won't let cancer slow her down. My journey is not over just because I have this disease, Terry said. It doesn't mean life doesn't go on. I definitely have a lot of life to live.Terry was diagnosed with breast cancer a decade ago. I was 38 when I found a lump in my breast in the shower one morning and immediately called my primary care physician. Unfortunately, the cancer became metastatic, meaning it spread to other parts of her body. I went from being a survivor to a lifer because I live with cancer every day, and I'll live with it every day until the end, she said. Terry has gone through several treatments of radiation and chemotherapy over the years.During a recent visit to EMMC Cancer Care at the Lafayette Family Cancer Center in Brewer, she was comfortably dressed in jeans and a maroon blouse, and wore a hat on her head. Because the cancer spread to the bone marrow in her leg, she wore a knee brace to alleviate pain. What's remarkable about Terry is how she projects a positive attitude. A powerful storm that day was toppling trees and knocking down power lines outsideit wasn't enough to stop her from making the 30-minute ride to the treatment center from her home in Pittsfield or to diminish her optimism. Research today has given us treatments that are light years ahead of what we used to have, she said.Terry is hopeful because she is taking part in a clinical trial thanks to a collaborative partnership between Dana-Farber Cancer Institute in Boston and EMMC Cancer Care. She is taking an experimental drug under the coordinated care of her medical team in Brewer and the Dana-Farber specialists in Boston. The treatment I come for is administered by a syringe. I don't have to sit there for four hours waiting for this to be over and waiting for the side effects, she said.Eric Winer, MD, is chief clinical strategy officer at Dana-Farber and director of the Breast Oncology Center. He and other members of the Dana-Farber team visited EMMC Cancer Care last fall for a tour. Dana-Farber only partners with cancer centers that already deliver excellent care, Dr. Winer said. The goal of the collaborative for Dana-Farber is to extend its reach and bring clinical trials to people living in rural areas. When people participate in clinical trials, the hope is that they will do better than they might with standard care, but no matter what, they are contributing to the future of cancer care, he said.The staff at EMMC Cancer Care also benefits by being in the collaborative. They have more educational opportunities and access to medical specialists at Dana-Farber for rapid consultation on complex cases. Dana-Farber clinical care is provided in Boston and this collaborative brings their expertise to the heart of Maine, explained Thomas Openshaw, MD, medical director, Oncology Research at EMMC Cancer Care. The staff at EMMC and Dana-Farber have a firm resolve to help not only current patients, but also future patients to live better lives. Our whole goal is to try to cure whatever patients can be cured, and that's a large proportion of patients, and for the others to give them the best and the longest life that they can have, Dr. Winer said.That seems to be working for Terry White, who's already making travel plans to Myrtle Beach. It gives you a reason to go through what you're going through. We've got to learn from it for the future, she said, adding, I want to be healthy for my family, I want to participate in life with my family and my friends, and continue to enjoy life.CONNECTING WITH TECHNOLOGYCharles A. Dean Memorial Hospital (CA Dean) in Greenville sits along the scenic shores of Moosehead Lake, one of Maine's most treasured natural resources. It's a peaceful, idyllic spot that draws tourists from far and away who are eager to get away from the hustle and bustle of their daily grind. But beneath the hum of motorboats cruising along Moosehead Lake in the summer, or the snowmobiles skirting across its icy surface in winter; beneath the laughter of kids splashing in the water on a hot August day or pulling a trophy trout through the ice on a frigid February morning, there is a rural health problem that those visitors do not see. To be fair, it affects communities throughout Maine but has been more problematic in those towns and hamlets tucked far away from urban centers.There is very little rural mental health period, explains Joseph Babbitt, MD, an emergency room physician and hospitalist at CA Dean. Historically people in rural communities have had to travel hours to access psychiatric services. If they showed up at any rural hospital emergency room with a mental health crisis, they had to wait hours for an evaluation. You've got an emotionally unstable patient who is in a very disruptive emergency waiting room environment, waiting 18 hours to have a mental health professional come assess them. That doesn't help anyone, Dr. Babbitt said.But technology is bridging the gap and allowing those who live in rural communities to have the same access to psychiatric services as their urban counterparts. Telemedicine is a medium that connects a patient with a practitioner via a screen, explained Gavin Ducker, MD, chief medical officer at Inland Hospital in Waterville.Inland Hospital and |
| Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et | Mary M. Hood, board member/officer is board member of Maine Hospital Association and John Dalton, board member/officer is committee member of Maine Hospital Association Public Policy Committee. |
| Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents | Amended Article IV (Officers), Section 5 (President) - to remove President as the chief executive officer of the Corporation.Amended Article IV (Officers), Section 7 (Treasurer & Assistant Treasurer) - to change the title of Chief Financial Officer to VP of Finance.Amended Article V (Committees), Section 7 (Governance Committee) to change the title President/CEO to President.Amended Article V (Committees), Section 10 (Finance Committee) to change the title of Chief Financial Officer to Assistant Treasurer.Amended Article VIII (Fiduciary Duty; Prohibited Transactions; Divided Loyalty; Independence), Section 5 (Independent Trustees), Subsection (a) and Subsection (b) to change the reference to interim chief executive officer to President. |
| Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder | Inland Hospital (the "Corporation") is a Maine nonprofit corporation. Eastern Maine Healthcare Systems ("EMHS"), also a Maine nonprofit corporation, is the sole voting corporate member of the Corporation. |
| Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body | Each year at their annual meeting, the directors elect replacements for those directors whose terms are expiring Election of directors is subject to ratification by the EMHS Board of Directors. |
| Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders | The EMHS President has authority to appoint and remove the SVP, President of the Corporation. EMHS also has joint and superior authority to approve, disapprove or initiate action with respect to the following matters: I. amendments to the corporations Articles of Incorporation or Bylaws;II. changes in legal form of organization of the Corporation;III. election of the Directors/Trustees of the Corporation;IV. action concerning the Corporation's operating budget and capital expenditures;V. the Corporation's acquisition of assets or assumption of liabilities of an unaffiliated third party;VI. transfer of 5% or more of the assets of the Corporation;VII. financing transactions concerning the Corporation; VIII. merger, consolidation, sale, lease, mortgage, pledge or other disposition of all or substantially all assets of the Corporation; IX. add or revise a health care service of the Corporation;X. discontinue or close a health care service of the Corporation;XI. action concerning the Corporation's role in the EMHS Strategic Plan;XII. action concerning the Corporation's participation in key strategic affiliations with third parties not affiliated with EMHS; andXIII. dissolution of the Corporation. |
| Form 990, Part VI, Line 11b: Form 990 Review Process | Form 990 is reviewed by the VP of Finance of Inland Hospital. It is provided to each board member either electronically or in hard copy with an opportunity to ask questions prior to filing with the IRS. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | The organization requests updates of potential conflicts and relationships from the officers and Board members on an annual basis. The request requires disclosure of all business relationships, board memberships, and family relationships. A database is maintained that is compared to payroll records and the accounts payable vendor list to identify any potential conflicts of interest. Transactions are reviewed for reasonableness as an arm's length transaction. The first agenda item for board meetings and board committee meetings is for members to declare any conflict of interest with upcoming agenda items or deliberations. At any point when consideration is being given to purchase/contract with a party in interest, the member with the conflict is either excused from the discussion and consideration process or abstains from voting on the matter. All transactions identified with parties in interest are disclosed within the Form 990. All are deemed to be arm's length transactions. |
| Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management | The SVP, President of Inland Hospital(Inland) is employed by the system parent, Eastern Maine Healthcare Systems and reports directly to the EMHS President/CEO (President). The EMHS Executive Performance Management Committee (the Committee) is responsible to monitor and evaluate the performance of the EMHS President, to set compensation of the EMHS President, and to review recommendations of the EMHS President with respect to compensation of the SVP, President of the direct subsidiaries, and other direct reports to the President. The Committee is comprised entirely of independent Directors per EMHS bylaws. Process:The Committee meets regularly throughout the fiscal year at the discretion of the Committee chair as well as on call of the Chair of the EMHS board. In carrying out its duties pursuant to the Bylaws, the Committee:-Assures that the executive compensation program is administered in a manner consistent with the EMHS executive compensation philosophy.-Reviews and updates the EMHS executive compensation philosophy which serves as the foundation on which all current and future executive compensation decisions are made.-Assures that value of compensation provided by EMHS does not exceed the value of services provided by the executive.-Reviews annual incentive compensation criteria for eligible executives, as defined by the EMHS President.-Reviews periodic compensation survey information and provides expert input to proposed changes to the executive compensation program.-Assures that a formal and timely performance management system is in place for executives.-Reviews incentive compensation criteria scoring and associated pay schedules for officers and key employees.-Provides any public statements regarding executive compensation practices at EMHS deemed appropriate.-Maintains minutes of the meetings and communicates actions to the EMHS Board of Directors.To accomplish this, the committee uses an external consultant with access to comparative data from independent sources and include national as well as regional data points. The EMHS President reviews all direct report compensation actions with the committee. In addition, the EMHS President ensures that any subsidiary policies and practices governing executive compensation are consistent with the committee's philosophy and practices statement. |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | Compensation of other officers and key employees of the organization is established by the Human Resources department who utilize external market research to establish compensation ranges for specific positions. The compensation of officers and key employees are reviewed by the system President/CEO and Inland board of trustees.On an annual basis, the compensation ranges are compared to the updated survey information. The Human Resources department will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | Inland Hospital makes its governing documents, conflict of interest policy and financial statements available to the public upon request. |
| Other Changes In Net Assets Or Fund Balances - Other Increases | Change in interest in nets assets held @ EMHSF = $1657801 |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | Transfer to exempt parent-Eastern Maine Healthcare Systems = -$8980412 |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | Transfer to exempt subsidiary - EMHSF = -$1491112 |
| SCHEDULE H PART VI SUPPLEMENTAL INFORMATION | Continuation of Disclosure in accordance with Revenue Procedure 2015-21:Schedule H, Part V Facility Information, Section B Facility Policies and Practices8. PLS Eligibility Requirementsa. Requirement: The PLS must include certain information, including a brief description of the eligibility requirements and assistance offered under the FAP.b. Condition: Although patients from any state could be eligible to receive financial assistance under the FAP, the PLS indicated that financial assistance or free care was only available for medically necessary or emergency care services received by Maine residents. c. Corrective Action: The PLS was updated to indicate that non-Maine residents were eligible to receive financial assistance or free care for emergency care services. d. Date Corrected: After the revisions to the FAP were approved by EMHS Leadership in Fiscal Year 2017 and the EMHS Board of Directors at its October 4, 2017 meeting, the PLS was updated and was widely publicized in October 2017. 9. Translationsa. Requirement: To widely publicize its FAP, a hospital facility must accommodate all significant populations that have limited English proficiency (LEP) by translating its FAP, FAP application form and PLS into the primary language(s) spoken by such populations.b. Condition: While the FAP, FAP application and PLS were translated into the primary languages spoken by the populations served by Inland, the instructions to the FAP application and the title and one paragraph of the Provider List attached to the FAP (i.e., the list of providers covered by the hospital's FAP) were not translated into these languages.c. Corrective Action: The FAP application instructions and the applicable language on the Provider List were translated into the required languages.d. Date Corrected: After the revisions to the FAP were approved by EMHS Leadership in Fiscal Year 2017 and the EMHS Board of Directors at its October 4, 2017 meeting, the FAP application instructions and Provider List were updated and were widely publicized in October 2017. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (28 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Eastern Maine Healthcare Systems EMHS | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 010527066 | Supporting organization for healthcare affiliates | ME | 501(c)(3) | 12 Type II | N/A | Yes (true) | |
| Eastern Maine Medical Center EMMC | |||||||||||
| PO Box 404 489 State Street | Bangor | ME | 044020404 | 010211501 | Provide healthcare services | ME | 501(c)(3) | 3 | Yes (true) | EMHS | |
| Eastern Maine Healthcare Real Estate | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 010391036 | Leases real estate | ME | 501(c)(2) | Yes (true) | EMHS | ||
| Rosscare | |||||||||||
| 43 Whiting Hill Road Ste 400 | Brewer | ME | 04412 | 010391038 | Provide services to elderly | ME | 501(c)(3) | PF | Yes (true) | EMHS | |
| Rosscare Nursing Homes Inc | |||||||||||
| 43 Whiting Hill Road Ste 400 | Brewer | ME | 04412 | 010430751 | Operation of nursing homes | ME | 501(c)(3) | 10 | Yes (true) | Rosscare | |
| Acadia Hospital Corp AHC | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 010459837 | Provide healthcare services | ME | 501(c)(3) | 3 | Yes (true) | EMHS | |
| Eastern Maine Medical Center Auxiliary | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 010377901 | Fund raising for exempt Eastern Maine Medical Center | ME | 501(c)(3) | 10 | Yes (true) | EMMC | |
| Acadia Healthcare Inc AHI | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 223183888 | Provide healthcare services | ME | 501(c)(3) | 10 | Yes (true) | AHC | |
| EMHS Foundation | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 222514163 | Raise and manage funds for exempt organizations | ME | 501(c)(3) | 12 Type II | Yes (true) | EMHS | |
| Norumbega Medical Specialists LTD | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 010465231 | Provide patient care and education | ME | 501(c)(3) | 10 | Yes (true) | EMMC | |
| Lakewood | |||||||||||
| 220 Kennedy Memorial Drive | Waterville | ME | 04901 | 010421234 | Provide skilled and long-term nursing care | ME | 501(c)(3) | 3 | Yes (true) | Inland Hospital | |
| CA Dean Memorial Hospital | |||||||||||
| Pritham Avenue PO Box 1129 | Greenville | ME | 044411129 | 043341666 | Provide healthcare services | ME | 501(c)(3) | 3 | Yes (true) | EMHS | |
| Sebasticook Valley Health SVH | |||||||||||
| 447 North Main Street | Pittsfield | ME | 04967 | 010263628 | Critical care hospital | ME | 501(c)(3) | 3 | Yes (true) | EMHS | |
| The Aroostook Medical Center TAMC | |||||||||||
| PO Box 151 140 Academy Street | Presque Isle | ME | 047690151 | 010372148 | Provide healthcare services | ME | 501(c)(3) | 3 | Yes (true) | EMHS | |
| TAMC Title Corp | |||||||||||
| PO Box 151 140 Academy Street | Presque Isle | ME | 047690151 | 010389226 | Real estate holding company | ME | 501(c)(2) | Yes (true) | TAMC | ||
| Horizons Health Services | |||||||||||
| PO Box 151 140 Academy Street | Presque Isle | ME | 047690151 | 010504393 | Provide patient care | ME | 501(c)(3) | 3 | Yes (true) | TAMC | |
| Blue Hill Memorial Hospital | |||||||||||
| 57 Water Street | Blue Hill | ME | 046145231 | 010227195 | Provide healthcare services | ME | 501(c)(3) | 3 | Yes (true) | EMHS | |
| Meadow Wood LLC | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 272935243 | Provide patient care | ME | 501(c)(3) | 10 | Yes (true) | AHI | |
| Sebasticook Valley Family Practice Assoc | |||||||||||
| 447 North Main Street | Pittsfield | ME | 04967 | 010357854 | Provide patient care | ME | 501(c)(3) | 10 | Yes (true) | SVH | |
| Restoration Health LLC | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 352449986 | Provide mental & behavioral hlth srvs | ME | 501(c)(3) | 10 | Yes (true) | AHI | |
| Mercy Hospital | |||||||||||
| 144 State Street | Portland | ME | 04101 | 010211534 | Provide healthcare services | ME | 501(c)(3) | 3 | Yes (true) | EMHS | |
| Mercy Health System of Maine | |||||||||||
| 144 State Street | Portland | ME | 04101 | 010484074 | Supporting org for healthcare affiliates | ME | 501(c)(3) | 12 Type III Func Int | Yes (true) | EMHS | |
| VNA Home Health & Hospice | |||||||||||
| 50 Foden Road | South Portland | ME | 04106 | 010246804 | Provide home health and hospice services | ME | 501(c)(3) | 10 | Yes (true) | EMHS | |
| Work Health LLC | |||||||||||
| 43 Whiting Hill Rd | Brewer | ME | 04412 | 474315094 | Provide healthcare services | ME | 501(c)(3) | 12 Type II | Yes (true) | EMHS | |
| Maine Coast Healthcare Corporation | |||||||||||
| 50 Union Street | Ellsworth | ME | 04605 | 223176167 | Provide Dental Services | ME | 501(c)(3) | 12 Type II | Yes (true) | EMHS | |
| Maine Coast Regional Health Facilities | |||||||||||
| 50 Union Street | Ellsworth | ME | 04605 | 010198331 | Provide Healthcare Services | ME | 501(c)(3) | 3 | Yes (true) | EMHS | |
| Maine Coast Medical Realty | |||||||||||
| 50 Union Street | Ellsworth | ME | 04605 | 010390918 | Lease medical facilities | ME | 501(c)(3) | 12 Type I | Yes (true) | MCMH | |
| Lifestages Physician Services LLC | |||||||||||
| 50 Foden Road | South Portland | ME | 04106 | 821043752 | Provide home health and hospice services | ME | 501(c)(3) | 10 | Yes (true) | VNA | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| Beacon Health LLC | |||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 452967056 | Accountable care organization | ME | EMHS | false | false |
| Beacon Rural Health LLC | |||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 474483187 | Accountable Care Organization | ME | EMHS | false | false |
| Meridian Mobile Health LLC | |||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 010512673 | Ambulance | ME | AHS | false | false |
| M Drug LLC | |||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 272175482 | Pharmacy | ME | AHS | false | false |
| Alliance Health Documentation LLC | |||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 462751855 | Transcription | ME | AHS | false | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| Affiliated Healthcare Systems AHS | |||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 010385322 | Holding co. | ME | EMHS | C | Yes (true) |
| Affiliated Healthcare Management | |||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 010349339 | Hlthcr mgmt | ME | AHS | C | Yes (true) |
| Affiliated Laboratory Inc | |||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 010381283 | Clinicl lab | ME | AHS | C | Yes (true) |
| Affiliated Materiel Services | |||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 010381189 | Purchasing | ME | AHS | C | Yes (true) |
| Beacon Direct | |||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 371864965 | Healthcare Self-Funded TPA | ME | EMHS | C | Yes (true) |
| Maine Coast Physician Affiliates | |||||||||
| 50 Union Street | Ellsworth | ME | 04605 | 010479952 | Patient Care | ME | MCMH | C | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (19 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Eastern Maine Healthcare Systems EMHS | ||
| m | $5,009,182 | FMV |
| Eastern Maine Healthcare Systems EMHS | ||
| p | $6,618,642 | FMV |
| Eastern Maine Healthcare Systems EMHS | ||
| r | $9,359,263 | FMV |
| Eastern Maine Healthcare Systems EMHS | ||
| s | $378,851 | FMV |
| Eastern Maine Medical Center EMMC | ||
| m | $3,630,690 | FMV |
| Acadia Hospital Corp AHC | ||
| m | $106,602 | FMV |
| Acadia Healthcare Inc AHI | ||
| m | $88,564 | FMV |
| EMHS Foundation | ||
| m | $204,000 | FMV |
| EMHS Foundation | ||
| r | $1,491,112 | FMV |
| EMHS Foundation | ||
| s | $103,700 | FMV |
| Lakewood | ||
| a | $9,000 | FMV |
| Lakewood | ||
| l | $55,714 | FMV |
| Sebasticook Valley Health SVH | ||
| l | $121,828 | FMV |
| Beacon Health LLC | ||
| m | $281,862 | FMV |
| M Drug LLC | ||
| m | $63,104 | FMV |
| Alliance Health Documentation LLC | ||
| m | $154,557 | FMV |
| Affiliated Laboratory Inc | ||
| m | $664,661 | FMV |
| Affiliated Materiel Services | ||
| m | $59,192 | FMV |
| Affiliated Materiel Services | ||
| p | $1,149,466 | FMV |
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