MEMORIAL HOSPITAL: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- MEMORIAL HOSPITAL (EIN 02-0222156)
- Tax period
- 2014-10-01 to 2015-09-30
- Filed
- 2016-08-11
- IRS object ID
- 201612249349300701
- 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 C
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-08-11T06:33:48-05:00 | ReturnTs |
| Tax Period End | 2015-09-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020222156 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MEMO | BusinessNameControlTxt |
| Phone | 6033565461 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3073 WHITE MOUNTAIN HIGHWAY | AddressLine1Txt |
| City | NORTH CONWAY | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03860 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DIANA MCLAUGHLIN | PersonNm |
| Person Title | INTERIM VICE PRESIDENT FINANCE | PersonTitleTxt |
| Phone | 6033565461 | PhoneNum |
| Signature | 2016-08-08 | SignatureDt |
| 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 | SCOTT MCKINNON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3073 WHITE MOUNTAIN HIGHWAY | AddressLine1Txt |
| City | NORTH CONWAY | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03860 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $69,665,370 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MEMORIALHOSPITALNH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1910 | FormationYr |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Activity Or Mission | MEMORIAL HOSPITAL PROVIDES HEALTHCARE SERVICES TO THE RESIDENTS AND VISITORS OF THE MOUNT WASHINGTON VALLEY AREA OF NEW HAMPSHIRE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 582 | TotalEmployeeCnt |
| Total Volunteers | 79 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $84,761 | PYContributionsGrantsAmt |
| CY Contributions Grants | $337,595 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $14,435,237 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $66,513,367 | CYProgramServiceRevenueAmt |
| PY Investment Income | $130,316 | PYInvestmentIncomeAmt |
| CY Investment Income | $441,838 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$17,451 | PYOtherRevenueAmt |
| CY Other Revenue | $84,008 | CYOtherRevenueAmt |
| PY Total Revenue | $14,632,863 | PYTotalRevenueAmt |
| CY Total Revenue | $67,376,808 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $8,640,874 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $25,068,265 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $18,000 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $100,468 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,152,501 | PYOtherExpensesAmt |
| CY Other Expenses | $40,444,022 | CYOtherExpensesAmt |
| PY Total Expenses | $15,811,375 | PYTotalExpensesAmt |
| CY Total Expenses | $65,512,287 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,178,512 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,864,521 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $76,343,539 | TotalAssetsBOYAmt |
| Total Assets EOY | $77,678,781 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $34,916,680 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $36,733,735 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $41,426,859 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $40,945,046 | NetAssetsOrFundBalancesEOYAmt |
| Mission | MEMORIAL HOSPITAL PROVIDES HEALTHCARE SERVICES TO THE RESIDENTS AND VISITORS OF THE MOUNT WASHINGTON VALLEY AREA OF NEW HAMPSHIRE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $59,301,507 | ExpenseAmt |
| Revenue | $66,804,856 | RevenueAmt |
| Desc | MEMORIAL HOSPITAL PROVIDES HEALTHCARE SERVICES TO THE RESIDENTS AND VISITORS OF THE MOUNT WASHINGTON AREA OF NEW HAMPSHIRE. MEMORIAL HOSPITAL IS A 25 BED CRITICAL ACCESS HOSPITAL AND A 45 BED INTERMEDIATE CARE FACILITY (MERRIMAN HOUSE). THE HOSPITAL PROVIDES MED/SURG, ICU, ICF, OBSTETRICS, RADIOLOGY/IMAGING, ONCOLOGY/INFUSION, CARDIAC REHAB, WOUND CARE, SPECIALTY CARE, ED AND PRIMARY CARE. THE HOSPITAL HAD 5,131 ACUTE INPATIENT DAYS AND 12,347 ED OUTPATIENT VISITS. | Desc |
| Total Program Service Expenses | $59,301,507 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | 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 | false | 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 | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 115 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 582 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NH | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DIANA MCLAUGHLIN | PersonNm |
| Phone | 6033565461 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3073 WHITE MOUNTAIN HIGHWAY | AddressLine1Txt |
| City | NORTH CONWAY | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03860 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| WILLIAM CARON | |||||||||
| TRUSTEE, MH | 1.00 | 50.00 | Yes (X) | $0 | $921,196 | $133,628 | |||
| SCOTT MCKINNON | |||||||||
| PRESIDENT/CE | 50.00 | Yes (X) | $350,151 | $0 | $36,693 | Yes (X) | |||
| MARNI MADNICK | |||||||||
| MEDICAL STAF | 50.00 | Yes (X) | $339,491 | $0 | $39,332 | ||||
| RAYMOND RABIDEAU | |||||||||
| CMO | 50.00 | Yes (X) | $332,048 | $0 | $30,592 | ||||
| JAMES GLAZER | |||||||||
| BOARD MEMBER | 50.00 | Yes (X) | $328,718 | $0 | $43,848 | ||||
| LEONA CLOUTIER | |||||||||
| BOARD MEMBER | 50.00 | Yes (X) | $182,258 | $0 | $37,796 | ||||
| PHIL DAVIES | |||||||||
| CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| LAURA JAWITZ | |||||||||
| 1ST VICE CHA | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| DAPHNE WALL | |||||||||
| 2ND VICE CHA | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| KEN CARGILL | |||||||||
| PAST 2ND VIC | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| BARBARA HOPKINS | |||||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| THAIRE BRYANT | |||||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| ED KELLY | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOAN AUBREY | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| BILL BECK | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JUSTINO FERNANDES | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DIANE MAHEUX | |||||||||
| VP OF FINANC | 50.00 | $124,020 | $0 | $33,558 | Yes (X) | ||||
| DOUGLAS TAYLOR | |||||||||
| ORTHOPAEDIC | 50.00 | $587,634 | $0 | $41,769 | Yes (X) | ||||
| MORICE DENNERY | |||||||||
| SURGEON | 50.00 | $486,466 | $0 | $45,587 | Yes (X) | ||||
| WILLIAM MARTIN | |||||||||
| PRIMARY CARE | 50.00 | $477,657 | $0 | $46,367 | Yes (X) | ||||
| DAVID RISS | |||||||||
| PRIMARY CARE | 50.00 | $470,043 | $0 | $33,507 | Yes (X) | ||||
| BRIAN SPONSELLER | |||||||||
| PRIMARY CARE | 50.00 | $460,098 | $0 | $25,120 | Yes (X) | ||||
| KIMBERLY GOODWIN | |||||||||
| MEDICAL DIRE | 50.00 | $199,644 | $0 | $22,144 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,338,228 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $921,196 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $569,941 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 40 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| WEATHERBY LOCUMS | |||||
| PO BOX 972633 | DALLAS | TX | 753972633 | CONT PHYS SVCS | $905,678 |
| MAINE MEDICAL CENTER | |||||
| 110 FREE STREET | PORTLAND | ME | 04102 | SHARED SERVICES | $665,831 |
| INSIGHT HEALTH CORP | |||||
| PO BOX 847689 | DALLAS | TX | 752847689 | RADIOLOGY | $560,725 |
| DIVERSIFIED CLINICAL SERVICES | |||||
| PO BOX 551187 | JACKSONVILLE | FL | 32255 | WOUND CARE | $353,928 |
| NORDX | |||||
| 301 US RTE 1 SUITE A | SCARBOROUGH | ME | 040744401 | LAB SERVICES | $300,792 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 16 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $55,800 | FundraisingAmt |
| All Other Contributions | $281,795 | AllOtherContributionsAmt |
| Total Contributions | $337,595 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621110 | $65,519,897 | $65,519,897 |
| OTHER PATIENT SERVICE REVENUE | 621110 | $773,136 | $773,136 |
| CAFETERIA & PHARMACY REVENUE | 621110 | $220,334 | $220,334 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $66,513,367 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $240,117 | TotalRevenueColumnAmt |
| Exclusion | $240,117 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $207,019 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $117,251 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $89,768 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $89,768 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $89,768 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,305,979 | SecuritiesAmt |
| Other | $47,742 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,092,844 | SecuritiesAmt |
| Other | $59,156 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $213,135 | SecuritiesAmt |
| Other | -$11,414 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $201,721 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $201,721 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $13,551 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $55,800 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $19,311 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$5,760 | TotalRevenueColumnAmt |
| Exclusion | -$5,760 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $67,376,808 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $66,804,856 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $234,357 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,606,384 | TotalAmt |
| Program Services | $1,154,615 | ProgramServicesAmt |
| Management And General | $451,769 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $249,764 | TotalAmt |
| Program Services | $249,764 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,763,918 | TotalAmt |
| Program Services | $14,393,245 | ProgramServicesAmt |
| Management And General | $1,292,551 | ManagementAndGeneralAmt |
| Fundraising | $78,122 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,821,850 | TotalAmt |
| Program Services | $5,811,136 | ProgramServicesAmt |
| Management And General | $10,714 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,626,349 | TotalAmt |
| Program Services | $1,502,353 | ProgramServicesAmt |
| Management And General | $118,412 | ManagementAndGeneralAmt |
| Fundraising | $5,584 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,086 | TotalAmt |
| Management And General | $11,086 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $135,235 | TotalAmt |
| Management And General | $135,235 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,683,459 | TotalAmt |
| Program Services | $14,640,282 | ProgramServicesAmt |
| Management And General | $3,043,177 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $283,173 | TotalAmt |
| Program Services | $9,414 | ProgramServicesAmt |
| Management And General | $272,477 | ManagementAndGeneralAmt |
| Fundraising | $1,282 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,363,337 | TotalAmt |
| Program Services | $2,062,431 | ProgramServicesAmt |
| Management And General | $300,730 | ManagementAndGeneralAmt |
| Fundraising | $176 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,512 | TotalAmt |
| Management And General | $26,512 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,319,791 | TotalAmt |
| Program Services | $1,259,119 | ProgramServicesAmt |
| Management And General | $60,672 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,844 | TotalAmt |
| Program Services | $59,718 | ProgramServicesAmt |
| Management And General | $12,679 | ManagementAndGeneralAmt |
| Fundraising | $447 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $959,012 | TotalAmt |
| Program Services | $959,012 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,929,347 | TotalAmt |
| Program Services | $3,929,347 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $734,934 | TotalAmt |
| Program Services | $492,575 | ProgramServicesAmt |
| Management And General | $242,359 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $8,023,015 | $8,023,015 | ||
| MEDICAID TAX | $2,899,152 | $2,899,152 | ||
| EQUIPMENT LEASE | $729,678 | $711,304 | $17,130 | $1,244 |
| OTHER | $569,449 | $441,259 | $114,577 | $13,613 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $703,998 | TotalAmt |
| Program Services | $703,766 | ProgramServicesAmt |
| Management And General | $232 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,512,287 | TotalAmt |
| Program Services | $59,301,507 | ProgramServicesAmt |
| Management And General | $6,110,312 | ManagementAndGeneralAmt |
| Fundraising | $100,468 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,578,319 | BOYAmt |
| EOY | $4,159,682 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,440,086 | BOYAmt |
| EOY | $16,829,110 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,757,933 | BOYAmt |
| EOY | $9,101,742 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,870,425 | BOYAmt |
| EOY | $1,533,544 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $451,274 | BOYAmt |
| EOY | $494,869 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $79,634,698 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $43,989,709 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,203,002 | BOYAmt |
| EOY | $35,644,989 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,989,230 | BOYAmt |
| EOY | $9,198,085 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,053,270 | BOYAmt |
| EOY | $716,760 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,343,539 | BOYAmt |
| EOY | $77,678,781 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,344,731 | BOYAmt |
| EOY | $5,651,911 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $156,333 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,235,000 | BOYAmt |
| EOY | $17,534,962 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,123 | BOYAmt |
| EOY | $1,352,444 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,298,826 | BOYAmt |
| EOY | $12,038,085 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,916,680 | BOYAmt |
| EOY | $36,733,735 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,050,241 | BOYAmt |
| EOY | $40,945,046 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $763,255 | BOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $613,363 | BOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,426,859 | BOYAmt |
| EOY | $40,945,046 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,343,539 | BOYAmt |
| EOY | $77,678,781 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,864,521 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$703,716 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$1,642,618 | 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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $10,248 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $10,248 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1 | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION PAYS DUES TO VARIOUS ASSOCIATIONS, A PORTION OF WHICH IS ATTRIBUTABLE TO LOBBYING EXPENSES. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $12,849,408 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$1,289,067 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $11,560,341 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $12,735,234 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $114,174 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $12,849,408 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,872,190 | BeginningYearBalanceAmt |
| Contributions | $4,466,317 | ContributionsAmt |
| Investment Earnings Or Losses | $396,727 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $12,735,234 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,740,032 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,132,158 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $7,872,190 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,639,144 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $100,888 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $6,740,032 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 1.00000 | BoardDesignatedBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,545,066 | OtherCostOrOtherBasisAmt |
| Book Value | $4,545,066 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $50,529,229 | OtherCostOrOtherBasisAmt |
| Depreciation | $26,453,736 | DepreciationAmt |
| Book Value | $24,075,493 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $24,119,462 | OtherCostOrOtherBasisAmt |
| Depreciation | $17,535,973 | DepreciationAmt |
| Book Value | $6,583,489 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $440,941 | OtherCostOrOtherBasisAmt |
| Book Value | $440,941 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $35,644,989 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| ESTIMATED THIRD PARTY SETTLEMENTS | $11,518,085 |
| OTHER LIABILITIES | $520,000 |
| INSURANCE SETTLEMENT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $12,038,085 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 2, PART V, LINE 4 | THE ENDOWED FUNDS SUPPORT COMMUNITY HEALTH INITIATIVES FOR THE MEMORIAL HOSPITAL SERVICE AREA AND PATIENTS, AND PROVIDE SUPPORT FOR PROGRAMS SUCH AS DIABETES TREATMENT, BED REPLACEMENT FOR THE MERRIMAN HOUSE AND THE MEDICAL/SURGICAL WING, AND TO PURCHASE NEW WHEELCHAIRS. OTHER FUNDS ARE DEDICATED TO THE GENERAL OPERATIONS OF THE HOSPITAL SUCH AS ONCOLOGY AND CARDIAC REHABILITATION. |
| SCHEDULE D, PAGE 3, PART X | THE HOSPITAL IS A NON-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (CODE), AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed States | NH | LicensedStatesCd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF TOURNAMENT | Event1Nm |
| Gross Receipts Event1 | $69,351 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $55,800 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $13,551 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $6,276 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $5,551 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $5,800 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $1,684 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $69,351 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $55,800 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $13,551 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $6,276 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $5,551 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $5,800 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $1,684 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $19,311 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$5,760 | NetIncomeSummaryAmt |
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 |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,636,997 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,636,997 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02500 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,509,921 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,463,790 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,046,131 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04650 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,146,918 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,463,790 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,683,128 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07150 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $344,412 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $344,412 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00530 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $344,412 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $344,412 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00530 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,491,330 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,463,790 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,027,540 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07670 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,791,839 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $15,987,137 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $16,007,766 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$20,629 | 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 | MEMORIAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3073 WHITE MOUNTAIN HIGHWAY | AddressLine1Txt |
| City | NORTH CONWAY | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03860 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.MEMORIALHOSPITALNH.ORG | WebsiteAddressTxt |
| State License | 00009 | 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 | 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 |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.MEMORIALHOSPITALNH.ORG/ABOUT | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.MEMORIALHOSPITALNH.ORG/ABOUT | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | Yes (true) | CollectionActivitiesInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, MEMORIAL HOSPITAL - PART V, LINE 5 | THE ASSESSMENT PROCESS WAS INITIATED AND CHAIRED BY MEMORIAL HOSPITAL IN COLLABORATION WITH THE MEMBERS OF THE WHITE MOUNTAIN VALLEY COMMUNITY HEALTH COUNCIL (WMVCHC). THE HOSPITAL PROVIDED FINANCIAL AND IN-KIND SUPPORT FOR THE ASSESSMENT PROCESS; HOWEVER, THE OTHER MEMBERS OF THE COALITION ALSO PARTICIPATED THROUGH MONTHLY MEETINGS AND PROVIDED INPUT INTO THE PROCESS, AND FEEDBACK ON THE FINDINGS. THIS GROUP CONTINUES TO MEET TO DEVELOP THE IMPLEMENTATION PLANS AND TO ADOPT STRATEGIES RELEVANT TO THEIR INDIVIDUAL ORGANIZATIONS. PARTICIPATING MEMBERS OF THE COUNCIL INCLUDE THE FOLLOWING INDIVIDUALS AND AGENCY REPRESENTATIVES WHO PROVIDE THE INDICATED SERVICES: -MEMORIAL HOSPITAL: BOARD MEMBER LAURA JAWITZ; CEO SCOTT MCKINNON; MEDICAL DIRECTOR DR. RAYMOND RABIDEAU; VP OF QUALITY AND ELDERLY SERVICES SUSAN RUKA, RN PHD. -VNHCH (SEE EARLIER SERVICES DESCRIPTION): EXECUTIVE DIRECTOR SANDY RUKA, RN MSN AND BOARD MEMBER NAN BARTLETT. -SACO RIVER MEDICAL GROUP (PRIMARY CARE GROUP INCLUDING WALK-IN SERVICES AND PEDIATRICS): HEIDI ROOT, MD AND ROB ROSE, MD. -MINERAL SPRINGS REHABILITATION CENTER (LONG TERM CARE, ASSISTED LIVING, AND REHABILITATION): ADMINISTRATOR BARBARA WHITE AND ADMISSIONS COORDINATOR JANE GALLOWAY. -MWV ECONOMIC COUNCIL: EXECUTIVE DIRECTOR JAC CUDDY -NORTHERN HUMAN SERVICES (MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES): JANE MACKAY AND DR. MELISSA MYERS -WHITE MOUNTAIN COMMUNITY HEALTH CENTER (SEE EARLIER SERVICES DESCRIPTION): EXECUTIVE DIRECTOR PATRICIA MCMURRY. -T. MURRAY WELLNESS CENTER, INC.: OWNER/PROVIDER PATRICIA MURRAY, DO AND CHERIE JEWELL -ADDITIONAL PARTICIPANTS WHO PROVIDED OCCASIONAL INPUT AND COMMENT INCLUDED MARY REED, EXECUTIVE DIRECTOR OF THE CARROLL COUNTY COALITION FOR PUBLIC HEALTH; MEMBERS OF MEMORIAL HOSPITALS COMMUNITY ADVISORY COUNCIL; AND REPRESENTATIVES FROM EVERGREEN INSTITUTE FOR WELLNESS, CARROLL COUNTY UNITED HEALTH AND WELLNESS TEAM,AND SAU 9 AND 13. |
| FACILITY 1, MEMORIAL HOSPITAL - PART V, LINE 11 | THROUGH A PROCESS OF PRIMARY RESEARCH, DATA ANALYSIS, VALIDATION AND PRIORITIZATION, THE ASSESSMENT PROCESS IDENTIFIED THE FOLLOWING KEY THEMES OF NEED: AGING POPULATION/SENIORS, OBESITY/CHILD AND ADULT, WELLNESS EDUCATION AND RESOURCES, AND ACCESS AND AFFORDABILITY/PRIMARY CARE. THE KEY THEMES BEING ADDRESSED AS FOLLOWS: AGING POPULATION/SENIORS - CARE TRANSITIONS TEAM - CONTINUATION OF CURRENT PROGRAMS INCLUDING ADVANCE CARE PLANNING, ALZHEIMER'S CAREGIVER SUPPORT GROUP, WOUND CLINIC, SLEEP LAB, DIABETES CENTER - CLINICAL CARE TEAMS/PRIMARY CARE OBESITY/CHILD & ADULT - CHILDHOOD HEALTH & WELLNESS INITIATIVE - CHOP/CHILDREN'S HEALTH AND OBESITY PREVENTION - MEDICALLY SUPERVISED EXERCISE PROGRAM FOR ADULTS WELLNESS EDUCATION AND HEALTH RESOURCES - COMMUNITY HEALTH SURVEY - CONTINUED SUPPORT FOR COMMUNITY PARTNERSHIPS, SUPPORT GROUPS, AND PUBLIC WELLNESS FAIRS - BETTER CHOICES/BETTER HEALTH - CC COALITION FOR PUBLIC HEALTH PARTICIPATION ACCESS & AFFORDABILITY - HEALTHCARE ASSISTANCE PROGRAM - SUPPORT FOR WHITE MOUNTAIN COMMUNITY HEALTH CENTER - MEDICATION BRIDGE - BREAST HEALTH PATIENT NAVIGATOR PROGRAM ADDITIONAL AREAS OF NEED WERE ALSO IDENTIFIED. MEMORIAL HOSPITAL DOES NOT HAVE PLANS TO MEET THE FOLLOWING IDENTIFIED COMMUNITY HEALTH NEEDS AT THIS TIME: - MENTAL HEALTH/SUBSTANCE ABUSE: OTHER COMMUNITY AGENCIES AND PRIVATE PROVIDERS, INCLUDING NORTHERN HUMAN SERVICES, ARE LEADING THE WAY IN ADDRESSING THESE CHALLENGES. IN ADDITION, FUNDING RESTRAINTS FROM FEDERAL AND STATE SOURCES LIMIT THE ABILITY OF ANY LOCAL AGENCY TO SUFFICIENTLY ADDRESS THE NEEDS IN THIS CATEGORY. HOWEVER, DUE TO THE MAGNITUDE OF THIS ISSUE MEMORIAL IS PARTNERING WITH AREA AGENCIES TO IDENTIFY OPPORTUNITIES TO ADDRESS NEEDS OF THIS POPULATION. A STATE GRANT-FUNDED POSITION FOR A SUBSTANCE ABUSE AND PREVENTION COORDINATOR HAS BEEN CREATED AS PART OF NEW HAMPSHIRE'S NEW REGIONAL PUBLIC HEALTH EFFORTS. MEMORIAL HOSPITAL IS REPRESENTED ON THE CARROLL COUNTY COALITION FOR PUBLIC HEALTH AND WILL WORK IN COLLABORATION ON THIS ISSUE. THE HOSPITAL IS ALSO EXPLORING OPPORTUNITIES FOR ADDING ADDITIONAL MENTAL HEALTH CONSULTING SERVICES FOR INPATIENTS. - DENTAL CARE/ADULT: ALTHOUGH PAST STUDIES HAVE FOUND THAT THERE ARE A SUFFICIENT NUMBER OF PRIVATE DENTAL PROVIDERS IN THE AREA, THERE IS LIMITED ACCESS TO DENTAL INSURANCE FOR THE POPULATION. MOST PROVIDERS ALSO LIMIT THE NUMBER OF MEDICAID PATIENTS THEY WILL ACCEPT. A DENTAL CLINIC FOR ALL AGES IS ADMINISTERED BY THE LOCAL TRI-COUNTY COMMUNITY ACTION PROGRAM WHICH OFFERS ITS SERVICES ON A SLIDING FEE SCALE AND WAS CREATED TO HELP ALLEVIATE THIS PROBLEM. - SMOKING/TOBACCO USE: SUPPORT PROGRAMS EXIST WITHIN THE SCHOOL SYSTEM AND AT THE WHITE MOUNTAIN COMMUNITY HEALTH CENTER TO ADDRESS THIS ISSUE. MEMORIAL HOSPITAL WILL EVALUATE THE NEED FOR ANY ADDITIONAL SMOKING CESSATION EFFORTS. THE MT. WASHINGTON VALLEY - AND THE STATE OF NEW HAMPSHIRE - HAS ALWAYS PRIDED ITSELF ON THE HEALTH STATUS OF ITS CITIZENS AND ITS NATIONAL RANKINGS. THE AREA REGULARLY MEETS OR EXCEEDS MOST NATIONAL BENCHMARKS. HOWEVER, THE LOCAL AREA IS HAMPERED BY ITS RURAL NATURE, OVER- RELIANCE ON TOURISM AND THE RESULTING LOW-PAYING NON-BENEFITED EMPLOYMENT, AND THE RECENT SURGE IN ITS RETIREMENT-AGE POPULATION. AS DESCRIBED IN THE PREVIOUS SECTION, A VARIETY OF SUCCESSFUL PROGRAMS AND STRATEGIES HAVE BEEN IMPLEMENTED BY THE HOSPITAL AND OTHER AGENCIES TO ADDRESS THE HEALTH NEEDS IDENTIFIED IN THE 2010 CHNA. A REVIEW OF THE HEALTH INDICATORS REPORT SHOWS POSITIVE RESULTS IN SOME OF THOSE AREAS. SOME NEEDS CANNOT BE ADDRESSED BY THE LOCAL FACILITIES DUE TO A LACK OF RESOURCES OR OTHER ISSUES BEYOND THEIR CONTROL. THERE IS ALSO RECOGNITION THAT GAPS EXIST RELATIVE TO THE AVAILABILITY OF MENTAL HEALTH DATA THAT WOULD BENEFIT AGENCIES IN CREATING A MORE ACCURATE COMMUNITY PROFILE. |
| FACILITY 1, MEMORIAL HOSPITAL - PART V, LINE 22D | UNINSURED INDIVIDUALS RECEIVED A DISCOUNT OF 20% AUTOMATICALLY (THE AVERAGE DISCOUNT ON CHARGES OF THE THREE LARGEST VOLUME COMMERCIAL PAYORS). INDIVIDUALS THAT APPLIED AND RECEIVED ASSISTANCE WERE GRANTED DISCOUNTS BASED UPON INCOME LEVEL AND ASSET LEVEL. |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION | A COST REPORTING SYSTEM WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE. THE COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT SEGMENTS. A COST-TO-CHARGE RATIO WAS USED. |
| PART II - COMMUNITY BUILDING ACTIVITIES | MEMORIAL HOSPITAL IDENTIFIED THE NEED TO EXTEND SERVICES INTO THE COMMUNITY AND TO BROADEN THE DEFINITION OF HEALTH TO INCLUDE SOCIAL DETERMINANTS. THIS INVOLVES REACHING PEOPLE WHERE THEY LIVE, WORK, AND PLAY. CONSEQUENTLY, MEMORIAL CREATED A POPULATION HEALTH DEPARTMENT WHICH IS DESIGNED TO CREATE COMMUNITY HEALTH IMPROVEMENT INITIATIVES AND PROGRAMS. TWO PRIORITY AREAS IDENTIFIED IN NEEDS ASSESSMENT WERE AGING AND OBESITY. SUBSTANCE ABUSE DISORDERS WAS ALSO BROUGHT FORWARD AS AN ACUTE NEED BASED ON RECENT TRENDS IN USAGE. THE HOSPITAL SPONSORS OR PARTICIPATES IN COMMUNITY ACTIVITIES AND PROGRAMS INCLUDING: FALL PREVENTION/REDUCTION - CARROLL COUNTY HAS A HIGHER RATE OF FALLS WITH INJURY (COMPARED TO STATE AVERAGES) IN OLDER CITIZENS. AS A RESULT SEVERAL PROGRAMS FOR COMMUNITY EDUCATIONS AND SUPPORT HAVE BEEN OUT IN PLACE. A MATTER OF BALANCE - THE AWARD-WINNING 8 WEEK PROGRAM EMPHASIZES PRACTICAL STRATEGIES TO REDUCE FEAR OF FALLING AND INCREASE ACTIVITY LEVELS. BY LEARNING TO VIEW FALLS AND FEAR OF FALLING AS CONTROLLABLE, PARTICIPANTS CAN SET REALISTIC GOALS TO INCREASE ACTIVITY AND CHANGE THEIR ENVIRONMENT TO REDUCE FALL RISK FACTORS. THEY LEARN NEW APPROACHES TO EXERCISE THAT ARE DESIGNED TO INCREASE STRENGTH AND BALANCE. TAI JI KWAN MOVING FOR BETTER BALANCE - AN EVIDENCE BASED PROGRAM DESIGNED TO SUSTAIN POSITIVE LIFE STYLE CHANGES ADOPTED THROUGH AMOB. LET'S GO - A NATIONALLY RECOGNIZED CHILDHOOD OBESITY PREVENTION INITIATIVE. THE GOAL IS TO INCREASE PHYSICAL ACTIVITY AND HEALTHY EATING FOR CHILDREN FROM BIRTH TO 18 THROUGH POLICY AND ENVIRONMENTAL CHANGE. LET'S GO USES A MULTI-SETTING APPROACH TO REACH YOUTH AND FAMILIES WHERE THEY LIVE, LEARN, WORK, AND PLAY TO REINFORCE THE IMPORTANCE OF HEALTHY EATING AND ACTIVE LIVING. IT IS BEING OFFERED IN A VARIETY OF SETTING INCLUDING SCHOOLS, DAY CARE, PRE-SCHOOL AND OUT OF SCHOOLS SETTINGS. LET'S GO BUILDS ON AND EXPANDS OUR EXISTING CHILDHOOD WELLNESS PROGRAM STUDENT HEALTH & WELLNESS INITIATIVE - MEMORIAL HOSPITAL EMPLOYEES AND MEDICAL STAFF DONATED THEIR TIME TO OFFER IN-SCHOOL PROGRAMMING OFFERING EDUCATION AND OUTREACH TO ELEMENTARY, MIDDLE AND HIGH SCHOOL STUDENTS IN THE MOUNT WASHINGTON VALLEY THROUGHOUT THE SCHOOL YEAR. THE PROGRAM SERVED THOUSANDS OF STUDENTS AND COMMUNITY MEMBERS IN NINE SCHOOLS. ADVANCED CARE PLANNING FACILITATION - RESPECTING CHOICES EDUCATION WAS OFFERED AND TO STAFF AND COMMUNITY MEMBERS. ADVANCED CARE PLANNING FACILITATORS ARE AVAILABLE TO COMMUNITY MEMBERS TO ASSIST IN DETERMINING VALUE BASED DECISIONS FOR END OF LIFE CARE. EDUCATION IS OFFERED IS A VARIETY OF SETTINGS IN COMMUNITY. CHRONIC ILLNESS MANAGEMENT CLASSES - BETTER CHOICES BETTER HEALTH IS A FREE SIX-WEEK PROGRAM DESIGNED TO HELP MANAGE CHRONIC HEALTH CONDITIONS. IT WAS DESIGNED TO HELP THOSE LIVING WITH LONG-TERM HEALTH CONDITIONS REGAIN CONTROL OF THEIR LIVES. BETTER CHOICES BETTER HEALTH WAS DEVELOPED BY STANFORD UNIVERSITY AND OUR PROGRAM LEADERS ARE LICENSED AND CERTIFIED BY STANFORD. PATIENT FINANCIAL ADVOCATES - THIS PROGRAM ASSISTS PATIENTS IN SIGNING UP FOR VARIOUS HEALTH INSURANCE OPTIONS, INCLUDING AFFORDABLE CARE ACT MARKETPLACE PLANS AND MEDICAID AND MEDICAID EXPANSION PLANS. MEDICATION BRIDGE - THE HOSPITAL ASSISTS PATIENTS IN GETTING FREE PRESCRIPTION DRUGS BASED ON INCOME ELIGIBILITY THROUGH VARIOUS PHARMACEUTICAL COMPANIES. CAR SEAT PROGRAM - WHEN A NEW BORN OR ANY FAMILY IN NEED REQUIRES A CAR SEAT, AND NO OTHER RESOURCE IS AVAILABLE, MEMORIAL HOSPITAL DONATES A NEW CAR SEAT. CHILDBIRTH EDUCATION - CHILDBIRTH EDUCATION IS OFFERED ONCE PER MONTH FOR NEW PARENTS-TO-BE. FREE WEEKLY BREASTFEEDING SUPPORT GROUP - A WEEKLY SUPPORT GROUP FOR MOTHERS WHO ARE BREASTFEEDING, FACILITATED BY CERTIFIED LACTATION SPECIALISTS. ALL BREASTFEEDING WOMEN, REGARDLESS OF WHERE THEY GAVE BIRTH, ARE INVITED - THIS INCLUDES SEASONAL EVENTS FREE ALZHEIMER'S CAREGIVERS SUPPORT GROUP - OFFERS EDUCATION, SUPPORT AND COPING SKILLS FOR CAREGIVERS, INCLUDING PRE-ARRANGED CARE FOR FAMILY MEMBERS WHILE THE CAREGIVER ATTENDS THE MEETING. FREE DIABETES SUPPORT GROUP - THIS PROGRAM IS UTILIZED BY DIABETICS AND THEIR SUPPORT PEOPLE, AND IT PROVIDES AN OPPORTUNITY FOR EDUCATION AND DISCUSSION WITH OTHER PEOPLE WHO HAVE DIABETES OR ARE DEALING WITH IT IN THE FAMILY. FREE CANCER SUPPORT GROUP - MEETS MONTHLY TO PROVIDE SUPPORT ALONG WITH INFORMATION, EDUCATION, SPEAKERS AND ENCOURAGEMENT FOR THOSE WITH CANCER AND THEIR SUPPORT PEOPLE. THIS GROUP IS FACILITATED BY AN ONCOLOGY CERTIFIED NURSE AND SOCIAL SERVICES. ALCOHOLICS ANONYMOUS - SPACE IS DONATED FREE OF CHARGE FOR WEEKLY AA MEETINGS. COMMUNITY CPR CLASSES - MEMORIAL PARTNERS WITH LOCAL FIRE DEPARTMENTS TO OFFER COMMUNITY CPR CLASSES AT A SUBSIDIZED COST. THIS IS AN AMERICAN HEART ASSOCIATION CPR AND AED CLASS BEING OFFERED TO MEMBERS OF THE COMMUNITY IN COLLABORATION WITH SOME OF THE LOCAL FIRE AND EMS DEPARTMENTS. THE 25 FEE IS TO COVER MATERIALS ONLY (BOOKS AND CARDS), AND NOT STAFF TIME. AMERICAN RED CROSS BLOOD DRIVES - MEMORIAL STAFF ORGANIZED THREE BLOOD DRIVES WITH 80 EMPLOYEES DONATING THEIR TIME AND BLOOD TO PARTICIPATE - A VOLUNTEER DIRECTOR ORGANIZES THE EVENT AND SIGNS UP STAFF, COORDINATES WITH RED CROSS, ETC. FOOD DRIVES - THE HOSPITAL CONDUCTED A YEAR-ROUND FOOD DRIVE FOR "END 68 HOURS OF HUNGER", A NON-PROFIT THAT PROVIDES FOOD FOR STUDENTS WHO OTHERWISE GO HUNGRY ON WEEKENDS. THE HOSPITAL ALSO CONDUCTED A HOLIDAY FOOD DRIVE FOR A LOCAL FOOD PANTRY, VAUGHN COMMUNITY SERVICES, AND PROVIDED PET FOOD AND SUPPLIES FOR LOCAL ANIMAL SHELTER. EMPLOYEES DONATED THEIR TIME AND FOOD ITEMS, INCLUDING DELIVERING FOOD ITEMS TO THE PROGRAM WAREHOUSE. NORTHWAY BANK "LUNCH N' LEARN" WORKSHOPS - THIS INCLUDES PRESENTING WORKSHOPS AND HEALTH SCREENINGS EACH MONTH FOR A LARGE LOCAL EMPLOYER. CHILDBIRTH EDUCATION - CHILDBIRTH EDUCATION IS OFFERED ONCE PER MONTH FOR NEW PARENTS-TO-BE. FREE WEEKLY BREASTFEEDING SUPPORT GROUP - A WEEKLY SUPPORT GROUP FOR MOTHERS WHO ARE BREASTFEEDING, FACILITATED BY CERTIFIED LACTATION SPECIALISTS. ALL BREASTFEEDING WOMEN, REGARDLESS OF WHERE THEY GAVE BIRTH, ARE INVITED - THIS INCLUDES SEASONAL EVENTS COMMUNITY FORUM AT KENNETT HIGH SCHOOL ON SUBSTANCE ABUSE. PROVIDERS PARTICIPATED IN PANEL DISCUSSION FOR PARENTS AND TEENS ON SUBSTANCE ABUSE. SUBSTANCE ABUSE RESOURCE GUIDE DEVELOPED BY MEMORIAL AND SHARED WITH COMMUNITY PARTNERS AND COMMUNITY MEMBERS. |
| PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY | FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL) THE HOSPITAL RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE BASED ON PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY AMOUNTS FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR ELIGIBLE) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE EFFORTS HAVE BEEN EXHAUSTED IS CHARGED AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THESE CALCULATIONS ARE ADJUSTED PERIODICALLY AS NEEDED IF TRENDS EXPERIENCED IN COLLECTIONS HAVE CHANGED. |
| BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS | PATIENT ACCOUNTS RECEIVABLE ARE STATED AT THE AMOUNT MANAGEMENT EXPECTS TO COLLECT FROM OUTSTANDING BALANCES. MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS THROUGH A CHARGE TO PROVISION FOR BAD DEBTS AND A CREDIT TO A VALUATION ALLOWANCE BASED ON ITS ASSESSMENT OF INDIVIDUAL ACCOUNTS AND HISTORICAL ADJUSTMENTS. BALANCES THAT ARE STILL OUTSTANDING AFTER MANAGEMENT HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE VALUATION ALLOWANCE AND A CREDIT TO PATIENT ACCOUNTS RECEIVABLE. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH MAJOR PAYOR SOURCE OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE BASED ON PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY AMOUNTS FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR ELIGIBLE) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. |
| PART III, LINE 8 - MEDICARE EXPLANATION | THE TOTAL SHORTFALL REPORTED ON LINE 8 SHOULD BE TREATED AS COMMUNITY BENEFIT. THE ORGANIZATION USED A COST REPORT AS THE COSTING METHODOLOGY TO DETERMINE THE AMOUNT OF ALLOWABLE MEDICARE COSTS. |
| PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION | WITH THE EXCEPTION OF INSURANCE COVERAGE THE COLLECTION ACTIVITY SHALL NOT BE INITIATED OR PURSUED FOR ANY AMOUNT APPROVED UNDER THE MEMORIAL HOSPITAL HEALTHCARE ASSISTANCE PROGRAM. |
| PART VI, LINE 2 - NEEDS ASSESSMENT | THE MEMORIAL HOSPITAL BOARD IS MADE UP OF A DIVERSE SET OF COMMUNITY MEMBERS. EACH MAINEHEALTH MEMBER BOARD WHICH INCLUDES MEMORIAL REQUIRES A THOROUGH COMMUNITY NEEDS ASSESSMENT THE ORGANIZATION IS EXPECTED TO RESPOND TO THE NEEDS IDENTIFIED. MEMORIAL AS A MAINEHEALTH MEMBER ALSO PARTICIPATES IN VARIOUS SYSTEM INITIATIVES DESIGNED TO PROMOTE ORGANIZATIONAL STABILITY AND SUSTAINABILITY. IN 2015 SOME OF THE INITIATIVES INCLUDED - - CLINICAL STRATEGIC PLANNING - FINANCIAL STRATEGIC PLANNING - FACILITY PLANNING - MANPOWER PLANNING - PHYSICIAN RECRUITMENT STRATEGIC PLANNING - EMERGENCY PREPAREDNESS PLANNING (PRIMARILY THRU NH PUBLIC HEALTH NETWORKS (C3PH) MEMORIAL'S COMMUNITY HEALTH ASSESSMENT LAST (CHNA) WAS COMPLETED IN 2013. THE REPORT WAS A COMPREHENSIVE COMPILATION AND ANALYSIS CONTAINING PRIMARY AND SECONDARY HEALTH DATA SOURCES. THE REPORT CONTAINED A HEALTH STATUS PROFILE FOR CARROLL COUNTY, AND OXFORD COUNTY MAINE (PART OF OUR SERVICE AREA) AND COMPARED FINDINGS TO NH STATE BENCHMARKS. A VARIETY OF PRIMARY AND SECONDARY DATA SOURCES WERE USED TO IDENTIFY NEEDS. COMMUNITY INPUT WAS THEN OBTAINED TO VALIDATE FINDINGS. THIS REPORT PROVIDED BASELINE DATA ON HUNDREDS OF HEALTH INDICATORS THAT ARE RELEVANT TO HOSPITALS AND COMMUNITIES TO INFORM PLANNING AND EVALUATION ACTIVITIES. THE HOSPITAL BOARD APPROVED THE IMPLEMENTATION PLAN BASED ON THE ASSESSMENT AND IT IS ALIGNED WITH THE STRATEGIC PLAN. IT WAS THEN USED AS A FOUNDATION TO DEVELOP PROGRAMS, SERVICE LINES AND INITIATIVES. PLANS CALL FOR A COMMUNITY HEALTH NEEDS ASSESSMENT TO BE REPLICATED EVERY THREE YEARS. MEMORIAL BEGAN WORKING ON THE NEXT ASSESSMENT IN EARLY 2015. WE RECEIVED SUPPORT FROM MAINEHEALTH WITH DATA COLLECTION AND ANALYSIS. COUNTY-LEVEL CHNA REPORTS WILL BE PRODUCED IN 2016; THESE REPORTS WILL BE USED TO INFORM COMMUNITY ENGAGEMENT AND ACTION BY HOSPITALS, STATE/LOCAL GOVERNMENTS AND OTHER PARTNERS. SEVERAL YEARS AGO MEMORIAL LED AN EFFORT TO CREATE A COMMUNITY HEALTH COLLABORATIVE CONSISTING OF AREA ORGANIZATIONS PROVIDING HEALTHCARE TO THE COMMUNITY. THIS PURPOSE OF THE COLLABORATIVE WAS TO COORDINATE COMMUNITY EFFORTS, AVOID DUPLICATION AND STRATEGICALLY PLAN TO ADDRESS COMMUNITY NEEDS. THE 2013 CHNA WAS COORDINATED THROUGH THIS GROUP AND AS IS THE CURRENT CHNA PROCESS. THE MEMBERS INCLUDE MEMORIAL HOSPITAL; VISITING NURSE HOME CARE AND HOSPICE NORTHERN HUMAN SERVICES, WHITE MOUNTAIN COMMUNITY HEALTH CENTER, MINERAL SPRINGS GENESIS, T. MURRAY CENTER FOR WELLNESS, CARROLL COUNTY COALITION FOR PUBLIC HEALTH (C3PH) AND SACO RIVER MEDICAL GROUP. |
| PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | MEMORIAL HOSPITAL'S POLICY OF CHARITY CARE AND FINANCIAL ASSISTANCE IS EASILY UNDERSTOOD, PROMINENTLY POSTED, AND PUBLICLY AVAILABLE. A PROCESS EXISTS FOR OFFERING CHARITY CARE OR FINANCIAL ASSISTANCE TO PATIENTS WHO ARE UNABLE TO PAY AFTER THEY HAVE ALREADY BEEN BILLED. IN ADDITION TO MONITORING COLLECTION PRACTICES, COPIES OF THE CHARITY CARE POLICY ARE MADE AVAILABLE TO PATIENTS AT ALL ENTRY POINTS (REGISTRATION, ED, ETC.) AND WITH BILL/COLLECTION NOTICES. MEMORIAL HOSPITAL USES SIMPLE APPLICATION PROCEDURES FOR CHARITY CARE OR FINANCIAL ASSISTANCE THAT DO NOT INTIMIDATE OR CONFUSE APPLICANTS. MEMORIAL HOSPITAL'S EMPLOYEES WHO WORK IN ADMISSIONS, BILLING, ACCOUNTS RECEIVABLE, OR PATIENT SERVICES ARE FULLY INFORMED AND EDUCATED ABOUT ALL FINANCIAL ASSISTANCE POLICIES. THESE STAFF MEMBERS IDENTIFY UNPAID BILLS WHERE PERSONS ARE UNABLE TO PAY, AND SEPARATES THESE POTENTIAL "CHARITY CARE" BILLS FROM OTHER BAD DEBT ACCOUNTS. MEMORIAL HOSPITAL PROVIDES ASSISTANCE, ON A SLIDING PERCENTAGE BASIS, FOR THOSE INDIVIDUALS THAT QUALIFY WITH AN INCOME UP TO 300% OF THE FEDERAL POVERTY GUIDELINES. ON A CASE-BY-CASE BASIS, WE HAVE ALSO GRANTED ASSISTANCE TO INDIVIDUALS THAT MAY EARN ABOVE THE 300% OF THE FEDERAL POVERTY GUIDELINES BUT HAVE MET THE CATASTROPHIC ILLNESS PARAMETERS. |
| PART VI, LINE 4 - COMMUNITY INFORMATION | THE PRIMARY SERVICE AREA IS NORTHERN CARROLL COUNTY AND SEVERAL BORDERING TOWNS IN THE OXFORD COUNTY, MAINE AREA. THE MEDIAN AGE OF THE POPULATION IS 47. THE COMMUNITY EXPERIENCED A POPULATION INCREASE OF 9.5% IN CARROLL COUNTY AND 5.6% IN OXFORD COUNTY IN THE YEARS 2000 TO 2010. MORE THAN 20% OF CARROLL COUNTY'S POPULATION AND 17% OF OXFORD COUNTY'S POPULATION ARE AGED 65 YEARS OR OLDER. |
| PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM | MAINEHEALTH IS A NOT-FOR-PROFIT FAMILY OF LEADING HIGH-QUALITY PROVIDERS AND OTHER HEALTHCARE ORGANIZATIONS WORKING TOGETHER SO THEIR COMMUNITIES ARE THE HEALTHIEST IN AMERICA. RANKED AMONG THE NATION'S TOP 100 INTEGRATED HEALTHCARE DELIVERY NETWORKS, MAINEHEALTH IS GOVERNED BY A BOARD OF TRUSTEES CONSISTING OF COMMUNITY AND BUSINESS LEADERS FROM ITS SOUTHERN, CENTRAL AND WESTERN MAINE REGIONAL SERVICE AREAS, AS WELL AS EASTERN NEW HAMPSHIRE. THE COLLABORATION OF MAINEHEALTH MEMBERS MAKES IT POSSIBLE TO OFFER AN EXTENSIVE RANGE OF CLINICAL INTEGRATION AND COMMUNITY HEALTH PROGRAMS, MANY AIMED AT IMPROVING ACCESS TO PREVENTIVE AND PRIMARY CARE SERVICES. MAINEHEALTH INCLUDES THE FOLLOWING MEMBER ORGANIZATIONS: LINCOLN COUNTY HEALTHCARE, MAINE MEDICAL CENTER, MAINE BEHAVIORAL HEALTHCARE (SPRING HARBOR HOSPITAL), PEN BAY HEALTHCARE (PEN BAY MEDICAL CENTER), SOUTHERN MAINE HEALTH CARE (SOUTHERN MAINE MEDICAL CENTER AND GOODALL CAMPUSES), WALDO COUNTY HEALTHCARE (WALDO COUNTY GENERAL HOSPITAL), WESTERN MAINE HEALTH CARE (STEPHENS MEMORIAL HOSPITAL), THE MEMORIAL HOSPITAL AT NORTH CONWAY, N.H., HOMEHEALTH VISITING NURSES, MAINE PHYSICIAN HOSPITAL ORGANIZATION, NORDX, SYNERNET AND MAINEHEALTH ACCOUNTABLE CARE ORGANIZATION. THE STRATEGIC AFFILIATES OF MAINEHEALTH ARE MAINEGENERAL MEDICAL CENTER, MID COAST HOSPITAL AND ST. MARYS REGIONAL MEDICAL CENTER. |
| PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT | NEW HAMPSHIRE, MAINE |
| ADDITIONAL INFORMATION | PART I, LINE 3C - CHARITY CARE LEVELS ARE DETERMINED BY A THREE PRONG TEST FOR ELIGIBILITY. INCOME LEVEL, CASH IN BANK, AND ASSETS ARE ALL EXAMINED TO DETERMINE LEVEL OF ELIGIBILITY. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| WILLIAM CARON | |||||||||||
| TRUSTEE, MH CEO | $699,679 | $128,000 | $93,517 | $114,986 | $18,642 | $1,054,824 | |||||
| SCOTT MCKINNON | |||||||||||
| PRESIDENT/CEO | $272,016 | $78,135 | $8,160 | $28,533 | $386,844 | ||||||
| MARNI MADNICK | |||||||||||
| MEDICAL STAFF PRES | $255,288 | $84,203 | $7,659 | $31,673 | $378,823 | ||||||
| RAYMOND RABIDEAU | |||||||||||
| CMO | $249,038 | $83,010 | $7,471 | $23,121 | $362,640 | ||||||
| JAMES GLAZER | |||||||||||
| BOARD MEMBER | $240,385 | $88,333 | $7,800 | $36,048 | $372,566 | ||||||
| LEONA CLOUTIER | |||||||||||
| BOARD MEMBER | $115,385 | $66,873 | $5,018 | $32,778 | $220,054 | ||||||
| DIANE MAHEUX | |||||||||||
| VP OF FINANCE | $122,020 | $2,000 | $2,745 | $30,813 | $157,578 | ||||||
| DOUGLAS TAYLOR | |||||||||||
| ORTHOPAEDIC SURGEON | $336,539 | $251,095 | $10,096 | $31,673 | $629,403 | ||||||
| MORICE DENNERY | |||||||||||
| SURGEON | $380,461 | $106,005 | $11,414 | $34,173 | $532,053 | ||||||
| WILLIAM MARTIN | |||||||||||
| PRIMARY CARE MD | $389,804 | $87,853 | $11,694 | $34,673 | $524,024 | ||||||
| DAVID RISS | |||||||||||
| PRIMARY CARE MD | $470,043 | $11,694 | $21,813 | $503,550 | |||||||
| BRIAN SPONSELLER | |||||||||||
| PRIMARY CARE MD | $416,138 | $43,960 | $1,249 | $23,871 | $485,218 | ||||||
| KIMBERLY GOODWIN | |||||||||||
| MEDICAL DIRECTOR | $193,002 | $6,642 | $22,144 | $221,788 | |||||||
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PAGE 1, PART I, LINE 3 | SEE DESCRIPTION OF PROCESS IN SCHEDULE O - FORM 990, PART VI, LINE 15A - COMPENSATION FOR TOP OFFICIAL |
| SCHEDULE J, PAGE 1, PART I, LINE 4 | WILLIAM CARON 0 70,976 0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NH HEALTH AND EDUC FACILITIES AUTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 020279866 | BondIssuerEIN |
| CUSIP | 644614QC6 | CUSIPNum |
| Bond Issued | 2006-06-14 | BondIssuedDt |
| Issue Price | $20,955,000 | IssuePriceAmt |
| Purpose | TO CONSTRUCT AND RENOVATE HOSPITAL FACILITY AND PAY OFF EXISTING DEBT. | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $2,734,963 | RetiredAmt |
| Total Proceeds | $20,955,000 | TotalProceedsAmt |
| In Reserve Fund | $2,080,787 | InReserveFundAmt |
| Issuance Costs From Proceeds | $324,775 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $20,630,225 | CapitalExpendituresAmt |
| Substantial Completion | 2009 | SubstantialCompletionYr |
| Current Refunding | false | CurrentRefundingInd |
| Advance Refunding | false | AdvanceRefundingInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | false | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | false | RebateNotDueYetInd |
| Exception To Rebate | Yes (true) | ExceptionToRebateInd |
| No Rebate Due | false | NoRebateDueInd |
| Variable Rate Issue | false | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | false | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | false | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K - ADDITIONAL INFORMATION | FormAndLineReferenceDesc |
| Explanation | NH HEALTH AND EDUC FACILITIES AUTH PART I, A, (A) - ISSUER NAME: NEW HAMPSHIRE HEALTH AND EDUCATION FACILITIES AUTHORITY. PART I, A, (F) - DESCRIPTION OF PURPOSE: TO CONSTRUCT AND RENOVATE HOSPITAL FACILITY AND PAY OFF EXISTING DEBT. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 6 | THE SOLE MEMBER OF THE ORGANIZATION IS MAINEHEALTH (EIN 01-0431680). |
| FORM 990, PAGE 6, PART VI, LINE 7A | THE SOLE MEMBER OF THE ORGANIZATION ELECTS THE TRUSTEES OF THE ORGANIZATION |
| FORM 990, PAGE 6, PART VI, LINE 7B | DECISIONS OF THE GOVENING BODY SUCH AS BUDGETS, BUSINESS AND MARKETING STRATEGIC PLANS, SIGNIFICANT FINANCIAL COMMITMENTS, AMENDMENTS TO THE ARTICLES OF INCORPORATION , AND ELECTION OF THE PRESIDENT/CEO AMONG OTHER DECISIONS, ARE SUBJECT TO APPROVAL BY MAINEHEALTH (EIN 01-0431680). |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE 990 IS PROVIDED TO THE FINANCE COMMITTEE AND THE FULL BOARD OF TRUSTEES. IT IS SENT TO THE ENTIRE FINANCE COMMITTEE VIA ELECTRONIC MEANS AND THEN FORWARDED TO THE FULL BOARD OF TRUSTEES. |
| FORM 990, PAGE 6, PART VI, LINE 12C | CONFLICT OF INTEREST DECLARATION FORMS ARE SUBMITTED IN JANUARY BY MEMBERS OF THE BOARD OF TRUSTEES AND ARE SHARED WITH THE FULL BOARD FOR INFORMATION PURPOSES AND REVIEWED IN DEPTH BY THE GOVERNANCE COMMITTEE. IT IS THE MEMBER'S RESPONSIBILITY TO NOTIFY THE BOARD OF ANY CONFLICTS THAT THEY BECOME AWARE OF AND TO RECUSE THEMSELVES FROM DISCUSSIONS AND VOTES ON THE ISSUE. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE PROCESS FOLLOWED FOR DETERMINING COMPENSATION OF THE CEO AND OTHER KEY ADMINISTRATIVE EMPLOYEES COMPENSATED BY THIS OR OTHER RELATED ORGANIZATION IS A FORMAL PROCESS PERFORMED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. A RELATED ORGANIZATION USES AN OUTSIDE FIRM, SULLIVAN COTTER, TO PERFORM AN INDEPENDENT BENCHMARK ANALYSIS FOR THE CEO OF MEMORIAL HOSPITAL, ALONG WITH OTHER EXECUTIVES IN THE MAINEHEALTH SYSTEM. THE FIRM MEETS WITH THE EXECUTIVE COMMITTEE TO REVIEW EACH EXECUTIVE'S BENCHMARK REPORT. THE COMMITTEE THEN DELIBERATES ON MAINEHEALTH'S WRITTEN SALARY AND INCENTIVE PLAN PHILOSOPHY BEFORE MAKING A FINAL DECISION. ALL DECISIONS AND MEETINGS ARE CAPTURED IN MINUTES AND THERE ARE APPROPRIATE APPROVALS AT ALL LEVELS. |
| FORM 990, PAGE 6, PART VI, LINE 15B | SEE 990, PART VI, SECTION B, LINE 15A FOR COMPENSATION PROCESS. |
| FORM 990, PAGE 6, PART VI, LINE 19 | DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION ARE MADE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PROFESSIONAL FEES 8,161,329 0 0 PURCHASED SERVICES 1,370,370 2,769,721 0 CONTRACT SERVICES 3,691,897 27,055 0 MAINTENANCE CONTRACTS 702,699 95,749 0 LAB SERVICES 606,819 0 0 CONSULTANTS 6,493 150,652 0 PHYSICIAN RECRUITMENT 80,120 0 0 OTHER 20,555 0 0 |
| FORM 990, PART XI, LINE 9 | TRANSFER TO AFFILIATE 1,376,618 TRANSFER TO MAINEHEALTH 266,000 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Business Name Line2DirectControllingEntityName/BusinessNameLine2Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MEMORIAL HOSPITAL FOUNDATION | |||||||||||
| 3073 WHITE MOUNTAIN HIGHWAY | NORTH CONWAY | NH | 03860 | 462137291 | SUPP ORG | NH | 501C3 | 11A | MEMORIAL | HOSPITAL | Yes (true) |
| MAINEHEALTH | |||||||||||
| 110 FREE STREET | PORTLAND | ME | 04101 | 010431680 | HEALTHCARE | ME | 501C3 | 11C | NA | false | |
| MAINE MEDICAL CENTER | |||||||||||
| 22 BRAMHALL STREET | PORTLAND | ME | 04102 | 010238552 | HOSPITAL | ME | 501C3 | 3 | MEHEALTH | false | |
| NORDX | |||||||||||
| 301A US ROUTE ONE | SCARBOROUGH | ME | 04074 | 010511356 | LAB | ME | 501C3 | 9 | MEHEALTH | false | |
| WALDO COUNTY HEALTHCARE INC | |||||||||||
| PO BOX 287 | BELFAST | ME | 04915 | 222864961 | HEALTHCARE | ME | 501C3 | 11C | MEHEALTH | false | |
| LINCOLNHEALTH GROUP | |||||||||||
| 6 ST ANDREWS LANE | BOOTHBAY HARBOR | ME | 04538 | 261475629 | HEALTHCARE | ME | 501C3 | 11B | MEHEALTH | false | |
| HOME HEALTH VISITING NURSES OF S ME | |||||||||||
| 15 INDUSTRIAL PARK | SACO | ME | 04072 | 222571902 | HOME HLTH | ME | 501C3 | 9 | MEHEALTH | false | |
| PEN BAY HEALTHCARE | |||||||||||
| 4 WHITE STREET | ROCKLAND | ME | 04841 | 222494475 | HEALTHCARE | ME | 501C3 | 11B | MEHEALTH | false | |
| MAINEHEALTH CARDIOLOGY | |||||||||||
| 110 FREE STREET | PORTLAND | ME | 04101 | 452525629 | HEALTHCARE | ME | 501C3 | 9 | MEHEALTH | false | |
| MAINE BEHAVIORAL HEALTHCARE | |||||||||||
| 76 ATLANTIC PLACE | WESTBROOK | ME | 04106 | 010524834 | BEHAV HLTH | ME | 501C3 | 3 | MEHEALTH | false | |
| SOUTHERN MAINE HEALTH CARE | |||||||||||
| PO BOX 626 | BIDDEFORD | ME | 04005 | 010179500 | HEALTHCARE | ME | 501C3 | 3 | MEHEALTH | false | |
| WESTERN MAINE HEALTH CARE CORP | |||||||||||
| 181 MAIN ST | NORWAY | ME | 04268 | 010411788 | HEALTHCARE | ME | 501C3 | 11B | MEHEALTH | false | |
| FRANKLIN COMMUNITY HEALTH NETWORK | |||||||||||
| 111 FRANKLIN COMMONS | FARMINGTON | ME | 04938 | 223209406 | HEALTHCARE | ME | 501C3 | 11B | MEHEALTH | false | |
| GERIATRIC RESOURCE NETWORK | |||||||||||
| 110 FREE STREET | PORTLAND | ME | 04101 | 010542842 | HEALTHCARE | ME | 501C3 | 7 | MEHEALTH | false | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAINEHEALTH ACO | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 FREE STREET | AddressLine1Txt |
| City | PORTLAND | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 452929273 | EIN |
| Primary Activities | ACO | PrimaryActivitiesTxt |
| Legal Domicile State | ME | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| General Or Managing Partner | false | GeneralOrManagingPartnerInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|
| SYNERNET INC | ||||||||
| 110 FREE STREET | PORTLAND | ME | 04101 | 010539789 | ADMIN SVCS | ME | N/A | false |
| MAINE PHYSICIAN HOSPITAL ORG | ||||||||
| 110 FREE STREET | PORTLAND | ME | 04101 | 010527540 | HEALTHCARE | ME | N/A | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
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