EASTERN MAINE HEALTHCARE SYSTEMS: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- EASTERN MAINE HEALTHCARE SYSTEMS (EIN 04-3341666)
- Tax period
- 2014-09-28 to 2015-09-26
- Filed
- 2016-08-10
- IRS object ID
- 201612239349301416
- Schema version
- 2014v6.0
- 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 G
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-08-10T10:51:01-07:00 | ReturnTs |
| Tax Period End | 2015-09-26 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-09-28 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 043341666 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eastern Maine Healthcare SystemsCADean | BusinessNameLine1Txt |
| Business Name Line2 | Charles A Dean Memorial HospitalCADean | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | EAST | BusinessNameControlTxt |
| Phone | 2076955200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Pritham Avenue PO Box 1129 | AddressLine1Txt |
| City | Greenville | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04441 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Eugene F Murray Jr | PersonNm |
| Person Title | President & CEO | PersonTitleTxt |
| Signature | 2016-08-10 | SignatureDt |
| Discuss With Paid Preparer | false | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-12-15 16:53:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Eugene F Murray Jr | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 1129 | AddressLine1Txt |
| City | Greenville | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 044411129 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $20,261,975 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| Group Exemption | 5247 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.cadean.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1996 | FormationYr |
| Legal Domicile State | ME | LegalDomicileStateCd |
| Activity Or Mission | The mission of Charles A. Dean Memorial Hospital is to provide a continuum of high quality holistic healthcare services. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 185 | TotalEmployeeCnt |
| Total Volunteers | 91 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $94,797 | PYContributionsGrantsAmt |
| CY Contributions Grants | $61,595 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $19,178,551 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $19,874,312 | CYProgramServiceRevenueAmt |
| PY Investment Income | $23,123 | PYInvestmentIncomeAmt |
| CY Investment Income | $39,018 | CYInvestmentIncomeAmt |
| PY Other Revenue | $349,516 | PYOtherRevenueAmt |
| CY Other Revenue | $93,257 | CYOtherRevenueAmt |
| PY Total Revenue | $19,645,987 | PYTotalRevenueAmt |
| CY Total Revenue | $20,068,182 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $500 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $500 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $10,767,274 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $10,529,354 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $59,602 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $9,058,349 | PYOtherExpensesAmt |
| CY Other Expenses | $9,722,124 | CYOtherExpensesAmt |
| PY Total Expenses | $19,826,123 | PYTotalExpensesAmt |
| CY Total Expenses | $20,251,978 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$180,136 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$183,796 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $10,457,629 | TotalAssetsBOYAmt |
| Total Assets EOY | $9,292,168 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $6,392,927 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $6,094,216 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,064,702 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,197,952 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The mission of Charles A. Dean Memorial Hospital is to provide a continuum of high quality holistic healthcare services. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $17,462,151 | ExpenseAmt |
| Grant | $500 | GrantAmt |
| Revenue | $19,966,480 | RevenueAmt |
| Desc | Provided emergency, ambulance, inpatient acute care, outpatient surgery, specialty physician clinics and nursing home services to patients regardless of ability to pay. The Charles A. Dean Memorial Hospital is a 25 bed Critical Access Hospital in rural northwestern Maine providing emergency, ambulance, inpatient acute care, outpatient surgery, specialty physician clinics and nursing home services to patients regardless of ability to pay.Additional Statistics:Northwoods Healthcare Clinic visits 13,918Hospital diagnostic and rehabilitation visits 16,362Emergency room visits 2,367 Hospital admissions 355Surgery cases 228Ambulance runs 574 | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $192,741 | ExpenseAmt |
| Desc | Provided charity care (at cost). 119 persons served. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $181,741 | ExpenseAmt |
| Desc | Experienced Medicare shortfall (at cost). 13,320 persons served. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $165,335 | TotalOtherProgSrvcExpenseAmt |
| Total Program Service Expenses | $18,001,968 | 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 | Yes (true) | 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 | false | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 53 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 185 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | false | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Org Filed In Lieu Of Form1041 | false | OrgFiledInLieuOfForm1041Ind |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | ME | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | John J Doyle | PersonNm |
| Phone | 2079739081 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 43 Whiting Hill Road | AddressLine1Txt |
| City | Brewer | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 044121006 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 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 |
|---|---|---|---|---|---|---|---|---|
| Steven Bilodeau | ||||||||
| Director | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Darin M Peck MD | ||||||||
| CMO | 40.00 | 0.00 | Yes (X) | $275,401 | $0 | $42,851 | ||
| Dwight Foote | ||||||||
| Director | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Stuart Watt | ||||||||
| Director | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Linda D Gilbert | ||||||||
| Chairman | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Diane K Bartley | ||||||||
| Director | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Faye E Booker | ||||||||
| Director | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Sharon Hastings | ||||||||
| Director | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| David S Richards | ||||||||
| Vice Chairman | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Mary M Hood President CEO | ||||||||
| Ex-Officio | 1.00 | 50.00 | Yes (X) | $0 | $974,647 | $261,258 | Yes (X) | |
| Eugene F Murray Jr | ||||||||
| President & CEO | 40.00 | 0.00 | Yes (X) | $202,077 | $0 | $68,541 | Yes (X) | |
| Ronald Pelletier | ||||||||
| Director | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Laureen J Muzzy | ||||||||
| Director | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Gregg Christensen PA-C | ||||||||
| Director | 40.00 | 0.00 | Yes (X) | $168,579 | $0 | $23,925 | ||
| Lorraine Rodgerson RN | ||||||||
| VP/CNO | 40.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| Tracy Bonney-Corson | ||||||||
| VP/CNO(part yr) | 40.00 | 0.00 | $99,228 | $0 | $31,518 | Yes (X) | ||
| Dennis Welsh | ||||||||
| VP/Ops(part yr) | 40.00 | 0.00 | $124,967 | $0 | $33,979 | Yes (X) | ||
| Yoosuf Siddiqui | ||||||||
| VP/HR Northeast | 0.50 | 40.00 | $0 | $106,362 | $39,216 | Yes (X) | ||
| Jennifer Goodrich | ||||||||
| VP/CFO/Treasure | 40.00 | 0.00 | $146,601 | $0 | $24,338 | Yes (X) | ||
| Glenn Martin VPGeneral Couns | ||||||||
| Secretary | 1.00 | 50.00 | $0 | $384,473 | $94,093 | Yes (X) | ||
| Paul Potvin | ||||||||
| Physician | 40.00 | 0.00 | $296,376 | $0 | $52,376 | Yes (X) | ||
| Joseph Babbitt | ||||||||
| Physician | 40.00 | 0.00 | $350,284 | $0 | $40,595 | Yes (X) | ||
| Elisa Thompson | ||||||||
| Physician | 40.00 | 0.00 | $214,074 | $0 | $16,817 | Yes (X) | ||
| David T Rideout | ||||||||
| Physician | 40.00 | 0.00 | $310,879 | $0 | $44,965 | Yes (X) | ||
| Mario Turi | ||||||||
| Physician | 40.00 | 0.00 | $245,570 | $0 | $22,633 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,434,036 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,465,482 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $797,105 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 18 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| C&A Industries Inc dba Aureus Medical | |||||
| 11825 Q Street | Omaha | NE | 681030037 | Temp Staff Services | $181,428 |
| Nurse Anesthesia of Maine | |||||
| 141 Main Street Suite 205 | Brewer | ME | 04412 | Anesthesia Services | $142,319 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $985 | FederatedCampaignsAmt |
| Fundraising | $17,703 | FundraisingAmt |
| Related Organizations | $2,368 | RelatedOrganizationsAmt |
| All Other Contributions | $40,539 | AllOtherContributionsAmt |
| Noncash Contributions | $3,529 | NoncashContributionsAmt |
| Total Contributions | $61,595 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| Cafeteria | 722210 | $8,711 | $8,711 | |
| Patient Care Services | 621990 | $19,865,601 | $19,865,601 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $19,874,312 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,573 | TotalRevenueColumnAmt |
| Exclusion | $15,573 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $7,140 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $5,920 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,220 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,220 | TotalRevenueColumnAmt |
| Exclusion | $1,220 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $112,547 | SecuritiesAmt |
| Other | $93,700 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $111,462 | SecuritiesAmt |
| Other | $71,340 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,085 | SecuritiesAmt |
| Other | $22,360 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,445 | TotalRevenueColumnAmt |
| Exclusion | $23,445 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $5,071 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $17,703 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $5,071 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| Meaningful Use Incentive | 621990 | $92,168 | $92,168 | |
| Misc Revenue | 621990 | -$131 | -$131 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $92,037 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,068,182 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $19,957,769 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $48,818 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $500 | TotalAmt |
| Program Services | $500 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,242,005 | TotalAmt |
| Program Services | $800,448 | ProgramServicesAmt |
| Management And General | $441,557 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,157,188 | TotalAmt |
| Program Services | $7,025,842 | ProgramServicesAmt |
| Management And General | $131,346 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $434,672 | TotalAmt |
| Program Services | $418,738 | ProgramServicesAmt |
| Management And General | $15,934 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,102,608 | TotalAmt |
| Program Services | $1,083,112 | ProgramServicesAmt |
| Management And General | $19,496 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $592,881 | TotalAmt |
| Program Services | $571,148 | ProgramServicesAmt |
| Management And General | $21,733 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,415 | TotalAmt |
| Management And General | $1,415 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,991 | TotalAmt |
| Management And General | $36,991 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,335,320 | TotalAmt |
| Program Services | $1,208,037 | ProgramServicesAmt |
| Management And General | $1,127,283 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,389 | TotalAmt |
| Management And General | $570 | ManagementAndGeneralAmt |
| Fundraising | $47,819 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $453,652 | TotalAmt |
| Program Services | $357,384 | ProgramServicesAmt |
| Management And General | $95,816 | ManagementAndGeneralAmt |
| Fundraising | $452 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,906 | TotalAmt |
| Program Services | $12,648 | ProgramServicesAmt |
| Management And General | $258 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $250,048 | TotalAmt |
| Program Services | $183,110 | ProgramServicesAmt |
| Management And General | $66,938 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,084 | TotalAmt |
| Program Services | $50,709 | ProgramServicesAmt |
| Management And General | $13,375 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,079 | TotalAmt |
| Program Services | $32,633 | ProgramServicesAmt |
| Management And General | $3,446 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,509 | TotalAmt |
| Program Services | $18,509 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $597,116 | TotalAmt |
| Program Services | $443,423 | ProgramServicesAmt |
| Management And General | $153,693 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $193,735 | TotalAmt |
| Program Services | $183,701 | ProgramServicesAmt |
| Management And General | $10,034 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Contractual Allowances | $3,287,125 | $3,287,125 | |
| Medical Supplies Expenses | $1,006,369 | $1,006,354 | $15 |
| Bad Debt Expense | $420,396 | $420,396 | |
| Taxes and Licensing | $325,018 | $321,120 | $3,898 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $634,972 | TotalAmt |
| Program Services | $577,031 | ProgramServicesAmt |
| Management And General | $46,610 | ManagementAndGeneralAmt |
| Fundraising | $11,331 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,251,978 | TotalAmt |
| Program Services | $18,001,968 | ProgramServicesAmt |
| Management And General | $2,190,408 | ManagementAndGeneralAmt |
| Fundraising | $59,602 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $876 | BOYAmt |
| EOY | $834 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $168,036 | BOYAmt |
| EOY | $364,843 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,804,723 | BOYAmt |
| EOY | $2,849,617 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $271,104 | BOYAmt |
| EOY | $262,167 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $194,756 | BOYAmt |
| EOY | $45,257 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $10,701,713 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,356,542 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,749,670 | BOYAmt |
| EOY | $3,345,171 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,268,464 | BOYAmt |
| EOY | $2,424,279 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,457,629 | BOYAmt |
| EOY | $9,292,168 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,420,167 | BOYAmt |
| EOY | $3,379,077 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $595 | BOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $276,018 | BOYAmt |
| EOY | $242,611 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,696,147 | BOYAmt |
| EOY | $2,472,528 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,392,927 | BOYAmt |
| EOY | $6,094,216 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,315,444 | BOYAmt |
| EOY | $2,457,421 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $389,055 | BOYAmt |
| EOY | $380,048 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $360,203 | BOYAmt |
| EOY | $360,483 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,064,702 | BOYAmt |
| EOY | $3,197,952 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,457,629 | BOYAmt |
| EOY | $9,292,168 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$183,796 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$20,446 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$662,508 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed Section4955 Tax | false | Form4720FiledSection4955TaxInd |
| Correction Made | false | CorrectionMadeInd |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $4,514 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $4,514 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
| Form4720 Filed4912 Tax | false | Form4720Filed4912TaxInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1i - Other Activities Description | FormAndLineReferenceDesc |
| Explanation | Non-deductible portion of dues. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $919,597 | BeginningYearBalanceAmt |
| Contributions | $280 | ContributionsAmt |
| Investment Earnings Or Losses | -$6,564 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,960 | OtherExpendituresAmt |
| Administrative Expenses | $3,892 | AdministrativeExpensesAmt |
| End Year Balance | $907,461 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $891,632 | BeginningYearBalanceAmt |
| Contributions | $350 | ContributionsAmt |
| Investment Earnings Or Losses | $32,946 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,630 | OtherExpendituresAmt |
| Administrative Expenses | $3,701 | AdministrativeExpensesAmt |
| End Year Balance | $919,597 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $866,148 | BeginningYearBalanceAmt |
| Contributions | $9,001 | ContributionsAmt |
| Investment Earnings Or Losses | $20,820 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $855 | OtherExpendituresAmt |
| Administrative Expenses | $3,482 | AdministrativeExpensesAmt |
| End Year Balance | $891,632 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $823,036 | BeginningYearBalanceAmt |
| Contributions | $10,000 | ContributionsAmt |
| Investment Earnings Or Losses | $37,367 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $832 | OtherExpendituresAmt |
| Administrative Expenses | $3,423 | AdministrativeExpensesAmt |
| End Year Balance | $866,148 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $516,370 | BeginningYearBalanceAmt |
| Contributions | $296,827 | ContributionsAmt |
| Investment Earnings Or Losses | $13,517 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $324 | OtherExpendituresAmt |
| Administrative Expenses | $3,354 | AdministrativeExpensesAmt |
| End Year Balance | $823,036 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.60000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.40000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $160,146 | OtherCostOrOtherBasisAmt |
| Book Value | $160,146 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,149,308 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,919,143 | DepreciationAmt |
| Book Value | $1,230,165 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,981,292 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,437,399 | DepreciationAmt |
| Book Value | $1,543,893 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $410,967 | OtherCostOrOtherBasisAmt |
| Book Value | $410,967 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,345,171 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Board Designated Investments | $1,172,832 |
| Due from Restricted Funds | $181,738 |
| Estimated Prof. Liab. Claims Receivable | $316,713 |
| Permanently Donor Restricted Funds | $360,483 |
| Self-Insurance Funds Held by Trustee | $12,465 |
| Temporarily Donor Restricted Funds | $380,048 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,424,279 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Accrual for Post Retirement Benefit | $1,662,333 |
| Capital Lease Obligation | $56,034 |
| Notes Payable to Related Org, EMHS | $450,000 |
| Reserve for Prof. Liab. Self Ins. | $304,161 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,472,528 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: Intended uses of the endowment fund. | Endowment Funds are designated for purposes that align within this organization's exempt purpose. |
| Part X : FIN48 Footnote | EMHS, its hospitals, and certain other affiliates have been determined by the Internal Revenue Service to be tax-exempt charitable organizations as described in Section 501(c)(3) or 501(c)(2) of the Internal Revenue Code (the Code) and, accordingly, are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Accordingly, no provision for federal income taxes has been recorded in the accompanying consolidated financial statements for these organizations.Tax-exempt charitable organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the Financial Accounting Standards Board (FASB), assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. The System has evaluated its tax position taken or expected to be taken on income tax returns and concluded the impact to be not material.Certain of the System's affiliates are taxable entities. Deferred taxes related to these entities are based on the difference between the financial statement and tax basis of assets and liabilities using enacted tax rates in effect in the years the differences are expected to reverse. The deferred tax assets and liabilities for these entities are not material. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agrmt Prof Fundraising Acty | false | AgrmtProfFundraisingActyInd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Golf Tournament | Event1Nm |
| Gross Receipts Event1 | $12,648 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $9,765 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $2,883 | GrossRevenueEvent1Amt |
| Food And Beverage Event1 | $1,030 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $1,853 | OtherDirectExpensesEvent1Amt |
| Event2 | Bike 'n Boat | Event2Nm |
| Gross Receipts Event2 | $10,126 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $7,938 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $2,188 | GrossRevenueEvent2Amt |
| Food And Beverage Event2 | $775 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $1,413 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $22,774 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $17,703 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $5,071 | GrossRevenueTotalEventsAmt |
| Food And Beverage Total Events | $1,805 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $3,266 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $5,071 | DirectExpenseSummaryEventsAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent250 | Yes (X) | Percent250Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 119 | PersonsServedCnt |
| Total Community Benefit Expns | $192,741 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $192,741 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01190 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 4654 | PersonsServedCnt |
| Total Community Benefit Expns | $1,977,376 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,812,041 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $165,335 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01020 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $237 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $237 | NetCommunityBenefitExpnsAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 4773 | PersonsServedCnt |
| Total Community Benefit Expns | $2,170,354 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,812,041 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $358,313 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02210 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 1623 | PersonsServedCnt |
| Total Community Benefit Expns | $86,074 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $86,074 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00530 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 30 | PersonsServedCnt |
| Total Community Benefit Expns | $3,007 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,007 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 1653 | PersonsServedCnt |
| Total Community Benefit Expns | $89,081 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $89,081 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00550 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 6426 | PersonsServedCnt |
| Total Community Benefit Expns | $2,259,435 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,812,041 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $447,394 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02760 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 38000 | PersonsServedCnt |
| Total Community Benefit Expns | $4,554 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,554 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 38000 | PersonsServedCnt |
| Total Community Benefit Expns | $4,554 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,554 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $329,088 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $7,570,678 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $7,752,419 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$181,741 | 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 | CA Dean Memorial Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 364 Pritham Avenue | AddressLine1Txt |
| City | Greenville | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04441 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.cadean.org | WebsiteAddressTxt |
| State License | 37959 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| 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 | CA Dean Memorial Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 14 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | http://cadean.org | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | http://www.emhs.org/Community-Benefit/CH | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 14 | ImplementationStrategyAdptYr |
| Strategy Posted Website | false | StrategyPostedWebsiteInd |
| Strategy Attached | Yes (true) | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 150.0000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 250.0000 | FPGFamilyIncmLmtDscntCarePct |
| 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 |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | http://www.cadean.org/Patients-Visitors/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | http://www.cadean.org/Patients-Visitors/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | http://www.cadean.org/Patients-Visitors/ | 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 |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| 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 |
|---|---|
| Part V, Line 3j - Description of Other Needs Assessment | 3g The data gathered from the 2014 Community Health Needs Assessment (CHNA) allowed Charles A. Dean Memorial Hospital to identify areas of significant need including priority concerns, gaps in healthcare services, and barriers to care. A hospital task force considered the data and identified areas of significant needs to be addressed, as well as areas of need unable to be addressed by the hospital. An implementation strategy was presented and adopted by the hospitals board of directors. The Implementation Strategy consists of actions the hospital intends to take to address the health need. Programs/resources the hospital plans to commit to address the health need were identified along with planned collaborations with other area organizations.3h To assure broad representation of the communitys interests, key public health and healthcare partners were engaged and consulted throughout the design and implementation phase of the 2014 CHNA. Qualitative Stakeholder Surveys were distributed to public and community health representatives who directly serve the communities interests. Sampling was monitored throughout the survey dissemination to assure a minimum threshold of respondents providing local insight to priority community health needs and opportunities. Survey outreach was conducted by the local hospital, partner healthcare facilities in the same region, the local public health liaison, and a local comprehensive community health coalition.3j The 2014 CHNA report presents findings of three sets of data, by county. The data sets include absolute indicators of health status as gathered in 2010 using BRFSS and other primary source data gathered using empirical methods; A qualitative stakeholder survey conducted in 2014 and 2014 County Health Rankings indicator set. The qualitative stakeholder survey was disseminated broadly to public health and community stakeholders who serve local populations. As such, the Community Health Needs Assessment does not provide for random assignment of survey respondents, nor does it attempt to function as a surveillance instrument. Limitations aside, taken together, the data provide a unique perspective on the health of Maine communities, with a focus on the social, environmental, and clinical factors which influence the ability of populations to lead healthy lives. |
| Part V, Line 5 - Account Input from Persons Who Represent the Community | Key collaborators were convened as an advisory committee to review the Needs Assessment and assist in the dissemination of a survey instrument to a broad base of key informants representing healthcare, public health, and community stakeholders to identify issues and opportunities for collaborative community health improvement. These collaborators include: Local Public Health District Officials: Stacy Boucher, Aroostook District Coordinating Council; Paula Thomson, Central District Coordinating Council; Becca Matusovich, Cumberland District Public Health Council; Alfred May, Downeast Public Health Council; Jessica Fogg, Penquis District Coordinating Council; Clarisa Weber, Wabanaki Public Health. Healthy Maine Partnerships (contracted entities functioning as part of the local public health system): Jamie Comstock, Bangor Region Public Health & Wellness; Elsie Flemings, Healthy Acadia; Carol Bell, Healthy Aroostook; Anne Lang, Healthy Casco Bay; Joanne Joy, Healthy Communities of the Capital Area; Zoe Miller, Healthy Lakes; Fran Mullin, Healthy Northern Kennebec; Kristen Dow, Healthy Portland; Lucie Rioux, Healthy Rivers; Karen Hawkes, Healthy Sebasticook Valley; Malissa Boynton, Healthy Wabanaki; Vyvyenne Ritchie, Healthy Waldo County; Jane McGillicuddy, Partnership for a Healthy Northern Penobscot; Robin Mayo, Piscataquis Public Health Council; Ellen Willinghan, Power of Prevention; Bill Primmerman, Somerset Public Health; Eleody Libby, Washington County: One Community. Other Entities: Federally Qualified Health Centers, Bangor Public Health and Community Services, Portland Public Health |
| Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs Assessment | The CHNA was developed and implemented as a collaborative between the EMHS Healthcare System and other independent hospitals serving Maine communities. EMHS Member Organizations: Acadia Hospital, Blue Hill Memorial Hospital, Charles A. Dean Memorial Hospital, Eastern Maine Medical Center, Inland Hospital, Mercy Hospital, Sebasticook Valley Health, and TAMC. Partnering Hospitals: Cary Medical Center, Down East Community Hospital, Houlton Regional Hospital, Maine Coast Memorial Hospital, Mayo Regional Hospital, Millinocket Regional Hospital, Mount Desert Island Hospital, Northern Maine Medical Center, and Redington-Fairview General Hospital. |
| Part V, Line 7d - Description of Making Needs Assessment Widely Available | Instructions on the website assist viewers to download and /or print sections of the report. Individuals without computer or printer access were provided a phone number where they can request a printed assessment |
| Part V, Line 11 - Explanation of Needs Not Addressed and Reasons Why | Non-Selected priorities:TransportationLack of insurance/unable to pay for the careHunger/Food InsecuritiesWe did not choose the priorities listed because we know that theyre important, but we have current processes in place to help with these concerns. For transportation, CA Dean has purchased a courtesy van which is not advertised, but is used to pick up/drop off patients free of charge. The lack of insurance/unable to pay for care issue has been addressed by our newly certified patient financial counselor who is also a Certified Application Specialist for the Healthcare Marketplace. She also works to help those who do not have the means to pay fill out paperwork for MaineCare and Free Care if needed. We have worked with the local school to develop the backpack program which is a program that sends backpacks full of healthy food home with children who need it each night and over the weekends. |
| Part V, Line 13h - Other Factors Used in Determing Amounts Charged Patients | |
| Part V, Line 16i - Other Means Hospital Facility Publicized the Policy | Posted signs and individual notices containing information on the availability of free care are located in key public areas in the hospital. Signs and notices inform the patient of the availability of free care and include eligibility criteria, instructions on how to apply and how to obtain additional information or assistance.The "Billing Help" section of the hospital web pages provides a link to the free care application form, instructions and eligibility criteria. |
| Part V, Line 22d - Other Billing Determination of Individuals Without Insurance | 22d. Hospital charges are discounted at 100% for patients who qualify for Free Care with income at or below 150% FPL. The hospital also offers discount for patients who fall within the 151% to 250% FPL. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| Northwoods Healthcare | ||||
| 364 Pritham Avenue | Greenville | ME | 04441 | Outpatient clinic |
| Northwoods Healthcare | ||||
| 7 Greenville Road | Monson | ME | 04464 | Outpatient clinic |
| Northwoods Healthcare | ||||
| 22 Haley Court Rd | Sangerville | ME | 04479 | Outpatient clinic |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 6a - Related Organization Community Benefit Report | The Charles A Dean Memorial Hospital community benefit report is contained in an annual community benefit report prepared by Eastern Maine Healthcare Systems which is the parent organization of all related organizations. |
| Part I, Line 7 - Explanation of Costing Methodology | Ratio of Patient Care Cost-to-Charges is used in calculations. |
| Part I, Line 7, Column F - Explanation of Bad Debt Expense | $420,396 of bad debt expense, $283,761 of charity care and $3,287,125 of contractual allowances is included on Form 990, Part IX, line 25, column (A) |
| Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense | The costing methodology used to determine the amount is cost to charge ratio. |
| Part III, Line 4 - Bad Debt Expense | Patient and trade accounts receivable are stated at the amount management expects to collect from outstanding balances. Management provides for probable uncollectible amounts through a charge to earnings and a valuation allowance based on its assessment of the current status of individual accounts. Balances that are still outstanding after management has used reasonable collection efforts are written off through a charge to the valuation allowance and the applicable patient accounts receivable. Credit is extended without collateral. |
| Part III, Line 8 - Explanation Of Shortfall As Community Benefit | Medicare losses should be treated as a community benefit because the losses are incurred in performing an important public service, and Maine hospitals experience one of the lowest Medicare reimbursement rates in the country. |
| Part III, Line 9b - Provisions On Collection Practices For Qualified Patients | All account guarantors who express an inability to pay inpatient and outpatient services are screened for eligibility for charity care using an application and guidelines established by CA Dean. An account may be reconsidered for charity care at any time when new information is available about a patient's inability to pay. |
| Part VI - Needs Assessment | In the past, CA Dean participated in the regional comprehensive health care needs assessment with the help of One Maine Health Collaboration. In 2011, One Maine Health will conduct the first state-wide health assessment in Maine. Focus groups have been organized to review the report findings. The work groups have carried forth work on ACOs, obesity and substance abuse. Also working with the local school on dietary, exercise and health awareness issues. Also collaborating with Mayo Regional Hospital, Piscataquis County Health District, town officials, civic groups and school leadership to follow through on these needs. |
| Part VI - Patient Education of Eligibility for Assistance | CA Dean offers free care and sliding scale assistance programs. We have posters and pamphlets at all patient intake areas. Patient bills and our web site also list information on the availability of these programs and the application process. C A Dean has put forth a designated position financial councilor within the organization to assist with these programs. |
| Part VI - Community Information | CA Dean immediately serves Greenville and the surrounding Moosehead Lake area. This area is completely rural. We have patients all throughout Piscataquis county. The population in the county is 17,124. Of that population, 18.5% are living in poverty with 28.9% of children living in poverty. The median household income is $36,646. The overall mortality rate per 100,000 population is 847.4. 14.4% are uninsured. |
| Part VI - Community Building Activities | In keeping with our mission statement, CA Dean actively participates by fulfilling the needs of our civic, community and faith based organizations. We offer flu clinics and blood pressure clinics just to name a few. CA Dean works in collaboration with the school on a number of projects including; nutritious food 'back pack program', activities that promote health and wellness, and general health education. CA Dean sponsors a number of healthy lifestyle activities such as a an annual triathalon and Bike and Boat. We also offer a Community Paramedicine Program in conjunction with ER, Inpatient, and the provider offices as a follow-up on patients in our communities. |
| Part VI - Explanation Of How Organization Furthers Its Exempt Purpose | We have an Elderwell program that allows the elderly in our community to use our exercise equipment (at a very minimal fee) to promote physical activity in this population. Our 'loan closet' program provides medical equipment supplies for our community at no cost. We author educational healthcare articles for publication in our local newspapers. We offer the use of our buildings, tele-med and office equipment to civic and community groups for meetings and publications. We developed 'walk-in clinic hours' to create greater access to healthcare for our patients. Participate in a bone builders program. Support Community health initiatives around diet and exercise both at the adult and the school level age. CA Dean sponsors several healthy lifestyle events annually such as a triathalon and Bike and Boat. CA Dean serves an elderly population with a high chronic disease burden. Lack of adequate transportation has been attributed to the inability of some patients to access health care. CA Dean implemented a free transportation program for the eligible population (no other means of transportation). This program provides limited transportation to and from medical appointments and procedures at no cost for this eligible population. |
| Part VI - Affilated Health Care System Roles and Promotion | The 2014 Community Health Needs Assessment was conducted by Eastern Maine Healthcare Systems (EMHS) in collaboration with several member/affiliated hospitals and the many public health and community organizations across eight Maine counties. The Community Health Needs Assessment informs initiatives to promote community health across the system as well as within each member hospital local service area. Each member hospital adopts a local implementation strategy and community health improvement plan, tailored to meet local needs.Charles A. Dean Memorial Hospital's specific initiatives were around prescription drug take back and the aging population. CA Dean has partnered with local law enforcement to remind the community of the prescription drug take back program and the drop box at the police station which the hospital provided. CA Dean continues to partner with the Charlotte White Center, Regional Healthcare Providers and Local Public Health Agencies on the Thriving in Place Partnership Program to assess the needs of our elderly populations and find solutions. |
| Part VI - States Where Community Benefit Report Filed | ME |
| Part V - Explanation of Number of Facility Type | N/A |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
| Rebuttable Presumption Proc | false | RebuttablePresumptionProcInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Darin M Peck MD | ||||||||||||
| CMO | $211,199 | $62,749 | $1,453 | $17,640 | $25,211 | $318,252 | ||||||
| David T Rideout | ||||||||||||
| Physician | $309,744 | $1,135 | $16,854 | $28,111 | $355,844 | |||||||
| Dennis Welsh | ||||||||||||
| VP/Ops(part yr) | $122,486 | $2,481 | $9,387 | $24,592 | $158,946 | |||||||
| Elisa Thompson | ||||||||||||
| Physician | $186,886 | $26,748 | $440 | $16,817 | $230,891 | |||||||
| Eugene F Murray Jr | ||||||||||||
| President & CEO | $169,059 | $22,935 | $10,083 | $38,720 | $29,821 | $270,618 | ||||||
| Glenn Martin VPGeneral Couns | ||||||||||||
| Secretary | $348,106 | $33,250 | $3,117 | $67,078 | $27,015 | $478,566 | ||||||
| Gregg Christensen PA-C | ||||||||||||
| Director | $106,617 | $59,330 | $2,632 | $13,996 | $9,929 | $192,504 | ||||||
| Jennifer Goodrich | ||||||||||||
| VP/CFO/Treasure | $133,208 | $11,702 | $1,691 | $8,092 | $16,246 | $170,939 | ||||||
| Joseph Babbitt | ||||||||||||
| Physician | $347,508 | $2,776 | $14,876 | $25,719 | $390,879 | |||||||
| Mario Turi | ||||||||||||
| Physician | $244,033 | $1,537 | $20,181 | $2,452 | $268,203 | |||||||
| Mary M Hood President CEO | ||||||||||||
| Ex-Officio | $788,728 | $171,536 | $14,383 | $241,324 | $19,934 | $1,235,905 | ||||||
| Paul Potvin | ||||||||||||
| Physician | $294,570 | $1,806 | $20,500 | $31,876 | $348,752 | |||||||
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 1a: Relevant information in regards to selections on 1a. | FormAndLineReferenceDesc |
| Explanation | Tracy Bonney-Corson, officer, received a gift certificate for $97.67 with a $36.77 gross-up payment. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Linda D Gilbert VP at Bank | |||
| VP=Chair Brd | $242,611 | unsec note w/bank | false |
| Donna Welsh | |||
| fam of offic | $19,288 | compensation | false |
| Thomas Murray | |||
| fam of offic | $84,029 | compensation | false |
| Christine Christensen | |||
| fam of brd m | $80,892 | compensation | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule L, Part V Supplemental Information | FormAndLineReferenceDesc |
| Explanation | Linda D. Gilbert, Charles A. Dean Board Chairman is a Camden National Bank VP. Camden National Bank is Charles A. Dean's primary bank, holding deposits of $1,701,592 and a note for $242,611.Donna Welsh is a family member of an officer and is an employee of Charles A. Dean.Thomas Murray is a family member of an officer/board member and is an employee of Charles A. Dean.Christine Christensen is a family member of a board member and is an employee of Charles A. Dean. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4d: Other Program Services Description | OTHER PROGRAM SERVICES 4: Provided emergency, ambulance, inpatient acute care, outpatient surgery, specialty physician clinics and nursing home services to patients regardless of ability to pay. The Charles A. Dean Memorial Hospital is a 25 bed Critical Access Hospital in rural northwestern Maine providing emergency, ambulance, inpatient acute care, outpatient surgery, specialty physician clinics and nursing home services to patients regardless of ability to pay.Additional Statistics:Northwoods Healthcare Clinic visits 13,918Hospital diagnostic and rehabilitation visits 16,362Emergency room visits 2,367 Hospital admissions 355Surgery cases 228Ambulance runs 574 OTHER PROGRAM SERVICES 5: Please see the following excerpt from the EMHS Annual Report to the Community for details of community benefit projects by C.A. Dean.Charles A. Dean Memorial HospitalLeadership: Geno Murray, President and CEO; Linda Gilbert, Board Chair Description: CA Dean is a 25-bed critical access hospital nestled on the shores of Moosehead Lake in Greenville, Maine. Northwoods Healthcare is a department of CA Dean with locations in Greenville, Monson, and Sangerville, offering family practice and specialty services.Employees: 156Location: Greenville, Monson, SangervilleCharles A. Dean Memorial Hospital Highlights-Received the Most Wired Small and Rural Award by Hospitals and Health Networks, a subsidiary of the American Hospital Association-Received five Avatar Awards: Exceeding Expectation and four five-star awards: Loyalty and Endorsement,Inpatient; Loyalty and Endorsement, Physician Office;Physician Office; and Inpatient Care -Welcomed Northwoods Healthcare family practice provider, Galen Durose, MD, to both the Greenville and Sangerville primary care locations-Hosted 4-H students for the third year in a row and instructed on the importance of rural emergency careCHARLES A. DEAN MEMORIAL HOSPITAL Philanthropy: $2,368.49Total Community Benefit: $633,689Community Health Improvement Services: $22,597 Cash and In-Kind Contributions: $3,007 Community Building Activities: $4,554 Community Benefit Operations: $63,477 Traditional Charity Care*: $192,741 Unrecoverable Interest Cost on funds used to subsidize state MaineCare/Medicaid underpayment on $0.003M: $237 Unpaid Cost of Public Programs: Medicaid $165,335; Medicare $181,741 |
| Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents | SUMMARY OF AMENDMENTS TO EMHS MEMBER ORGANIZATION BYLAWSThe following is a summary and explanation of amendments to the EMHS MemberOrganization Bylaws.1. Article I Name, Purpose Registered Agent, Office, Seala. Add the following phrase to the end of Section 2 (Purposes and Disposition of Assets) to clarify that the Articles of Incorporation include the original Articles and subsequent amendments and restatements thereto: as they may be amended or restated from time to time.b. Amend Section 3 (Registered Agent) to eliminate the office of Clerk and to substitute the word secretary in place of all references to Clerk in that section. Maine law requires that a nonprofit corporation have either a Secretary or Clerk, but not both. 2. Article III Boarda. Amend Section 2 (Number and Tenure; Qualifications) to eliminate the reference to the Executive Committee at the end of the second sentence in that Section.b. In addition to the amendment to Section 2 set forth in subparagraph 2(a) above, to make the following amendment to Section 2 which will apply only to the Bylaws of Inland Hospital: in lieu of the President and the Vice President of the Medical Staff serving as ex officio trustees with voting power, to provide that the Chief of Staff and two other employed or private practice members of the Medical Staff shall serve as ex officio trustees with voting power.c. Amend Section 5 (Regular Meetings) to specify the month in which the Corporations Annual Meeting will be held.d. Amend Section 6 (Special Meetings) to add the President of EMHS to the list of individuals who are authorized to call special meetings of the Board.e. Amend Section 13 (Attendance) to clarify the circumstances in which inadequate attendance at board meetings, committee meetings and education sessions will prompt the Chair to inquire whether the Board member desires to remain on the Board.3. Article IV Officersa. Amend Sections 1(Officers) and 7 (Treasurer) to: (i) add the offices of Assistant Secretary and Assistant Treasurer to the specified list of officers of the Corporation; (ii) to specify that the Treasurer of EMHS shall serve as Treasurer of the Corporation and that the Chief Financial Officer of the Member Organization shall serve as Assistant Treasurer of the Corporation; and (iii) to confirm the powers associated with the offices of Treasurer and Assistant Treasurer.b. Amend Section 8 (Second Certifying Officer) to provide that the Treasurer and the Assistant Treasurer of the Corporation are both authorized to act as a second certifying officer for the execution of documents.4. Article V Committeesa. Amend Section 4 (Designations) to clarify the distinction among Board Chair, Committee Chair and Chair of Member (EMHS) for purposes of committee designations.b. Amend Section 7 (Governance Committee) to clarify the distinction among Board Chair, Committee Chair and Chair of Member (EMHS) as they pertain to the duties bestowed upon the Governance Committee.c. Amend Section 8 (QPAC) to further establish that the Quality and Professional Affairs Committee has delegated authority to act on behalf of the Board for privileging and credentialing by removing the phrase as reasonably required between meetings from the end of the next to last sentence in that Section.d. Restate Section 9 (Joint Conference Committee) in its entirety to provide more balance on the Committee.e. Amend Section 10 (Finance Committee) to provide that: (i) the Treasurer of the Corporation (who is the Treasurer of EMHS) shall serve as an ex officio voting member of the Finance Committee; (ii) that the Board Chair may appoint up to two additional non-Trustee members to the Finance Committee if specific skill sets are desired; and (iii) if the Treasurer is not able to attend a meeting he or she shall not be counted in the denominator of the fraction used to calculate whether a quorum is present at such committee meeting.5. Article VI - Medical Staffa. Amend Section 1 (Organization) to clarify that the corporate Bylaws will prevail in the event of a conflict between the corporate Bylaws and the Medical Staff Bylaws.b. Amend Section 6 (Medical Staff Bylaws) to make the language consistent with the proposed language in Article V, Section 9 pertaining to the appointment power of the Medical Staff President, by deleting the phrase "including the selection by the Medical Staff of its representatives to the Joint Conference Committee at the end of the first sentence. |
| Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder | The Charles A. Dean Memorial Hospital (the "Corporation") is a Maine nonprofit corporation. Eastern Maine Healthcare Systems ("EMHS"), also a Maine nonprofit corporation, is the sole corporate member of the Corporation. |
| Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body | Each year at their annual meeting, the directors elect replacements for those directors whose terms are expiring Election of directors is subject to ratification by the EMHS Board of Directors. |
| Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders | EMHS has authority to appoint and remove the CEO of the Corporation. EMHS also has joint and superior authority to approve, disapprove or initiate action with respect to the following matters: I.amendments to the corporations Articles of Incorporation or Bylaws;II.changes in legal form of organization of the Corporation;III.election of the Directors/Trustees of the Corporation;IV.action concerning the Corporations operating budget and capital expenditures;V.the Corporations acquisition of assets or assumption of liabilities of an unaffiliated third party;VI.transfer of 5% or more of the assets of the Corporation;VII.financing transactions concerning the Corporation; VIII.merger, consolidation, sale, lease, mortgage, pledge or other disposition of all or substantially all assets of the Corporation; IX.add or revise a health care service of the Corporation;X.discontinue or close a health care service of the Corporation;XI.action concerning the Corporations role in the EMHS Strategic Plan;XII.action concerning the Corporations participation in key strategic affiliations with third parties not affiliated with EMHS; andXIII.dissolution of the Corporation. |
| Form 990, Part VI, Line 11b: Form 990 Review Process | Form 990 is reviewed by the CEO and CFO of CA Dean Memorial Hospital. It is provided to each board member either electronically or in hard copy with an opportunity to ask questions prior to filing with the IRS. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | The organization requests updates of potential conflicts and relationships from the officers and Board members on an annual basis. The request requires disclosure of all business relationships, board memberships, and family relationships. A database is maintained that is compared to payroll records and the accounts payable vendor list to identify any potential conflicts of interest. Transactions are reviewed for reasonableness as an arm's length transaction. The first agenda item for board meetings and board committee meetings is for members to declare any conflict of interest with upcoming agenda items or deliberations. At any point when consideration is being given to purchase/contract with a party in interest, the member with the conflict is either excused from the discussion and consideration process or abstains from voting on the matter. All transactions identified with parties in interest are disclosed within the Form 990. All are deemed to be arm's length transactions. |
| Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management | The CEO of The Charles A. Dean Memorial Hospital (C.A. Dean), who is employed by C.A. Dean, reports directly to the system parent, Eastern Maine Healthcare Systems (EMHS) President/CEO (President) who serves on the board ex-officio. The EMHS Executive Performance Management Committee (the Committee) is responsible to monitor and evaluate the performance of the EMHS President, to set compensation of the EMHS President, and to review recommendations of the EMHS President with respect to compensation of the Chief Executive Officer of the direct subsidiaries, and other direct reports to the President. The Committee is comprised entirely of independent Directors per EMHS bylaws. Process:The Committee meets regularly throughout the fiscal year at the discretion of the Committee chair as well as on call of the Chair of the EMHS board. In carrying out its duties pursuant to the Bylaws, the Committee:-Assures that the executive compensation program is administered in a manner consistent with the EMHS executive compensation philosophy.-Reviews and updates the EMHS executive compensation philosophy which serves as the foundation on which all current and future executive compensation decisions are made.-Assures that value of compensation provided by EMHS does not exceed the value of services provided by the executive.-Reviews annual incentive compensation criteria for eligible executives, as defined by the EMHS President.-Reviews periodic compensation survey information and provides expert input to proposed changes to the executive compensation program.-Assures that a formal and timely performance management system is in place for executives.-Reviews incentive compensation criteria scoring and associated pay schedules for officers and key employees.-Provides any public statements regarding executive compensation practices at EMHS deemed appropriate.-Maintains minutes of the meetings and communicates actions to the EMHS Board of Directors.To accomplish this, the committee uses an external consultant with access to comparative data from independent sources and include national as well as regional data points. The EMHS President reviews all direct report compensation actions with the committee. In addition, the EMHS President ensures that any subsidiary policies and practices governing executive compensation are consistent with the committee's philosophy and practices statement.Form 990, Part VI, Line 15b - Compensation Review & Approval Process for Officers & Key EmployeesCompensation of other officers and key employees of the organization is established by the Human Resources department who utilize external market research to establish compensation ranges for specific positions. On an annual basis, the compensation ranges are compared to the updated survey information. The hiring manager will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | The Charles A. Dean Memorial Hospital makes its governing documents, conflict of interest policy and financial statements available to the public upon request. |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | Change in net assets held @ EMHS Foundation = -$2115 |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | Contribution To Strat Pool Per Affiliation Agreement = -$112823 |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | Post Retirement Health Benefit FAS158 = -$247734 |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | Transfer to exempt parent-Eastern Maine Healthcare Systems = -$299836 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Eastern Maine Healthcare Systems EMHS | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 010527066 | Supporting organization for healthcare affiliates | ME | 501(c)(3) | 11 Type II | N/A | Yes (true) | |
| Eastern Maine Medical Center EMMC | |||||||||||
| PO Box 404 489 State Street | Bangor | ME | 044020404 | 010211501 | Provide healthcare services | ME | 501(c)(3) | 3 | Yes (true) | Eastern Maine Healthcare Systems | |
| Eastern Maine Healthcare Real Estate | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 010391036 | Leases real estate | ME | 501(c)(2) | Yes (true) | Eastern Maine Healthcare Systems | ||
| Rosscare | |||||||||||
| 43 Whiting Hill Road Ste 400 | Brewer | ME | 04412 | 010391038 | Provide services to elderly | ME | 501(c)(3) | PF | Yes (true) | Eastern Maine Healthcare Systems | |
| Rosscare Nursing Homes Inc | |||||||||||
| 43 Whiting Hill Road Ste 400 | Brewer | ME | 04412 | 010430751 | Operation of nursing homes | ME | 501(c)(3) | 9 | Yes (true) | Rosscare | |
| Acadia Hospital Corp AHC | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 010459837 | Provide healthcare services | ME | 501(c)(3) | 3 | Yes (true) | Eastern Maine Healthcare Systems | |
| Eastern Maine Medical Center Auxiliary | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 010377901 | Fund raising for exempt Eastern Maine Medical Center | ME | 501(c)(3) | 9 | Yes (true) | Eastern Maine Medical Center | |
| Acadia Healthcare Inc AHI | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 223183888 | Provide healthcare services | ME | 501(c)(3) | 9 | Yes (true) | Acadia Hospital Corp | |
| EMHS Foundation | |||||||||||
| 43 Whiting Hill Road Ste 400 | Brewer | ME | 04412 | 222514163 | Raise and manage funds for exempt organizations | ME | 501(c)(3) | 11, Type II | Yes (true) | Eastern Maine Healthcare Systems | |
| Norumbega Medical Specialists LTD | |||||||||||
| 43 Whiting Hill Road Ste 400 | Brewer | ME | 04412 | 010465231 | Provide patient care and education | ME | 501(c)(3) | 9 | Yes (true) | Eastern Maine Medical Center | |
| Inland Hospital | |||||||||||
| 200 Kennedy Memorial Drive | Waterville | ME | 04901 | 010217211 | Provide healthcare services | ME | 501(c)(3) | 3 | Yes (true) | Eastern Maine Healthcare Systems | |
| Lakewood A Continuing Care Center | |||||||||||
| 220 Kennedy Memorial Drive | Waterville | ME | 04901 | 010421234 | Provide skilled and long-term nursing care | ME | 501(c)(3) | 3 | Yes (true) | Inland Hospital | |
| Sebasticook Valley Health SVH | |||||||||||
| 447 North Main Street | Pittsfield | ME | 04967 | 010263628 | Critical care hospital | ME | 501(c)(3) | 3 | Yes (true) | Eastern Maine Healthcare Systems | |
| The Aroostook Medical Center TAMC | |||||||||||
| PO Box 151 140 Academy Street | Presque Isle | ME | 047690151 | 010372148 | Provide healthcare services | ME | 501(c)(3) | 3 | Yes (true) | Eastern Maine Healthcare Systems | |
| TAMC Title Corp | |||||||||||
| PO Box 151 140 Academy Street | Presque Isle | ME | 047690151 | 010389226 | Real estate holding company | ME | 501(c)(2) | Yes (true) | The Aroostook Medical Center | ||
| TAMC Endowments | |||||||||||
| PO Box 151 140 Academy Steet | Presque Isle | ME | 047690151 | 010389222 | Raise funds for exempt organizations | ME | 501(c)(3) | 11, Type I | Yes (true) | The Aroostook Medical Center | |
| Horizons Health Services | |||||||||||
| PO Box 151 140 Academy Street | Presque Isle | ME | 047690151 | 010504393 | Provide patient care | ME | 501(c)(3) | 3 | Yes (true) | The Aroostook Medical Center | |
| Eastern Maine HomeCare | |||||||||||
| PO Box 688 | Caribou | ME | 04736 | 010328442 | Provide home health and hospice services | ME | 501(c)(3) | 9 | Yes (true) | Eastern Maine Healthcare Systems | |
| Blue Hill Memorial Hospital | |||||||||||
| 57 Water Street | Blue Hill | ME | 046145231 | 010227195 | Provide healthcare services | ME | 501(c)(3) | 3 | Yes (true) | Eastern Maine Healthcare Systems | |
| Meadow Wood LLC | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 272935243 | Provide patient care | ME | 501(c)(3) | 9 | Yes (true) | AHI | |
| Sebasticook Valley Family Practice Assoc | |||||||||||
| 447 North Main Street | Pittsfield | ME | 04967 | 010357854 | Provide patient care | ME | 501(c)(3) | 9 | Yes (true) | SVH | |
| Restoration Health LLC | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 352449986 | Provide mental & behavioral hlth srvcs | ME | 501(c)(3) | 9 | Yes (true) | Acadia Healthcare Inc | |
| Mercy Hospital | |||||||||||
| 144 State Street | Portland | ME | 04101 | 010211534 | Provide healthcare services | ME | 501(c)(3) | 3 | Yes (true) | Eastern Maine Healthcare Systems | |
| Mercy Health System of Maine | |||||||||||
| 144 State Street | Portland | ME | 04101 | 010484074 | Supporting org for healthcare affiliates | ME | 501(c)(3) | 11 Type III Func Int | Yes (true) | Eastern Maine Healthcare Systems | |
| VNA Home Health & Hospice | |||||||||||
| 50 Foden Road | South Portland | ME | 04106 | 010246804 | Provide home health and hospice services | ME | 501(c)(3) | 9 | Yes (true) | Eastern Maine Healthcare Systems | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Beacon Health LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 43 Whiting Hill Road | AddressLine1Txt |
| City | Brewer | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04412 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 452967056 | EIN |
| Primary Activities | Accountable care organization | PrimaryActivitiesTxt |
| Legal Domicile State | ME | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EMHS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | related | PredominantIncomeTypeTxt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| General Or Managing Partner | false | GeneralOrManagingPartnerInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| Affiliated Healthcare Systems AHS | |||||||||
| PO Box 940 | Bangor | ME | 044020940 | 010385322 | Holding Co. | ME | EMHS | C | Yes (true) |
| Affiliated Healthcare Management | |||||||||
| PO Box 811 | Bangor | ME | 044020811 | 010349339 | Hlthcr mgmnt | ME | AHS | C | Yes (true) |
| Affiliated Laboratory Inc | |||||||||
| PO Box 638 | Bangor | ME | 044020638 | 010381283 | Clinicl lab | ME | AHS | C | Yes (true) |
| Affiliated Materiel Services | |||||||||
| PO Box 1300 | Bangor | ME | 044021300 | 010381189 | Purchasing | ME | AHS | C | Yes (true) |
| Meridian Mobile Health LLC | |||||||||
| 931 Union Street PO Box 940 | Bangor | ME | 044020940 | 010512673 | Ambulance | ME | AHS | C | Yes (true) |
| Maine Network for Health | |||||||||
| PO Box 2813 | Bangor | ME | 044022813 | 010496352 | Support srv | ME | EMHS | C | Yes (true) |
| Dirigo Pines Retirement Community LLC | |||||||||
| 9 Alumni Drive | Orono | ME | 04473 | 010537924 | Holding Co. | ME | AHS | C | Yes (true) |
| Dirigo Pines Inn LLC | |||||||||
| 9 Alumni Drive | Orono | ME | 04473 | 020547749 | Contin Care | ME | Rosscare | C | Yes (true) |
| Dirigo Funding LLC | |||||||||
| 9 Alumni Drive | Orono | ME | 04473 | 010599968 | Prov Finance | ME | AHS | C | Yes (true) |
| Dirigo Pines Development Company LLC | |||||||||
| 9 Alumni Drive | Orono | ME | 04473 | 010537924 | RetirCottag | ME | AHS | C | Yes (true) |
| M Drug LLC | |||||||||
| PO Box 1779 | Bangor | ME | 044021779 | 272175482 | Pharmacy | ME | AHS | C | Yes (true) |
| Alliance Health Documentation LLC | |||||||||
| 9 Central Street Ste 205 | Bangor | ME | 04401 | 462751855 | Transcription | ME | AHS | C | Yes (true) |
| 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 | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (10 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Eastern Maine Healthcare Systems EMHS | ||
| e | $450,000 | FMV |
| Eastern Maine Healthcare Systems EMHS | ||
| m | $1,382,351 | FMV |
| Eastern Maine Healthcare Systems EMHS | ||
| p | $1,667,983 | FMV |
| Eastern Maine Healthcare Systems EMHS | ||
| r | $262,002 | FMV |
| Eastern Maine Medical Center EMMC | ||
| m | $198,499 | FMV |
| EMHS Foundation | ||
| m | $64,000 | FMV |
| Sebasticook Valley Health SVH | ||
| m | $73,550 | FMV |
| Blue Hill Memorial Hospital | ||
| m | $50,086 | FMV |
| Affiliated Laboratory Inc | ||
| m | $104,157 | FMV |
| Affiliated Materiel Services | ||
| p | $151,591 | FMV |
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