YORK HOSPITAL: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
YORK HOSPITAL (EIN 01-0212444)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-07
IRS object ID
201713119349302726
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 ReturnHeader

FieldValueIRS element (for citing)
Return2017-11-07T15:16:46-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010494526PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Baker Newman & NoyesBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 507AddressLine1Txt
CityPortlandCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04112ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN010212444EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1York HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlYORKBusinessNameControlTxt
Phone2073634321PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line115 Hospital DriveAddressLine1Txt
CityYorkCityNm
State AbbreviationMEStateAbbreviationCd
ZIP03909ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRobin LaBontePersonNm
Person TitleCFOPersonTitleTxt
Phone2073634321PhoneNum
Signature2017-11-01SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNicholas E PortoPreparerPersonNm
PTINP01310283PTIN
Phone2078792100PhoneNum
Preparation2017-11-01PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address208.105.168.164IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-01IPDt
IP Tm09:32:29IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id2CC4C4610C7CE537855CCDE76D04A8640C960E3EAtSubmissionCreationDeviceId
At Submission Filing Device Id2CC4C4610C7CE537855CCDE76D04A8640C960E3EAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2018-03-14 21:41:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJud KnoxPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line115 Hospital DriveAddressLine1Txt
CityYorkCityNm
State AbbreviationMEStateAbbreviationCd
ZIP03909ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$186,444,173GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.yorkhospital.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1904FormationYr
Legal Domicile StateMELegalDomicileStateCd
Activity Or MissionCommunity HospitalActivityOrMissionDesc
Voting Members Governing Body33VotingMembersGoverningBodyCnt
Voting Members Independent24VotingMembersIndependentCnt
Total Employee1468TotalEmployeeCnt
Total Volunteers202TotalVolunteersCnt
Total Gross UBI$2,945,404TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$126,353NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,285,593PYContributionsGrantsAmt
CY Contributions Grants$737,994CYContributionsGrantsAmt
PY Program Service Revenue$170,199,481PYProgramServiceRevenueAmt
CY Program Service Revenue$173,552,221CYProgramServiceRevenueAmt
PY Investment Income$1,243,984PYInvestmentIncomeAmt
CY Investment Income$2,370,620CYInvestmentIncomeAmt
PY Other Revenue$121,617PYOtherRevenueAmt
CY Other Revenue$128,252CYOtherRevenueAmt
PY Total Revenue$174,850,675PYTotalRevenueAmt
CY Total Revenue$176,789,087CYTotalRevenueAmt
PY Grants And Similar Paid$121,804PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$196,513CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$93,023,401PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$96,015,394CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$157,223CYTotalFundraisingExpenseAmt
PY Other Expenses$78,900,423PYOtherExpensesAmt
CY Other Expenses$80,668,236CYOtherExpensesAmt
PY Total Expenses$172,045,628PYTotalExpensesAmt
CY Total Expenses$176,880,143CYTotalExpensesAmt
PY Revenues Less Expenses$2,805,047PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$91,056CYRevenuesLessExpensesAmt
Total Assets BOY$120,234,895TotalAssetsBOYAmt
Total Assets EOY$140,133,572TotalAssetsEOYAmt
Total Liabilities BOY$38,477,542TotalLiabilitiesBOYAmt
Total Liabilities EOY$59,100,282TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$81,757,353NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$81,033,290NetAssetsOrFundBalancesEOYAmt
MissionCommunity HospitalMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$167,378,690ExpenseAmt
Grant$196,513GrantAmt
Revenue$170,703,414RevenueAmt
DescYork Hospital is a not-for-profit health care center established to provide health care services to the York county area. It offers both inpatient and outpatient acute services and has 79 licensed acute beds. The Hospital has outpatient satellite services in Wells, Kittery, Berwick, North Berwick, and South Berwick.York Hospital is committed to providing exceptional care to patients and their families. All efforts must be thoughtful, kind, and loving. York Hospital is dedicated to creating and nurturing a fabric of compassionate relationships among physicians, caregivers, patients, and families to offer sensitive, understandable, high-quality medical care experiences.Desc
Total Program Service Expenses$167,378,690TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document73IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1468EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members33GoverningBodyVotingMembersCnt
Independent Voting Member24IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Robin LaBonte CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2073634321PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line115 Hospital DriveAddressLine1Txt
CityYorkCityNm
State AbbreviationMEStateAbbreviationCd
ZIP03909ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (39 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Todd Adams
Trustee (part year)/Physician40.00Yes (X)$239,741$0$0
Douglas Bracy
Trustee1.00Yes (X)$0$0$0
Meghan Brandt RN
Trustee/RN36.00Yes (X)$69,629$0$12,404
Wendy Cote
Trustee1.00Yes (X)$0$0$0
Jennifer Cutts MD
Trustee1.00Yes (X)$105,064$0$675
Ken Fellows MD
Trustee1.00Yes (X)$0$0$0
Robert Foley
Trustee1.00Yes (X)$0$0$0
Mark Foster
Trustee1.00Yes (X)$0$0$0
James Gilroy MD FACP
Trustee/Physician40.00Yes (X)$242,388$0$17,898
Joan Goodrich
Trustee1.00Yes (X)$0$0$0
Connie Hanley PhD
Trustee1.00Yes (X)$0$0$0
Madeline Hayes
Trustee1.00Yes (X)$0$0$0
Ann Lee Hussey
Trustee1.00Yes (X)$0$0$0
John Houlihan
Trustee1.00Yes (X)$0$0$0
Connie James
Trustee1.00Yes (X)$0$0$0
Chris Kehl
Trustee1.00Yes (X)$0$0$0
Jeffrey Lockhart MD
Trustee/Anesthesiologist40.00Yes (X)$531,964$0$38,814
Daniel Morrison
Trustee1.00Yes (X)$0$0$0
Michael O'Keefe
Trustee1.00Yes (X)$0$0$0
Kelly Parker-Mello MD
Trustee/Pediatrician40.00Yes (X)$179,708$0$4,926
Deborah Pease
Trustee1.00Yes (X)$0$0$0
Lawrence Petrovich MD
Trustee/Cardiologist40.00Yes (X)$468,319$0$42,226
Suzi Raeside
Trustee1.00Yes (X)$0$0$0
Brett Rankin MD
Trustee1.00Yes (X)$0$0$0
Gary Samia
Trustee1.00Yes (X)$0$0$0
Frederick Thaler MD
Trustee/Physician40.00Yes (X)$146,724$0$15,823
Donato Tramuto
Trustee1.00Yes (X)$0$0$0
Henry F Warner Jr
Trustee1.00Yes (X)$0$0$0
Lorraine Boston
Trustee/Chair1.00Yes (X)$0$0$0Yes (X)
Ala Reid
Trustee/Vice Chair1.00Yes (X)$0$0$0Yes (X)
Christopher Crane
Trustee/Treasurer1.00Yes (X)$0$0$0Yes (X)
Jud Knox
Trustee/President/Leader40.00Yes (X)$399,769$0$159,671Yes (X)
Robin LaBonte
CFO/Leader40.00$259,476$0$39,365Yes (X)
Stephen Pelletier
COO/Leader40.00$160,553$0$15,486Yes (X)
Jonathan Bridges MD FACC
Cardiologist40.00$490,685$0$19,939Yes (X)
Peter Dourdoufis MD
Cardiologist40.00$724,296$0$34,841Yes (X)
Jeffrey Colnes MD
Cardiologist40.00$669,016$0$35,853Yes (X)
David Cunningham MD
Cardiologist40.00$489,230$0$40,839Yes (X)
John Fani Srour MD
Cardiologist40.00$532,744$0$36,734Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,709,306TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$515,494TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K151IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Southcoast Radiology
18 Northwood DriveKennebunkportME04046Contract Radiologist Services$1,650,000
Medifis
PO Box 5068New YorkNY10087Locum Tenums Services$940,414
Hutter Construction Corp
810 Turnpike Road PO Box 257IpswichNH03071Construction$860,046
Quest Diagnostic
12436 Collection Center DriveChicagoIL60693Contract Laboratory Services$740,484
Seacoast Pathology Inc
PO Box 100519AtlantaGA30384Contract Pathology Services$652,547
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K18CntrctRcvdGreaterThan100KCnt
Federated Campaigns$10,000FederatedCampaignsAmt
Fundraising$27,333FundraisingAmt
Government Grants$79,501GovernmentGrantsAmt
All Other Contributions$621,160AllOtherContributionsAmt
Noncash Contributions$20,806NoncashContributionsAmt
Total Contributions$737,994TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Patient Services621400$134,577,298$134,577,298
Lab621500$30,230,875$30,081,268$149,607
Pharmacy446110$6,320,095$3,524,298$2,795,797
Miscellaneous Program Services621400$1,522,445$1,522,445
Cafeteria722210$704,326$704,326

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$197,182TotalRevenueColumnAmt
Related Or Exempt Func Income$197,182RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$173,552,221TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$393,693TotalRevenueColumnAmt
Exclusion$393,693ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$96,597RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$96,597RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$96,597TotalRevenueColumnAmt
Related Or Exempt Func Income$96,597RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$11,509,536SecuritiesAmt
Other$75,085OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$9,607,694SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,901,842SecuritiesAmt
Other$75,085OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,976,927TotalRevenueColumnAmt
Exclusion$1,976,927ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$68,978FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$27,333ContriRptFundraisingEventAmt
Fundraising Direct Expenses$47,316FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,662TotalRevenueColumnAmt
Exclusion$21,662ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$10,069GamingGrossIncomeAmt
Gaming Direct Expenses$76GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,993TotalRevenueColumnAmt
Exclusion$9,993ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$176,789,087TotalRevenueColumnAmt
Related Or Exempt Func Income$170,703,414RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,945,404UnrelatedBusinessRevenueAmt
Exclusion$2,402,275ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$196,513TotalAmt
Program Services$196,513ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,150,623TotalAmt
Program Services$2,978,967ProgramServicesAmt
Management And General$171,656ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$74,194,244TotalAmt
Program Services$71,030,597ProgramServicesAmt
Management And General$3,102,049ManagementAndGeneralAmt
Fundraising$61,598FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,769,205TotalAmt
Program Services$1,713,829ProgramServicesAmt
Management And General$53,825ManagementAndGeneralAmt
Fundraising$1,551FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$11,986,394TotalAmt
Program Services$11,477,973ProgramServicesAmt
Management And General$498,690ManagementAndGeneralAmt
Fundraising$9,731FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,914,928TotalAmt
Program Services$4,704,569ProgramServicesAmt
Management And General$206,427ManagementAndGeneralAmt
Fundraising$3,932FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$275,855TotalAmt
Management And General$275,855ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$144,931TotalAmt
Program Services$57,972ProgramServicesAmt
Management And General$86,959ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$80,905TotalAmt
Management And General$80,905ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$13,983,360TotalAmt
Program Services$11,885,856ProgramServicesAmt
Management And General$2,097,504ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$684,718TotalAmt
Program Services$650,482ProgramServicesAmt
Management And General$27,389ManagementAndGeneralAmt
Fundraising$6,847FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,019,629TotalAmt
Program Services$6,668,648ProgramServicesAmt
Management And General$280,785ManagementAndGeneralAmt
Fundraising$70,196FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,920TotalAmt
Program Services$1,728ProgramServicesAmt
Management And General$192ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,898,840TotalAmt
Program Services$5,014,014ProgramServicesAmt
Management And General$884,826ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$250,530TotalAmt
Program Services$238,004ProgramServicesAmt
Management And General$10,021ManagementAndGeneralAmt
Fundraising$2,505FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$109,815TotalAmt
Program Services$93,343ProgramServicesAmt
Management And General$16,472ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$696,182TotalAmt
Program Services$591,755ProgramServicesAmt
Management And General$104,427ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,439,824TotalAmt
Program Services$3,773,850ProgramServicesAmt
Management And General$665,974ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,417,713TotalAmt
Program Services$640,891ProgramServicesAmt
Management And General$776,822ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Medical Supplies/Fees$22,095,981$22,095,981
Provision for bad debt$10,462,890$10,462,890
Pharmacy Supplies$9,489,018$9,489,018
Healthcare provider tax$3,529,834$3,529,834

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$86,291TotalAmt
Program Services$81,976ProgramServicesAmt
Management And General$3,452ManagementAndGeneralAmt
Fundraising$863FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$176,880,143TotalAmt
Program Services$167,378,690ProgramServicesAmt
Management And General$9,344,230ManagementAndGeneralAmt
Fundraising$157,223FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$826,302BOYAmt
EOY$4,194,157EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,773,099BOYAmt
EOY$3,713,847EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$485,305BOYAmt
EOY$292,963EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$22,268,214BOYAmt
EOY$21,866,724EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,622,457BOYAmt
EOY$3,700,051EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$986,468BOYAmt
EOY$987,807EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$126,900,057LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$76,737,093LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$46,118,192BOYAmt
EOY$50,162,964EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$33,780,245BOYAmt
EOY$36,331,255EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$7,106,892BOYAmt
EOY$7,449,886EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$267,721BOYAmt
EOY$11,433,918EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$120,234,895BOYAmt
EOY$140,133,572EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$11,859,236BOYAmt
EOY$13,026,661EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,893,747BOYAmt
EOY$9,857,245EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$5,079,157BOYAmt
EOY$7,594,263EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,645,402BOYAmt
EOY$28,622,113EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$38,477,542BOYAmt
EOY$59,100,282EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$70,361,418BOYAmt
EOY$69,329,947EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,193,544BOYAmt
EOY$8,354,947EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,202,391BOYAmt
EOY$3,348,396EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$81,757,353BOYAmt
EOY$81,033,290EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$120,234,895BOYAmt
EOY$140,133,572EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$91,056ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$262,930NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$895,937OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$12,326GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$12,326TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationMaine Hospital Association dues totaled $52,789, of which $9,502 was available for lobbying. American Hospital Association dues totaled $15,690, of which $2,824 was available for lobbying.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$11,395,935BeginningYearBalanceAmt
Contributions$269,308ContributionsAmt
Investment Earnings Or Losses$762,506InvestmentEarningsOrLossesAmt
Other Expenditures$724,406OtherExpendituresAmt
End Year Balance$11,703,343EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$11,333,784BeginningYearBalanceAmt
Contributions$1,030,609ContributionsAmt
Investment Earnings Or Losses-$113,275InvestmentEarningsOrLossesAmt
Other Expenditures$855,183OtherExpendituresAmt
End Year Balance$11,395,935EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,896,475BeginningYearBalanceAmt
Contributions$601,780ContributionsAmt
Investment Earnings Or Losses$170,465InvestmentEarningsOrLossesAmt
Other Expenditures$334,936OtherExpendituresAmt
End Year Balance$11,333,784EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,387,385BeginningYearBalanceAmt
Contributions$326,240ContributionsAmt
Investment Earnings Or Losses$1,607,261InvestmentEarningsOrLossesAmt
Other Expenditures$424,411OtherExpendituresAmt
End Year Balance$10,896,475EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,569,801BeginningYearBalanceAmt
Contributions$669,672ContributionsAmt
Investment Earnings Or Losses$1,078,525InvestmentEarningsOrLossesAmt
Other Expenditures$930,613OtherExpendituresAmt
End Year Balance$9,387,385EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.28610PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.71390TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,904,522OtherCostOrOtherBasisAmt
Book Value$3,904,522BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$62,685,661OtherCostOrOtherBasisAmt
Depreciation$32,405,328DepreciationAmt
Book Value$30,280,333BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,172,988OtherCostOrOtherBasisAmt
Depreciation$2,428,203DepreciationAmt
Book Value$744,785BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$49,757,070OtherCostOrOtherBasisAmt
Depreciation$41,903,562DepreciationAmt
Book Value$7,853,508BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,379,816OtherCostOrOtherBasisAmt
Book Value$7,379,816BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$50,162,964TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Other Investments$405,951F
Alternative Investments$7,043,935F
FieldValueIRS element (for citing)
Total Book Value Securities$7,449,886TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
Medical Malpractice Insurance Recoveries Receivable$10,921,908
Other Receivables$512,010
FieldValueIRS element (for citing)
Total Book Value Other Assets$11,433,918TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Assets Held on Behalf of 3rd Party$1,017,125
Pension Obligation$10,442,828
Estimated 3rd-Party Payor Settlements$5,664,735
Estimated Professional Liability Losses$11,497,425
FieldValueIRS element (for citing)
Total Liability$28,622,113TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$176,122,567TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$262,930NetUnrealizedGainsInvstAmt
Other Revenue$47,392OtherRevenueAmt
Revenue Not Reported$310,322RevenueNotReportedAmt
Revenue Subtotal$175,812,245RevenueSubtotalAmt
Investment Expenses Not Incld$80,905InvestmentExpensesNotIncldAmt
Other Revenues Not Included$895,937OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$976,842RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$176,789,087TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$176,846,630TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$47,392OtherExpensesIncludedAmt
Expenses Not Reported$47,392ExpensesNotReportedAmt
Expenses Subtotal$176,799,238ExpensesSubtotalAmt
Investment Expenses Not Incld2$80,905InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$80,905ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$176,880,143TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:Temporarily Restricted Funds Biewend (12/82)- Principal and income restricted for purchase of new equipment (at Board discretion which must be approved by a family member) and the acquisition of land and buildings other than an addition to the present hospital buildings. Page (1945) - To be used for support and maintenance of district visiting nurses. Palmer/Perkins Nursing Scholarship - See Perm Restricted for description. Baldwin Fund for Nursing Excellence - Financial support for nurses who need to be re-certified and current in their helath care skills, including advanced training or change of focus. Scolarships for support staff, who are interested in entering the field of nursing. Financial assistance to help defray the costs of ongoing orientation, classroom instruction and clinical training of new York Hospital nurses. To help defray the costs associated with the York Hospital's summer intern program for young nursing students who are currently enrolled in a nursing school. Winkler Fund-Funds to be used for Nursing Education. Rose Voignier Education Fund-Funds to be used for staff education. Breast Cancer Living Well Fund-Funds to be used for breast cancer patients. Cancer Living Well Fund-Funds to be used for cancer patients. Permanently Restricted Funds Elizabeth B. Perkins - Principal to remain in perpetuity, the income for the care of patients who are unable to pay for proper treatment. Gerrity - 80% of income is unrestricted. 20% is to be reinvested as Principle Cowey - Income and gains to be used for pediatrics (corpus only to be kept in tact). Forristall - To be used for SNF (corpus only to be kept in tact). Mason - To be used for free work provided to patients who cannot afford to pay (corpus only to be kept in tact). Brewster - Income and gains to be used for any form of diabetes research and care (corpus only to be kept in tact). Palmer/Perkins Endowment - Principal to be kept in tact and the income to be used for nursing education for the staff. Sidelinger - (6/88) Principal to be kept in tact and the income to be used for general purposes of the support, upkeep and maintenance of the hospital as determined by the Board. Oncology Fund-Income to be used for support programs for patients, their families and caregivers.
Part X, Line 2:The Hospital is a not-for-profit corporation and is tax-exempt under Section 501(c)(3) of the Internal Revenue Code. Tax-exempt organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the Financial Accounting Standards Board, assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. The Hospital has evaluated the position taken on its filed tax returns. The Hospital has concluded no uncertain income tax positions exist at December 31, 2016. The Hospital's tax years from 2013 through 2016 are open and subject to examination.
Part XI, Line 2d - Other Adjustments:Special events expenses 47,392.
Part XI, Line 4b - Other Adjustments:Adjustment to Long-Term Pension Obligations 895,937.
Part XII, Line 2d - Other Adjustments:Special events expenses 47,392.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Hancock Gala 2016Event1Nm
Gross Receipts Event1$30,175GrossReceiptsEvent1Amt
Charitable Contri Event1$12,545CharitableContriEvent1Amt
Gross Revenue Event1$17,630GrossRevenueEvent1Amt
Cash Prizes Event1$0CashPrizesEvent1Amt
Non Cash Prizes Event1$2,066NonCashPrizesEvent1Amt
Rent Facility Costs Event1$957RentFacilityCostsEvent1Amt
Food And Beverage Event1$11,407FoodAndBeverageEvent1Amt
Entertainment Event1$1,400EntertainmentEvent1Amt
Other Direct Expenses Event1$3,309OtherDirectExpensesEvent1Amt
Event2Road Race EventEvent2Nm
Gross Receipts Event2$20,205GrossReceiptsEvent2Amt
Charitable Contri Event2$11,350CharitableContriEvent2Amt
Gross Revenue Event2$8,855GrossRevenueEvent2Amt
Cash Prizes Event2$2,000CashPrizesEvent2Amt
Non Cash Prizes Event2$1,711NonCashPrizesEvent2Amt
Rent Facility Costs Event2$1,178RentFacilityCostsEvent2Amt
Food And Beverage Event2$716FoodAndBeverageEvent2Amt
Entertainment Event2$955EntertainmentEvent2Amt
Other Direct Expenses Event2$4,586OtherDirectExpensesEvent2Amt
Other Events Total4OtherEventsTotalCnt
Gross Receipts Other Events$45,931GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$3,438CharitableContriOtherEventsAmt
Gross Revenue Other Events$42,493GrossRevenueOtherEventsAmt
Cash Prizes Other Events$2,860CashPrizesOtherEventsAmt
Non Cash Prizes Other Events$213NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$0RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$906FoodAndBeverageOtherEventsAmt
Entertainment Other Events$2,164EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$10,888OthDirectExpnssOtherEventsAmt
Gross Receipts Total$96,311GrossReceiptsTotalAmt
Charitable Contributions Tot$27,333CharitableContributionsTotAmt
Gross Revenue Total Events$68,978GrossRevenueTotalEventsAmt
Cash Prizes Total Events$4,860CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$3,990NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$2,135RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$13,029FoodAndBeverageTotalEventsAmt
Entertainment Total Events$4,519EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$18,783OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$47,316DirectExpenseSummaryEventsAmt
Net Income Summary$21,662NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted Care0FPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served999PersonsServedCnt
Total Community Benefit Expns$2,776,231TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,776,231NetCommunityBenefitExpnsAmt
Total Expense0.01670TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served5069PersonsServedCnt
Total Community Benefit Expns$11,956,140TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,825,102DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,131,038NetCommunityBenefitExpnsAmt
Total Expense0.01280TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served6068PersonsServedCnt
Total Community Benefit Expns$14,732,371TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,825,102DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,907,269NetCommunityBenefitExpnsAmt
Total Expense0.02950TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$350,083TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,883DirectOffsettingRevenueAmt
Net Community Benefit Expns$333,200NetCommunityBenefitExpnsAmt
Total Expense0.00200TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$54,277,907TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,896,915DirectOffsettingRevenueAmt
Net Community Benefit Expns$30,380,992NetCommunityBenefitExpnsAmt
Total Expense0.18260TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$54,627,990TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,913,798DirectOffsettingRevenueAmt
Net Community Benefit Expns$30,714,192NetCommunityBenefitExpnsAmt
Total Expense0.18460TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served6068PersonsServedCnt
Total Community Benefit Expns$69,360,361TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$33,738,900DirectOffsettingRevenueAmt
Net Community Benefit Expns$35,621,461NetCommunityBenefitExpnsAmt
Total Expense0.21410TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$4,591,372BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$28,819,544ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$38,581,154CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$9,761,610MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1York HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line115 Hospital DriveAddressLine1Txt
CityYorkCityNm
State AbbreviationMEStateAbbreviationCd
ZIP03909ZIPCd
FieldValueIRS element (for citing)
State License38066StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1York HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
OtherYes (X)OtherInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLPlease see Part VOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLPlease see Part VOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLPlease see Part VStrategyWebsiteURLTxt
Strategy AttachedYes (1)StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLPlease see Part VFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLPlease see Part VFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLPlease see Part VFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
York HospitalPart V, Section B, Line 3j: A shared vision of a healthy Southern York County; socio-economic characteristics by town, and a community themes and strengths assessment.
York HospitalPart V, Section B, Line 5: Between October and December 2015, York Hospital undertook a community health needs assessment (CHNA) to identify the health needs of those living in the Hospital's entire service area. The assessment updated the one completed in June 2013. The Hospital partnered with the Choose to be Healthy Coalition (CTBH), a comprehensive community health coalition. CTBH has a membership purposefully comprised of those representing diverse community sectors such as education, law enforcement, behavioral health care, social service agencies, municipalities, and business. The advisory board provided guidance within its regular monthly meeting. Members included representation from:Faith CommunityHigh School Nurse (York)Parent (York) with degree in Community HealthMiddle & High School Parent (SAD 60)Behavioral Health CounselorHigh School Nurse (Wells) & ParentOut-patient Clinical Care representativeYork Hospital Community Health Patient-Centered Medical Home DevelopmentPhD in Public HealthDirector of York Community Action Services & Town of York General Assistance ProgramYork Hospital RepresentativeEliot community member
York HospitalPart V, Section B, Line 6b: York Hospital's CHNA was conducted with Choose To Be Healthy (CTBH), a community health coalition with a membership purposefully comprised of those representing diverse community sectors, such as education, health care, business, municipalities, law enforcement, etc.
York HospitalPart V, Section B, Line 11: Please see the attached Community Health Needs Assessment Action Plan for details on how York Hospital is addressing the significant needs identified in its most recently conducted CHNA.
York HospitalPart V, Section B, Line 13b: In addition to providing free care to patients with household income at or below 200% of the FPG, during 2016 York Hospital also offered a 25% discount to self-pay patients and a HELP Financial Assistance Program offered to patients that had no insurance or were underinsured. Reduction of their hospital bills was based on household income and the amount owed.
York HospitalPart V, Section B, Line 16j: The patients' billing statement lists the phone number and website address to use for more information regarding the Financial Assistance Program.
Schedule H, Part V-B, Line 7aYork Hospital's Community Health Needs Assessment can be found on its website at:http://www.yorkhospital.com/uploads/York_Hospital_CHNA_Report_2015.pdf
Schedule H, Part V-B, Line 7b:Other websites where York Hospital's Community Health Needs Assessment can be found:http://ctbh.org/public-health-in-york-county-and-maine/
Schedule H, Part V-B, Line 16a:York Hospital's Financial Assistance Policy is available on their website at: http://www.yorkhospital.com/uploads/FAP%20Final%202017.pdf
Schedule H, Part V-B, Line 16b:York Hospital's FAP Application is available on their website at: http://www.yorkhospital.com/uploads/FAP%20Application%202017%20NEW.pdf
Schedule H, Part V-B, Line 16c:York Hospital's FAP Plain Language Summary is available on their website at: http://www.yorkhospital.com/patients-and-families/billing-and-insurance/need-help-paying-your-bill.aspx
Schedule H, Part V-B, Line 10:The Hospital's Implementation Plan is included on pages 34-37 of the 2015 CHNA, available here: http://www.yorkhospital.com/uploads/York_Hospital_CHNA_Report_2015.pdfSchedule H, Part V-B, Line 10b has been answered yes, even though the Hospital's most recently enacted Implementation Plan is posted on its website. To provide information to answer Schedule H, Part V-B, Line 11 the Hospital has attached its CHNA and Implementation Plan to this return. In order to qualify for electronic filing in this scenario, Line 10b has also been answered yes.
Schedule H, Part V-B, Line 16i:501(r) Regulations require that hospitals translate their financial assistance policy (FAP) into primary languages spoken by limited English proficient (LEP) populations in their hospital service area. Should a LEP population demographic exceed 5% of the community residents or 1,000 individuals, whichever is less, a hospital must make available translated copies of its FAP. According to the most recent Census information, no single LEP population in York County is large enough to reach the 501(r) thresholds. Therefore, Schedule H, Part V, Section B, Line 16i is not applicable to York Hospital and has been left blank.
Schedule H, Part V-B, Line 22:Individuals who qualify under the Hospital's financial assistance policy receive a 100% write off of charges. Accordingly, no box has been checked to indicate how the Hospital determines the maximum amount that may be charged to FAP-eligible patients.
FieldValueIRS element (for citing)
Facility9FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - Wells Medical Services
112-114 Sanford RoadWellsME04090General Medical & Surgical
2 - Kittery Medical Services
35 Walker StreetKitteryME03904General Medical & Surgical
3 - South Berwick Medical Services
57 Portland StreetSouth BerwickME03908General Medical & Surgical
4 - York Hospital at Long Sands
127 Long Sands RoadYorkME03909General Medical & Surgical
5 - York Outpatient Physical Therapy
16 Long Sands RoadYorkME03909General Medical & Surgical
6 - Berwick Medical Services
4 Dana DriveBerwickME03901General Medical & Surgical
7 - Kittery Medical Services
75 US Route 1KitteryME03904General Medical & Surgical
8 - York Hospital Medical Services-Rte 1
343 US Route 1YorkME03901general Medical & Surgical
9 - North Berwick Medical Services
23 Wells StreetNorth BerwickME03906General Medical & Surgical

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c:In addition to its financial assistance program, during 2016 York Hospital offered a 25% discount to self-pay patients and a HELP Financial Assistance Program offered to patients that had no insurance or were underinsured. Reduction of their hospital bills was based on household income and the amount owed.
Part I, Line 7:York Hospital has several hospital clinical services and hospital-owned physician practices. Per instructions for IRS Form 990, Schedule H, Worksheet 6, organizations may include any applicable physician practice that the Hospital subsidizes (i.e., operates at a loss) in the completing of Schedule H. Therefore, the Hospital has included the following hospital clinical services and hospital-owned physician practices that operate at a loss (i.e., are subsidized by the Hospital) and the associated costs of these practices:a. Diabetes Education (combined with Endocrinology in July 2016)b. Berwick Walk-In Clinicc. Kittery Family Practice d. Emergency Room (the Hospital has ER facilities located at the main hospital campus and also in Wells)e. Home Health Agencyf. Chemical Dependency Clinic g. OB/GYN Practice h. Wells Walk-Ini. Rheumatology Practicej. Neurology Practicek. Psychiatry Practicel. Urology Practicem. Physical Therapy Practicen. Pulmonary Practiceo. Great Works Family Practicep. Wells Primary Careq. York Family Practicer. Webhannet Internal Medicine Practices. Pediatric Practicet. York Walk-Inu. Surgical Associatesv. North Berwick Family Practicew. Cardiology Practicex. Kittery Walk-InThe above-listed hospital clinical services and hospital-owned physician practices have a community benefit (i.e. aggregate loss or subsidy from the Hospital) of approximately $30.38 million. In addition, the community benefit does not take into account bad debts, charity care, or contractual adjustments. Thus, this community benefit of approximately $30.38 million is a conservative figure that reconciles to the community benefit reported on IRS Form 990, Schedule H, Part I, Line 7g, Column e.Form 990, Schedule H instructions/guidance contains a template (Worksheet 2) that may be used to determine the overall cost to charge ratio that could be applied throughout Schedule H in order to convert charges to cost. Where applicable, the Hospital has utilized Worksheet 2 for various calculations. The only areas where Worksheet 2 was not utilized for Part 1, Line 7 were the following:a. Schedule H Worksheet 6, Subsidized Health Services (the supporting worksheet for Part I, Line 7g), the Hospital did not utilize Worksheet 2 when calculating the percentage used when determining the profit/loss of each hospital clinical service and hospital-owned physician practice. Instead, when compiling the subsidized hospital clinical services and hospital-owned physician practices listed in 1c above, the Hospital utilized the actual estimated costs on the modified Medicare cost report instead of applying the Worksheet 2 cost to charge percentage. b. Schedule H Worksheet 3, Unreimbursed Medicaid and Other Means Tested Government Programs (the supporting schedule for Part I, Lines 7b and 7c), and Worksheet 6, Medicaid Allowable Costs for Subsidized Health Services, listed in line 1c above (which is part of the line 7g costs). The Hospital did not utilize the Worksheet 2 percentage when calculating the Medicaid allowable cost. Instead, the Hospital utilized the actual Medicaid filed cost report for the allowable costs.
Part I, Line 7, Column (f):The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 10,462,890.
Part II, Community Building Activities:Not Applicable
Part III, Line 2:The Hospital utilized Worksheet 2 from the IRS Schedule H instructions/guidance to determine the ratio of patient care cost to charge (43.88% for fiscal year 2016) and multiplied this ratio by the Hospital's total bad debt expense of $10,462,890 to determine the Part II, Line 2 bad debt expense of $4,591,372.
Part III, Line 3:Patients who qualify for financial assistance have 100% of their liability written off, so no portion of it is included in the Hospital's bad debt expense.
Part III, Line 4:See Footnote 2 on page 9 of the attached audited financial statements.
Part III, Line 8:Form 990, Schedule H instructions/guidance contains a template (Worksheet 2) that may be used to determine the overall cost to charge ratio that could be applied throughout Schedule H in order to convert charges to cost. Where applicable, the Hospital has utilized Worksheet 2 for various calculations. The only areas where Worksheet 2 was not utilized for Part III, Line 8 was Schedule H, Worksheet B, Line 2 & 6, Medicare Allowable Costs and Payments Related to Subsidized Health Services. The Hospital utilized the Medicare cost report estimated cost and payment for these services. The Hospital believes that its hospital clinical services, hospital-owned physician practices, emergency room, and home health agency listed above should be considered a community benefit, as community members benefit by having easy access to these services, facilities, and programs which are both offered and subsidized. These facilities and programs are offered and thus subsidized through the Hospital.
Part III, Line 9b:Accounts with self-pay balances that show no evidence of patient payments or eligibility for financial assistance that have completed a patient dunning cycle (120 days approximately) may be transferred to a collection agency. Any patient account that has applied for any of York Hospital's financial assistance programs and supplied all required documentation will be held in a pending status until a determination is made.
Part VI, Line 2:York Hospital has focused on three goals identified in its Community Health Needs Assessment: lowering the % of overweight and obese community members in the service area by the end of 2018, decrease the number of opiate poisoning (ED Visits) per 100,000 population by 25% by December 2019, and reduce the number of York Hospital Primary Care Practice patients who are current smokers by 5% by December 2019.Obesity Goal:- Continue to offer a healthy weight management program at least 5 times per year (ongoing January 2016-December 2017). - Develop an evaluation plan that tracks participants at 6 months, one year after participation (January 2017).- Support the expansion of the Eastern Trail through towns of Wells, North Berwick, South Berwick, Eliot, and Kittery (ongoing January 2016-December 2018). - Sponsor a series of six "Walk with the Doc" community walks with York Hospital Family Practice physicians, on local land trust properties (June and September 2016, 2017, 2018). Opiate Poisoning Goal- Expand outpatient addiction treatment services to include Medication Assisted Treatment including buprenorphine and naltrexone (December 2016).- Expand obstetrical services to include Medication Assisted Treatment (buprenorphine) for pregnant women who abuse opiates (June 2017).- Enact a responsible opioid prescribing policy throughout the York Hospital system including physician practices, emergency department, and impatient care (June 2016).- Continue to implement Student Intervention and Reintegration (SIRP) in partnership with area high schools and Sweetser, Inc. at least quarterly (December 2016, 2017, 2018).- Partner with Choose to Be Healthy Coalition to support youth substance abuse prevention activities. This will include in-kind support for the Drug Free Communities grant such as rent, bookkeeping, and HR department support, etc. (ongoing).Tobacco Usage Goal:- Work with the Center for Tobacco Independence to allow for electronic referrals of patients who smoke directly to CTI from our EMRs (June 2016).- Implement EMR changes to help support the use of brief interventions and referrals for tobacco users (December 2016).- Promote resources on Choose To Be Healthy Coalition and hospital websites (continuous).- Promote tobacco addiction treatment resources on Choose To Be Healthy Coalition and hospital websites (continuous).- Make Tobacco Helpline materials available in all York Hospital physician offices (continuous).
Part VI, Line 3:The patients' billing statement lists the phone number and website address to use for more information regarding the Financial Assistance Program. The York Hospital financial assistance guidelines are posted at patient registration areas. Additionally, information regarding financial assistance is available on the Hospital's website.
Part VI, Line 4:York Hospital's primary service area includes the following communities in Southern York County Maine: Berwick, Eliot, Kittery, North Berwick, Ogunquit, South Berwick, Wells, and York. The Hospital's secondary service area includes: Kennebunk, Sanford and Lebanon, Maine, and Portsmouth, Dover, Rollinsford, and Somersworth, New Hampshire. Approximately 6% of York Hospital patients utilize Medicaid and approximately 50% of York Hospital patients utilize Medicare. According to the United States Census Bureau, in 2016, 8.3% of York County Residents lived in poverty (http://www.census.gov/).
Part VI, Line 5:The board of trustees is made up of members from all communities served by York Hospital. All medical staff are eligible to participate if they meet privileging criteria. All hospital profits are reinvested in the facilities, equipment and services for the communities.
Part VI, Line 6:Not Applicable

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (4 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
Continuing Education/Seminars and Workshops104$98,017
New Graduate Nursing Orientation3$42,000
Medical Assistant Program6$4,750
Health Stream Online Learning Library900$51,746

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationThe scholarship funds are monitored by the Education Committee, which manages the funds in accordance with the donor's wishes. The committee does this by determining what the spending policy is at the beginning of the year by fund category. Some funds are restricted to nursing education, others to non-nursing education. The funds can be used for those who want to attend workshops or seminars or to further their education through a post-secondary accredited school. Funds are also used for orientation programs. Requests for funding must be made through a formal process. Each person requesting funds must prepare an application which must be approved by a director or leader. The form is then submitted to the Education Committee for review and approval. All amounts are also tracked and reviewed in accounting to ensure that the monies are used in accordance with the donor's wishes. Annually, the Director of Development reports fund activity directly to donors that request it.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E Expnss0WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Todd Adams
Trustee (part year)/Physician$219,758$0$0$0$19,983$0$0$0$0$0$239,741$0$0$0
James Gilroy MD FACP
Trustee/Physician$231,025$0$11,363$0$0$0$11,014$0$6,884$0$260,286$0$0$0
Jeffrey Lockhart MD
Trustee/Anesthesiologist$531,964$0$0$0$0$0$29,814$0$9,000$0$570,778$0$0$0
Kelly Parker-Mello MD
Trustee/Pediatrician$172,242$0$7,466$0$0$0$1,705$0$3,221$0$184,634$0$0$0
Lawrence Petrovich MD
Trustee/Cardiologist$445,698$0$22,621$0$0$0$4,245$0$37,981$0$510,545$0$0$0
Frederick Thaler MD
Trustee/Physician$131,384$0$15,340$0$0$0$4,299$0$11,524$0$162,547$0$0$0
Jud Knox
Trustee/President/Leader$399,769$0$0$0$0$0$129,000$0$30,671$0$559,440$0$0$0
Robin LaBonte
CFO/Leader$259,476$0$0$0$0$0$9,000$0$30,365$0$298,841$0$0$0
Stephen Pelletier
COO/Leader$160,553$0$0$0$0$0$3,201$0$12,285$0$176,039$0$0$0
Jonathan Bridges MD FACC
Cardiologist$402,667$0$88,018$0$0$0$4,500$0$15,439$0$510,624$0$0$0
Peter Dourdoufis MD
Cardiologist$435,988$0$288,308$0$0$0$0$0$34,841$0$759,137$0$0$0
Jeffrey Colnes MD
Cardiologist$443,706$0$225,310$0$0$0$4,500$0$31,353$0$704,869$0$0$0
David Cunningham MD
Cardiologist$366,643$0$122,587$0$0$0$4,375$0$36,464$0$530,069$0$0$0
John Fani Srour MD
Cardiologist$415,716$0$117,028$0$0$0$0$0$36,734$0$569,478$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aMinimal rotary dues for president
Part I, Line 4bJud Knox, President, has a SERP Defined Benefit plan. The increase in actuarial value during 2016 was $120,000.
Part I, Line 7Performance-based variable compensation which is subject to review annually.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
MHHEFA
A010314384560425UT52004-12-09$42,196,950CT scanner, nuclear me, radiology, MAMMO unit000
MHHEFA
B010314384560425G202006-09-07$91,723,676CT scanner, digital MAMMO equip, PAC's equipment000
MHHEFA
C010314384560425L402007-07-18$97,716,087Refinance 1999B ER project & 2000C Wells Regional000
MHHEFA
D010314384560525Z782008-06-19$48,451,841Imaging equipment000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRefunding EscrowRefundingEscrowAmtOther Spent ProceedsOtherSpentProceedsAmt
A$1,410,000$1,941,005$135,325$31,950$1,773,730200500Yes (1)Yes (1)
B$2,025,000$2,318,380$291,200$37,906$1,989,274200600Yes (1)Yes (1)
C$2,110,000$7,437,938$547,568$97,8962007Yes (1)Yes (1)Yes (1)Yes (1)$7,368,244
D$865,000$1,707,209$162,330$42,816$1,474,018200800Yes (1)Yes (1)$28,044

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0000000
B0000000
C0000000
D0000000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndTerm Of GICTermOfGICPctRegulatory Safe Harbor StsfdRegulatorySafeHarborStsfdIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
FSA
A0Yes (1)0000Yes (1)24.000000000000Yes (1)00
FSA
B0Yes (1)0000Yes (1)26.000000000000Yes (1)00
TRANS AMERICA
C0Yes (1)0000Yes (1)20.000000000000Yes (1)00
GEFCM
D000Yes (1)00Yes (1)28.000000000000Yes (1)00

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0
C0
D0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Date Rebate Computation PerformedIssuer Name: MHHEFA Date the Rebate Computation was Performed: 06/19/2013
Form 990, Schedule K, Part III, Line 9, IV, Line 7, and Part V:Although formal policies are not in place to ensure that violations are timely identified and corrected, the bonds issuer, Maine Health & Higher Educational Facilities Authority (MHHEFA), monitors Section 148 requirements for York Hospital until funds are spent down enough to ensure none of the Hospital's tax exempt bonds become arbitrage bonds. Bond proceeds are placed in low yield investments and no funds are released to York Hospital until expenses have been incurred and receipts are provided to MHHEFA. Furthermore, the Hospital works closely with MHHEFA to ensure that safeguards are in place to take appropriate and timely remedial action should any violations of federal tax requirements occur.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
MHHEFA
A0103143845604253L22008-12-03$41,658,395Surgery center addition000
MHHEFA
B010314384560427GE02009-12-10$93,040,181New CT and other equipment000
MHHEFA
C010314384560427JA52010-06-24$113,477,369Refinance 1993, 1998, 1999A & 2001D000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRefunding EscrowRefundingEscrowAmt
A$685,000$2,788,576$341,545$46,861$2,400,170201000Yes (1)Yes (1)
B$905,000$1,827,960$194,925$29,377$1,603,6582010000Yes (1)
C$1,985,000$4,001,877$607,056$51,2372010Yes (1)Yes (1)Yes (1)Yes (1)$5,418,358

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0000000
B0000000
C0000000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A0Yes (1)0000000
B0Yes (1)0000000
C0Yes (1)0000000

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0
C0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11bThe Hospital's Form 990 is prepared with the assistance of an independent public accounting firm and thoroughly reviewed by the Hospital's finance staff before it is filed. The 990 is distributed to the Board of Trustees for their review after it is filed.
Form 990, Part VI, Section B, line 12cAnnually the Board of Trustees and the officers sign a conflict of interest form.
Form 990, Part VI, Section B, line 15The executive committee of the Board of Trustees utilizes an outside firm's database of CEO salaries to determine the CEO's compensation. The CEO determines the compensation of other officers or key employees using an outside firm's data to make sure the compensation is market based.
Form 990, Part VI, Section C, line 19The Hospital's governing documents, conflict of interest policy, and financial statements are available upon request.
Form 990, Part XI, line 9:Adjustment to Long Term Pension Obligations -895,937.
Form 990, Part XII, Line 2c:The audit process has not changed from the prior year.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1York Health ServicesBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line115 Hospital DriveAddressLine1Txt
CityYorkCityNm
State AbbreviationMEStateAbbreviationCd
ZIP03909ZIPCd
FieldValueIRS element (for citing)
EIN020469065EIN
Primary ActivitiesHeart healthPrimaryActivitiesTxt
Legal Domicile StateMELegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity StatusLine 10PublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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