LINCOLNHEALTH: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- LINCOLNHEALTH (EIN 01-0153960)
- Tax period
- 2015-10-01 to 2016-09-30
- Filed
- 2017-08-14
- IRS object ID
- 201712269349300806
- Schema version
- 2015v3.0
- 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 O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-08-14T08:32:43-04:00 | ReturnTs |
| Tax Period End | 2016-09-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010153960 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LINCOLNHEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LINC | BusinessNameControlTxt |
| Phone | 2076338402 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 35 MILES STREET | AddressLine1Txt |
| City | DAMARISCOTTA | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04543 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WAYNE PRINTY | PersonNm |
| Person Title | CFO - LHG | PersonTitleTxt |
| Phone | 2076338402 | PhoneNum |
| Signature | 2017-08-08 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JAMES DONOVAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6 ST ANDREWS LANE | AddressLine1Txt |
| City | BOOTHBAY HARBOR | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04538 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $87,115,658 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.LCHCARE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1955 | FormationYr |
| Legal Domicile State | ME | LegalDomicileStateCd |
| Activity Or Mission | LINCOLNHEALTH IS DEDICATED TO MAINTAINING AND IMPROVING THE HEALTH OF OUR COMMUNITIES BY ASSURING: THE VERY BEST, HIGHEST QUALITY, AND COMPASSIONATE HEALTH CARE SERVICES FROM HIGHLY TRAINED PROFESSIONALS; OUR SERVICES ARE COST-EFFECTIVE AND ACCESSIBLE TO ALL REGARDLESS OF THEIR ABILITY TO PAY; AS A NOT-FOR-PROFIT, CHARITABLE ORGANIZATIONS, WE WILL BE TRUSTWORTHY STEWARDS OF OUR RESOURCES; OUR ACTIVE PARTICIPATION AND SUPPORT OF THE MAINEHEALTH FAMILY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 21 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 687 | TotalEmployeeCnt |
| Total Volunteers | 235 | TotalVolunteersCnt |
| Total Gross UBI | $186,390 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$86,425 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,748,605 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,014,198 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $73,370,948 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $72,904,731 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,204,555 | PYInvestmentIncomeAmt |
| CY Investment Income | $675,596 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,132,495 | PYOtherRevenueAmt |
| CY Other Revenue | $3,764,141 | CYOtherRevenueAmt |
| PY Total Revenue | $77,456,603 | PYTotalRevenueAmt |
| CY Total Revenue | $78,358,666 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $28,770,775 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $30,494,916 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $253,297 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $42,866,725 | PYOtherExpensesAmt |
| CY Other Expenses | $44,590,907 | CYOtherExpensesAmt |
| PY Total Expenses | $71,637,500 | PYTotalExpensesAmt |
| CY Total Expenses | $75,085,823 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,819,103 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,272,843 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $73,562,345 | TotalAssetsBOYAmt |
| Total Assets EOY | $70,312,422 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $22,731,213 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $19,875,220 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $50,831,132 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $50,437,202 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | LINCOLNHEALTH IS DEDICATED TO MAINTAINING AND IMPROVING THE HEALTH OF OUR COMMUNITIES BY ASSURING: THE VERY BEST, HIGHEST QUALITY, AND COMPASSIONATE HEALTH CARE SERVICES FROM HIGHLY TRAINED PROFESSIONALS; OUR SERVICES ARE COST-EFFECTIVE AND ACCESSIBLE TO ALL REGARDLESS OF THEIR ABILITY TO PAY; AS A NOT-FOR-PROFIT, CHARITABLE ORGANIZATIONS, WE WILL BE TRUSTWORTHY STEWARDS OF OUR RESOURCES; OUR ACTIVE PARTICIPATION AND SUPPORT OF THE MAINEHEALTH FAMILY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $40,346,267 | ExpenseAmt |
| Revenue | $53,483,837 | RevenueAmt |
| Desc | LINCOLNHEALTH IS A 25 BED CRITICAL ACCESS HOSPITAL. THE HOSPITAL OPERATIONS PROVIDE BOTH ACUTE, REHABILITATIVE, OBSTETRICS AND INTENSIVE CARE IN ITS INPATIENT SETTING. OUTPATIENT SERVICES INCLUDE EMERGENCY CARE, URGENT CARE, GENERAL AND ORTHOPAEDIC SURGERY, WOUND CARE, OPHTHALMOLOGY, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, CARDIOPULMONARY SERVICES, DIAGNOSTIC IMAGING, LABORATORY, AND PHARMACY SERVICES. PLEASE REFER TO THE ATTACHED COMMUNITY BENEFITS STATEMENT FOR A MORE DETAILED DESCRIPTION OF ITS PROGRAMS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $22,242,015 | ExpenseAmt |
| Revenue | $13,945,036 | RevenueAmt |
| Desc | LINCOLNHEALTH, DBA LINCOLN MEDICAL PARTNERS (LMP), IS A MULTI-SPECIALTY PHYSICIAN PRACTICE WITH OFFICES IN BOOTHBAY HARBOR, DAMARISCOTTA, WALDOBORO AND WISCASSET. LMP SPECIALTIES INCLUDE ANESTHESIOLOGY, EMERGENCY MEDICINE, FAMILY MEDICINE, INTERNAL MEDICINE, GENERAL SURGERY, OPHTHALMOLOGY, ORTHOPAEDICS, OBSTETRICS AND GYNECOLOGY, AND PEDIATRICS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,956,868 | ExpenseAmt |
| Revenue | $5,475,858 | RevenueAmt |
| Desc | LINCOLNHEALTH OFFERS LONG TERM CARE SERVICES AT ST. ANDREWS VILLAGE COMMUNITY. IT INCLUDES 13 ASSISTED LIVING UNITS, 28 INDEPENDENT LIVING APARTMENTS, 11 DEMENTIA CARE BEDS, ADULT DAY SERVICES, AND 42 LONG-TERM NURSING CARE BEDS. STATISTICS FOR THE YEAR: ASSISTED LIVING 3,063 DAYS, INDEPENDENT LIVING 6,082 DAYS, AND DEMENTIA CARE 2,981 DAYS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $69,545,150 | 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 | false | 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 | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 687 | 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 |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 21 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 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 |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WAYNE PRINTY | PersonNm |
| Phone | 2076338402 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6 ST ANDREWS LANE | AddressLine1Txt |
| City | BOOTHBAY HARBOR | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04538 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 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 |
|---|---|---|---|---|---|---|---|---|
| GARTH MILLER MD | ||||||||
| TRUSTEE | 0.40 | 50.00 | Yes (X) | $0 | $395,449 | $26,742 | ||
| MARK FOURRE MD | ||||||||
| TRUSTEE | 0.40 | 50.00 | Yes (X) | $0 | $290,330 | $33,027 | ||
| TIMOTHY FOX MD | ||||||||
| TRUSTEE | 0.40 | 50.00 | Yes (X) | $0 | $272,885 | $25,142 | ||
| ANDREW RUSS MD | ||||||||
| TRUSTEE | 0.40 | 50.00 | Yes (X) | $0 | $240,393 | $25,193 | ||
| CATHARINE CADIGAN MD | ||||||||
| TRUSTEE | 0.40 | 50.00 | Yes (X) | $0 | $202,715 | $21,032 | ||
| AQUILINO ALAMO MD | ||||||||
| TRUSTEE | 0.40 | 50.00 | Yes (X) | $0 | $179,740 | $25,037 | ||
| JEFFREY CURTIS | ||||||||
| CHAIRMAN | 0.40 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| WILLIAM LOGAN | ||||||||
| VICE-CHAIRMA | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| DAVID LAWRENCE | ||||||||
| SECRETARY | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| PATRICK LYDON | ||||||||
| TREASURER | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JAMES COSGROVE | ||||||||
| TRUSTEE | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| LESLIE FOSSEL | ||||||||
| TRUSTEE | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JACK T FULMER MD | ||||||||
| TRUSTEE | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| BRUCE P GARREN | ||||||||
| TRUSTEE | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| RUSSELL MACK MD | ||||||||
| TRUSTEE | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| WAYNE MOORE | ||||||||
| TRUSTEE | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| SUSAN PORTER | ||||||||
| TRUSTEE | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JANE G SMITH | ||||||||
| TRUSTEE | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DENISE SOUCY MD | ||||||||
| TRUSTEE | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| HOLLY B STOVER | ||||||||
| TRUSTEE | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| PETER W WOOD | ||||||||
| TRUSTEE | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JAMES DONOVAN | ||||||||
| CEO - LHG | 3.00 | 50.00 | $0 | $343,071 | $32,765 | Yes (X) | ||
| WAYNE PRINTY | ||||||||
| CFO - LHG | 3.00 | 50.00 | $0 | $215,146 | $23,775 | Yes (X) | ||
| STACEY MILLER | ||||||||
| VP PHYS. SER | 50.00 | 0.00 | $149,107 | $0 | $23,575 | Yes (X) | ||
| KAREN PHILBRICK | ||||||||
| DIRECTOR OF | 50.00 | 0.00 | $137,213 | $0 | $27,772 | Yes (X) | ||
| BRENT PETERS | ||||||||
| STAFF PHARMA | 50.00 | 0.00 | $131,028 | $0 | $20,593 | Yes (X) | ||
| CHRISTINE ANDERSON | ||||||||
| VP PATIENT S | 50.00 | 0.00 | $118,413 | $0 | $21,661 | Yes (X) | ||
| KARI LONDON | ||||||||
| STAFF PHARMA | 50.00 | 0.00 | $118,332 | $0 | $19,576 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $654,093 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,139,729 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $325,890 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| All Other Contributions | $1,014,198 | AllOtherContributionsAmt |
| Total Contributions | $1,014,198 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 623000 | $72,805,680 | $72,805,680 |
| RENTAL INCOME | 531390 | $99,051 | $99,051 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $72,904,731 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $213,859 | TotalRevenueColumnAmt |
| Exclusion | $213,859 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $17,050 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $17,050 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,050 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $17,050 | UnrelatedBusinessRevenueAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $9,119,909 | SecuritiesAmt |
| Other | $98,820 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $8,743,591 | SecuritiesAmt |
| Other | $13,401 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $376,318 | SecuritiesAmt |
| Other | $85,419 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $461,737 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $461,737 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| MISCELLANEOUS INCOME | 900099 | $3,577,751 | $3,577,751 | |
| COTTAGE SERVICES | 531310 | $127,297 | $127,297 | |
| MANAGEMENT FEES | 531310 | $26,085 | $26,085 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,958 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $15,958 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,747,091 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $78,358,666 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $76,944,219 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $186,390 | UnrelatedBusinessRevenueAmt |
| Exclusion | $213,859 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,359,293 | TotalAmt |
| Program Services | $22,558,335 | ProgramServicesAmt |
| Management And General | $800,958 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $604,975 | TotalAmt |
| Program Services | $580,539 | ProgramServicesAmt |
| Management And General | $24,436 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,818,587 | TotalAmt |
| Program Services | $4,671,788 | ProgramServicesAmt |
| Management And General | $146,799 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,712,061 | TotalAmt |
| Program Services | $1,642,907 | ProgramServicesAmt |
| Management And General | $69,154 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $150 | TotalAmt |
| Management And General | $150 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,144,789 | TotalAmt |
| Program Services | $8,562,730 | ProgramServicesAmt |
| Management And General | $581,993 | ManagementAndGeneralAmt |
| Fundraising | $66 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,137 | TotalAmt |
| Program Services | $66,902 | ProgramServicesAmt |
| Management And General | $1,235 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,219,189 | TotalAmt |
| Program Services | $1,928,375 | ProgramServicesAmt |
| Management And General | $290,814 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,791,665 | TotalAmt |
| Program Services | $734,583 | ProgramServicesAmt |
| Management And General | $1,057,082 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,639,735 | TotalAmt |
| Program Services | $1,638,273 | ProgramServicesAmt |
| Management And General | $1,462 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $121,522 | TotalAmt |
| Program Services | $98,553 | ProgramServicesAmt |
| Management And General | $22,969 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $681,406 | TotalAmt |
| Program Services | $681,406 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,444,395 | TotalAmt |
| Program Services | $3,436,822 | ProgramServicesAmt |
| Management And General | $7,573 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $181,219 | TotalAmt |
| Program Services | $40,584 | ProgramServicesAmt |
| Management And General | $140,635 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| INTEGRATED SERVICES | $19,472,850 | $17,082,574 | $2,137,045 | $253,231 |
| MEDICAL SUPPLIES | $4,711,864 | $4,711,864 | ||
| HOSPITAL & PROVIDER TAXES | $609,839 | $609,839 | ||
| MISCELLANEOUS | $358,075 | $357,435 | $640 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $146,072 | TotalAmt |
| Program Services | $141,641 | ProgramServicesAmt |
| Management And General | $4,431 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,085,823 | TotalAmt |
| Program Services | $69,545,150 | ProgramServicesAmt |
| Management And General | $5,287,376 | ManagementAndGeneralAmt |
| Fundraising | $253,297 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,743 | BOYAmt |
| EOY | $680,639 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,305,502 | BOYAmt |
| EOY | $3,091,089 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $800,000 | BOYAmt |
| EOY | $802,442 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,434,425 | BOYAmt |
| EOY | $9,522,685 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,771 | BOYAmt |
| EOY | $189,338 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,850,275 | BOYAmt |
| EOY | $1,966,127 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $336,087 | BOYAmt |
| EOY | $438,985 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $83,878,873 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $49,154,038 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,417,420 | BOYAmt |
| EOY | $34,724,835 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,377,728 | BOYAmt |
| EOY | $10,333,161 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,580,262 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,293,132 | BOYAmt |
| EOY | $8,563,121 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,562,345 | BOYAmt |
| EOY | $70,312,422 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,150,123 | BOYAmt |
| EOY | $2,861,436 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,717 | BOYAmt |
| EOY | $2,079,889 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,688,006 | BOYAmt |
| EOY | $8,983,469 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,837,331 | BOYAmt |
| EOY | $4,861,827 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,053,036 | BOYAmt |
| EOY | $1,088,599 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,731,213 | BOYAmt |
| EOY | $19,875,220 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,353,743 | BOYAmt |
| EOY | $43,568,742 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,408,755 | BOYAmt |
| EOY | $1,609,291 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,068,634 | BOYAmt |
| EOY | $5,259,169 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,831,132 | BOYAmt |
| EOY | $50,437,202 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,562,345 | BOYAmt |
| EOY | $70,312,422 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,272,843 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $78,613 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$3,745,386 | 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) |
|---|---|---|
| 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 | $15,797 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $15,797 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1 | FormAndLineReferenceDesc |
| Explanation | PORTION OF MEMBERSHIP DUES ATTRIBUTABLE TO LOBBYING ACTIVITIES: LOBBYING PORTION OF MAINE HOSPITAL ASSOCIATION DUES: 7,384 LOBBYING PORTION OF AMERICAN HOSPITAL ASSOCIATION DUES: 5,310 LOBBYING PORTION OF MAINE HEALTH CARE ASSOCIATION: 1,382 LOBBYING PORTION OF AMERICAN HEALTH CARE ASSOCIATION: 420 LOBBYING PORTION OF STRATEGIC HEALTH CARE: 1,200 LOBBYING PORTION OF NATIONAL RURAL HEALTH ASSOCIATION: 101 | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $13,266,695 | BeginningYearBalanceAmt |
| Contributions | $163,951 | ContributionsAmt |
| Investment Earnings Or Losses | $760,811 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$1,780,280 | OtherExpendituresAmt |
| Administrative Expenses | -$39,529 | AdministrativeExpensesAmt |
| End Year Balance | $12,371,648 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $14,325,848 | BeginningYearBalanceAmt |
| Contributions | $178,090 | ContributionsAmt |
| Investment Earnings Or Losses | -$144,251 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$1,045,069 | OtherExpendituresAmt |
| Administrative Expenses | -$47,923 | AdministrativeExpensesAmt |
| End Year Balance | $13,266,695 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,121,367 | BeginningYearBalanceAmt |
| Contributions | $6,498,668 | ContributionsAmt |
| Investment Earnings Or Losses | $2,395,986 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$643,800 | OtherExpendituresAmt |
| Administrative Expenses | -$46,373 | AdministrativeExpensesAmt |
| End Year Balance | $14,325,848 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,210,719 | BeginningYearBalanceAmt |
| Contributions | $375,829 | ContributionsAmt |
| Investment Earnings Or Losses | $562,818 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$6,340 | OtherExpendituresAmt |
| Administrative Expenses | -$21,659 | AdministrativeExpensesAmt |
| End Year Balance | $6,121,367 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,545,019 | BeginningYearBalanceAmt |
| Contributions | $900 | ContributionsAmt |
| Investment Earnings Or Losses | $720,113 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$36,580 | OtherExpendituresAmt |
| Administrative Expenses | -$18,733 | AdministrativeExpensesAmt |
| End Year Balance | $5,210,719 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.59000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.41000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (true) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,480,754 | OtherCostOrOtherBasisAmt |
| Book Value | $2,480,754 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $50,217,011 | OtherCostOrOtherBasisAmt |
| Depreciation | $26,157,502 | DepreciationAmt |
| Book Value | $24,059,509 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $609,779 | OtherCostOrOtherBasisAmt |
| Depreciation | $486,772 | DepreciationAmt |
| Book Value | $123,007 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $25,313,260 | OtherCostOrOtherBasisAmt |
| Depreciation | $19,172,923 | DepreciationAmt |
| Book Value | $6,140,337 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,258,069 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,336,841 | DepreciationAmt |
| Book Value | $1,921,228 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $34,724,835 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (7 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| BENEFICIAL INT. IN PERPETUAL TRUST | $3,690,828 |
| DUE FROM THIRD PARTY | $2,103,915 |
| INVESTMENT IN LHG & LHMP | $1,872,000 |
| OTHER ASSETS | $639,750 |
| DUE FROM AFFILIATE | $132,735 |
| PATIENT AND OTHER DEPOSITS | $123,893 |
| DEFERRED COSTS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $8,563,121 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATE | $672,869 |
| MALPRATICE INSURANCE RESERVE | $182,880 |
| DEPOSITS PAYABLE | $123,840 |
| ASSET RETIREMENT OBLIGATIONS | $109,010 |
| OTHER LIABILITIES |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,088,599 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 2, PART V, LINE 4 | BENEFICIAL INTEREST IN PERPETUAL TRUSTS HELD BY OTHER UNRELATED ORGANIZATIONS HAVE PERIODIC DISTRIBUTIONS THAT ARE MADE AS UNRESTRICTED CONTRIBUTIONS TO HOSPITAL OPERATIONS. - INCOME (INTEREST AND DIVIDENDS NET OF FEES PLUS REALIZED GAINS) GENERATED FROM THE PERMANENTLY RESTRICTED FUNDS IS AVAILABLE AND IS TRANSFERRED TO OPERATIONS, EITHER FOR GENERAL OPERATIONS OR SPECIFIC USES WHICH FALL UNDER NORMAL OPERATIONS. THERE ARE THREE PERMANENTLY RESTRICTED FUNDS THAT HAVE EXCEPTIONS: - INCOME TRANSFERS ARE MADE TO THE VAN WINKLE TEMPORARILY RESTRICTED FUNDS FROM WHICH AN ANNUAL EXCELLENCE IN HEALTHCARE AWARD IS PRESENTED TO AN EMPLOYEE OF LHG OR ONE OF ITS SUBSIDIARIES. THE NET TRANSFER FROM THE PERMANENTLY RESTRICTED FUND TO THE TEMPORARILY RESTRICTED FUND IS EQUAL TO 3% OF THE AVERAGE MARKET VALUE OF THE VAN WINKLE FUND OVER THE PAST 12 QUARTERS. - INCOME GENERATED FROM THE THOMPSON FUND IS TRANSFERRED TO TEMPORARILY RESTRICTED FUNDS TO BE UTILIZED AS CHARITY CARE FOR INDIGENT SOUTH BRISTOL RESIDENTS. - THE VINAL FUND HAS ACCUMULATED TO 10,000 AND IS TO REMAIN AT THAT BALANCE. ALL INCOME GENERATED FROM THIS FUND WILL BE TRANSFERRED OUT ON AN ANNUAL BASIS AND USED TO ASSIST IN MANAGING THE NON-COVERED COSTS OF A LONG-TERM ILLNESS. UTILIZATION OF THE ANNUAL INCOME WILL BE RECOMMENDED BY THE MEDICAL STAFF AND APPROVED BY THE VINAL FAMILY. |
| SCHEDULE D, PAGE 3, PART X | LINCOLNHEALTH GROUP, LINCOLNHEALTH, LINCOLNHEALTH COVE'S EDGE AND LINCOLNHEALTH MEDICAL PARTNERS, INC. ARE NOT-FOR-PROFIT CORPORATIONS RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. |
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 |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 1.750000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 2.250000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | 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) |
|---|---|---|
| Total Community Benefit Expns | $2,573,037 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,573,037 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03430 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,383,259 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,200,687 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,182,572 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01570 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,956,296 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,200,687 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,755,609 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05000 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $119,081 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $71,026 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $48,055 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $169,008 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $70,986 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $98,022 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,573,534 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,386,965 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,186,569 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06910 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,066 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $16,066 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,877,689 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,528,977 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,348,712 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07120 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $28,833,985 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,729,664 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,104,321 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12130 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,432 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,550 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,882 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,432 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,550 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,882 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,765,116 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $21,265,574 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $20,787,197 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $478,377 | 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 | LINCOLNHEALTH (LH) | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 35 MILES STREET | AddressLine1Txt |
| City | DAMARISCOTTA | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04543 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.LCHCARE.ORG | WebsiteAddressTxt |
| State License | 38376 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LINCOLNHEALTH (LH) | 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| Other | Yes (X) | OtherInd |
| 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 | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | SEE PART V, SECTION C | OtherWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | 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 | 175.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 225.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V SECTION C | 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 |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | Yes (true) | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, LINCOLNHEALTH (LH) - PART V, LINE 3J | ALSO INCLUDED IN THE CHNA WAS A PRIORITIZED LIST OF HEALTH NEEDS IDENTIFIED, AS WELL AS THE IMPLEMENTATION PLANS RELATED TO THESE NEEDS. |
| FACILITY 1, LINCOLNHEALTH (LH) - PART V, LINE 5 | COMMUNITY INPUT WAS TAKEN INTO ACCOUNT WHEN CONDUCTING THE CHNA, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. THIS INCLUDED INDIVIDUALS FROM THE FOLLOWING FACILITIES: HEALTHY LINCOLN COUNTY, MAINEHEALTH, MIDCOAST MAINE CENTER FOR DISEASE CONTROL, MAINE PRIMARY CARE ASSOCIATION AND LINCOLNHEALTH GROUP. |
| FACILITY 1, LINCOLNHEALTH (LH) - PART V, LINE 6A | THE CHNA WAS CONDUCTED THROUGH A PARTNERSHIP WITH MAINEHEALTH, EASTERN MAINE HEALTHCARE SYSTEMS, AND MAINEGENERAL HEALTH. |
| FACILITY 1, LINCOLNHEALTH (LH) - PART V, LINE 7D | THE CHNA AND IMPLEMENTATION STRATEGY ARE POSTED ON THE FOLLOWING WEBSITE: HTTPS://MAINEHEALTH.ORG/ABOUT/HEALTH-INDEX-INITIATIVE/COMMUNITY-HEALTH- NEEDS-ASSESSMENT |
| FACILITY 1, LINCOLNHEALTH (LH) - PART V, LINE 11 | THE ORGANIZATION HAS COMPLETED ITS WORK ON ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS 2013-2015 CHNA AND IMPLEMENTATION PLAN. PLEASE SEE THE ATTACHED 2013-2015 IMPLEMENTATION PLAN UPDATE FOR DETAILS OF THE ACTIVITIES UNDERTAKEN BY THE ORGANIZATION TO MEET THE IDENTIFIED NEEDS OF ITS COMMUNITY. FOR THE 2016-2018 CHNA, THE ORGANIZATION HAS IDENTIFIED PRIORITIES AND DEVELOPED STRATEGIES TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA AND PROVIDED REASONS IF IDENTIFIED NEEDS ARE NOT BEING ADDRESSED. SEE HTTPS://MAINEHEALTH.ORG/ABOUT/HEALTH-INDEX- INITIATIVE/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR DETAILS. |
| FACILITY 1, LINCOLNHEALTH (LH) - PART V, LINE 13H | PRESUMPTIVE ELIGIBILITY - INTENDED FOR THOSE PATIENTS WHO NEVER COMPLETED A FREE CARE APPLICATION, BUT THE PATIENT ACCOUNTS DEPARTMENT HAS SUFFICIENT INFORMATION TO DETERMINE THAT THE PATIENT WOULD QUALIFY FOR FREE CARE IF THEY APPLIED. EXAMPLES INCLUDE THE FOLLOWING: PATIENT IS HOMELESS, AND DID NOT COMPLETE AN APPLICATION PATIENT IS COVERED BY AN OUT OF STATE MEDICAID PLAN WITH WHICH THE PROVIDER IS NOT CREDENTIALED, AND THE PATIENT'S BALANCE DOES NOT JUSTIFY COMPLETION OF THE BURDENSOME PAPERWORK ASSOCIATED WITH CREDENTIALING PATIENT HAS BEEN IN THE HOSPITAL WITHOUT INCOME FOR MORE THAN 3 MONTHS, AND EXPIRES BEFORE AN APPLICATION CAN BE COMPLETED PATIENT IS INCARCERATED CONSISTENT WITH THE SECTION ON MEDICAL INDIGENCE, PRESUMPTIVE ELIGIBILITY PATIENTS WILL BE APPROVED FOR ADJUSTMENT BY SUPERVISORY OR MANAGEMENT STAFF IN THE PATIENT ACCOUNTS DEPARTMENT, UPON RECOMMENDATION BY COLLECTION OR CUSTOMER SERVICE STAFF. |
| FACILITY 1, LINCOLNHEALTH (LH) - PART V, LINE 16I | THE FAP AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE ON THE FOLLOWING WEBSITE: HTTPS://MAINEHEALTH.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL- ASSISTANCE THE FAP APPLICATION FORM IS AVAILABLE ON THE FOLLOWING WEBSITE: HTTPS://MAINEHEALTH.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL- ASSISTANCE/FREE-MEDICAL-CARE-APPLICATION FACILITY 1, LINCOLNHEALTH (LH) - PART V, LINE 16I FINANCIAL ASSISTANCE POLICY INFORMATION PROVIDED AS A FOOTNOTE ON PATIENT STATEMENTS. |
| FACILITY 1, LINCOLNHEALTH (LH) - PART V, LINE 22D | THE HOSPITAL FACILITY USED GROSS CHARGES TO CALCULATE DISCOUNTS. ITEMS 22A-C ARE BEING EVALUATED FOR WHICH IS MOST PRACTICABLE FOR FUTURE IMPLEMENTATION. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 12 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|
| LH DBA ST ANDREWS VILLAGE | |||||
| 145 EMERY LANE | BOOTHBAY HARBOR | ME | 04538 | LONG-TERM CARE FACILITY | |
| LH DBA LMP GENERAL SURGERY | |||||
| 5 MILES CENTER WAY | DAMARISCOTTA | ME | 04543 | OUTPATIENT CLINIC | |
| LH DBA LMP ORTHOPEDICS | |||||
| 5 MILES CENTER WAY | DAMARISCOTTA | ME | 04543 | OUTPATIENT CLINIC | |
| LH DBA THE FAMILY CARE CENTER | |||||
| 14 ST ANDREWS LANE | BOOTHBAY HARBOR | ME | 04538 | OUTPATIENT CLINIC | |
| LH DBA LMP FAMILY MEDICINE | |||||
| 230 KALERS CORNER | WALDOBORO | ME | 04572 | OUTPATIENT CLINIC | |
| LH DBA LMP FAMILY MEDICINE | |||||
| VAN WINKLE MEDICAL BUILDING | DAMARISCOTTA | ME | 04543 | OUTPATIENT CLINIC | 79 SCHOONER ST |
| LH DBA LMP INTERNAL MEDICINE | |||||
| VAN WINKLE MEDICAL BUILDING | DAMARISCOTTA | ME | 04543 | OUTPATIENT CLINIC | 79 SCHOONER ST |
| LH DBA LMP PEDIATRICS | |||||
| 79 SCHOONER ST | DAMARISCOTTA | ME | 04543 | OUTPATIENT CLINIC | |
| LH DBA LMP FAMILY MEDICINE | |||||
| 49 HOOPER STREET | WISCASSET | ME | 04578 | OUTPATIENT CLINIC | |
| LH DBA THE WOMEN'S CENTER | |||||
| 5 MILES CENTER WAY | DAMARISCOTTA | ME | 04543 | OUTPATIENT CLINIC | |
| LH DBA LMP OPHTHALMOLOGY | |||||
| 71 MAIN STREET | NEWCASTLE | ME | 04553 | OUTPATIENT CLINIC | |
| LH DBA LINCOLN MEDICAL PARTNERS | |||||
| 42 BELVEDERE ROAD | NEWCASTLE | ME | 04553 | ADMINISTRATION | |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION | SUBSIDIZED HEALTH SERVICES INCLUDE SCHOOL BASED HEALTH CENTERS WHERE LINCOLNHEALTH GROUP (LHG) AND ITS SUBSIDIARY LINCOLNHEALTH (LH) PROVIDE PHYSICIANS OR NURSE PRACTITIONERS TO CONSULT AND PROVIDE SERVICES WITHIN THE SCHOOL. CLINICS ARE ALSO OFFERED THROUGHOUT THE YEAR TO PROVIDE SUBSIDIZED SERVICES SUCH AS MAMMOGRAPHY, BLOOD PRESSURE SCREENINGS, ETC. TO ENCOURAGE ITS RESIDENTS TO OBTAIN THESE HEALTH SERVICES. PHYSICIAN PRACTICES OFFERING SERVICES SUCH AS FAMILY MEDICINE, INTERNAL MEDICINE AND PEDIATRICS OPERATE AT A LOSS IN ORDER TO ENSURE HEALTHCARE FOR ITS COMMUNITY MEMBERS REGARDLESS OF THEIR ABILITY TO PAY. 5,186,569 (IN 2015, 8,002,991) OF EXPENSES RELATED TO OUTPATIENT CLINICS ARE INCLUDED IN THE SUBSIDIZED HEALTH SERVICES TOTAL IN PART I, LINE 7G. |
| PART I, LINE 7, COLUMN (F) - EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE | BAD DEBT IS A DEDUCTION FROM REVENUE AND IS NOT INCLUDED IN TOTAL EXPENSES. |
| PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION | CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS UTILIZE A COST TO CHARGE RATIO IN DETERMINING THE COST OF THE ACTUAL CHARITY CARE WRITE-OFF. THE COST TO CHARGE RATIO IS CALCULATED USING WORKSHEET 2: RATIO OF PATIENT CARE COST TO CHARGES, LOCATED IN THE SCHEDULE H INSTRUCTIONS. |
| PART II - COMMUNITY BUILDING ACTIVITIES | LINCOLNHEALTH GROUP AND ITS SUBSIDIARY HOSPITAL ORGANIZATION, LINCOLNHEALTH, PARTNER WITH VARIOUS COMMUNITY GROUPS SUCH AS HEALTHY LINCOLN COUNTY AND HEALTHY MAINE PARTNERSHIP TO IMPROVE AND PROTECT THE HEALTH OF ITS COMMUNITY MEMBERS. MEALS ARE PREPARED BY ITS STAFF AS PART OF THE LOCAL MEALS ON WHEELS PROGRAMS WHICH DELIVERS MEALS TO THE ELDERLY POPULATION TO ASSIST WITH THEIR NUTRITIONAL NEEDS. LHG PARTICIPATES IN THE COMMUNITY DISASTER TRAINING HELD ON A REGULAR BASIS THROUGHOUT THE COUNTY. |
| PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY | SEE PART III, LINE 4 - BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS |
| BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS | FROM THE LHG AUDITED FINANCIAL STATEMENTS: CHARITY CARE: LH (THE HOSPITAL) ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. A PATIENT IS CLASSIFIED AS A CHARITY PATIENT BY REFERENCE TO CERTAIN ESTABLISHED POLICIES. ESSENTIALLY, THESE POLICIES DEFINE CHARITY CARE AS THOSE SERVICES FOR WHICH LIMITED OR NO PAYMENT IS ANTICIPATED. IN ASSESSING A PATIENT'S ABILITY TO PAY, THE HOSPITAL UTILIZES GENERALLY RECOGNIZED POVERTY INCOME LEVELS. CHARITY CARE IS MEASURED BASED ON THE HOSPITAL'S ESTABLISHED RATES. THE HOSPITAL UTILIZES ANNUAL FEDERAL GUIDELINES AND ADJUSTS ACCOUNTS FOR THOSE WHOSE INCOME IS 225% OF THE POVERTY LEVEL, TAKING FAMILY SIZE INTO CONSIDERATION. THE COSTS AND EXPENSES INCURRED IN PROVIDING THESE SERVICES ARE INCLUDED IN OPERATING EXPENSES. REVENUE FOR SERVICES RENDERED TO INDIVIDUALS FROM WHO PAYMENT IS EXPECTED AND ULTIMATELY NOT RECEIVED IS WRITTEN OFF AND INCLUDED AS PART OF THE ALLOWANCE FOR BAD DEBTS. THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON PART III, LINE 2 AND 3 FOLLOW THE WORKSHEETS PROVIDED IN THE SCHEDULE H INSTRUCTIONS AND UTILIZES COSTS TO CHARGE INFORMATION DERIVED DIRECTLY OFF THE ANNUAL COST REPORTS. LINCOLNHEALTH DOES NOT HAVE A SPECIFIC FOOTNOTE IN THE FINANCIAL STATEMENTS THAT DESCRIBES "BAD DEBT EXPENSE". LH REPORTS ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, LHG ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, LHG ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, LHG RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. LH BELIEVES THAT BAD DEBT EXPENSE SHOULD BE INCLUDED AS A COMMUNITY BENEFIT. |
| PART III, LINE 8 - MEDICARE EXPLANATION | MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST TO CHARGE RATIO. LH BELIEVES THAT THE MEDICARE SHORTFALL SHOULD BE INCLUDED AS A COMMUNITY BENEFIT BECAUSE LH HAS A CLEAR MISSION COMMITMENT TO SERVING ELDERLY PATIENTS AND ADULTS WITH DISABILITIES THROUGH THE PROVISION OF SPECIFIC SUBSIDIZED PROGRAMS DEVELOPED TO HELP IMPROVE THE HEALTH STATUS OF THESE PATIENTS. IF THESE CRITICAL SUBSIDIZED PROGRAMS WERE NOT PROVIDED BY LH, THEY WOULD BECOME THE OBLIGATION OF THE FEDERAL GOVERNMENT. |
| PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION | PATIENTS WHO QUALIFY FOR FINANCIALS ASSISTANCE HAVE THEIR ACCOUNT BALANCE ADJUSTED ACCORDINGLY. ONCE FINANCIAL ASSISTANCE HAS BEEN APPROVED FOR PATIENTS THAT DO NOT QUALIFY FOR 100% FINANCIAL ASSISTANCE, THE APPROPRIATE DISCOUNT PERCENTAGE IS APPLIED AND THE REMAINING BALANCE IS BILLED TO THE RESPONSIBLE PARTY. MONTHLY PAYMENT ARRANGEMENTS CAN BE ESTABLISHED BY THE RESPONSIBLE PARTY BY CONTACTING THE PATIENT FINANCIAL SERVICES CUSTOMER SERVICE DEPARTMENT. AS A TAX-EXEMPT HOSPITAL, LH PROVIDES NECESSARY PATIENT CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THE SERVICES. |
| PART VI, LINE 2 - NEEDS ASSESSMENT | SEE THE ATTACHED COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLAN FOR A DESCRIPTION OF HOW THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. THE HEALTH NEEDS OF THE COMMUNITY ARE ASSESSED BY: UTILIZING THE MAINE STATE HEALTH PLAN AND ASSESSMENT, COMMUNITY FORUMS, INVOLVEMENT IN COMMUNITY BASED HEALTH STATUS IMPROVEMENT PROGRAMS AND IN CONJUNCTION WITH MAINEHEALTH (OUR HEALTH CARE SYSTEM.) MAINEHEALTH ALSO PARTICIPATES IN VARIOUS INITIATIVES TO HELP SUPPORT AND PROVIDE UPDATES TO COMMUNITY NEEDS ASSESSMENT PLANNING. SOME OF THESE INITIATIVES INCLUDE: CLINICAL STRATEGIC PLANNING, FINANCIAL STRATEGIC PLANNING, FACILITY PLANNING, MANPOWER PLANNING, PHYSICIAN RECRUITMENT STRATEGIC PLANNING, EMERGENCY PREPAREDNESS PLANNING. ALONG WITH THE INTERNAL ASSESSMENTS, MEMBER ORGANIZATIONS ALSO REVIEW AND ACT ON RECOMMENDATIONS PROVIDED BY LOCAL AND STATE PARTNERS, SUCH AS THE MAINE CENTER FOR DISEASE CONTROL AND PREVENTION (MCDC). ALL HOSPITALS WITHIN THE MAINEHEALTH SYSTEM HAVE CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) TO MEET FEDERAL REGULATIONS THAT WERE CREATED AS PART OF THE AFFORDABLE CARE ACT. IN LATE 2013, CHNA AND IMPLEMENTATION PLAN REPORTS WERE PRODUCED BY EACH MAINEHEALTH MEMBER HOSPITAL, IN COLLABORATION WITH MAINEHEALTH. THESE DETAILED REPORTS COVERED THE TIME PERIOD OF 2013-2015 AND WERE FORMALLY ADOPTED BY EACH MEMBER ORGANIZATION BOARD FOR SUBMISSION WITH THEIR RESPECTIVE FY13 990 FILINGS. IN 2015, A COLLABORATIVE CALLED THE MAINE SHARED HEALTH NEEDS ASSESSMENT PLANNING PROCESS (SHNAPP) WAS LAUNCHED TO CREATE A FRAMEWORK AND APPROACH FOR A SHARED CHNA THAT CAN: I) ADDRESS COMMUNITY BENEFIT REPORTING NEEDS OF HOSPITALS, II) SUPPORT STATE AND LOCAL PUBLIC HEALTH ACCREDITATION EFFORTS, AND III) PROVIDE VALUABLE POPULATION HEALTH ASSESSMENT DATA FOR VARIOUS ORGANIZATIONS CONCERNED WITH THE HEALTH OF MAINE'S COMMUNITIES AND CITIZENS. MAINEHEALTH, EASTERN MAINE HEALTHCARE SYSTEM, CENTRAL MAINE HEALTHCARE AND THE MAINE CENTER FOR DISEASE CONTROL AND PREVENTION ARE CONTRIBUTING FINANCIALS SUPPORT TO THE STUDY AND REPORTS. IN 2016, MAINE SHNAPP PRODUCED COUNTY-LEVEL CHNA REPORTS AND HELPED COORDINATE COMMUNITY ENGAGEMENT PROCESSES THAT ULTIMATELY RESULTED IN THE PRIORITIZATION OF THE HEALTH ISSUES BY HOSPITALS, STATE/LOCAL GOVERNMENTS AND OTHER PARTNERS. IN COLLABORATION WITH MAINEHEALTH, EACH MEMBER HOSPITAL PRODUCED A DETAILED CHNA REPORT AND IMPLEMENTATION PLAN COVERING THE TIME PERIOD OF 2016-2018. THESE REPORTS WERE FORMALLY ADOPTED BY EACH MEMBER ORGANIZATION BOARD FOR SUBMISSION WITH THEIR RESPECTIVE FY16 990 FILINGS. IMPORTANTLY, AS OF FY16, THE THREE-YEAR CYCLE OF THE CHNA PROCESS IS ALIGNED WITH MAINEHEALTH MEMBER ORGANIZATIONS' STRATEGIC PLANNING PROCESSES (ALSO THREE-YEAR CYCLES). WE EXPECT THIS ALIGNMENT TO STRENGTHEN THE COORDINATION AND RESOURCE ALLOCATION FOR COMMUNITY HEALTH IMPROVEMENT EFFORTS ACROSS THE MAINEHEALTH ORGANIZATIONS. |
| PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | PATIENTS AND OTHER PERSONS WHO ARE BILLED FOR PATIENT CARE ARE INFORMED ABOUT ELIGIBILITY CRITERIA FOR FREE CARE, GOVERNMENTAL ASSISTANCE (I.E. MEDICAID) AND OTHER ASSISTANCE PROGRAMS. SUCH NOTIFICATION IS ACCOMPLISHED IN THE FOLLOWING WAYS: ALL SELF-PAY PATIENTS ARE PROVIDED A PACKET THAT DESCRIBES AVAILABLE PROGRAMS, ELIGIBILITY AND THE APPLICATION PROCESS. NOTIFICATIONS ARE POSTED AT NUMEROUS LOCATIONS THROUGHOUT THE HOSPITAL IN PATIENT CARE AREAS, AS WELL AS THE HOSPITAL ENTRANCE. INPATIENTS WITHOUT INSURANCE RECEIVE FINANCIAL COUNSELING AT WHICH TIME FINANCIAL ASSISTANCE OPPORTUNITIES ARE DISCUSSED. HOSPITAL STAFF WILL ASSIST PATIENTS IN THE APPLICATION PROCESS. PATIENT BILLS AND STATEMENTS PROVIDE A TELEPHONE NUMBER TO CALL FOR INFORMATION ABOUT FINANCIAL ASSISTANCE PROGRAMS AND HELP IN QUALIFYING FOR THEM. |
| PART VI, LINE 4 - COMMUNITY INFORMATION | OUR SERVICE AREA IS LINCOLN COUNTY, MAINE, WHICH WAS INCORPORATED JUNE 19, 1760. LINCOLN COUNTY CONTAINS 457 SQUARE MILES OF LAND, 451 MILES OF COASTLINE, AND SIX RIVERS. MARINE INTERESTS SUCH AS COMMERCIAL FISHING, LOBSTERING, CLAMMING, EELING, BOAT BUILDING ALONG WITH FORESTRY AND AGRICULTURE CONSTITUTED THE MAJORITY OF OUR EARLY ECONOMIC BASE. IN MORE RECENT TIMES, SERVICE INDUSTRIES AND TOURISM ALSO SERVE AS OUR ECONOMIC BASE. ACCORDING TO 2011-2015 AMERICAN COMMUNITY SURVEY OF THE U.S. CENSUS BUREAU, LINCOLN COUNTY HAS A TOTAL POPULATION OF 34,457. THIS POPULATION ALMOST DOUBLES IN THE SUMMER, AS WE ARE A VERY BUSY TOURIST DESTINATION ON THE COAST. TEN PERCENT OF OUR RESIDENTS ARE BELOW THE POVERTY LEVEL. MAINE'S PERCENTAGE OF RESIDENTS OVER 65 IS 17.6% VERSUS 14.9% NATIONALLY. WITHIN MAINE, LINCOLN COUNTY'S PERCENTAGE OF RESIDENTS OVER 65 IS 24.3%. LINCOLN COUNTY ALSO HAS A HIGHER MEDIAN AGE (49.8 VS. 37.6) THAN IN THE UNITED STATES. AS COMPARED TO THE UNITED STATES (63.5%), A SMALLER PERCENT OF RESIDENTS AT LEAST 16 YEARS OF AGE ARE IN THE LABOR FORCE (59.6%). LINCOLN COUNTY IS AN ECONOMICALLY POOR COUNTY. THESE POPULATION AND ECONOMIC DATA POINT OUT THE DEPENDENCE OF LINCOLNHEALTH ON MEDICARE AND MEDICAID AND EXPLAIN THE LARGE AMOUNT OF UNCOMPENSATED CARE PROVIDED. LINCOLNHEALTH IS A CRITICAL ACCESS HOSPITAL LOCATED IN DAMARISCOTTA, WITH AN OUTPATIENT CAMPUS IN BOOTHBAY HARBOR. IT IS THE ONLY HOSPITAL IN LINCOLN COUNTY. PORTIONS OF LINCOLN COUNTY HAVE BEEN DESIGNATED AS MEDICALLY UNDERSERVED. |
| PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH | THE TAX EXEMPT PURPOSE OF THE ORGANIZATION TO IMPROVE THE HEALTH OF THE COMMUNITY IS PROMOTED AND ENHANCED IN THE FOLLOWING WAYS: THE MAJORITY OF THE GOVERNING BODY IS COMPOSED OF PERSONS LIVING WITHIN THE HOSPITAL SERVICE AREA THAT ARE NEITHER EMPLOYED BY, NOR HAVE CONTRACTUAL RELATIONSHIPS WITH, THE HOSPITAL OR ITS AFFILIATES. MEDICAL STAFF PRIVILEGES ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. SOLICITATION OF COMMUNITY INPUT IN THE STRATEGIC PLANNING PROCESS. COMMON GOVERNANCE OF THE HOSPITALS, LONG-TERM CARE, HOME HEALTH, HOSPICE AND PHYSICIAN SERVICES PROVIDED IN THE COUNTY TO PROMOTE COMMON HEALTH CARE AND IMPROVEMENT PLANNING AND CONTROL COSTS. VOLUNTARY CAP ON INCOME FROM OPERATIONS TO RESTRAIN PRICES AND TO FUND HEALTH CARE AND HEALTH IMPROVEMENT ACTIVITIES. SURPLUS FUNDS ARE REINVESTED IN CAPITAL EQUIPMENT AND IMPROVEMENTS TO ENSURE HIGH QUALITY CARE. EACH YEAR A PORTION OF RETAINED EARNINGS ARE DISTRIBUTED TO OUR PARENT, MAINEHEALTH, FOR THE SPECIFIC PURPOSE OF HEALTH STATUS IMPROVEMENT PROGRAMS THROUGHOUT THE MAINEHEALTH SERVICE AREA. |
| PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM | THE HOSPITAL IS PART OF LINCOLNHEALTH GROUP WHICH INCLUDES THE FOLLOWING SERVICES PROVIDED IN LINCOLN COUNTY: A CRITICAL ACCESS HOSPITAL, TWO NURSING FACILITIES, TWO ASSISTED LIVING FACILITIES, TWO DEMENTIA CARE FACILITIES, RURAL HEALTH CLINICS AT SEVERAL SITES, GENERAL SURGERY PRACTICE, ORTHOPEDIC SURGERY PRACTICE, OPHTHALMOLOGY, OB/GYN PHYSICIAN PRACTICE, PEDIATRICS, HOME HEALTH CARE AND HOSPICE. LINCOLNHEALTH GROUP (LHG), IN TURN, IS PART OF THE MAINEHEALTH SYSTEM. THE ABILITY TO IMPROVE HEALTH CARE AND THE HEALTH STATUS IN LINCOLN COUNTY IS ENHANCED BY THE COMMON GOVERNANCE, MANAGEMENT AND ADMINISTRATION OF THESE DIVERSE HEALTH CARE SERVICES. THE SYSTEM'S COORDINATED APPROACH TO THE FOLLOWING, ENHANCES THE RESOURCES THAT CAN BE ALLOCATED TO DIRECT PATIENT CARE AND HEALTH STATUS IMPROVEMENT: ACCOUNTING, ANALYSIS AND BUDGETING; PATIENT BILLING; MEDICAL RECORDS; SUPPLY CHAIN MANAGEMENT/PURCHASING; HUMAN RESOURCES; INFORMATION SERVICES; MEDICAL STAFF; EDUCATION (COMMUNITY & STAFF); SHARED CLINICAL DEPARTMENT MANAGEMENT. THE SYSTEM APPROACH PROVIDES A MORE "HOLISTIC" APPROACH TO COMMUNITY NEEDS ASSESSMENT AND TO THE IMPLEMENTATION OF PROGRAMS TO IMPROVE COMMUNITY HEALTH. STRATEGIC PLANNING AND BUDGETING CAN BETTER ALLOCATE RESOURCES ACROSS THE SPECTRUM OF CARE TO ACHIEVE BETTER OVERALL OUTCOMES. MAINEHEALTH IS A NOT-FOR-PROFIT FAMILY OF LEADING HIGH-QUALITY PROVIDERS AND OTHER HEALTHCARE ORGANIZATIONS WORKING TOGETHER SO THEIR COMMUNITIES ARE THE HEALTHIEST IN AMERICA. RANKED AMONG THE NATION'S TOP 100 INTEGRATED HEALTHCARE DELIVERY NETWORKS, MAINEHEALTH IS GOVERNED BY A BOARD OF TRUSTEES CONSISTING OF COMMUNITY AND BUSINESS LEADERS FROM ITS SOUTHERN, CENTRAL AND WESTERN MAINE REGIONAL SERVICE AREA. THE COLLABORATION OF MAINEHEALTH MEMBERS MAKES IT POSSIBLE TO OFFER AN EXTENSIVE RANGE OF CLINICAL INTEGRATION AND COMMUNITY HEALTH PROGRAMS, MANY AIMED AT IMPROVING ACCESS TO PREVENTIVE AND PRIMARY CARE SERVICES. MAINEHEALTH INCLUDES THE FOLLOWING MEMBER ORGANIZATIONS: LINCOLNHEALTH GROUP (LINCOLNHEALTH), MAINE MEDICAL CENTER, MAINE BEHAVIORAL HEALTHCARE, COASTAL HEALTHCARE ALLIANCE(PEN BAY MEDICAL CENTER AND WALDO COUNTY GENERAL HOSPITAL), SOUTHERN MAINE HEALTH CARE, WESTERN MAINE HEALTH CARE (STEPHENS MEMORIAL HOSPITAL), MAINEHEALTH CARE AT HOME, MAINE PHYSICIAN HOSPITAL ORGANIZATION, MAINEHEALTH ACCOUNTABLE CARE ORGANIZATION, MAINEHEALTH CARDIOLOGY, NORDX, SYNERNET, THE MEMORIAL HOSPITAL AT NORTH CONWAY, N.H., FRANKLIN COMMUNITY HEALTH NETWORK, AND GERIATRIC RESOURCE NETWORK OR PARTNERSHIP FOR HEALTHY AGING. AFFILIATES OF MAINEHEALTH INCLUDE MAINEGENERAL MEDICAL CENTER, MID COAST HOSPITAL, NEW ENGLAND REHABILITATION HOSPITAL, AND ST. MARY'S REGIONAL MEDICAL CENTER. |
| PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT | MAINE |
| ADDITIONAL INFORMATION | THE COMMUNITY BENEFIT REPORT IS CONTAINED WITHIN THE REPORT PREPARED BY LINCOLNHEALTH GROUP. SEE SCHEDULE O. PART I, LINE 3B ELIGIBILITY FOR FREE OR DISCOUNTED CARE IS BASED ON INCOME CRITERIA AS OUTLINED BELOW: 175% FPL - 100% WRITE-OFF 200% FPL - 50% WRITE-OFF 225% FPL - 25% WRITE-OFF % FEDERAL POVERTY LEVELS (FPL) TAKE INTO ACCOUNT FAMILY SIZE. NO ASSET TEST, OR OTHER CRITERIA IS EVALUATED FOR ELIGIBILITY. THESE LEVELS SURPASS THE MINIMUM STATE REQUIREMENTS FOR FREE CARE ELIGIBILITY AT 150% OF FPL. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| GARTH MILLER MD | |||||||||||
| TRUSTEE | $385,399 | $10,050 | $8,613 | $18,129 | $422,191 | ||||||
| MARK FOURRE MD | |||||||||||
| TRUSTEE | $290,330 | $8,613 | $24,414 | $323,357 | |||||||
| TIMOTHY FOX MD | |||||||||||
| TRUSTEE | $272,885 | $8,613 | $16,529 | $298,027 | |||||||
| ANDREW RUSS MD | |||||||||||
| TRUSTEE | $202,590 | $7,204 | $17,989 | $265,586 | $37,803 | ||||||
| CATHARINE CADIGAN MD | |||||||||||
| TRUSTEE | $187,926 | $10,025 | $6,810 | $14,222 | $223,747 | $4,764 | |||||
| AQUILINO ALAMO MD | |||||||||||
| TRUSTEE | $148,649 | $6,114 | $18,923 | $204,777 | $31,091 | ||||||
| JAMES DONOVAN | |||||||||||
| CEO - LHG | $259,506 | $40,565 | $8,613 | $24,152 | $375,836 | $43,000 | |||||
| WAYNE PRINTY | |||||||||||
| CFO - LHG | $192,068 | $23,078 | $6,501 | $17,274 | $238,921 | ||||||
| STACEY MILLER | |||||||||||
| VP PHYS. SERVICES | $149,057 | $50 | $5,032 | $18,543 | $172,682 | ||||||
| KAREN PHILBRICK | |||||||||||
| DIRECTOR OF PHARMACY | $137,203 | $10 | $4,810 | $22,962 | $164,985 | ||||||
| BRENT PETERS | |||||||||||
| STAFF PHARMACIST | $125,984 | $5,044 | $4,181 | $16,412 | $151,621 | ||||||
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PAGE 1, PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | TOP MANAGEMENT OFFICIALS ARE COMPENSATED BY THIS OR OTHER RELATED ORGANIZATIONS. THESE ORGANIZATIONS USED ONE OR MORE OF THE METHODS SHOWN AT PART 1, LINE 3 TO ESTABLISH THE COMPENSATION OF TOP MANAGEMENT. SEE DESCRIPTION OF PROCESS IN SCHEDULE O - FORM 990, PART VI, LINE 15A - COMPENSATION FOR TOP OFFICIAL. | 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 |
|---|---|---|---|---|---|---|---|---|
| MHHEFA REVENUE BOND SERIES 2011A | ||||||||
| A | 010314384 | 560427LW4 | 2011-08-31 | $8,469,460 | REFINANCE BONDS | false | false | false |
| MHHEFA REVENUE BOND SERIES 2011A | ||||||||
| B | 010314384 | 560427LW4 | 2011-08-31 | $5,616,753 | REFINANCE BONDS | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|
| A | $1,695,000 | $8,469,460 | $835,359 | $88,736 | $8,380,724 | Yes (true) | false | Yes (true) | Yes (true) |
| B | $1,605,000 | $5,616,753 | $655,131 | $64,425 | $5,552,328 | Yes (true) | false | Yes (true) | Yes (true) |
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 | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | false | Yes (true) | false | false | false | false | false |
| B | false | Yes (true) | false | false | false | false | false |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | Yes (true) | false | false | false | false | false |
| B | false | false | false | Yes (true) | false | false | false | false | false |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | false |
| B | false |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE K - DATE REBATE COMPUTATION PERFORMED | MHHEFA REVENUE BOND SERIES 2011A 09/30/16 MHHEFA REVENUE BOND SERIES 2011A 09/30/16 |
| SCHEDULE K - ADDITIONAL INFORMATION | MHHEFA REVENUE BOND SERIES 2011A WITH RESPECT TO PART I, COLUMN (E), AND PART II, LINES 1-12, THE INSTITUTION IS REPORTING ITS ALLOCABLE PORTION OF THIS BOND ISSUE, THE REMAINDER OF WHICH IS ALLOCABLE TO AFFILIATED ENTITIES. FOR PURPOSES OF PART I, COLUMN (I), THE INSTITUTION HAS ASSUMED THAT THIS ARRANGEMENT DOES NOT CONSTITUTE A "POOLED FINANCING". |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | LINCOLNHEALTH IS DEDICATED TO MAINTAINING AND IMPROVING THE HEALTH OF OUR COMMUNITIES BY ASSURING: THE VERY BEST, HIGHEST QUALITY, AND COMPASSIONATE HEALTH CARE SERVICES FROM HIGHLY TRAINED PROFESSIONALS; OUR SERVICES ARE COST-EFFECTIVE AND ACCESSIBLE TO ALL REGARDLESS OF THEIR ABILITY TO PAY; AS A NOT-FOR-PROFIT, CHARITABLE ORGANIZATIONS, WE WILL BE TRUSTWORTHY STEWARDS OF OUR RESOURCES; OUR ACTIVE PARTICIPATION AND SUPPORT OF THE MAINEHEALTH FAMILY. |
| FORM 990, PAGE 6, PART VI, LINE 6 | LINCOLNHEALTH GROUP (LHG) (FORMERLY LINCOLN COUNTY HEALTH CARE, INC.) (EIN 26-1475629), IS THE SOLE CORPORATE MEMBER OF LINCOLNHEALTH (LH). MAINEHEALTH (EIN 01-0431680), AS THE SOLE MEMBER OF LHG, HAS THE RIGHT TO APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BOARD OF LHG AND ITS SUBSIDIARIES. |
| FORM 990, PAGE 6, PART VI, LINE 7A | THE MEMBER ELECTS THE BOARD OF TRUSTEES. ALL OFFICERS OF THE BOARD OF TRUSTEES ARE ELECTED BY THE BOARD, AND EACH MUST BE A TRUSTEE. OFFICERS OF THE CORPORATION ARE ELECTED ANNUALLY BY THE BOARD. |
| FORM 990, PAGE 6, PART VI, LINE 7B | DECISIONS OF THE GOVERNING BODY SUCH AS BUDGETS, BUSINESS STRATEGIES, SIGNIFICANT FINANCIAL COMMITMENTS, AMENDMENTS TO THE ARTICLES OF INCORPORATION, AND ELECTION OF THE PRESIDENT/CEO AMONG OTHER DECISIONS, ARE SUBJECT TO THE APPROVAL OF THE SOLE MEMBER. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE CHIEF FINANCIAL OFFICER PERFORMS A DETAILED REVIEW OF THE ENTIRE FORM 990 BEFORE SIGNING. THE FORM 990 IS THEN MADE AVAILABLE TO THE FULL BOARD PRIOR TO FILING. |
| FORM 990, PAGE 6, PART VI, LINE 12C | ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON THE PART OF A TRUSTEE, PHYSICIAN, OFFICER OR MANAGER (E.G., A MEMBER OF LINCOLNHEALTH GROUP LEADERSHIP TEAM, DIRECTOR, MANAGER OR PERSON RESPONSIBLE FOR PURCHASING) MUST BE DISCLOSED TO THE APPLICABLE BOARD, BOARD COMMITTEE OR, IN THE CASE OF AN ADMINISTRATIVE DECISION THAT IS NOT SUBJECT TO BOARD OR COMMITTEE APPROVAL, TO THE MANAGER'S IMMEDIATE SUPERVISOR. SUCH DISCLOSURES SHALL BE MADE A MATTER OF RECORD. DISCLOSURE WILL BE MADE AT THE TIME OF INITIAL AFFILIATION WITH LINCOLNHEALTH GROUP ANNUALLY AND WHEN THE INTEREST BECOMES A MATTER FOR BOARD OR COMMITTEE ACTION OR ADMINISTRATIVE DECISION. DISCLOSURE FORMS SHALL BE COMPLETED ANNUALLY BY TRUSTEES AND OFFICERS AT THE TIME OF THE ANNUAL MEETING, AND ANNUALLY BY VICE PRESIDENTS, DIRECTORS, AND MANAGERS IN CONJUNCTION WITH THEIR ANNUAL PERFORMANCE REVIEW. |
| FORM 990, PAGE 6, PART VI, LINE 15A | IN CONSULTATION WITH SULLIVAN COTTER, THE MAINEHEALTH BOARD COMPENSATION COMMITTEE ESTABLISHES APPROPRIATE COMPENSATION PARAMETERS FOR EACH MEMBER ORGANIZATION'S CEO AND CERTAIN MEMBERS OF THEIR SENIOR MANAGEMENT TEAM. WORKING WITHIN THOSE PARAMETERS, THE LINCOLNHEALTH GROUP (LHG) BOARD DETERMINES THE LEVEL OF COMPENSATION FOR ITS CEO. THE FINDINGS OF THE COMPENSATION COMMITTEE ARE MADE TRANSPARENT TO, AND VOTED ON BY, THE FULL GOVERNING BOARD. THIS "TOTAL EXECUTIVE COMPENSATION" IS FILED PUBLICLY BY THE ORGANIZATION, AND INCLUDES "TOTAL CASH COMPENSATION- AND "TOTAL VALUE OF ALL BENEFITS AND PERQUISITES ASSOCIATED WITH THE POSITION (SUCH AS HOUSING ALLOWANCES, SOCIAL CLUB MEMBERSHIPS, SIGNING BONUSES,ETC.)". THE BOARD TAKES NECESSARY ACTION TO PREVENT THE CEO FROM VOTING OR DIRECTLY PARTICIPATING IN THE FINAL COMMITTEE DETERMINATION OF (HER/HIS)OWN COMPENSATION. THE ORGANIZATION'S EXECUTIVE COMPENSATION PROCEDURE RELIES UPON APPROPRIATE DATA FOR COMPARABILITY (E.G. COMPENSATION LEVELS PAID BY BOTH TAXABLE AND TAX-EXEMPT SIMILARLY SITUATED ORGANIZATIONS AND INDEPENDENT COMPENSATION SURVEYS BY NATIONALLY RECOGNIZED INDEPENDENT FIRMS). FINALLY, THE ORGANIZATION REFRAINS FROM ALLOWING EXECUTIVE COMPENSATION TO EVER BE BASED SOLELY ON LHG'S REVENUES OR OTHER SIMILAR PROFIT-SHARING STRATEGIES. |
| FORM 990, PAGE 6, PART VI, LINE 15B | SEE PROCESS ABOVE UNDER "COMPENSATION PROCESS FOR TOP OFFICIAL". |
| FORM 990, PAGE 6, PART VI, LINE 19 | DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION ARE MADE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PURCHASED SERVICES 7,302,978 411,650 66 AMBULANCE 22,266 0 0 CONTRACT SERVICES - I/S 165,276 0 0 CONTRACT SERVICES - PHARM. 90,152 0 0 FEES - COLLECTION 28,469 170,343 0 INSPECTION SERVICES 3,038 0 0 MEDICAL SERVICES 72,326 0 0 SECURITY SERVICES 2,288 0 0 TEMP PERSONNEL 875,624 0 0 TRANSCRIPTION SERVICES 313 0 0 |
| FORM 990, PART XI | THE FINANCIAL RESULTS OF THE ORGANIZATION WERE PART OF A CONSOLIDATED FINANCIAL STATEMENT AUDIT PREPARED FOR LINCOLNHEALTH GROUP (EIN 26- 1475629) AND ITS SUBSIDIARIES. |
| FORM 990, PART XI, LINE 9 | EQUITY TRANSFERS TO AFFILIATES -3,855,952 CHANGE IN PERPETUAL TRUSTS 110,566 TOTAL -3,745,386 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| LINCOLNHEALTH MEDICAL PARTNERS INC | ||||||||||
| 35 MILES STREET | DAMARISCOTTA | ME | 04543 | 263878235 | PHYS PRACT | ME | 501C3 | 7 | LHG | false |
| LINCOLNHEALTH GROUP (LHG) | ||||||||||
| 6 ST ANDREWS LANE | BOOTHBAY HARBOR | ME | 04538 | 261475629 | HEALTHCARE | ME | 501C3 | 11B | MH | false |
| LINCOLNHEALTH COVE'S EDGE | ||||||||||
| 35 MILES STREET | DAMARISCOTTA | ME | 04543 | 010382340 | HEALTHCARE | ME | 501C3 | 3 | LHG | false |
| MAINEHEALTH (MH) | ||||||||||
| 110 FREE STREET | PORTLAND | ME | 04101 | 010431680 | HEALTHCARE | ME | 501C3 | 11C | NA | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | 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 | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Comments