MEMORIAL HOSPITAL: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- MEMORIAL HOSPITAL (EIN 02-0222156)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-10-14
- IRS object ID
- 201522879349300707
- 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 G
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-10-14T08:11:35-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAINEHEALTH | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 FREE ST | AddressLine1 |
| City | PORTLAND | City |
| State | ME | State |
| ZIP Code | 041013908 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020222156 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MEMO | BusinessNameControlTxt |
| Phone | 6033565461 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3073 WHITE MOUNTAIN HIGHWAY | AddressLine1 |
| City | NORTH CONWAY | City |
| State | NH | State |
| ZIP Code | 03860 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GENE BERGOFFEN | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 6033565461 | PhoneNum |
| Signature | 2015-05-14 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparation | 2015-10-14 | PreparationDt |
| 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 | SCOTT MCKINNON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3073 WHITE MOUNTAIN HIGHWAY | AddressLine1 |
| City | NORTH CONWAY | City |
| State | NH | State |
| ZIP Code | 03860 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $64,241,290 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MEMORIALHOSPITALNH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1910 | FormationYr |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Activity Or Mission | MEMORIAL HOSPITAL PROVIDES HEALTHCARE SERVICES TO THE RESIDENTS AND VISITORS OF THE MOUNT WASHINGTON VALLEY AREA OF NEW HAMPSHIRE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 546 | TotalEmployeeCnt |
| Total Volunteers | 75 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $555,036 | PYContributionsGrantsAmt |
| CY Contributions Grants | $505,520 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $62,396,653 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $62,765,892 | CYProgramServiceRevenueAmt |
| PY Investment Income | $233,086 | PYInvestmentIncomeAmt |
| CY Investment Income | $174,816 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$27,966 | PYOtherRevenueAmt |
| CY Other Revenue | -$52,962 | CYOtherRevenueAmt |
| PY Total Revenue | $63,156,809 | PYTotalRevenueAmt |
| CY Total Revenue | $63,393,266 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $35,117,259 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $34,972,037 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $72,000 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $802,709 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $26,505,961 | PYOtherExpensesAmt |
| CY Other Expenses | $28,863,995 | CYOtherExpensesAmt |
| PY Total Expenses | $61,623,220 | PYTotalExpensesAmt |
| CY Total Expenses | $63,908,032 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,533,589 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$514,766 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $74,062,812 | TotalAssetsBOYAmt |
| Total Assets EOY | $66,702,509 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $25,061,742 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $24,854,786 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $49,001,070 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $41,847,723 | NetAssetsOrFundBalancesEOYAmt |
| Mission | MEMORIAL HOSPITAL PROVIDES HEALTHCARE SERVICES TO THE RESIDENTS AND VISITORS OF THE MOUNT WASHINGTON VALLEY AREA OF NEW HAMPSHIRE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $56,340,033 | ExpenseAmt |
| Revenue | $62,563,226 | RevenueAmt |
| Desc | MEMORIAL HOSPITAL PROVIDES HEALTHCARE SERVICES TO THE RESIDENTS AND VISITORS OF THE MOUNT WASHINGTON AREA OF NEW HAMPSHIRE. MEMORIAL HOSPITAL IS A 25 BED CRITICAL ACCESS HOSPITAL AND A 45 BED INTERMEDIATE CARE FACILITY (MERRIMAN HOUSE). THE HOSPITAL PROVIDES MED/SURG, ICU, ICF, OBSTETRICS, RADIOLOGY/IMAGING, ONCOLOGY/INFUSION, CARDIAC REHAB, WOUND CARE, SPECIALTY CARE, ED AND PRIMARY CARE. THE HOSPITAL HAD 4,582 ACUTE INPATIENT DAYS AND 11,461 ED OUTPATIENT VISITS IN FISCAL YEAR 2014. | Desc |
| Total Program Service Expenses | $56,340,033 | 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 | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | Yes (true) | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 95 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 546 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NH | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SCOTT MCKINNON CEO | PersonNm |
| Phone | 6033565461 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3073 WHITE MOUNTAIN HIGHWAY | AddressLine1 |
| City | NORTH CONWAY | City |
| State | NH | State |
| ZIP Code | 038605001 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| WILLIAM CARON | |||||||||
| MAINEHEALTH | 1.00 | 50.00 | Yes (X) | $0 | $1,034,119 | $79,809 | |||
| SCOTT MCKINNON | |||||||||
| PRESIDENT/CE | 40.00 | Yes (X) | $317,783 | $0 | $36,846 | Yes (X) | |||
| MARNI MADNICK | |||||||||
| MEDICAL STAF | 40.00 | Yes (X) | $20,000 | $297,536 | $38,488 | Yes (X) | |||
| RAYMOND RABIDEAU | |||||||||
| CMO | 40.00 | Yes (X) | $0 | $293,200 | $29,434 | Yes (X) | |||
| STEVEN WYRSCH | |||||||||
| COO | 40.00 | Yes (X) | $219,539 | $0 | $6,657 | Yes (X) | |||
| PHIL DAVIES | |||||||||
| BOARD CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| LAURA JAWITZ | |||||||||
| 1ST VICE CHA | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| KEN CARGILL | |||||||||
| 2ND VICE CHA | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| BARBARA HOPKINS | |||||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| THAIRE BRYANT | |||||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| MELISSA MYERS | |||||||||
| AT LARGE MEM | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| GENE BERGOFFEN | |||||||||
| AT LARGE MEM | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| ALLAN STAM | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOAN AUBREY | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| BILL BECK | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DAPHNE WALL | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JANICE CRAWFORD | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| KIMBERLY GOODWIN | |||||||||
| MEDICAL DIRE | 40.00 | $229,941 | $0 | $26,656 | Yes (X) | ||||
| VERA SCHUMANN | |||||||||
| SENIOR VP/CF | 40.00 | 0.00 | $202,008 | $0 | $20,881 | Yes (X) | |||
| DIANE MAHEUX | |||||||||
| VP OF FINANC | 40.00 | $71,892 | $0 | $14,240 | Yes (X) | ||||
| DOUGLAS TAYLOR | |||||||||
| ORTHOPEDIC S | 40.00 | $0 | $515,568 | $38,488 | Yes (X) | ||||
| BRIAN SPONSELLER | |||||||||
| PHYSICIAN | 40.00 | $0 | $467,545 | $22,381 | Yes (X) | ||||
| MORICE DENNERY | |||||||||
| SURGEON | 40.00 | $0 | $456,295 | $38,488 | Yes (X) | ||||
| DAVID RISS | |||||||||
| PHYSICIAN | $0 | $444,956 | $30,035 | Yes (X) | |||||
| WILLIAM MARTIN | |||||||||
| PHYSICIAN | 40.00 | $0 | $442,300 | $38,488 | Yes (X) | ||||
| JOHN NEWTON | |||||||||
| PAST CFO | $106,667 | $0 | $0 | Yes (X) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,167,830 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,951,519 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $420,891 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 37 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| NORDX | |||||
| 301 US ROUTE 1 SUITE A | SCARBOROUGH | ME | 04074 | LAB TESTING | $442,984 |
| DIVERSIFIED CLINICAL SERVICES | |||||
| PO BOX 636981 | CINCINNATI | OH | 45263 | WOUND CARE SVCS | $318,326 |
| WEATHERBYS LOCUMS INC | |||||
| PO BOX 972663 | DALLAS | TX | 75397 | LOCUMS SERVICES | $291,675 |
| HINCKLEY ALLEN & SNYDER | |||||
| 11 SOUTH MAIN STREET | CONCORD | NH | 03301 | LEGAL SERVICES | $252,890 |
| ADVANTAGE RN | |||||
| 4184 RELIABLE PARKWAY | CHICAGO | IL | 60686 | RN SERVICES | $159,773 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 10 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $72,422 | FundraisingAmt |
| All Other Contributions | $433,098 | AllOtherContributionsAmt |
| Total Contributions | $505,520 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| PATIENT SERVICE REVENUE | 621110 | $60,964,205 | $60,964,205 | |
| OTHER PATIENT SERVICE REVENUE | 621110 | $1,542,024 | $1,542,024 | |
| CAFETERIA & PHARMACY REVENUE | 621110 | $259,663 | $259,663 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $62,765,892 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $117,819 | TotalRevenueColumnAmt |
| Exclusion | $117,819 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $138,364 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $174,745 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$36,381 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$36,381 | TotalRevenueColumnAmt |
| Exclusion | -$36,381 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $666,382 | SecuritiesAmt |
| Other | $6,500 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $613,104 | SecuritiesAmt |
| Other | $2,781 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $53,278 | SecuritiesAmt |
| Other | $3,719 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $56,997 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $56,997 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $40,813 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $72,422 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $57,394 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$16,581 | TotalRevenueColumnAmt |
| Exclusion | -$16,581 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $63,393,266 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $62,563,226 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $324,520 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,469,153 | TotalAmt |
| Program Services | $531,976 | ProgramServicesAmt |
| Management And General | $937,177 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,228,169 | TotalAmt |
| Program Services | $24,955,235 | ProgramServicesAmt |
| Management And General | $2,200,068 | ManagementAndGeneralAmt |
| Fundraising | $72,866 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $491,172 | TotalAmt |
| Program Services | $436,701 | ProgramServicesAmt |
| Management And General | $53,243 | ManagementAndGeneralAmt |
| Fundraising | $1,228 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,395,926 | TotalAmt |
| Program Services | $3,934,619 | ProgramServicesAmt |
| Management And General | $450,244 | ManagementAndGeneralAmt |
| Fundraising | $11,063 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,387,617 | TotalAmt |
| Program Services | $1,233,730 | ProgramServicesAmt |
| Management And General | $150,418 | ManagementAndGeneralAmt |
| Fundraising | $3,469 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $284,746 | TotalAmt |
| Management And General | $284,746 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $111,035 | TotalAmt |
| Management And General | $111,035 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,000 | TotalAmt |
| Fundraising | $72,000 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,827 | TotalAmt |
| Management And General | $34,827 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,827,039 | TotalAmt |
| Program Services | $5,220,162 | ProgramServicesAmt |
| Management And General | $606,877 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $184,828 | TotalAmt |
| Program Services | $9,178 | ProgramServicesAmt |
| Management And General | $13,014 | ManagementAndGeneralAmt |
| Fundraising | $162,636 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,580,288 | TotalAmt |
| Program Services | $3,422,232 | ProgramServicesAmt |
| Management And General | $140,133 | ManagementAndGeneralAmt |
| Fundraising | $17,923 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $701,141 | TotalAmt |
| Management And General | $701,141 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,408,692 | TotalAmt |
| Program Services | $1,348,015 | ProgramServicesAmt |
| Management And General | $60,677 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $111,061 | TotalAmt |
| Program Services | $83,227 | ProgramServicesAmt |
| Management And General | $27,496 | ManagementAndGeneralAmt |
| Fundraising | $338 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $989,569 | TotalAmt |
| Program Services | $989,569 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,026,388 | TotalAmt |
| Program Services | $3,579,861 | ProgramServicesAmt |
| Management And General | $436,461 | ManagementAndGeneralAmt |
| Fundraising | $10,066 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $705,810 | TotalAmt |
| Program Services | $354,790 | ProgramServicesAmt |
| Management And General | $351,020 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $6,390,610 | $6,390,610 | ||
| MEDICAID ENHANCEMENT TAX | $3,051,392 | $3,051,392 | ||
| EQUIPMENT LEASE | $583,782 | $580,225 | $3,557 | |
| COMMUNITY BENEFIT | $431,871 | $431,871 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $440,916 | TotalAmt |
| Program Services | $218,511 | ProgramServicesAmt |
| Management And General | $203,156 | ManagementAndGeneralAmt |
| Fundraising | $19,249 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,908,032 | TotalAmt |
| Program Services | $56,340,033 | ProgramServicesAmt |
| Management And General | $6,765,290 | ManagementAndGeneralAmt |
| Fundraising | $802,709 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,688,420 | BOYAmt |
| EOY | $3,564,652 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,444,451 | BOYAmt |
| EOY | $19,497,889 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,592,470 | BOYAmt |
| EOY | $10,538,805 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,131,649 | BOYAmt |
| EOY | $1,647,508 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $350,006 | BOYAmt |
| EOY | $972,220 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $67,764,226 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $40,915,744 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,515,822 | BOYAmt |
| EOY | $26,848,482 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,047,979 | BOYAmt |
| EOY | $1,726,291 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $302,088 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $262,308 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,727,619 | BOYAmt |
| EOY | $1,906,662 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,062,812 | BOYAmt |
| EOY | $66,702,509 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,599,974 | BOYAmt |
| EOY | $4,316,412 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,680,037 | BOYAmt |
| EOY | $18,235,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $320,731 | BOYAmt |
| EOY | $95,111 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,461,000 | BOYAmt |
| EOY | $2,208,263 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,061,742 | BOYAmt |
| EOY | $24,854,786 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,917,756 | BOYAmt |
| EOY | $40,466,764 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $469,951 | BOYAmt |
| EOY | $767,596 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $613,363 | BOYAmt |
| EOY | $613,363 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,001,070 | BOYAmt |
| EOY | $41,847,723 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,062,812 | BOYAmt |
| EOY | $66,702,509 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$514,766 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,039,857 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$7,678,438 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $7,984 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $7,984 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1 | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION PAYS DUES TO VARIOUS ASSOCIATIONS, A PORTION OF WHICH IS ATTRIBUTABLE TO LOBBYING EXPENSES. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,872,190 | BeginningYearBalanceAmt |
| Contributions | $4,466,317 | ContributionsAmt |
| Investment Earnings Or Losses | $396,727 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $12,735,234 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,740,032 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,132,158 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $7,872,190 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,639,144 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $100,888 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $6,740,032 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,575,593 | BeginningYearBalanceAmt |
| Contributions | $2,400,000 | ContributionsAmt |
| Investment Earnings Or Losses | $663,551 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $6,639,144 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,311,699 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $263,924 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $3,575,593 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.89150 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.04820 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.06030 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $598,483 | OtherCostOrOtherBasisAmt |
| Book Value | $598,483 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $42,955,489 | OtherCostOrOtherBasisAmt |
| Depreciation | $23,816,633 | DepreciationAmt |
| Book Value | $19,138,856 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,167,088 | OtherCostOrOtherBasisAmt |
| Depreciation | $15,431,579 | DepreciationAmt |
| Book Value | $6,735,509 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,043,166 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,667,532 | DepreciationAmt |
| Book Value | $375,634 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $26,848,482 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| INSURANCE SETTLEMENT PAYABLE | $1,523,000 |
| ESTIMATED THIRD PARTY SETTLEMENTS | $685,263 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,208,263 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 3, PART X | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS A NON-PROFIT CORPORATION AS DESCRIBED IN SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. | ExplanationTxt |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | Yes (X) | MailSolicitationsInd |
| Agrmt Prof Fundraising Acty | Yes (true) | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVENPORT BARR INC | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 430 | AddressLine1 |
| City | INTERVALE | City |
| State | NH | State |
| ZIP Code | 03845 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity | PHILANT | ActivityTxt |
| Fundraiser Control Of Funds | false | FundraiserControlOfFundsInd |
| Gross Receipts | $113,235 | GrossReceiptsAmt |
| Retained By Contractor | $72,000 | RetainedByContractorAmt |
| Net To Organization | $41,235 | NetToOrganizationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | $113,235 | TotalGrossReceiptsAmt |
| Total Retained By Contractors | $72,000 | TotalRetainedByContractorsAmt |
| Total Net To Organization | $41,235 | TotalNetToOrganizationAmt |
| Licensed States | NH | LicensedStatesCd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GALA | NameOfEvent1Amt |
| Gross Receipts Event1 | $60,450 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $37,200 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $23,250 | GrossRevenueEvent1Amt |
| Food And Beverage Event1 | $13,539 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $18,840 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $3,076 | OtherDirectExpensesEvent1Amt |
| Name Of Event2 | GOLF TOURNAMENT | NameOfEvent2Amt |
| Gross Receipts Event2 | $52,785 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $35,222 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $17,563 | GrossRevenueEvent2Amt |
| Rent Facility Costs Event2 | $21,939 | RentFacilityCostsEvent2Amt |
| Gross Receipts Total | $113,235 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $72,422 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $40,813 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $21,939 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $13,539 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $18,840 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $3,076 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $57,394 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$16,581 | NetIncomeSummaryAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE G, PART IV | FormAndLineReferenceDesc |
| Explanation | DAVENPORT AND BARR INC. MANAGES THE PHILANTHROPY DEPARTMENT. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 2.500000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,024,784 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,024,784 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03170 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,718,133 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,486,078 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $232,055 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00360 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,742,917 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,486,078 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,256,839 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03530 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $331,959 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $331,959 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00520 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $331,959 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $331,959 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00520 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,074,876 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,486,078 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,588,798 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04050 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,734,482 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $15,746,797 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $15,914,642 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$167,845 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEMORIAL HOSPITAL | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3073 WHITE MOUNTAIN HIGHWAY | AddressLine1 |
| City | NORTH CONWAY | City |
| State | NH | State |
| ZIP Code | 03860 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.MEMORIALHOSPITALNH.ORG | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | Yes (true) | AllNeedsAddressedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (true) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 250.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (true) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| State Regulation | Yes (X) | StateRegulationInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, MEMORIAL HOSPITAL - PART V, LINE 3 | THE ASSESSMENT PROCESS WAS INITIATED AND CHAIRED BY MEMORIAL HOSPITAL IN COLLABORATION WITH THE MEMBERS OF THE WHITE MOUNTAIN VALLEY COMMUNITY HEALTH COUNCIL (WMVCHC). THE HOSPITAL PROVIDED FINANCIAL AND IN-KIND SUPPORT FOR THE ASSESSMENT PROCESS; HOWEVER, THE OTHER MEMBERS OF THE COALITION ALSO PARTICIPATED THROUGH MONTHLY MEETINGS AND PROVIDED INPUT INTO THE PROCESS, AND FEEDBACK ON THE FINDINGS. THIS GROUP CONTINUES TO MEET TO DEVELOP THE IMPLEMENTATION PLANS AND TO ADOPT STRATEGIES RELEVANT TO THEIR INDIVIDUAL ORGANIZATIONS. PARTICIPATING MEMBERS OF THE COUNCIL INCLUDE THE FOLLOWING INDIVIDUALS AND AGENCY REPRESENTATIVES WHO PROVIDE THE INDICATED SERVICES: -MEMORIAL HOSPITAL: BOARD MEMBER LAURA JAWITZ; CEO SCOTT MCKINNON; MEDICAL DIRECTOR DR. RAYMOND RABIDEAU; VP OF QUALITY AND ELDERLY SERVICES SUSAN RUKA, RN PHD. -VNHCH (SEE EARLIER SERVICES DESCRIPTION): EXECUTIVE DIRECTOR SANDY RUKA, RN MSN AND BOARD MEMBER NAN BARTLETT. -SACO RIVER MEDICAL GROUP (PRIMARY CARE GROUP INCLUDING WALK-IN SERVICES AND PEDIATRICS): HEIDI ROOT, MD AND ROB ROSE, MD. -MINERAL SPRINGS REHABILITATION CENTER (LONG TERM CARE, ASSISTED LIVING, AND REHABILITATION): ADMINISTRATOR BARBARA WHITE AND ADMISSIONS COORDINATOR JANE GALLOWAY. -MWV ECONOMIC COUNCIL: EXECUTIVE DIRECTOR JAC CUDDY -NORTHERN HUMAN SERVICES (MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES): JANE MACKAY AND DR. MELISSA MYERS -WHITE MOUNTAIN COMMUNITY HEALTH CENTER (SEE EARLIER SERVICES DESCRIPTION): EXECUTIVE DIRECTOR PATRICIA MCMURRY. -T. MURRAY WELLNESS CENTER, INC.: OWNER/PROVIDER PATRICIA MURRAY, DO AND CHERIE JEWELL -ADDITIONAL PARTICIPANTS WHO PROVIDED OCCASIONAL INPUT AND COMMENT INCLUDED MARY REED, EXECUTIVE DIRECTOR OF THE CARROLL COUNTY COALITION FOR PUBLIC HEALTH; MEMBERS OF MEMORIAL HOSPITALS COMMUNITY ADVISORY COUNCIL; AND REPRESENTATIVES FROM EVERGREEN INSTITUTE FOR WELLNESS, CARROLL COUNTY UNITED HEALTH AND WELLNESS TEAM,AND SAU 9 AND 13. |
| FACILITY 1, MEMORIAL HOSPITAL - PART V, LINE 20D | UNINSURED INDIVIDUALS RECEIVED A DISCOUNT OF 15% AUTOMATICALLY (THE AVERAGE DISCOUNT ON CHARGES OF THE THREE LARGEST VOLUME COMMERCIAL PAYORS). INDIVIDUALS THAT APPLIED AND RECEIVED ASSISTANCE WERE GRANTED DISCOUNTS BASED UPON INCOME LEVEL AND ASSET LEVEL. |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION | A COST REPORTING SYSTEM WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE. THE COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT SEGMENTS. A COST-TO-CHARGE RATIO WAS USED. |
| PART II - COMMUNITY BUILDING ACTIVITIES | THE ORGANIZATION SPONSERS OR PARTICIPATES IN A VARIETY OF COMMUNITY ACTIVITIES AND PROGRAMS. THESE INCLUDE: -FREE WEEKLY BREASTFEEDING SUPPORT GROUP - A WEEKLY SUPPORT GROUP FOR MOTHERS WHO ARE BREASTFEEDING, FACILITATED BY CERTIFIED LACTATION SPECIALISTS. ALL BREASTFEEDING WOMEN, REGARDLESS OF WHERE THEY GAVE BIRTH, ARE INVITED. INCLUDES SEASONAL EVENTS. -NORTH COUNTRY DIABETES FORUM - PRESENTED A 3 SPEAKER EVENT WITH FREE ADMISSION FOR THE COMMUNITY ON DIABETES PREVENTION, EDUCATION AND AWARENESS. -PATIENT FINANCIAL ADVOCATES - ASSIST PATIENTS IN SIGNING UP FOR VARIOUS HEALTH INSURANCE OPTIONS INCLUDING AFFORDABLE CARE ACT MARKETPLACE PLANS AND MEDICAID AND MEDICAID EXPANSION PLANS. -AFFORDABLE CARE ACT COMMUNITY MEETING - HELD A LARGE PUBLIC EDUCATION FORUM AT CONFERENCE CENTER AND BROUGHT IN SPEAKERS TO INFORM THE COMMUNITY ABOUT THE AFFORDABLE CARE ACT. -MEDICATION BRIDGE - ASSIST PATIENTS IN GETTING FREE PRESCRIPTION DRUGS BASED ON INCOME ELIGIBILITY THROUGH VARIOUS PHARMACEUTICAL COMPANIES. -CAR SEAT PROGRAM - WHEN A NEW BORN OR ANY FAMILY IN NEED REQUIRES A CAR SEAT, AND NO OTHER RESOURCE IS AVAILABLE, MEMORIAL HOSPITAL DONATES A NEW CAR SEAT. -CHILDBIRTH EDUCATION - CHILDBIRTH EDUCATION IS OFFERED ONE TIME PER MONTH FOR NEW PARENTS-TO-BE. -FREE ALZHEIMER'S CAREGIVERS SUPPORT GROUP - OFFERS EDUCATION, SUPPORT AND COPING SKILLS FOR CAREGIVERS. PRE-ARRANGED CARE IS AVAILABLE FOR THE FAMILY MEMBER WHILE THE CAREGIVER ATTENDS THE MEETING. -FREE DIABETES SUPPORT GROUP - FOR DIABETICS AND THEIR SUPPORT PEOPLE. AN OPPORTUNITY FOR EDUCATION AND DISCUSSION WITH OTHER PEOPLE WHO HAVE DIABETES OR ARE DEALING WITH IT IN THE FAMILY. -FREE CANCER SUPPORT GROUP - MEETS MONTHLY TO PROVIDE SUPPORT ALONG WITH INFORMATION, EDUCATION, SPEAKERS AND ENCOURAGEMENT FOR THOSE WITH CANCER AND THEIR SUPPORT PEOPLE. THIS GROUP IS FACILITATED BY AN ONCOLOGY CERTIFIED NURSE AND SOCIAL SERVICES. -ALCOHOLICS ANONYMOUS - SPACE IS DONATED FREE OF CHARGE FOR WEEKLY AA MEETINGS. -CHRONIC ILLNESS MANAGEMENT CLASSES - BETTER CHOICES BETTER HEALTH IS A FREE SIX-WEEK PROGRAM DESIGNED TO HELP MANAGE CHRONIC HEALTH CONDITIONS. IT WASDESIGNED TO HELP THOSE LIVING WITH LONG-TERM HEALTH CONDITIONS REGAIN CONTROL OF THEIR LIVES. BETTER CHOICES BETTER HEALTH WAS DEVELOPED BY STANFORD UNIVERSITY AND OUR PROGRAM LEADERS ARE LICENSED AND CERTIFIED BY STANFORD. -COMMUNITY CPR CLASSES - PARTNER WITH LOCAL FIRE DEPARTMENTS TO OFFER COMMUNITY CPR CLASSES AT A SUBSIDIZED COST. THIS IS AN AMERICAN HEART ASSOCIATION CPR AND AED CLASS BEING OFFERED TO MEMBERS OF THE COMMUNITY IN COLLABORATION WITH SOME OF THE LOCAL FIRE AND EMS DEPARTMENTS. THE 25 FEE IS TO COVER MATERIALS ONLY, NOT STAFF TIME (IE BOOKS, CARDS AND ADMIN. FEES). -STUDENT HEALTH & WELLNESS INITIATIVE - MEMORIAL HOSPITAL EMPLOYEES AND MEDICAL STAFF DONATED THEIR TIME TO OFFER IN-SCHOOL PROGRAMMING OFFERING EDUCATION AND OUTREACH TO ELEMENTARY, MIDDLE AND HIGH SCHOOL STUDENTS IN THE MOUNT WASHINGTON VALLEY THROUGHOUT THE SCHOOL YEAR. THE PROGRAM SERVED THOUSANDS OF STUDENTS AND COMMUNITY MEMBERS IN 9 SCHOOLS. -JACKSON HEALTH FAIR AND CONWAY ELEMENTARY HEALTH FAIR- HUNDREDS OF STUDENTS, TEACHERS AND COMMUNITY MEMBERS LEARNED ABOUT GOOD NUTRITION, HEART HEALTH, FITNESS AND MORE. -AMERICAN RED CROSS BLOOD DRIVES - ORGANIZED 3 BLOOD DRIVES WITH 80 EMPLOYEES DONATING THEIR TIME AND BLOOD TO PARTICIPATE. VOLUNTEER DIRECTOR ORGANIZES THE EVENT AND SIGNS UP STAFF, COORDINATES WITH RED CROSS, ETC. -FOOD DRIVES - CONDUCTED YEAR-ROUND FOOD DRIVE FOR END 68 HOURS OF HUNGER, A NON-PROFIT THAT PROVIDES FOOD FOR STUDENTS WHO OTHERWISE GO HUNGRY ON WEEKENDS. ALSO CONDUCTED HOLIDAY FOOD DRIVE FOR LOCAL FOOD PANTRY, VAUGHN COMMUNITY SERVICES, AND PET FOOD AND SUPPLIES FOR LOCAL ANIMAL SHELTER. EMPLOYEES DONATED THEIR TIME AND FOOD ITEMS INCLUDING DELIVERING FOOD ITEMS TO THE PROGRAM WAREHOUSE. -NORTHWAY BANK "LUNCH N' LEARN" WORKSHOPS - PRESENT WORKSHOPS AND HEALTH SCREENINGS EACH MONTH FOR LARGE LOCAL EMPLOYER. |
| BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS | PATIENT ACCOUNTS RECEIVABLE ARE STATED AT THE AMOUNT MANAGEMENT EXPECTS TO COLLECT FROM OUTSTANDING BALANCES. MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS THROUGH A CHARGE TO PROVISION FOR BAD DEBTS AND A CREDIT TO A VALUATION ALLOWANCE BASED ON ITS ASSESSMENT OF INDIVIDUAL ACCOUNTS AND HISTORICAL ADJUSTMENTS. BALANCES THAT ARE STILL OUTSTANDING AFTER MANAGEMENT HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE VALUATION ALLOWANCE AND A CREDIT TO PATIENT ACCOUNTS RECEIVABLE. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH MAJOR PAYOR SOURCE OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE BASED ON PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY AMOUNTS FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR ELIGIBLE) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. DURING 2014, THE HOSPITAL INCREASED THE ALLOWANCE FROM 3,783,299 TO 4,116,330. DURING 2014, SELF-PAY WRITE-OFFS INCREASED FROM 7,001,207 TO 7,354,871. SUCH INCREASES RESULTED FROM TRENDS EXPERIENCED IN THE COLLECTION OF AMOUNTS FROM SELF-PAY PATIENTS. |
| PART III, LINE 8 - MEDICARE EXPLANATION | THE ORGANIZATION USED A COST REPORT AS THE COSTING METHODOLOGY TO DETERMINE THE AMOUNT OF ALLOWABLE MEDICARE COSTS. |
| PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION | WITH THE EXCEPTION OF INSURANCE COVERAGE THE COLLECTION ACTIVITY SHALL NOT BE INITIATED OR PURSUED FOR ANY AMOUNT APPROVED UNDER THE MEMORIAL HOSPITAL HEALTHCARE ASSISTANCE PROGRAM. |
| PART VI, LINE 2 - NEEDS ASSESSMENT | THE COMMUNITY NEEDS ASSESSMENT WAS CHAIRED BY MEMORIAL HOSPITAL IN COLLABORATION OF THE WHITE MOUNTAIN VALLEY COMMUNITY HEALTH COUNCIL. WMVCHC IS COMPRISED OF AN INTERDISCIPLINARY PROFESSIONALS THAT SERVE THE WHITE MOUNTAIN VALLEY COMMUNITY. |
| PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | PATIENTS ARE REFERRED TO THE PATIENT FINANCIAL ADVOCATES FOR ASSISTANCE AT POINTS OF REGISTRATION AND DURING THE BILLING CYCLE. |
| PART VI, LINE 4 - COMMUNITY INFORMATION | THE PRIMARY SERVICE AREA IS NORTHERN CARROLL COUNTY AND SEVERAL BORDERING TOWNS IN THE OXFORD COUNTY, MAINE AREA. THE MEDIAN AGE OF THE POPULATION IS 47. THE COMMUNITY EXPERIENCED A POPULATION INCREASE OF 9.5% IN CARROLL COUNTY AND 5.6% IN OXFORD COUNTY IN THE YEARS 2000 TO 2010. MORE THAN 20% OF CARROLL COUNTY'S POPULATION AND 17% OF OXFORD COUNTY'S POPULATION ARE AGED 65 YEARS OR OLDER. |
| PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT | MAINE, NEW HAMPSHIRE |
| ADDITIONAL INFORMATION | PART I, LINE 3C - CHARITY CARE LEVELS ARE DETERMINED BY A THREE PRONG TEST FOR ELIGIBILITY. INCOME LEVEL, CASH IN BANK, AND ASSETS ARE ALL EXAMINED TO DETERMINE LEVEL OF ELIGIBILITY. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WILLIAM CARON | ||||||||||||
| MAINEHEALTH CEO | $699,295 | $334,824 | $59,222 | $20,587 | $1,113,928 | |||||||
| SCOTT MCKINNON | ||||||||||||
| PRESIDENT/CEO | $250,283 | $67,500 | $7,578 | $29,268 | $354,629 | |||||||
| MARNI MADNICK | ||||||||||||
| MEDICAL STAFF PRES | $297,536 | $7,650 | $30,838 | $336,024 | $20,000 | $20,000 | ||||||
| RAYMOND RABIDEAU | ||||||||||||
| CMO | $235,000 | $7,050 | $22,384 | $322,634 | $58,200 | |||||||
| STEVEN WYRSCH | ||||||||||||
| COO | $188,343 | $31,196 | $5,467 | $1,190 | $226,196 | |||||||
| KIMBERLY GOODWIN | ||||||||||||
| MEDICAL DIRECTOR | $229,941 | $7,031 | $19,625 | $256,597 | ||||||||
| VERA SCHUMANN | ||||||||||||
| SENIOR VP/CFO | $160,483 | $5,000 | $548 | $20,333 | $222,889 | $36,525 | ||||||
| DOUGLAS TAYLOR | ||||||||||||
| ORTHOPEDIC SURGEON | $515,568 | $7,650 | $30,838 | $554,056 | ||||||||
| BRIAN SPONSELLER | ||||||||||||
| PHYSICIAN | $435,745 | $31,800 | $22,381 | $489,926 | ||||||||
| MORICE DENNERY | ||||||||||||
| SURGEON | $456,295 | $7,650 | $30,838 | $494,783 | ||||||||
| DAVID RISS | ||||||||||||
| PHYSICIAN | $444,956 | $7,650 | $22,385 | $474,991 | ||||||||
| WILLIAM MARTIN | ||||||||||||
| PHYSICIAN | $442,300 | $7,650 | $30,838 | $480,788 | ||||||||
| JOHN NEWTON | ||||||||||||
| PAST CFO | $106,667 | $106,667 | ||||||||||
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PAGE 1, PART I, LINE 4 | FormAndLineReferenceDesc |
| Explanation | WILLIAM CARON 0 315,764 0 JOHN NEWTON 106,667 0 0 | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NH HEALTH AND EDUC FACILITIES AUTH | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 020279866 | BondIssuerEIN |
| CUSIP | 644614QC6 | CUSIPNum |
| Bond Issued | 2006-06-14 | BondIssuedDt |
| Issue Price | $20,955,000 | IssuePriceAmt |
| Purpose | TO CONTRUCT AND RENOVATE HOSPITAL. | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $2,274,963 | RetiredAmt |
| Total Proceeds | $20,955,000 | TotalProceedsAmt |
| In Reserve Fund | $1,726,140 | InReserveFundAmt |
| Issuance Costs From Proceeds | $324,775 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $20,630,225 | CapitalExpendituresAmt |
| Substantial Completion | 2009 | SubstantialCompletionYr |
| Current Refunding | false | CurrentRefundingInd |
| Advance Refunding | false | AdvanceRefundingInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | false | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | false | RebateNotDueYetInd |
| Exception To Rebate | Yes (true) | ExceptionToRebateInd |
| No Rebate Due | false | NoRebateDueInd |
| Variable Rate Issue | false | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | false | WrittenProcToMonitorReqsInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K - ADDITIONAL INFORMATION | FormAndLineReferenceDesc |
| Explanation | NH HEALTH AND EDUC FACILITIES AUTH (A) ISSUER NAME: NEW HAMPSHIRE HEALTH AND EDUCATION FACILITIES AUTHORITY (F) DESCRIPTION OF PURPOSE: TO CONSTRUCT & RENOVATE HOSPITAL FACILITY AND PAY OFF EXISTING DEBT. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 6 | THE SOLE MEMBER OF THE ORGANIZATION IS MAINEHEALTH (EIN 01-0431680). |
| FORM 990, PAGE 6, PART VI, LINE 7A | THE SOLE MEMBER OF THE ORGANIZATION ELECTS THE TRUSTEES OF THE ORGANIZATION AT THEIR ANNUAL MEETING OF THE CORPORATION. |
| FORM 990, PAGE 6, PART VI, LINE 7B | DECISIONS OF THE GOVENING BODY SUCH AS BUDGETS, BUSINESS AND MARKETING STRATEGIC PLANS, SIGNIFICANT FINANCIAL COMMITMENTS, AMENDMENTS TO THE ARTICLES OF INCORPORATION , AND ELECTION OF THE PRESIDENT/CEO AMONG OTHER DECISIONS, ARE SUBJECT TO APPROVAL BY MAINEHEALTH (EIN 01-0431680). |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE 990 IS PROVIDED TO THE FINANCE COMMITTEE AND THE FULL BOARD OF TRUSTEES. IT IS SENT TO THE ENTIRE FINANCE COMMITTEE VIA ELECTRONIC MEANS AND THEN FORWARDED TO THE FULL BOARD OF TRUSTEES. |
| FORM 990, PAGE 6, PART VI, LINE 12C | CONFLICT OF INTEREST DECLARATION FORMS ARE SUBMITTED IN JANUARY BY MEMBERS OF THE BOARD OF TRUSTEES AND ARE SHARED WITH THE FULL BOARD FOR INFORMATION PURPOSES AND REVIEWED IN DEPTH BY THE GOVERNANCE COMMITTEE. IT IS THE MEMBER'S RESPONSIBILTY TO NOTIFY THE BOARD OF ANY CONFLICTS THAT THEY BECOME AWARE OF AND TO RECUSE THEMSELVES FROM DISCUSSIONS AND VOTES ON THE ISSUE. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE COMPENSATION COMMITTEE OF THE BOARD CONDUCTS THE CEO EVALUATION AND COMPENSATION PROCESS. THE CEO'S PERFORMANCE IS REVIEWED AGAINST TARGETS SET FOR THE YEAR AND HIS SEMI-ANNUAL BONUS DETERMINATION. THE CEO COMPENSATION IS COMPARED TO THE SULLIVAN COTTER AND ASSOCIATES INFORMATION AND PERIODICALLY REVIEWED BY OUR COMPENSATION CONSULTANT. NO ONE WITH A CONFLICT OF INTEREST RELATIVE TO THE HOSPITAL IS INVOLVED IN THESE DISCUSSIONS AND MINUTES ARE RECORDED BY THE SECRETARY OF THE BOARD. DETERMINING COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES INCLUDED REFERENCE TO PROFESSIONAL ASSOCIATION COMPENSATION DATA FOR COMPARABLE ORGANIZATIONS AND POSITION SCOPE. COMPENSATION WAS REVIEWED AND APPROVED BY THE CEO AND/OR THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES ACTING AS THE COMPENSATION COMMITTEE. |
| FORM 990, PAGE 6, PART VI, LINE 15B | SEE 990, PART VI, SECTION B, LINE 15A FOR COMPENSATION PROCESS. |
| FORM 990, PAGE 6, PART VI, LINE 19 | DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION ARE MADE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | EQUITY TRANSFER TO AFFILIATE 7,678,438 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd | Business Name Line2DisregardedEntityName/BusinessNameLine2 | Business Name Line2DirectControllingEntityName/BusinessNameLine2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MEMORIAL DEVELOPMENT FOUNDATION | ||||||||||||
| PO BOX 5001 | NORTH CONWAY | NH | 03860 | 223160795 | HEALTHCARE | NH | 501C3 | 11A | NA | false | ||
| VN& HCS OF NORTHERN CARROLL CITY | ||||||||||||
| PO BOX 432 | NORTH CONWAY | NH | 03860 | 020311473 | HEALTH SVC | NH | 501C3 | 9 | NA | false | ||
| WHITE MOUNTAIN COMMUNITY HEALTH | ||||||||||||
| PO BOX 2800 | CONWAY | NH | 03818 | 020358715 | COMM HLTH | NH | 501C3 | 9 | NA | false | ||
| CARROLL COUNTY HEALTH & HOME CARE | ||||||||||||
| PO BOX 420 | CHOCORUA | NH | 03817 | 237337000 | HOME CARE | NH | 501C3 | 7 | NA | false | SERVICES | |
| MEMORIAL HOSPITAL FOUNDATION | ||||||||||||
| 3073 WHITE MOUNTAIN HIGHWAY | NORTH CONWAY | NH | 03860 | 462137291 | SUPP ORG | NH | 501C3 | 11B | MEMORIAL | Yes (true) | HOSPITAL | |
| MAINEHEALTH | ||||||||||||
| 110 FREE STREET | PORTLAND | ME | 04101 | 010431680 | HEALTHCARE | ME | 501C3 | 11C | NA | false | ||
| MAINE MEDICAL CENTER | ||||||||||||
| 22 BRAMHALL STREET | PORTLAND | ME | 04102 | 010238552 | HOSPITAL | ME | 501C3 | 3 | MEHEALTH | false | ||
| NORDX | ||||||||||||
| 102 CAMPUS DRIVE 118 | SCARBOROUGH | ME | 04074 | 010511356 | LAB | ME | 501C3 | 9 | MEHEALTH | false | ||
| LINCOLN COUNTY HEALTH CARE INC | ||||||||||||
| 6 ST ANDREWS LANE | BOOTHBAY HARBOR | ME | 04538 | 261475629 | HEALTHCARE | ME | 501C3 | 11B | MEHEALTH | false | ||
| WALDO COUNTY HEALTHCARE INC | ||||||||||||
| PO BOX 287 | BELFAST | ME | 04915 | 222864961 | HEALTHCARE | ME | 501C3 | 11C | MEHEALTH | false | ||
| HOME HEALTH-VISITING NURSES OF SME | ||||||||||||
| 15 INDUSTRIAL PARK | SACO | ME | 04072 | 222571902 | HOME HLTH | ME | 501C3 | 9 | MEHEALTH | false | ||
| PEN BAY HEALTHCARE | ||||||||||||
| 4 WHITE STREET | ROCKLAND | ME | 04841 | 222494475 | HEALTHCARE | ME | 501C3 | 11C | MEHEALTH | false | ||
| MAINEHEALTH CARDIOLOGY | ||||||||||||
| 110 FREE STREET | PORTLAND | ME | 04101 | 452525629 | HEALTHCARE | ME | 501C3 | 11C | NA | false | ||
| MAINE BEHAVIORAL HEALTHCARE | ||||||||||||
| 78 ATLANTIC PLACE | WESTBROOK | ME | 04106 | 010524834 | BEHAV HLTH | ME | 501C3 | 3 | MEHEALTH | false | ||
| SOUTHERN MAINE HEALTH CARE | ||||||||||||
| PO BOX 626 | BIDDEFORD | ME | 04005 | 010179500 | HEALTHCARE | ME | 501C3 | 11C | MEHEALTH | false | ||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAINEHEALTH ACO | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 FREE STREET | AddressLine1 |
| City | PORTLAND | City |
| State | ME | State |
| ZIP Code | 04101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 452929273 | EIN |
| Primary Activities | ACO | PrimaryActivitiesTxt |
| Legal Domicile State | ME | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 01-0431680 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| General Or Managing Partner | Yes (true) | GeneralOrManagingPartnerInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SYNERNET INC | ||||||||||||
| 110 FREE STREET | PORTLAND | ME | 04101 | 010539789 | CLAIMS MGT | ME | N/A | false | ||||
| MAINE PHYSICIAN HEALTH ORG | ||||||||||||
| 110 FREE STREET | PORTLAND | ME | 04101 | 010527540 | HEALTHCARE | ME | N/A | false | ||||
| MWV HEALTHCARE ASSOC INC | ||||||||||||
| PO BOX 2540 | NORTH CONWAY | NH | 03860 | 020477066 | HEALTHCARE | NH | false | MEMORIAL | C CORP | $33,693 | 1.00000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MWV HEALTHCARE ASSOC INC | ||
| P | $4,092,758 | AMOUNTS PAID |
| WHITE MOUNTAIN COMMUNITY HEALTH | ||
| J | $79,613 | AMOUNTS PAID |
| WHITE MOUNTAIN COMMUNITY HEALTH | ||
| Q | $83,600 | AMOUNTS PAID |
| WHITE MOUNTAIN COMMUNITY HEALTH | ||
| P | $70,400 | AMOUNTS PAID |
Comments