EASTERN MAINE HEALTHCARE SYSTEMS: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- EASTERN MAINE HEALTHCARE SYSTEMS (EIN 01-0217211)
- Tax period
- 2013-09-29 to 2014-09-27
- Filed
- 2015-08-12
- IRS object ID
- 201522249349301002
- Schema version
- 2013v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-08-12T06:14:37-07:00 | ReturnTs |
| Tax Period End | 2014-09-27 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-09-29 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010217211 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EASTERN MAINE HEALTHCARE SYSTEMS IH | BusinessNameLine1 |
| Business Name Line2 | INLAND HOSPITAL IH | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | EAST | BusinessNameControlTxt |
| Phone | 2079739081 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 KENNEDY MEMORIAL DRIVE | AddressLine1 |
| City | WATERVILLE | City |
| State | ME | State |
| ZIP Code | 04901 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DEAN BITHER | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Signature | 2015-08-12 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DEAN BITHER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 KENNEDY MEMORIAL DRIVE | AddressLine1 |
| City | WATERVILLE | City |
| State | ME | State |
| ZIP Code | 049014526 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $124,756,454 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| Group Exemption | 5247 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.inlandhospital.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1945 | FormationYr |
| Legal Domicile State | ME | LegalDomicileStateCd |
| Activity Or Mission | Inland Hospital operates a 48-bed non-profit hospital and outlying clinics in the Waterville area, that provides medical, surgical, and acute care to all, regardless of ability to pay. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 639 | TotalEmployeeCnt |
| Total Volunteers | 95 | TotalVolunteersCnt |
| Total Gross UBI | $172,890 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$102,192 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $713,556 | PYContributionsGrantsAmt |
| CY Contributions Grants | $343,653 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $117,405,997 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $122,049,412 | CYProgramServiceRevenueAmt |
| PY Investment Income | $486,214 | PYInvestmentIncomeAmt |
| CY Investment Income | $177,696 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,442,785 | PYOtherRevenueAmt |
| CY Other Revenue | $944,071 | CYOtherRevenueAmt |
| PY Total Revenue | $120,048,552 | PYTotalRevenueAmt |
| CY Total Revenue | $123,514,832 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $41,671,381 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $43,361,197 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $76,519,552 | PYOtherExpensesAmt |
| CY Other Expenses | $81,259,656 | CYOtherExpensesAmt |
| PY Total Expenses | $118,190,933 | PYTotalExpensesAmt |
| CY Total Expenses | $124,620,853 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,857,619 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,106,021 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $57,103,324 | TotalAssetsBOYAmt |
| Total Assets EOY | $51,735,978 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $30,475,800 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $28,447,866 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $26,627,524 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $23,288,112 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | To care for and serve our community by providing Healthcare Services. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $104,423,965 | ExpenseAmt |
| Revenue | $122,993,249 | RevenueAmt |
| Desc | Provided healthcare services regardless of ability to pay as well as education and promotion of health. Provided $2,950,523 other uncompensated care (at cost).Inland Hospital is a 48-bed facility that provides medical-surgical, and acute care. Inland is a non-profit hospital, serving all who need care, regardless of ability to pay. Inland Hospital also has outlying clinics in the region, allowing easier access for patients.Additional Statistics:Total Admissions 1,711Percent Occupancy of Available Beds 28%Emergency Room Visits 13,721Surgery Cases 1,995Services provided to those who could not pay $8,349,763 | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,564,670 | ExpenseAmt |
| Desc | Medicare shortfalls (at cost). 25,184 persons served. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,681,399 | ExpenseAmt |
| Desc | Medicaid shortfalls (at cost). 13,567 persons served. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,630,853 | TotalOtherProgSrvcExpenseAmt |
| Total Program Service Expenses | $114,300,887 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (true) | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | 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 | 127 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 639 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | 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 |
| 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 |
| Excess Business Holdings | false | ExcessBusinessHoldingsInd |
| 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 | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | John Doyle | PersonNm |
| Phone | 2079739081 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 43 WHITING HILL ROAD | AddressLine1 |
| City | BREWER | City |
| State | ME | State |
| ZIP Code | 04412 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| EE COMP IS FOR ADMIN SVCS | ||||||||
| NOT BRD RESPONS | 0.00 | 0.00 | $0 | $0 | $0 | |||
| MARY M HOOD EMHS CEO | ||||||||
| Board Member | 0.50 | 50.00 | $0 | $897,311 | $250,922 | Yes (X) | Yes (X) | |
| KATHY COREY | ||||||||
| Board Member | 0.50 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| THOMAS DAVIS | ||||||||
| Board Member | 0.50 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| JOHN M FORTIER | ||||||||
| Chair | 0.50 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| CHRISTOPHER L GAUNCE | ||||||||
| Board Member | 0.50 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| BRIAN GILLIS DO | ||||||||
| Board Member | 0.50 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| DAVID GLENN-LEWIN PhD | ||||||||
| Board Member | 0.50 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| CATHERINE KIMBALL DO | ||||||||
| Board Member | 0.50 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| DONALD PLOURDE | ||||||||
| Board Member | 0.50 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| MICHAEL F PHILLIPS JR ESQ | ||||||||
| Vice Chair | 0.50 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| SUZANNE UHL-MELANSON | ||||||||
| Board Member | 0.50 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| ROSEMARY WINSLOW | ||||||||
| Board Member | 0.50 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| WILLIAM BRADFIELD MD | ||||||||
| Board Member | 40.00 | 0.00 | $371,904 | $0 | $31,424 | Yes (X) | ||
| JOHN DALTON | ||||||||
| President & CEO | 40.00 | 0.00 | $283,962 | $0 | $76,180 | Yes (X) | Yes (X) | |
| C PATRICK MICHAUD | ||||||||
| Board Member | 0.50 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| ALLAN L RANCOURT | ||||||||
| Board Member | 0.50 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| GLENN MARTIN VP GEN COUNSEL | ||||||||
| Secretary | 0.50 | 50.00 | $0 | $323,949 | $86,699 | Yes (X) | ||
| CONSTANCE BARRETT | ||||||||
| VP of Quality | 40.00 | 0.00 | $0 | $130,043 | $21,368 | Yes (X) | ||
| WALTER RICK BARRY | ||||||||
| VP Pat.Care CNO | 40.00 | 0.00 | $194,439 | $0 | $18,064 | Yes (X) | ||
| DEAN BITHER | ||||||||
| VP/CFO/Treasure | 40.00 | 0.00 | $211,198 | $0 | $30,267 | Yes (X) | ||
| DANIEL J BOOTH | ||||||||
| VPOO/CHRO | 40.00 | 0.00 | $202,208 | $0 | $12,519 | Yes (X) | ||
| MICHAEL PALUMBO DO | ||||||||
| VP-Med Affairs | 40.00 | 0.00 | $273,664 | $0 | $27,740 | Yes (X) | ||
| KATHERINE DEMPSKI | ||||||||
| VP of Quality | 40.00 | 0.00 | $131,022 | $0 | $1,097 | Yes (X) | ||
| DEEP ACHARYA | ||||||||
| Physician | 40.00 | 0.00 | $287,575 | $0 | $23,165 | Yes (X) | ||
| VAUGHN COLLETT MD | ||||||||
| Physician | 40.00 | 0.00 | $303,842 | $0 | $10,108 | Yes (X) | ||
| CRAIG R THOMPSON MD | ||||||||
| Physician | 40.00 | 0.00 | $441,348 | $0 | $27,620 | Yes (X) | ||
| JOYCE STEIN DO | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $321,374 | $0 | $13,576 | Yes (X) | ||
| SIMON GIBBS MD | ||||||||
| Physician | 40.00 | 0.00 | $306,901 | $0 | $30,976 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,329,437 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,351,303 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $661,725 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 53 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| VISTA STAFFING SOLUTIONS | |||||
| FILE 50834 | LOS ANGELES | CA | 900740834 | Physician Services | $2,038,549 |
| NURSE ANESTHESIA OF MAINE | |||||
| 141 N MAIN ST STE 205 | BREWER | ME | 04412 | Professional CRNA's | $637,439 |
| NEHE MRI LLC | |||||
| PO Box 6600 | Newport Beach | CA | 92658 | Service Contract | $546,310 |
| CARDIOLOGY SPECIALISTS OF MAINE | |||||
| 60 CARROLL STREET | FALMOUTH | ME | 04105 | Physician Services | $483,407 |
| AMERICAN HEALTHCARE SERVICES ASSOC | |||||
| PO BOX 945 | TRAVERSE CITY | MI | 49685 | Nursing services | $447,371 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 23 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $281,558 | RelatedOrganizationsAmt |
| Government Grants | $7,103 | GovernmentGrantsAmt |
| All Other Contributions | $54,992 | AllOtherContributionsAmt |
| Noncash Contributions | $38,933 | NoncashContributionsAmt |
| Total Contributions | $343,653 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| CAFETERIA | 722210 | $10,698 | $10,698 | |
| EDUCATION REVENUE | 611710 | $131,694 | $131,694 | |
| PATIENT SERVICE REVENUE | 621990 | $121,907,020 | $121,734,005 | $173,015 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $122,049,412 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $160,026 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$125 | UnrelatedBusinessRevenueAmt |
| Exclusion | $160,151 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,424 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,424 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,424 | TotalRevenueColumnAmt |
| Exclusion | $3,424 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,222,681 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,204,711 | SecuritiesAmt |
| Other | $300 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $17,970 | SecuritiesAmt |
| Other | -$300 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,670 | TotalRevenueColumnAmt |
| Exclusion | $17,670 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $33,126 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $36,611 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$3,485 | TotalRevenueColumnAmt |
| Exclusion | -$3,485 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| MEANINGFUL USE PAYMENTS | 621990 | $943,962 | $943,962 | |
| MISCELLANEOUS | 900099 | $170 | $170 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $944,132 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $123,514,832 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $122,820,359 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $172,890 | UnrelatedBusinessRevenueAmt |
| Exclusion | $177,930 | ExclusionAmt |
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 | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,865,688 | TotalAmt |
| Program Services | $1,264,081 | ProgramServicesAmt |
| Management And General | $601,607 | 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 | $35,022,413 | TotalAmt |
| Program Services | $31,696,004 | ProgramServicesAmt |
| Management And General | $3,326,409 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $660,791 | TotalAmt |
| Program Services | $541,574 | ProgramServicesAmt |
| Management And General | $119,217 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,840,261 | TotalAmt |
| Program Services | $3,351,337 | ProgramServicesAmt |
| Management And General | $488,924 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,972,044 | TotalAmt |
| Program Services | $1,766,644 | ProgramServicesAmt |
| Management And General | $205,400 | 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 | $153,948 | TotalAmt |
| Management And General | $153,948 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,228 | TotalAmt |
| Management And General | $63,228 | 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 | $38,539 | TotalAmt |
| Program Services | $30,831 | ProgramServicesAmt |
| Management And General | $7,708 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,222,984 | TotalAmt |
| Program Services | $5,016,355 | ProgramServicesAmt |
| Management And General | $2,206,629 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $334,401 | TotalAmt |
| Program Services | $819 | ProgramServicesAmt |
| Management And General | $333,582 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,918,325 | TotalAmt |
| Program Services | $1,391,450 | ProgramServicesAmt |
| Management And General | $526,875 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $758,870 | TotalAmt |
| Program Services | $422,618 | ProgramServicesAmt |
| Management And General | $336,252 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,326,491 | TotalAmt |
| Program Services | $1,850,612 | ProgramServicesAmt |
| Management And General | $475,879 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,079 | TotalAmt |
| Program Services | $54,397 | ProgramServicesAmt |
| Management And General | $57,682 | 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 | $129,062 | TotalAmt |
| Program Services | $99,980 | ProgramServicesAmt |
| Management And General | $29,082 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $390,600 | TotalAmt |
| Program Services | $312,480 | ProgramServicesAmt |
| Management And General | $78,120 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,608,928 | TotalAmt |
| Program Services | $2,087,142 | ProgramServicesAmt |
| Management And General | $521,786 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $428,441 | TotalAmt |
| Program Services | $342,753 | ProgramServicesAmt |
| Management And General | $85,688 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Contractual Allowances | $47,193,592 | $47,193,592 |
| Medical Supplies | $5,908,019 | $5,908,019 |
| Provision for uncollectible ac | $5,377,210 | $5,377,210 |
| Charity Care | $2,973,446 | $2,973,446 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,321,493 | TotalAmt |
| Program Services | $2,619,543 | ProgramServicesAmt |
| Management And General | $701,950 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $124,620,853 | TotalAmt |
| Program Services | $114,300,887 | ProgramServicesAmt |
| Management And General | $10,319,966 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,862 | BOYAmt |
| EOY | $16,029 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,093,114 | BOYAmt |
| EOY | $222,984 | 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 | $14,187,919 | BOYAmt |
| EOY | $14,779,198 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,387 | BOYAmt |
| EOY | $4,205 | 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) |
|---|---|---|
| BOY | $139,017 | BOYAmt |
| EOY | $170,215 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $554,602 | BOYAmt |
| EOY | $635,780 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,575,688 | BOYAmt |
| EOY | $1,235,688 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $44,878,189 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $24,709,547 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,820,290 | BOYAmt |
| EOY | $20,168,642 | 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 | $14,682,445 | BOYAmt |
| EOY | $14,503,237 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,103,324 | BOYAmt |
| EOY | $51,735,978 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,076,971 | BOYAmt |
| EOY | $11,942,163 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $243 | BOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,834,794 | BOYAmt |
| EOY | $3,655,627 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,476,852 | BOYAmt |
| EOY | $8,312,673 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,086,940 | BOYAmt |
| EOY | $4,537,403 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,475,800 | BOYAmt |
| EOY | $28,447,866 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,688,221 | BOYAmt |
| EOY | $21,463,745 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,225,808 | BOYAmt |
| EOY | $1,077,940 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $713,495 | BOYAmt |
| EOY | $746,427 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,627,524 | BOYAmt |
| EOY | $23,288,112 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,103,324 | BOYAmt |
| EOY | $51,735,978 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$1,106,021 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $169,165 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$2,402,556 | 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 | $8,094 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $8,094 | 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 | $303,162 | BeginningYearBalanceAmt |
| Contributions | $5,000 | ContributionsAmt |
| Investment Earnings Or Losses | $19,358 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $10,895 | OtherExpendituresAmt |
| End Year Balance | $316,625 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $273,459 | BeginningYearBalanceAmt |
| Contributions | $5,000 | ContributionsAmt |
| Investment Earnings Or Losses | $31,241 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $6,538 | OtherExpendituresAmt |
| End Year Balance | $303,162 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $226,072 | BeginningYearBalanceAmt |
| Contributions | $15,810 | ContributionsAmt |
| Investment Earnings Or Losses | $38,174 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $6,597 | OtherExpendituresAmt |
| End Year Balance | $273,459 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $147,236 | BeginningYearBalanceAmt |
| Contributions | $89,440 | ContributionsAmt |
| Investment Earnings Or Losses | -$7,087 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $3,517 | OtherExpendituresAmt |
| End Year Balance | $226,072 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributions | $133,788 | ContributionsAmt |
| Investment Earnings Or Losses | $13,448 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $147,236 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.24000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.76000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $83,162 | OtherCostOrOtherBasisAmt |
| Book Value | $83,162 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,313,748 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,691,309 | DepreciationAmt |
| Book Value | $8,622,439 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,427,896 | OtherCostOrOtherBasisAmt |
| Depreciation | $338,463 | DepreciationAmt |
| Book Value | $1,089,433 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,719,659 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,134,192 | DepreciationAmt |
| Book Value | $9,585,467 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,333,724 | OtherCostOrOtherBasisAmt |
| Depreciation | $545,583 | DepreciationAmt |
| Book Value | $788,141 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $20,168,642 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (9 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Assets Held Under Trust Indenture | $75,364 |
| Beneficial Interest in Perpetual Trusts | $551,818 |
| Board Designated Funded Depreciation | $5,664,906 |
| Board Designated Other | $2,745,691 |
| Estimated Prof. Liab. Claims Receivable | $1,659,012 |
| Interest in net assets held at EMHSF | $1,042,541 |
| Permanently Donor Restricted Funds | $5,000 |
| Self Insurance and Other Funds | $2,533,897 |
| Temporarily Donor Restricted Funds | $225,008 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $14,503,237 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Deferred Compensation | $2,537,660 |
| Liability Under Cap Lease Obligation | $124,006 |
| Reserve for Asset Disposal Costs | $216,725 |
| Reserve for Prof. Liab. Self Ins. | $1,659,012 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,537,403 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: Intended uses of the endowment fund. | Endowment funds are designated for purposes that align within the organization's exempt purpose. |
| Part X : FIN48 Footnote | EMHS, its hospitals, and certain other affiliates have been determined by the Internal Revenue Service to be tax-exempt charitable organizations as described in Section 501(c)(3) or 501(c)(2) of the Internal Revenue Code (the Code) and, accordingly, are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Accordingly, no provision for federal income taxes has been recorded in the accompanying consolidated financial statements for these organizations.Tax-exempt charitable organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the Financial Accounting Standards Board (FASB), assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. The System has evaluated its tax position taken or expected to be taken on income tax returns and concluded the impact to be not material.Certain of the System's affiliates are taxable entities. Deferred taxes related to these entities are based on the difference between the financial statement and tax basis of assets and liabilities using enacted tax rates in effect in the years the differences are expected to reverse. The deferred tax assets and liabilities for these entities are not material. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| 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 | 774 | PersonsServedCnt |
| Total Community Benefit Expns | $1,631,855 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,630,855 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02360 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 13567 | PersonsServedCnt |
| Total Community Benefit Expns | $11,830,650 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,149,251 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,681,399 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05330 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $273,443 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $273,443 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00400 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 14341 | PersonsServedCnt |
| Total Community Benefit Expns | $13,735,948 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,150,251 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,585,697 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08090 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 7 | ActivitiesOrProgramsCnt |
| Persons Served | 1100 | PersonsServedCnt |
| Total Community Benefit Expns | $221,200 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $221,200 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00320 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 2000 | PersonsServedCnt |
| Total Community Benefit Expns | $11,781 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,781 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Persons Served | 3100 | PersonsServedCnt |
| Total Community Benefit Expns | $232,981 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $232,981 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00340 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Persons Served | 17441 | PersonsServedCnt |
| Total Community Benefit Expns | $13,968,929 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,150,251 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,818,678 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08430 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 1000 | PersonsServedCnt |
| Total Community Benefit Expns | $29,086 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $29,086 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 1000 | PersonsServedCnt |
| Total Community Benefit Expns | $29,086 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $29,086 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,950,523 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $17,679,128 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $22,243,798 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$4,564,670 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Inland Hospital | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 Kennedy Memorial Drive | AddressLine1 |
| City | Waterville | City |
| State | ME | State |
| ZIP Code | 04901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.inlandhospital.org | WebsiteAddressTxt |
| State License | State lic #38139 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | 14 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | inlandhospital.org/About-Our-Organizatio | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | www.emhs.org/Community-Benefit/CHNA.aspx | OtherWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | false | AllNeedsAddressedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Form4720 Filed | false | Form4720FiledInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (true) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 150.0000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (true) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 200.0000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | false | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| 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 (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 1j - Description of Other Needs Assessment | 1a) DEFINITION OF COMMUNITY SERVED:Inland Hospital in Waterville, Maine serves residents in parts of Kennebec and Somerset counties. 1b) COMMUNITY DEMOGRAPHICS:The population for the Waterville Hospital Service Area in 2014 was 71,636 with 16.5% over the age of 65 (a 10% increase from 2010.) Source: EMHS Planning Nielsen Demographic InformationThe December 2014 unemployment rate for Kennebec County was 4.7% and Somerset County was 7.7% (compared to the state rate of 5.0%). Source: Maine Center for Workforce Research and Information The 2013 median household income in Somerset County was $38,642 and $46,808 in Kennebec County (compared to state average of $48,453.) Source: Maine Office of Policy and Management 17.8% of people in Somerset County live below the poverty level, 13.4% in Kennebec County (compared to the state average of 13.6%.) Source: US Department of Commerce 1c) HEALTH FACILITIES AND RESOURCES AVAILABLE TO MEET HEALTH NEEDS:Eastern Maine Medical Center, Family Violence Project, Youth Matter (formerly Greater Waterville Communities for Children & Youth), Healthy Northern Kennebec (our local Healthy Maine Partnership), Inland Hospital/EMHS, Kennebec Behavioral Health, Kennebec Valley Community Action Program (KVCAP), Kennebec Valley Dental Coalition, Maine CDC, Maine General Health, Mid-Maine Homeless Shelter, Spectrum Generations, United Way of Mid-Maine, Alfond Youth Center.1d) HOW DATA WAS OBTAINED:EMHS, the parent organization of Inland Hospital, routinely conducts a CHNA across the service area of all of its member hospitals. The most recent CHNA was conducted in 2014. 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 CDC Behavioral Risk Factor Surveillance System (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. 1e & 1f) HEALTH NEEDS OF THE COMMUNITY FROM THE 2011 CHNA: Top social concerns for Kennebec County include unemployment/economic opportunity, substance abuse, hunger/food insecurity, affordable housing, and domestic violence. Access to behavioral, mental health, substance abuse, and dental care services/screenings are perceived as lacking in the community. Barriers to access include an inability to pay for services and a lack of transportation. Inland Hospital is focusing on four key areas:1-Obesity - Goal: Prevent the increase of childhood obesity rates for Inlands service area2-Access to Care - Goal: Increase access to healthcare services in Inlands service area3-Chronic Disease Management - Goal: Improve health status of patients with chronic disease 4-Economic Opportunity/Poverty - Goal: Stimulate economic growth, expand educational opportunities and address social issuesIn addition to efforts led by Inland and our collaborating partners on the issues above, resources such as in-kind staff time and community benefit funding will be dedicated to the following secondary issues:-Domestic Violence-Substance Abuse/Prevention/Treatment-Homelessness-Dental Health-Transportation1g) PROCESS FOR IDENTIFYING & PRIORITIZING HEALTH NEEDS AND SERVICES:The data gathered from the 2014 Community Health Needs Assessment (CHNA) and other data from the state and our hospital, allowed Inland 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 developed and 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.1h) PROCESS FOR CONSULTING WITH PERSONS REPRESENTING THE COMMUNITYS NEEDS: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.1i) INFORMATION GAPS: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 CDC Behavioral Risk Factor Surveillance System (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.1j) OTHER:About Inland Hospital:Inland Hospital is a not-for-profit organization located in Waterville, Maine with a Mission to care for and serve our community. As a member of EMHS (Eastern Maine Healthcare Systems) Inland is proud to be part of an innovative healthcare system with a Vision to be nationally recognized as a model of excellence in healthcare delivery. At the heart of Inland is our 48-bed community hospital, with Lakewood, our 105-bed continuing care facility on the hospital campus, along with 21 primary and specialty care physician practices in Waterville and surrounding communities (North Anson, Fairfield, Unity, Oakland, Madison, Augusta). We also provide a Weekend Care Clinic for our primary care patients.Outside the walls of the hospital and physician practices, Inland Hospital has a strong belief in and record of contributing to the health and well-being of our community. Besides our regular Community Wellness Outreach efforts, which included more than 1,800 free health screenings and health risk-assessments in 2014, two major community health events, monthly free activities to encourage family participation in physical activity, and many smaller events and collaborations with local health organizations, Inland is also proud of our Community Benefit Program. The program contributes funds and provides volunteers for local health, economic, education, transportation and other community-building initiatives. Inlands Community Benefit Advisory Group is a multi-disciplinary team of clinical and administrative professionals from the hospital, and community members, including hospital trustees and volunteers. In 2014, Inland contributed more than $50,000 to local organizations and schools to improve the overall health of our area. In addition, 194 Inland staff members volunteered time to serve on more than 25 local boards, work groups and committees that are working to improve health and overall quality of life in our community. |
| Part V, Line 3 - Account Input from Person 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 4 - 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 5c - 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 7 - Explanation of Needs Not Addressed and Reasons Why | Inland Hospital non-selected priorities-Immunizations are provided in our medical practices and through a variety of community settings and programs.Behavioral/mental health and substance abuse - As a small hospital, we are unable to commit the financial resources to address the gaps at this time. Services are available by other organizations in the community and we work with our local Healthy Maine Partnership and local service providers to help address the needs. |
| Part V, Line 14g - Other Means Hospital Facility Publicized the Policy | Signs and individual notices are posted in key public waiting areas in the hospital and on the website regarding information pertaining to Free Care. These notices inform the patient of the availability of Free Care including the eligibility criteria and instructions on how to apply, obtain additional information or assistance. |
| Part V, Line 20d - Other Billing Determination of Individuals Without Insurance | Hospital charges are discounted at 100% for patients who qualify for Free Care with income at or below 150% FPL.Hospital charges are discounted 50% for patients who qualify for the Sliding Fee Scale with income between 150% and 200% FPL. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 17 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (17 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| New Horizons Health Care RHC | ||||
| 344 Lakewood Road | Skowhegan | ME | 04976 | Medical Office Building - Physician Service |
| Inland Family Care RHC | ||||
| 80 Main Street | Unity | ME | 04988 | Medical Office Building - Physician Service |
| Inland Family Care | ||||
| 74 Water Street | Oakland | ME | 04963 | Medical Office Building - Physician Service |
| New Horizons Health Care RHC | ||||
| 167 Main Street | North Anson | ME | 04958 | Medical Office Building - Physician Service |
| Inland Neurology | ||||
| 246 Kennedy Memorial Drive | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Inland Womens Healthcare | ||||
| 180 Kennedy Memorial Drive | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Heart First Cardiology Assoc | ||||
| 244 Kennedy Memorial Drive | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Inland Family Care | ||||
| 416 Concourse West | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Inland Womens Healthcare | ||||
| 395E Kennedy Memorial Drive | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Inland Family Care | ||||
| 121 Main Street | Fairfield | ME | 04937 | Medical Office Building - Physician Service |
| Inland Medical Associates - Internists | ||||
| 180 Kennedy Memorial Drive | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Inland Medical Associates - Internists | ||||
| 174 Kennedy Memorial Drive | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Inland Osteopathic Manipulative Medicine | ||||
| 246 Kennedy Memorial Drive | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Inland Rheumatology | ||||
| 246 Kennedy Memorial Drive | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Inland Family Care | ||||
| 10 Washington Street | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Inland Orthopedics | ||||
| 325D Kennedy Memorial Drive | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Inland Surgical Associates | ||||
| 180 Kennedy Memorial Drive | Waterville | ME | 04901 | Medical Office Building - Physician Service |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 6a - Related Organization Community Benefit Report | The Inland Hospital community benefit report is contained in an annual community benefit report prepared by Eastern Maine Healthcare Systems which is the parent organization of all related organizations. |
| Part I, Line 7 - Explanation of Costing Methodology | Ratio of Patient Care Cost-to-Charges is used in calculations. |
| Part I, Line 7, Column F - Explanation of Bad Debt Expense | $5,377,210 of bad debt expense, $2,973,445 of charity care, $47,193,592 of contractual allowances is included on Form 990, Part IX, line 25, column (A). |
| Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense | The costing methology used to determine the amount is cost to charge ratio. |
| Part III, Line 4 - Bad Debt Expense | Patient and trade accounts receivable are stated at the amount management expects to collect from outstanding balances. Management provides for probable uncollectible amounts through a charge to earnings and a valuation allowance based on its assessment of the current status of individual accounts. Balances that are still outstanding after management has used reasonable collection efforts are written off through a charge to the valuation allowance and the applicable patient accounts receivable. Credit is extended without collateral. |
| Part III, Line 8 - Explanation Of Shortfall As Community Benefit | Medicare losses should be treated as a community benefit because the losses are incurred in performing an important public service, and Maine hospitals experience one of the lowest Medicare reimbursement rates in the country. |
| Part III, Line 9b - Provisions On Collection Practices For Qualified Patients | All account guarantors who express an inability to pay inpatient and outpatient services will be screened for eligibility for charity care using an application and guidelines established by Inland Hospital. An account may be reconsidered for charity care at any time when new information is available about a patients inability to pay. |
| Part VI - Needs Assessment | The 2014 Community Health Needs Assessment was conducted by Eastern Maine Healthcare Systems (EMHS) in collaboration with several member/affiliated hospitals and many public health and community organizations across eight Maine counties. The Community Health Needs Assessment identifies priority health issues 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 address the issues and meet needs at the local level. |
| Part VI - Patient Education of Eligibility for Assistance | At Inland Hospital, Patient Account Representatives are available to assist and answer any questions our patients may have regarding free care. Additional interactive strategies are in place that include billing statements that have free care information added for the patient's convenience, providing all uninsured patients with free care packets at point of registration. When a patient states that they are under-insured free care information is provided. For any other patient requests we receive (via emails and phone calls) packets are mailed. All patient accessible areas, such as hospital waiting areas, contain information to direct patients on how to receive financial assistance. Additionally, Inland Hospital provides online resources and tools to assist our patients with the necessary information regarding charity/free care via www.inlandhospital.org.It is the policy of Inland Hospital to treat all patients requiring care without regard for ability to pay and to assist patients in arranging for settlement of their financial obligation. Under this program, medically necessary services will be provided to Maine residents at no cost. If a patient does not qualify for free hospital care, he or she is entitled to ask for a fair hearing.Inland Financial Counselors are Certified Application Counselors for the Federal Market Place and will assist customers with the Healthcare Market Place as requested. |
| Part VI - Community Information | Inland Hospital is a not-for-profit, community hospital located in Waterville, Maine with a mission to care for and serve our community. We serve residents in parts of Kennebec County and Somerset County. We are a 48-bed medical-surgical facility, with Lakewood, our 105-bed continuing care facility on the hospital campus, along with 21 primary and specialty care physician practices in Waterville and surrounding communities (N. Anson, Fairfield, Unity, Oakland, Madison, Augusta). We also offer our primary care patients a Weekend Care Clinic to help them avoid unnecessary, costly emergency room visits. The population for the Waterville Hospital Service Area in 2014 was 71,636 with 16.5% over the age of 65 (a 10% increase from 2010.) Source: EMHS Planning Nielsen Demographic InformationThe December 2014 unemployment rate for Kennebec County was 4.7% and Somerset County was 7.7% (compared to the state rate of 5.0%). Source: Maine Center for Workforce Research and Information The 2013 median household income in Somerset County was $38,642 and $46,808 in Kennebec County (compared to state average of $48,453.) Source: Maine Office of Policy and Management 17.8% of people in Somerset County live below the poverty level, 13.4% in Kennebec County (compared to the state average of 13.6%.) Source: US Department of Commerce |
| Part VI - Community Building Activities | Inland Hospital gets involved and gives back to improve quality of life in Greater Waterville its how we help fulfill our community service mission to care for and serve our community. Whether its sponsoring scholarships to the local colleges, supporting physical activity and nutrition initiatives in our local schools, funding local public transportation, or supporting a cultural or economic development effort, Inland is proud to support and collaborate with groups that foster health and well-being. Our Community Benefit program contributes $50,000+ locally each year towards health and community-building organizations and initiatives. In addition, we offer free health screenings to the public through our numerous health events and community collaborations, professional and community education, and other community events. |
| Part VI - Explanation Of How Organization Furthers Its Exempt Purpose | At Inland we strive to live up to our non-profit mission every day by caring for community members who otherwise would have limited access to quality healthcare. Besides providing charity care and financial assistance, we believe we can also affect the health of the communities we serve beyond care inside our hospital. We agree with the World Health Organization which states, Health is a state of complete physical, mental, and social well-being, and not merely the absence of disease or infirmity. We have a vision to be a responsible corporate citizen whose actions can impact our communitys overall well-being through commitments to priority issues. A hospital task force considered priority issues from the 2014 Community Health needs Assessment and other data, and identified areas of significant needs to be addressed, as well as areas of need unable to be addressed by the hospital. An Implementation Strategy was developed and 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. Inland Hospital is focusing on four key areas:1-Obesity - Goal: Prevent the increase of childhood obesity rates for Inlands service area2-Access to Care - Goal: Increase access to healthcare services in Inlands service area3-Chronic Disease Management - Goal: Improve health status of patients with chronic disease 4-Economic Opportunity/Poverty - Goal: Stimulate economic growth, expand educational opportunities and address social issuesIn addition to efforts led by Inland and our collaborating partners on the issues above, resources such as in-kind staff time and community benefit funding will be dedicated to the following secondary issues:-Domestic Violence-Substance Abuse/Prevention/Treatment-Homelessness-Dental Health-TransportationIn addition, we dedicate at least $50,000 annually for Community Benefit projects in our community. From support of school programs to combat obesity, to funding local public transportation and events that promote physical activity, or contributing to the local Opera House and colleges - our Community Benefit Program contributes to improving the health and wellness of our community in many ways. We accept applications to fund community-building initiatives that can be health & wellness related, educational, cultural, economic and beyond.Our Community Benefit Program Advisory Group oversees the community applications process. The group is a multi-disciplinary team of clinical and administrative professionals from the hospital, and community members, including hospital trustees and volunteers. The advisory group provides guidance, reviews requests for donations/support, makes recommendations to Inlands Administration, and evaluates the effectiveness of our Community Benefit Program. Inland's Community Outreach efforts include the "World of Womens Wellness", the hospitals annual health fair for women. 550 women attended the 17th Annual event on April 6, 2014 and received 1,800 free health screenings including, blood pressure, cholesterol, blood glucose, bone density, and breast exams. In an effort to combat the childhood obesity epidemic, in 2014 we continued our year-long program to reach families with children to encourage active lifestyles and healthier eating. Our "Let's Go! Family Fun Series" offers activities each month to engage families with children to be physically active and eat healthier through free and low cost resources and activities such as hiking, swimming, and ice skating. We also utilize the Let's Go! program in our family practices and provide support for Let's Go! in our local schools. We continue to maintain the Inland Woods Trail on the hospital campus (created in 2010). The trails were developed to create a lasting way to impact health, and give residents an easy, free resource for regular activity. The trails are used regularly by residents, hospital staff, and local schools for walking, biking, and snowshoeing. The Inland Hospital Foundation helps by raising funds for everything from capital expansion projects to residential activities to help offset normal operating expenses.Inland Hospital invites men, women, and young adults to volunteer their time to further the hospital's mission. In 2014, volunteers from our community donated 17,330 hours of their time to Inland and Lakewood, our continuing care center. Some volunteers work in areas with direct contact with patients and families; others are involved in our community events and "behind the scenes" activities which enhance the care provided by the hospital. |
| Part VI - Affilated Health Care System Roles and Promotion | Inland has been a proud member of EMHS (Eastern Maine Healthcare Systems) since 1998. EMHS is a system of hospitals, physician's practices, extended care facilities, clinics, home health experts and other healthcare services made up of 10,000 dedicated professionals across Maine. This integrated relationship benefits our community by bringing specialty services to Inland and connecting patients to advanced care when needed at Eastern Maine Medical Center, our system's tertiary hospital in Bangor. In addition, membership in EMHS offers Inland improved efficiencies through access to resources, best practices, quality initiatives, and purchasing power. |
| 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) |
|---|---|---|
| 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 (14 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 | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CONSTANCE BARRETT | ||||||||||||
| VP of Quality | $124,360 | $4,000 | $1,683 | $11,907 | $9,461 | $151,411 | ||||||
| CRAIG R THOMPSON MD | ||||||||||||
| Physician | $401,802 | $39,546 | $5,100 | $22,520 | $468,968 | |||||||
| DANIEL J BOOTH | ||||||||||||
| VPOO/CHRO | $179,653 | $22,555 | $987 | $11,532 | $214,727 | |||||||
| DEAN BITHER | ||||||||||||
| VP/CFO/Treasure | $197,736 | $13,412 | $4,162 | $26,105 | $241,465 | $50 | ||||||
| DEEP ACHARYA | ||||||||||||
| Physician | $265,839 | $21,736 | $23,165 | $310,740 | ||||||||
| GLENN MARTIN VP GEN COUNSEL | ||||||||||||
| Secretary | $299,530 | $21,640 | $2,779 | $60,231 | $26,468 | $410,648 | ||||||
| JOHN DALTON | ||||||||||||
| President & CEO | $261,227 | $22,735 | $60,353 | $15,827 | $360,142 | |||||||
| JOYCE STEIN DO | ||||||||||||
| PHYSICIAN | $252,246 | $36,758 | $3,268 | $10,308 | $334,950 | $32,370 | ||||||
| MARY M HOOD EMHS CEO | ||||||||||||
| Board Member | $712,895 | $171,996 | $12,420 | $232,431 | $18,491 | $1,148,233 | ||||||
| MICHAEL PALUMBO DO | ||||||||||||
| VP-Med Affairs | $254,708 | $18,956 | $4,587 | $23,153 | $301,404 | |||||||
| SIMON GIBBS MD | ||||||||||||
| Physician | $290,559 | $16,292 | $5,100 | $25,876 | $337,877 | $50 | ||||||
| VAUGHN COLLETT MD | ||||||||||||
| Physician | $244,883 | $18,359 | $1,185 | $8,923 | $313,950 | $40,600 | ||||||
| WALTER RICK BARRY | ||||||||||||
| VP Pat.Care CNO | $184,031 | $10,358 | $3,774 | $14,290 | $212,503 | $50 | ||||||
| WILLIAM BRADFIELD MD | ||||||||||||
| Board Member | $312,294 | $36,967 | $5,100 | $26,324 | $403,328 | $22,643 | ||||||
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| Maine Health and Higher Educational Facilities Authority | ||||||||
| A | 010314384 | 560425TL4 | 2004-05-01 | $4,539,667 | To refund the 1993D Bond | false | false | Yes (true) |
| Maine Health and Higher Educational Facilities Authority | ||||||||
| B | 010314384 | 560425YF1 | 2006-02-02 | $1,467,531 | Medical Lab & OB Renovations | false | false | Yes (true) |
| Maine Health and Higher Educational Facilities Authority | ||||||||
| C | 010314384 | 560425V80 | 2007-11-01 | $3,263,464 | ED Expansion & Purchase Prac | false | false | Yes (true) |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Capital ExpendituresCapitalExpendituresAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $4,430,000 | $5,300,310 | $58,557 | $344 | $4,652,390 | 1993 | false | Yes (true) | Yes (true) | Yes (true) | |||
| B | $315,000 | $1,467,531 | $46,325 | 2006 | false | false | Yes (true) | Yes (true) | $102,480 | $25,113 | $1,293,613 | ||
| C | $410,000 | $3,263,464 | $62,525 | $4,557 | 2008 | false | false | Yes (true) | Yes (true) | $206,349 | $2,990,033 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd |
|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | false | Yes (true) | |||
| B | false | false | false | false | false | Yes (true) | 0.00470 | 0.00470 | Yes (true) |
| C | false | false | false | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1 | Term Of GICTermOfGICPct | Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd | No Rebate DueNoRebateDueInd |
|---|---|---|---|---|---|---|---|---|---|
| NA | |||||||||
| A | Yes (true) | false | Yes (true) | FSA CAP MGMT | 21.0000 | Yes (true) | false | false | |
| NA | |||||||||
| B | Yes (true) | false | Yes (true) | FSA CAP MGMT- RESERVE FUND TRANSAMERICA-CONST FUND | 29.0000 | Yes (true) | false | false | |
| NA | |||||||||
| C | false | false | Yes (true) | FSA CAP MGMT- RESERVE FUND TRANSAMERICA- CONST FUND | 30.0000 | Yes (true) | false | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
| C | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part VI | FormAndLineReferenceDesc |
| Explanation | Part II, line 3, column A, does not equal Part I, line A, column E as a result of other sources of funds from DSF-Interest, DSF-Principal, and DSRF balance totaling $760,643.Part IV Line 2C, Column C - 11/1/12 - Date of Rebate Computation.Part IV, line 7 - The issuer (MHHEFA) has established written procedures to monitor the requirements of Section 148. The organization has entered into a tax regulatory agreement with the issuer that requires the organization to comply with the requirements of Section 148. The organization is working to establish its own written procedures to monitor such requirements. | ExplanationTxt |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Craig Thompson MD | PersonNm |
| Loan Purpose | physician loan | LoanPurposeTxt |
| Loan From Organization | Yes (X) | LoanFromOrganizationInd |
| Original Principal | $56,078 | OriginalPrincipalAmt |
| Balance Due | $4,205 | BalanceDueAmt |
| Default | false | DefaultInd |
| Board Or Committee Approval | false | BoardOrCommitteeApprovalInd |
| Written Agreement | Yes (true) | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $4,205 | TotalBalanceDueAmt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Susan Palumbo | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | spouse of director | RelationshipDescriptionTxt |
| Transaction | $44,982 | TransactionAmt |
| Transaction | compensation | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule L, Part V Supplemental Information | FormAndLineReferenceDesc |
| Explanation | Susan Palumbo is a family member of an officer of Inland Hospital. | ExplanationTxt |
Schedule M IRS990ScheduleM
Clothing And Household Goods ClothingAndHouseholdGoodsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $713 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Real Estate Commercial RealEstateCommercialGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $36,000 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Food Inventory FoodInventoryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $1,264 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | Chest PT machin | 1 | $200 | FMV |
| Yes (X) | Gift certificat | 4 | $438 | FMV |
| Yes (X) | Gifts Nurse Day | 2 | $318 | FMV |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
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 healthcare services regardless of ability to pay as well as education and promotion of health. Provided $2,950,523 other uncompensated care (at cost).Inland Hospital is a 48-bed facility that provides medical-surgical, and acute care. Inland is a non-profit hospital, serving all who need care, regardless of ability to pay. Inland Hospital also has outlying clinics in the region, allowing easier access for patients.Additional Statistics:Total Admissions 1,711Percent Occupancy of Available Beds 28%Emergency Room Visits 13,721Surgery Cases 1,995Services provided to those who could not pay $8,349,763 OTHER PROGRAM SERVICES 5: Please see the following excerpt from the EMHS Annual Report to the Community for details of community benefit projects at Inland Hospital and Lakewood, A Continuing Care Center.Leadership: President and CEO: John Dalton; Board Chair: John FortierDescription: A dynamic healthcare organization with a 48-bed community hospital in Waterville, a 105-bed continuing care center on the hospital campus, and 21 primary and specialty care physician practices in Waterville and five surrounding communities.Employees: 707Locations: Waterville, Fairfield, Oakland, North Anson, Augusta, Unity, MadisonHighlights: Awarded an A grade for safety and quality (second time in two years), and named as a Top Rural Hospital (fourth time in five years) by The Leapfrog Group, a national coalition of independent purchasers of healthcare Lakewood Continuing Care Center, located on the Inland campusReceived the 2014 American Health Association Bronze Award for Commitment to Quality Received Avatar Award for Exceeding Patient Expectations (eighth year in a row) and Most Wired Hospital Award (second year in a row) More than 300 families in central Maine participated in the Lets Go! Family Fun Series event, which is part of Inlands commitment to fight childhood obesity Welcomed new providers to the Inland staff: Denise Bouchard, family nurse practitioner; Alicia Brown, DO, family physician; Linda Kelly, nurse practitioner, Neurology; Mark Klemperer, MD, OB/GYN; Syed Rahmatullah, MD, cardiologist; Richard Samson, DPM, podiatrist; Barbara Segal, MD, rheumatologist; and Gloria Simms, MD, neurologist Inland Hospital and Sebasticook Valley Hospital (Pittsfield) collaborated to enhance diabetes, OB/GYN, and surgical services for our communitiesTotal Community Benefit: $10,412,434Philanthropy: $319,622Community Benefit Operations: $209,986Community Building Activities: $29,086Community Health Improvement Services: $11,214Financial and In-Kind Contributions: $11,781Unrecoverable Interest Cost on funds used to subsidize state MaineCare/Medicaid underpayment of $4.3M: $273,443Traditional Charity Care*: $1,630,855Unpaid Cost of Public Programs:Medicare: $4,564,670Medicaid: $3,681,399 |
| Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et | John D. Dalton, trustee/officer and Allan Rancourt, trustee are members of Waterville Development Corporation and Central Maine Growth Council boards. |
| Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents | ADOPTION OF UNIFORM BYLAWS BY EMHS MEMBER ORGANIZATIONS (FY 2014)As part of the Governance Integration Project, a Bylaws Task Force was established and charged with drafting a uniform set of bylaws for EMHS Member Organizations for the purpose of achieving clarity and transparency, shared understanding, efficiency in board operations and administration, and compliance with legal requirements and best practice standards.As a result of the work performed by the Bylaws Task Force, the following EMHS Member Organizations adopted Restated Bylaws in FY 2014:1.Acadia Hospital, Corp.2.Charles A. Dean Memorial Hospital3.Eastern Maine HomeCare4.Eastern Maine Medical Center5.EMHS Foundation6.Inland Hospital7.Mercy Hospital8.Rosscare9.The Blue Hill Memorial Hospital10.The Aroostook Medical Center11.VNA Home Health & HospiceThere were no changes to the Bylaws of Sebasticook Valley Health in FY 2014 because Sebasticook was not an Integrated Member Organization for the period covered by this tax return. Impact on Board Structure and Key Operations This Summary focuses on the elements in the uniform bylaws adopted by the Member Organizations that required a change in board structure and/or key operations. Structure includes board composition and the role of officers. Key operations include how the boards oversight responsibilities are deployed across committees and the board as a whole. These changes had the most impact on board leadership, as their implementation shifted current committee roles, affected individual trustee or directors committee assignments, and affected the appointment of the secretary and the treasurer. Key Changes in Board Structure and Role of Officers: 1) Proposed size ranges. The number of board members for member hospitals is 11 -19; and the number of board members for non-hospital members is 9-15. The term limit for board members is up to four (4) consecutive three-year terms. 2) EMHS CEO became a voting member of all boards. This was previously the case for all Member Organizations with the exception of Inland and BHMH. 3) Hospital boards have ex officio seats for the two senior physician leaders. Exceptions: a. EMMC retained current complement of four ex officio physician seats; Acadia established one ex officio physician seat and Charles A. Dean Memorial Hospital retained one ex officio physician seat. b. Inland previously had a third seat designated for a physician, but now the current occupant may continue service on the board as a regular trustee assigned to an elected term. 4) Officers. The President of the Member appoints the secretary and, in consultation with the Board, the president of the Member Organizations. The president may be removed by the President of the Member, in consultation with the Board. EMHS general counsel now serves as secretary of each Member Organization. The respective chief financial officers now serve as treasurer of the Member Organizations. Previously, volunteer board members served in the offices of secretary and treasurer at BHMH, Inland and TAMC. a. After the changes noted, the remaining board volunteer officer positions were limited to chair and vice chair unless otherwise deemed necessary by the board. Thechair and vice chair positions are limited to three consecutive one-year terms. 5) The position of honorary board member was eliminated. Previously, four hospitals (Acadia, Charles A. Dean Memorial Hospital, EMMC and Inland) permitted the election of honorary board members. Among them, only Inland had (two) honorary trustees, who are grandfathered under the uniform bylaws.Key Changes in Board OperationsThe committee structure was designed to: align across Member Organizations to the extent practicable; assure that boards have the benefit of committee work in areas requiring specialty expertise; facilitate coordinated board education and development; and encourage the exchange of best practices. Under the uniform bylaws, as has always been the case, unless explicitly delegated by the board [see 2c and 2d below], committee authority is limited to making recommendations to the full board. 1) The changes in committee structure made under the uniform bylaws reflect consideration that, rather than being delegated to a standing committee, the following oversight and strategic responsibilities are better retained within the province of the entire board: a) Mission, vision, values b) Community health needs assessment within a population health context c) Community benefit: planning, measuring, reporting d) Strategic planning in coordination with the EMHS process e) Compliance with IRS Form 990, conflict of interest policy, and independence requirements f) Philanthropy g) Advocacy 2) Committees a. Under the uniform bylaws, Hospital standing committees comprise: Finance (and where relevant, an Investment Subcommittee); Governance (and an independent Nominating Subcommittee); Quality and Professional Affairs; and Joint Conference. b. Under the uniform bylaws, Non-hospital standing committees comprise: Finance (and where relevant, an Investment Subcommittee); Governance (and an independent Nominating Subcommittee); and where patient care is provided, Quality and Professional Affairs. c. Under the uniform bylaws, Special and ad hoc committees may be appointed by the chair for any specific purpose or function, to be terminated at any time by the chair. Committee chairs may serve no more than five (5) consecutive full one-year terms. 3) Dissolution of the Executive Committee (EC) Under the uniform bylaws, the Executive Committee has been dissolved and certain responsibilities transferred to the Governance Committee and the Quality and Affairs Committee. The rationale behind this change was as follows: a. Over time, ECs can grow in size and function to a degree that risks generating a sense among non-members of being rubber stamps. Prior to adoption of the uniform bylaws, five of the six ECs had rosters that represented half or more of the elected board members. b. Prior to adoption of the uniform bylaws, three of the ECs had committee- level responsibility for finance. Under the uniform bylaws, each Member Organization has a dedicated Finance Committee. c. Historically, the EC has been delegated authority to act on behalf of the board, within defined parameters, when a time-sensitive matter requires action between regularly scheduled board meetings. The uniform bylaws vest this authority in the Governance Committee, which has been the practice on the EMHS board. d. Prior to adoption of the uniform bylaws, four hospital ECs (Acadia, EMMC, Inland, TAMC) had authority to approve medical staff privileges and credentials between board meetings. The uniform bylaws vest this authority in the Quality and Professional Affairs Committee. Transferring this between-meetings exigency role to the Quality and Professional Affairs Committee retains the integrity of the process and aligns with the role and aptitude of the Quality and Professional Affairs Committee. e. Over time, some ECs have inherited responsibilities when another committee has been dissolved. Current examples include community relations and fundraising functions increasingly viewed as board-wide concerns. f. Some ECs conduct executive performance reviews. A uniform policy to be developed in support of the uniform bylaws will assign this responsibility to an ad hoc group comprising the EMHS CEO and independent Member Organization board members serving as chair, vice chair, and committee chairs. 4) Meeting Frequency Under the uniform bylaws, Boards will meet at least four times annually. Provisions remain the same for holding special meetings. 5) Fiduciary Duty The uniform bylaws contain a straightforward affirmation of fiduciary duty consistent with Maine statutory law. 6) Indemnification The uniform bylaws set forth identical indemnification provisions for all Member Organizations |
| Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder | Inland Hospital (the "Corporation") is a Maine nonprofit corporation. Eastern Maine Healthcare Systems ("EMHS"), also a Maine nonprofit corporation, is the sole 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 CFO of Inland Hospital. It is provided to each board member either electronically or in hard copy with an opportunity to ask questions prior to filing with the IRS. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | The organization requests updates of potential conflicts and relationships from the officers and Board members on an annual basis. The request requires disclosure of all business relationships, board memberships, and family relationships. A database is maintained that is compared to payroll records and the accounts payable vendor list to identify any potential conflicts of interest. Transactions are reviewed for reasonableness as an arm's length transaction. The first agenda item for board meetings and board committee meetings is for members to declare any conflict of interest with upcoming agenda items or deliberations. At any point when consideration is being given to purchase/contract with a party in interest, the member with the conflict is either excused from the discussion and consideration process or abstains from voting on the matter. All transactions identified with parties in interest are disclosed within the Form 990. All are deemed to be arm's length transactions. |
| Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management | The CEO of Inland Hospital(Inland), who is employed by Inland, reports directly to the system parent, Eastern Maine Healthcare Systems (EMHS) President/CEO (President). The EMHS Executive Performance Management Committee (the Committee) is responsible to monitor and evaluate the performance of the EMHS President, to set compensation of the EMHS President, and to review recommendations of the EMHS President with respect to compensation of the 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 and Approval Process for Officers and Key Employees | Compensation of other officers and key employees of the organization is established by the Human Resources department who utilize external market research to establish compensation ranges for specific positions. The compensation of officers and key employees are reviewed by the system President/CEO and Inland board of trustees.On an annual basis, the compensation ranges are compared to the updated survey information. The Human Resources department will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | Inland Hospital makes its governing documents, conflict of interest policy and financial statements available to the public upon request. |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | Change in interest in nets assets held @ EMHSF = -$152604 |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | Transfer to exempt parent-Eastern Maine Healthcare Systems = -$2249952 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (27 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Eastern Maine Healthcare Systems EMHS | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 010527066 | Supporting organization for healthcare affiliates | ME | 501(c)(3) | 11 Type III Func Int | N/A | Yes (true) | |
| Eastern Maine Medical Center EMMC | |||||||||||
| PO Box 404 489 State Street | Bangor | ME | 044020404 | 010211501 | Provide healthcare services | ME | 501(c)(3) | 3 | Yes (true) | EMHS | |
| Eastern Maine Healthcare Real Estate | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 010391036 | Leases real estate | ME | 501(c)(2) | Yes (true) | EMHS | ||
| Rosscare | |||||||||||
| 43 Whiting Hill Road Ste 400 | Brewer | ME | 04412 | 010391038 | Provide services to elderly | ME | 501(c)(3) | PF | Yes (true) | EMHS | |
| Rosscare Nursing Homes Inc | |||||||||||
| 43 Whiting Hill Road Ste 400 | Brewer | ME | 04412 | 010430751 | Operation of nursing homes | ME | 501(c)(3) | 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) | EMHS | |
| Eastern Maine Medical Center Auxiliary | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 010377901 | Fund raising for exempt Eastern Maine Medical Center | ME | 501(c)(3) | 9 | Yes (true) | EMMC | |
| Acadia Healthcare Inc AHI | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 223183888 | Provide healthcare services | ME | 501(c)(3) | 9 | Yes (true) | AHC | |
| EMHS Foundation | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 222514163 | Raise and manage funds for exempt organizations | ME | 501(c)(3) | 11, type II | Yes (true) | EMHS | |
| Norumbega Medical Specialists LTD | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 010465231 | Provide patient care and education | ME | 501(c)(3) | 9 | Yes (true) | EMMC | |
| 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 | |
| CA Dean Memorial Hospital | |||||||||||
| Pritham Avenue PO Box 1129 | Greenville | ME | 044411129 | 043341666 | Provide healthcare services | ME | 501(c)(3) | 3 | Yes (true) | EMHS | |
| Sebasticook Valley Health SVH | |||||||||||
| 447 North Main Street | Pittsfield | ME | 04967 | 010263628 | Critical care hospital | ME | 501(c)(3) | 3 | Yes (true) | EMHS | |
| The Aroostook Medical Center TAMC | |||||||||||
| PO Box 151 140 Academy Street | Presque Isle | ME | 047690151 | 010372148 | Provide healthcare services | ME | 501(c)(3) | 3 | Yes (true) | EMHS | |
| TAMC Title Corp | |||||||||||
| PO Box 151 140 Academy Street | Presque Isle | ME | 047690151 | 010389226 | Real estate holding company | ME | 501(c)(2) | Yes (true) | TAMC | ||
| TAMC Endowments | |||||||||||
| PO Box 151 140 Academy Street | Presque Isle | ME | 047690151 | 010389222 | Raise funds for exempt organizations | ME | 501(c)(3) | 11, type I | Yes (true) | TAMC | |
| Horizons Health Services | |||||||||||
| PO Box 151 140 Academy Street | Presque Isle | ME | 047690151 | 010504393 | Provide patient care | ME | 501(c)(3) | 3 | Yes (true) | TAMC | |
| Eastern Maine HomeCare | |||||||||||
| PO Box 688 | Caribou | ME | 04736 | 010328442 | Provide home health and hospice services | ME | 501(c)(3) | 9 | Yes (true) | EMHS | |
| Maine Institute for Human Genetics and H | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 550894346 | Biomedical research and development | ME | 501(c)(3) | 9 | Yes (true) | EMHS | |
| Blue Hill Memorial Hospital | |||||||||||
| 57 Water Street | Blue Hill | ME | 046145231 | 010227195 | Provide healthcare services | ME | 501(c)(3) | 3 | Yes (true) | EMHS | |
| Meadow Wood LLC | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 272935243 | Provide patient care | ME | 501(c)(3) | 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 | |
| Sebasticook Valley Work Health LLC | |||||||||||
| 447 North Main Street | Pittsfield | ME | 04967 | 453359446 | Provide Patient Care | ME | 501(c)(3) | 3 | Yes (true) | SVH | |
| Restoration Health LLC | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 352449986 | Provide mental & behavioral hlth srvs | ME | 501(c)(3) | 9 | Yes (true) | AHI | |
| Mercy Hospital | |||||||||||
| 144 State Street | Portland | ME | 04101 | 010211534 | Provide healthcare services | ME | 501(c)(3) | 3 | Yes (true) | EMHS | |
| Mercy Health System of Maine | |||||||||||
| 144 State Street | Portland | ME | 04101 | 010484074 | Supporting org for healthcare affiliates | ME | 501(c)(3) | 11 Type III Func Int | Yes (true) | EMHS | |
| VNA Home Health & Hospice | |||||||||||
| 50 Foden Road | South Portland | ME | 04106 | 010246804 | Provide home health and hospice services | ME | 501(c)(3) | 9 | Yes (true) | EMHS | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Beacon Health LLC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 43 Whiting Hill Road | AddressLine1 |
| City | Brewer | City |
| State | ME | State |
| ZIP Code | 04412 | ZIPCode |
| 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 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| General Or Managing Partner | false | GeneralOrManagingPartnerInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (13 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | 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 mgmt | 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) |
| Affiliated Pharmacy Services | |||||||||
| 917 Union St STE 7 | Bangor | ME | 04401 | 010587230 | Pharmacy | ME | AHS | C | Yes (true) |
| Meridian Mobile Health LLC | |||||||||
| 931 Union St 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 | Retir Cottag | 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 St 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 | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (12 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Eastern Maine Healthcare Systems EMHS | ||
| m | $1,968,093 | FMV |
| Eastern Maine Healthcare Systems EMHS | ||
| p | $4,849,159 | FMV |
| Eastern Maine Healthcare Systems EMHS | ||
| r | $2,249,951 | FMV |
| Eastern Maine Medical Center EMMC | ||
| m | $2,601,532 | FMV |
| EMHS Foundation | ||
| m | $204,500 | FMV |
| EMHS Foundation | ||
| s | $281,557 | FMV |
| Lakewood A Continuing Care Center | ||
| l | $106,145 | FMV |
| Sebasticook Valley Health SVH | ||
| l | $141,300 | FMV |
| Affiliated Healthcare Management | ||
| m | $52,799 | FMV |
| Affiliated Laboratory Inc | ||
| l | $573,032 | FMV |
| Affiliated Materiel Services | ||
| m | $1,204,949 | FMV |
| Alliance Health Documentation LLC | ||
| m | $62,447 | FMV |
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