MAINE BEHAVIORAL HEALTHCARE: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- MAINE BEHAVIORAL HEALTHCARE (EIN 01-0524834)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-07-30
- IRS object ID
- 201402119349300040
- Schema version
- 2012v2.3
- 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 O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-07-30T11:52:11-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAINEHEALTH | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| 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 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010524834 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SPRING HARBOR HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SPRI | NameControl |
| Phone | 2077612200 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 78 ATLANTIC PLACE | AddressLine1 |
| City | SOUTH PORTLAND | City |
| State | ME | State |
| ZIP Code | 04106 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MICHAEL ABBATIELLO | Name |
| Title | CHIEF FINANCIAL OFFICER | Title |
| Phone | 2077612200 | Phone |
| Date Signed | 2014-07-25 | DateSigned |
| Authorize Third Party | false | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Date Prepared | 2014-07-30 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DENNIS P KING | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 123 ANDOVER ROAD | AddressLine1 |
| City | WESTBROOK | City |
| State | ME | State |
| ZIP Code | 04092 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 32244868 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.SPRINGHARBOR.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1999 | YearFormation |
| State Legal Domicile | ME | StateLegalDomicile |
| Activity Or Mission Description | SPRING HARBOR HOSPITAL OFFERS PEOPLE IN MENTAL HEALTH CRISIS HIGH-QUALITY, FOCUSED TREATMENT TO SUPPORT THEIR ONGOING RECOVERY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 18 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 16 | NbrIndependentVotingMembers |
| Total Nbr Employees | 502 | TotalNbrEmployees |
| Total Nbr Volunteers | 5 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 511633 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 220603 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 32947607 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 31403253 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 14581 | InvestmentIncomePriorYear |
| Investment Income Current Year | 26788 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 40173 | OtherRevenuePriorYear |
| Other Revenue Current Year | 592330 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 33513994 | TotalRevenuePriorYear |
| Total Revenue Current Year | 32242974 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 20695405 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 20961938 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 88684 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 11950304 | OtherExpensePriorYear |
| Other Expenses Current Year | 9963456 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 32645709 | TotalExpensesPriorYear |
| Total Expenses Current Year | 30925394 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 868285 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1317580 | RevenuesLessExpensesCY |
| Total Assets BOY | 34493242 | TotalAssetsBOY |
| Total Assets EOY | 37515534 | TotalAssetsEOY |
| Total Liabilities BOY | 24790782 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 26452666 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 9702460 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 11062868 | NetAssetsOrFundBalancesEOY |
| Mission Description | SPRING HARBOR HOSPITAL OFFERS PEOPLE IN MENTAL HEALTH CRISIS HIGH-QUALITY, FOCUSED TREATMENT TO SUPPORT THEIR ONGOING RECOVERY. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 12754730 | Expense |
| Revenue | 15076138 | Revenue |
| Description | ADULT SERVICES - ADULT TREATMENT FOCUSES ON RAPID STABILIZATION OF SYMPTOMS AND APPROPRIATE AFTERCARE FOR EACH PATIENT. TREATMENT INCLUDES A COMPREHENSIVE EVALUATION OF PERTINENT PSYCHIATRIC, PSYCHOLOGICAL, DEVELOPMENTAL, AND MEDICAL FACTORS. THE TEAM DEVELOPS AND IMPLEMENTS INDIVIDUALIZED TREATMENT PLANS AND ENLISTS COMMUNITY SUPPORT TO ENSURE APPROPRIATE FOLLOW-UP CARE FOR EACH PATIENT. SEE ATTACHED COMMUNITY BENEFIT REPORT FOR MAINE MENTAL HEALTH PARTNERS & SUBSIDIARIES. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 8968137 | Expense |
| Revenue | 10600371 | Revenue |
| Description | CHILD AND ADOLESCENT SERVICES -OUR 28 YOUTH BEDS SERVE CHILDREN AND ADOLESCENTS WHO REQUIRE ACUTE MENTAL HEALTHCARE AND SUBSTANCE ABUSE INTERVENTION. PROGRAMMING INCLUDES COMPREHENSIVE PSYCHIATRIC EVALUATION, INDIVIDUAL AND FAMILY THERAPY, RECREATIONAL AND GROUP THERAPY, MEDICATION MANAGEMENT, PARENT EDUCATION, AND ON-SITE ACADEMIC INSTRUCTION. THE UNITS SPECIALIZE IN THE TREATMENT OF DIAGNOSES COMMON TO YOUTH, INCLUDING ANXIETY,PSYCHOTIC OR DEPRESSIVE DISORDERS, OPPOSITIONAL/DEFIANT DISORDER, ATTENTION DEFICIT/HYPERACTIVITY DISORDER(ADD/ADHD), AND POST-TRAUMATIC STRESS DISORDER (PTSD). | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 4844948 | Expense |
| Revenue | 5726744 | Revenue |
| Description | DEVELOPMENTAL DISORDERS PROGRAM - THE STATE'S ONLY HOSPITAL PROGRAM FOR YOUTH WITH AUTISM AND MENTAL ILLNESS,THE DEVELOPMENTAL DISORDERS PROGRAM DELIVERS HIGH-QUALITY TREATMENT OUTCOMES THROUGH A COMBINATION OF EXPERT PROGRAMMING, SPECIALLY TRAINED CAREGIVERS, AND THE INDIVIDUAL POTENTIAL OF EACH PATIENT. THE PROGRAM OFFERS INTENSIVE TREATMENT FOR AGGRESSION, SELF-INJURY, IMPAIRMENT IN FUNCTIONING, AND MENTAL HEALTH CHALLENGES IN CHILDREN AGES 2 TO 21 WHO HAVE A DEVELOPMENTAL DISORDER AND CANNOT CURRENTLY FUNCTION SAFELY OUTSIDE THE HOSPITAL SETTING. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 26567815 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | true | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 23 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 502 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 18 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 16 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | true | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | ME | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MICHAEL ABBATIELLO CFO | NamePerson |
| Telephone Number | 2077612233 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 78 ATLANTIC PLACE | AddressLine1 |
| City | SOUTH PORTLAND | City |
| State | ME | State |
| ZIP Code | 04106 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (30 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| FRANCIS G MCGINTY | |||||||||
| EX-OFFICIO, | 1.00 | 50.00 | X | X | 0 | 611086 | 69483 | ||
| DENNIS P KING | |||||||||
| EX-OFFICIO, | 16.00 | 24.00 | X | X | 0 | 429842 | 75585 | ||
| FRANK LAVOIE MD | |||||||||
| TRUSTEE | 1.00 | X | 0 | 358377 | 31515 | ||||
| KAREN E SIMONE | |||||||||
| TRUSTEE | 1.00 | X | 0 | 135115 | 24160 | ||||
| SHERI BOULOS | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| JANIS COHEN | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| JAMES HARNAR | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| NANCY HASENFUS MD | |||||||||
| VICE CHAIR | 1.00 | X | X | 0 | 0 | 0 | |||
| TRACY HAWKINS | |||||||||
| CHAIR | 1.00 | X | X | 0 | 0 | 0 | |||
| LESTER W HODGDON | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| LISA C HOOK | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| NANCY POND | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| ANNA H WELLS | |||||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 | |||
| LESTER F WILKINSON JR | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| RICHARD WHITE | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| THOMAS CHADBOURNE | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| MARION FREEMAN | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| CREIGHTON TAYLOR | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| GIRARD ROBINSON MD | |||||||||
| CHIEF MEDICA | 40.00 | X | 0 | 430387 | 55750 | ||||
| DONALD E QUIGLEY | |||||||||
| ASST. SECRET | 1.00 | 50.00 | X | 0 | 349281 | 86017 | |||
| GREGORY BOWERS | |||||||||
| EXEC. VP/TRE | 1.00 | 39.00 | X | 0 | 202185 | 23335 | |||
| MICHAEL ABBATIELLO | |||||||||
| CFO - MMHP | 1.00 | 39.00 | X | 0 | 140005 | 18943 | |||
| JOYCE COTTON | |||||||||
| CCO & CNO | 40.00 | X | 122451 | 0 | 20669 | ||||
| MARK FULTON | |||||||||
| PSYCHIATRIST | 40.00 | 222566 | 0 | 25746 | X | ||||
| JOHN MURPHY MD | |||||||||
| PSYCHIATRIST | 40.00 | 209654 | 0 | 41122 | X | ||||
| MATTHEW SIEGEL MD | |||||||||
| PSYCHIATRIST | 40.00 | 201818 | 0 | 22059 | X | ||||
| WILLIAM BRENNAN MD | |||||||||
| PSYCHIATRIST | 40.00 | 196947 | 0 | 24285 | X | ||||
| MELISSA M BOWKER-KINLEY | |||||||||
| PSYCHIATRIST | 40.00 | 192379 | 0 | 24313 | X | ||||
| RICHARD HANLEY | |||||||||
| COO | 32.00 | 0 | 167108 | 6902 | X | ||||
| GAIL WILKERSON | |||||||||
| CHF PLAN. & | 1.00 | 39.00 | 0 | 132898 | 12818 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1145815 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2956284 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 562702 | TotalOtherCompensation |
| Number Individuals GT100 K | 14 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| All Other Contributions | 220603 | AllOtherContributions |
| Total Contributions | 220603 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| ADULT SERVICES | 623000 | 15076138 | 15076138 |
| CHILD & ADOLESCENT | 623000 | 10600371 | 10600371 |
| DEVELOPMENTAL DISORDERS | 623000 | 5726744 | 5726744 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 31403253 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 26788 | TotalRevenueColumn |
| Exclusion | $26,788 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 63200 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 1894 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 61306 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| RENT INCOME | 531120 | 278822 | 278822 |
| CAFETERIA INCOME | 722514 | 188199 | 188199 |
| VENDING INCOME | 900099 | 23146 | 23146 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 40857 | TotalRevenueColumn |
| Related Or Exempt Function Income | 40857 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 531024 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 32242974 | TotalRevenueColumn |
| Related Or Exempt Function Income | 31934277 | RelatedOrExemptFunctionIncome |
| Exclusion | $26,788 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 165446 | Total |
| Program Services | 165446 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16522532 | Total |
| Program Services | 16054776 | ProgramServices |
| Management And General | 396919 | ManagementAndGeneral |
| Fundraising | 70837 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 296638 | Total |
| Program Services | 287739 | ProgramServices |
| Management And General | 8899 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2781689 | Total |
| Program Services | 2698238 | ProgramServices |
| Management And General | 83451 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1195633 | Total |
| Program Services | 1159764 | ProgramServices |
| Management And General | 35869 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8374 | Total |
| Management And General | 8374 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4140 | Total |
| Management And General | 4140 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1088585 | Total |
| Program Services | 1077005 | ProgramServices |
| Management And General | 4511 | ManagementAndGeneral |
| Fundraising | 7069 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12231 | Total |
| Program Services | 11986 | ProgramServices |
| Management And General | 245 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 436423 | Total |
| Program Services | 421011 | ProgramServices |
| Management And General | 7857 | ManagementAndGeneral |
| Fundraising | 7555 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1693 | Total |
| Program Services | 1659 | ProgramServices |
| Management And General | 34 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1489733 | Total |
| Program Services | 1448197 | ProgramServices |
| Management And General | 41536 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38686 | Total |
| Program Services | 38262 | ProgramServices |
| Management And General | 275 | ManagementAndGeneral |
| Fundraising | 149 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51217 | Total |
| Program Services | 48128 | ProgramServices |
| Management And General | 1279 | ManagementAndGeneral |
| Fundraising | 1810 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1081614 | Total |
| Program Services | 1049166 | ProgramServices |
| Management And General | 32448 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 179711 | Total |
| Program Services | 176545 | ProgramServices |
| Management And General | 3166 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | Program ServicesProgramServices | FundraisingFundraising |
|---|---|---|---|---|
| MEMBER MANAGEMENT FEES | 3638323 | 3638323 | ||
| HOSPITAL TAX | 800748 | 800748 | ||
| PHARMACY SERVICES | 580734 | 580734 | ||
| FOOD SERVICES | 467716 | 467342 | 374 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 83528 | Total |
| Program Services | 81069 | ProgramServices |
| Management And General | 1569 | ManagementAndGeneral |
| Fundraising | 890 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30925394 | Total |
| Program Services | 26567815 | ProgramServices |
| Management And General | 4268895 | ManagementAndGeneral |
| Fundraising | 88684 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1988 | BOY |
| EOY | 8124 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11170890 | BOY |
| EOY | 14966166 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1252306 | BOY |
| EOY | 1134220 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 390 | BOY |
| EOY | 3881 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 165398 | BOY |
| EOY | 125062 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 76071 | BOY |
| EOY | 49909 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 30028625 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 10474620 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19273450 | BOY |
| EOY | 19554005 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 637355 | BOY |
| EOY | 659218 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1915394 | BOY |
| EOY | 1014949 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34493242 | BOY |
| EOY | 37515534 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2488230 | BOY |
| EOY | 2072524 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21933 | BOY |
| EOY | 20551 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21283877 | BOY |
| EOY | 20474629 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 996742 | BOY |
| EOY | 3884962 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24790782 | BOY |
| EOY | 26452666 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9085816 | BOY |
| EOY | 10412538 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 266644 | BOY |
| EOY | 300330 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 350000 | BOY |
| EOY | 350000 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9702460 | BOY |
| EOY | 11062868 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34493242 | BOY |
| EOY | 37515534 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 1317580 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 42824 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $9,691 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 9691 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | SCHEDULE C, PART II-B, LINE 1 | ReturnReference |
| Explanation | A PORTION OF MEMBERSHIP DUES PAID REPRESENTS LOBBYING ACTIVITIES. LOBBYING PORTION OF MAINE HOSPITAL ASSOCIATION DUES: 5,498 LOBBYING PORTION OF AMERICAN HOSPITAL ASSOCIATION DUES: 4,193 TOTAL DUES PAID REPRESENTING LOBBYING ACTIVITIES: 9,691 | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preservation Of Open Space | X | PreservationOfOpenSpace |
| Total Number Of Easements | 1 | TotalNumberOfEasements |
| Total Acreage | 54 | TotalAcreage |
| Nmbr States In Which Easements Held | 1 | NmbrStatesInWhichEasementsHeld |
| Written Policy Monitoring | false | WrittenPolicyMonitoring |
| Staff Hours Spent On Enforcement | 5 | StaffHoursSpentOnEnforcement |
| Expenses Incurred For Enforcement | 250 | ExpensesIncurredForEnforcement |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 350000 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 42824 | InvestmentEarningsOrLosses |
| Other Expenditures | 42824 | OtherExpenditures |
| End Of Year Balance | 350000 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 350000 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 29974 | InvestmentEarningsOrLosses |
| Other Expenditures | 29974 | OtherExpenditures |
| End Of Year Balance | 350000 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 350000 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 2093 | InvestmentEarningsOrLosses |
| Other Expenditures | 2093 | OtherExpenditures |
| End Of Year Balance | 350000 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 350000 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 33229 | InvestmentEarningsOrLosses |
| Other Expenditures | 33229 | OtherExpenditures |
| End Of Year Balance | 350000 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 350000 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 7350 | InvestmentEarningsOrLosses |
| Other Expenditures | 7350 | OtherExpenditures |
| End Of Year Balance | 350000 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | true | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | true | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1212130 | OtherCostOrOtherBasis |
| Book Value | 1212130 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 23621231 | OtherCostOrOtherBasis |
| Depreciation | 6878497 | Depreciation |
| Book Value | 16742734 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 702299 | OtherCostOrOtherBasis |
| Depreciation | 1062249 | Depreciation |
| Book Value | -359950 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4488441 | OtherCostOrOtherBasis |
| Depreciation | 2533874 | Depreciation |
| Book Value | 1954567 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4524 | OtherCostOrOtherBasis |
| Book Value | 4524 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 19554005 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| AMOUNTS PAYABLE UNDER REIMB. REGS. | $3,629,551 |
| INSURANCE CLAIMS | $255,411 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 3884962 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ACCOUNTING FOR CONSERVATION EASEMENTS | SCHEDULE D, PAGE 1, PART II, LINE 9 | IN 2002 SPRING HARBOR HOSPITAL ACQUIRED A 54-ACRE PARCEL OF LAND DESIGNATED AS A CONSERVATION EASEMENT WHICH WAS CONVEYED AS PART OF A LAND PURCHASE UPON WHICH THE HOSPITAL WAS BUILT. |
| INTENDED USES FOR ENDOWMENT FUNDS | SCHEDULE D, PAGE 2, PART V, LINE 4 | THE INCOME FROM THIS PERMANENT ENDOWMENT IS INTENDED TO BE USED PRIMARILY FOR THE SERVICES PROVIDED BY SPRING HARBOR HOSPITAL'S CHILD AND ADOLESCENT PROGRAMS. |
| LIABILITY UNDER FIN 48 FOOTNOTE | SCHEDULE D, PAGE 3, PART X | SPRING HARBOR HOSPITAL IS A NOT-FOR-PROFIT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE IRC. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | SIGNS OF HOPE | NameOfEvent1 |
| Gross Receipts Event1 | 63200 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 63200 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 1894 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 63200 | GrossReceiptsTotal |
| Gross Revenue Total Events | 63200 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 1894 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 1894 | DirectExpenseSummaryEvents |
| Net Income Summary | 61306 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 1.75000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3658294 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3658294 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.11830 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3658294 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3658294 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.11830 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 117174 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 117174 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00380 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 105989 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 105989 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00340 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9476 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 9476 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 232639 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 232639 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00750 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3890933 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3890933 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.12580 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $643,883 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 3551775 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 4921764 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -1369989 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SPRING HARBOR HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 123 ANDOVER ROAD | AddressLine1 |
| City | WESTBROOK | City |
| State | ME | State |
| ZIP Code | 04092 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SPRING HARBOR HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | true | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Other | X | Other |
| Needs Assessment Conducted | 13 | NeedsAssessmentConducted |
| Take Into Account | true | TakeIntoAccount |
| Other Facilities | true | OtherFacilities |
| CHNA Widely Available | true | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Other Method | X | OtherMethod |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | true | AllNeedsAddressed |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 175.0 | FPGFreePercent |
| Uses FPG Discounted | false | UsesFPGDiscounted |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Medicaid Medicare | X | MedicaidMedicare |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| OTHER TESTING METHODS FOR FREE OR DISCOUNTED CARE | PART I LINE 3C | SPRING HARBOR HOSPITAL DOES NOT PROVIDE DISCOUNTED CARE ONLY FREE CARE FOR WHICH THE FPG IS USED TO DETERMINE ELIGIBILITY |
| RELATED ORGANIZATION INFORMATION | PART I LINE 6A | SPRING HARBORS ANNUAL COMMUNITY BENEFIT REPORT INFORMATION IS CONTAINED IN A REPORT PREPARED BY SPRING HARBORS PARENT ORGANIZATION MAINE MENTAL HEALTH PARTNERS SEE ATTACHED REPORT |
| COSTING METHODOLOGY EXPLANATION | PART I LINE 7 | CHARITY CARE COST DATA PRESENTED IN THIS SECTION HAS BEEN CALCULATED BY ASSIGNING THE AVERAGE OVERALL SPRING HARBOR RATIO OF COST TO CHARGES TO THE ACTUAL GROSS AMOUNT OF CHARITY CARE CHARGES RECORDED BY THE HOSPITAL DURING THE PERIOD OTHER BENEFIT COST DATA HAS BEEN CALCULATED THROUGH THE USE OF A COMBINATION OF ACTUAL GENERAL LEDGER SPECIFIC COST DATA AND THE USE OF EMPLOYEE TIME STUDIES ALL OTHER BENEFIT COST DATA IN PART I LINE 7 MATCHES THE DATA PRESENTED FOR SPRING HARBOR HOSPITAL IN MAINE MENTAL HEALTH PARTERS ANNUAL COMMUNITY BENEFIT REPORT |
| BAD DEBT EXPENSE EXPLANATION | PART III LINE 4 | SPRING HARBOR HOSPITAL DOES NOT HAVE A SPECIFIC FOOTNOTE IN THE FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE HOWEVER REFERENCE IS MADE WITHIN THE FOOTNOTES TO A BAD DEBT POLICY IN A COUPLE OF INSTANCES WITHIN THE FOOTNOTE DESCRIBING SIGNIFICANT ACCOUNTING POLICES IS THE SECTION TITLED ACCOUNTS RECEIVABLE WHERE THE FOLLOWING EXPLAINS THE BAD DEBT RESERVE THE RESERVE FOR UNCOLLECTIBLE ACCOUNTS IS PROVIDED BASED ON AN ANALYSIS BY MANAGEMENT OF THE COLLECTIBILITY OF OUTSTANDING BALANCES MANAGEMENT CONSIDERS THE AGE OF OUTSTANDING BALANCES AND PAST COLLECTION EFFORTS IN DETERMINING THE RESERVE FOR UNCOLLECTIBLE ACCOUNTS ACCOUNTS DEEMED UNCOLLECTIBLE ARE CHARGED OFF AGAINST THE ESTABLISHED RESERVE ALSO WITHIN THE SIGNIFICANT ACCOUNTING POLICIES IS THE SECTION TITLED CHARITY CARE AND BAD DEBTS WHERE THE FOLLOWING DESCRIBES THE BAD DEBT EXPENSE REVENUE FOR SERVICES RENDERED TO INDIVIDUALS FROM WHOM PAYMENT IS EXPECTED AND ULTIMATELY NOT RECEIVED IS WRITTEN OFF AND INCLUDED AS PART OF THE ALLOWANCE FOR BAD DEBTS THE AMOUNT OF EXPENSE ASSOCIATED WITH THE PROVISION OF SERVICES ULTIMATELY WRITTEN OFF AS BAD DEBT AT SPRING HARBOR HAS BEEN CALCULATED AT 643883 FOR THE CURRENT FISCAL YEAR THIS AMOUNT WAS CALCULATED BY ASSIGNING THE AVERAGE OVERALL SPRING HARBOR RATIO OF COST TO CHARGES TO THE GROSS AMOUNT OF CHARGES WRITTEN OFF AS BAD DEBT DURING THE FISCAL PERIOD BAD DEBT EXPENSE REPRESENTS HEALTHCARE SERVICES SPRING HARBOR HAS PROVIDED WITHOUT COMPENSATION AS A TAXEXEMPT HOSPITAL SPRING HARBOR PROVIDES NECESSARY PATIENT CARE REGARDLESS OF THE PATIENTS ABILITY TO PAY FOR THE SERVICES SPRING HARBOR CANNOT DETERMINE THE AMOUNT OF BAD DEBT EXPENSE THAT COULD BE REASONABLY ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR DIFFICULT PERSONAL OR ECONOMIC CIRCUMSTANCES RELATED TO A PORTION OF OUR COMMUNITY BASED PATIENT POPULATION THEIR MEDICAL BILLS OFTEN PLACE THESE INDIVIDUALS IN UNTENABLE POSITIONS WHERE THEY ARE NOT ABLE TO HANDLE THEIR PERSONAL DEBT AND THEN THEIR NEW MEDICAL DEBT HOWEVER BECAUSE OF THEIR INCOME LEVEL THEY DO NOT QUALIFY FOR FREE CARE BY PROVIDING NECESSARY HEALTHCARE SERVICES TO THOSE INDIVIDUALS EITHER WHO FAIL TO APPLY FOR FINANCIAL ASSISTANCE OR WHO ARE EXPERIENCING DIFFICULT PERSONAL OR ECONOMIC CIRCUMSTANCES SPRING HARBOR BELIEVES THAT BAD DEBT EXPENSE SHOULD BE INCLUDED AS A COMMUNITY BENEFIT |
| MEDICARE EXPLANATION | PART III LINE 8 | SPRING HARBOR HOSPITAL IS CURRENTLY REIMBURSED BY MEDICARE PART A FOR INPATIENT SERVICES THROUGH A PROSPECTIVE PAYMENT SYSTEM PPS DAY RATE METHODOLOGY WHILE MEDICARE PART B REIMBURSES THE HOSPITAL FOR PROFESSIONAL SERVICES RENDERED THROUGH A FEE SCHEDULE FOR EACH SERVICE PROVIDED IN BOTH CASES PART A AND PART B THE REIMBURSEMENT PROVIDED DOES NOT FULLY COVER THE HOSPITALS COSTS TO PROVIDE SERVICES TO MEDICARE BENEFICIARIES ACTUAL FY13 COSTS TO PROVIDE CARE FOR MEDICARE PATIENTS HAS BEEN CALCULATED AT 4921764 WHILE TOTAL ACTUAL MEDICARE REIMBURSEMENT PROVIDED TOTALED 3551775 THE COST CALCULATION WAS DETERMINED USING STANDARD MEDICARE PART A COST REPORTING METHODOLOGIES COST TO CHARGE RATIOS COUPLED WITH INHOUSE SPRING HARBOR ANALYSIS OF PART B COSTS THE DIFFERENCE BETWEEN ACTUAL COST AND MEDICARE REIMBURSEMENT OF 1369989 REPRESENTS THE COST OF ACTUAL UNREIMBURSED CARE PROVIDED TO MEDICARE BENEFICIARIES SPRING HARBOR HOSPITAL BELIEVES THAT THE MEDICARE SHORTFALL SHOULD BE INCLUDED AS A COMMUNITY BENEFIT BECAUSE THE HOSPITAL HAS A CLEAR MISSION COMMITMENT TO SERVING ELDERLY PATIENTS AND ADULTS WITH DISABILITIES THROUGH THE PROVISION OF SPECIFIC SUBSIDIZED PROGRAMS DEVELOPED TO HELP IMPROVE THE HEALTH STATUS OF THESE PATIENTS IF THESE CRITICAL SUBSIDIZED PROGRAMS WERE NOT PROVIDED BY THE HOSPITAL THEY WOULD BECOME THE OBLIGATION OF THE FEDERAL GOVERNMENT |
| COLLECTION PRACTICES EXPLANATION | PART III LINE 9B | SPRING HARBOR HOSPITAL OFFERS FINANCIAL ASSISTANCE TO PATIENTS WHO HAVE NO MEANS TO PAY FOR THEIR CARE BY MAINTAINING CHARITYINDIGENT CARE PROGRAMS CHARITY CARE IS PROVIDED TO THOSE PATIENTS WHO COMPLETE AN APPLICATION AND WHO OFFER EVIDENCE THAT THEY MEET THE ELIGIBILITY REQUIREMENTS THOSE PATIENTS WHO REFUSE APPLICATION OR WHO FAIL TO MEET THE REQUIREMENTS FOR UNCOMPENSATED CARE ARE PURSUED FOR COLLECTION UNSUCCESSFUL ATTEMPTS AT COLLECTION MAY RESULT IN THE ACCOUNT BEING WRITTEN OFF AS BAD DEBT FOR THOSE PATIENTS THAT DO QUALIFY FOR CHARITY CARE ACCOUNT BALANCES ARE ADJUSTED ACCORDINGLY ONCE THEIR CHARITY CARE APPLICATION HAS BEEN APPROVED MORE DETAILS REGARDING THE CHARITY CARE PROCESS AT SPRING HARBOR ARE MAINTAINED IN THE HOSPITALS WRITTEN AND PUBLICLY AVAILABLE CHARITY CARE POLICY |
| NEEDS ASSESSMENT | PART VI | SPRING HARBOR HOSPITAL IS A MEMBER OF MAINEHEALTH WHICH CONDUCTS A THOROUGH COMMUNITY NEEDS ASSESSMENT AND DIRECTS ITS MEMBER ORGANIZATIONS TO RESPOND TO THE NEEDS IDENTIFIED MAINEHEALTH MEMBERS ALSO PARTICIPATE IN VARIOUS INITIATIVES TO KEEP THOSE ASSESSMENTS UP TO DATE SOME OF THESE INITIATIVES INCLUDE CLINICAL STRATEGIC PLANNING FINANCIAL STRATEGIC PLANNING FACILITY PLANNING HUMAN RESOURCE PLANNING STAFF DEVELOPMENT PLANNING PHYSICIAN RECRUITMENT STRATEGIC PLANNING EMERGENCY PREPAREDNESS PLANNING IN ADDITION TO THESE INTERNAL ASSESSMENTS MAINEHEALTH MEMBER ORGANIZATIONS ALSO REVIEW AND ACT ON MANY OF THE RECOMMENDATIONS PROVIDED BY EXTERNAL GROUPS AND STATE HEALTH PLANNING INITIATIVES SUCH AS THE MAINE DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTHY MAINE 2010 AND AUTISM SPECTRUM DISORDERS REPORT THE MAINE CENTER FOR DISEASE CONTROL AND PREVENTION AND THE STATE HEALTH PLAN CREATED BY THE ADVISORY COMMITTEE FOR HEALTH SYSTEMS DEVELOPMENT |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | PART VI | SPRING HARBOR HOSPITAL DISTRIBUTES A PATIENT FINANCIAL POLICIES BROCHURE TO EACH PATIENT UPON ADMISSION WHICH INCLUDES BUT IS NOT LIMITED TO INFORMATION ON HOW TO ACCESS AND APPLY FOR SPRING HARBOR HOSPITALS FINANCIAL ASSISTANCE PROGRAM FINANCIAL COUNSELING SERVICES MAINECARE MEDICARE AND SOCIAL SECURITY |
| COMMUNITY INFORMATION | PART VI | SPRING HARBOR HOSPITALS SERVICE REGION WHILE CONCENTRATED TO SOME EXTENT IN CUMBERLAND COUNTY ENCOMPASSES THE SOUTHERNMOST 11 COUNTIES OF MAINE AND ITS APPROXIMATELY 960000 RESIDENTS THREE QUARTERS OF THE STATE POPULATION OF THIS NUMBER IT IS ESTIMATED THAT 7 OF CHILDREN AND 23 OF ADULTS HAVE A DIAGNOSABLE MENTAL ILLNESS THIS EQUATES TO A POTENTIAL POPULATION SERVED OF 190000 MAINE RESIDENTS |
| HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE | PART VI | SPRING HARBOR HOSPITAL IN PARTNERSHIP WITH MAINEHEALTH DEVELOPED A PROGRAM TO IMPROVE PRIMARY CAREMENTAL HEALTH INTEGRATION AND HELPS PEOPLE WITH DEPRESSION AND THOSE WHO CARE FOR AND ABOUT THEM THE PROGRAM TRAINS PRIMARY CARE PROVIDERS ON THE DIAGNOSIS AND TREATMENT OF PATIENTS AND MANY PHYSICIANS USE AN ELECTRONIC REGISTRY TO TRACK OUTCOME MEASURES THE PROGRAM CONDUCTS A COLLABORATIVE LEARNING COMMUNITY EXPLORING THE EFFECTIVENESS EFFICIENCY AND COSTBENEFIT OF INTEGRATION WITH PRIMARY CAREMENTAL HEALTH PARTNERS |
| AFFILIATED HEALTH CARE INFORMATION | PART VI | SPRING HARBOR HOSPITAL IS A MEMBER OF MAINE MENTAL HEALTH PARTNERS MAINE MENTAL HEALTH PARTNERS MISSION IS TO BUILD HEALTHIER COMMUNITIES BY TRANSFORMING HEALTHCARE DELIVERY AND SERVICE EXPERIENCES BY PROMOTING INDIVIDUALS SUCCESSFUL FUNCTIONING IN THE COMMUNITY IE RECOVERY SUPPORTING ACCESS TO SAFE HIGHQUALITY CARE DELIVERED AS CLOSE AS POSSIBLE TO AN INDIVIDUALS HOME AND AT THE BEST POSSIBLE COST DESIGNING DEVELOPING AND SUPPORTING A CONTINUUM OF CARE THAT FULFILLS EACH REGIONS MENTAL HEALTH NEEDS ADVOCATING LOCALLY STATEWIDE REGIONALLY AND NATIONALLY TO ENHANCE MENTAL HEALTH FOR MAINE PEOPLE CREATING A MODEL SYSTEM OF LEADERSHIP CLINICAL EXCELLENCE INNOVATION AND EXPERTISE |
| LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILED | PART VI | MAINE |
| SPRING HARBOR HOSPITAL LINE NUMBER 1 PART V LINE 3 | PART V LINE 3 | THE HOSPITAL CONVENED A PLANNING GROUP MADE UP OF PEOPLE REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SERVED THE ORGANIZATIONS INDIVIDUAL EXPERTS AND INDIVIDUAL LEADERSREPRESENTATIVES INVOLVED IN THE PLANNING GROUP INCLUDED NEW ENGLAND REHABILITATION HOSPITAL DIRECTOR OF MARKETING OPERATIONS CITY OF PORTLAND STATE OF MAINE HEALTH HUMAN SERVICES DEPT RESEARCH DATA MANAGER AND ACCESS PROJECT DIRECTOR THE OPPORTUNITY ALLIANCE DIRECTORS AND COALITION DIRECTOR MERCY HEALTH SYSTEM VICE PRESIDENT OF MISSION EFFECTIVENESS VNA HOME HEALTH HOSPICE CEO MAINE CENTERS FOR DISEASE CONTROL CUMBERLAND DISTRICT PUBLIC HEALTH LIASON UNITED WAY OF GREATER PORTLAND COMMUNITY IMPACT DIRECTOR HEALTHY CASCO BAY PROGRAM COORDINATOR MAINE MEDICAL CENTER PLANNER MAINEHEALTH SVP COMMUNITY HEALTH |
| SPRING HARBOR HOSPITAL LINE NUMBER 1 PART V LINE 4 | PART V LINE 4 | MAINEHEALTH EASTERN MAINE HEALTHCARE SYSTEMS AND MAINEGENERAL HEALTH |
| SPRING HARBOR HOSPITAL LINE NUMBER 1 PART V LINE 5C | PART V LINE 5C | THE REPORT IS AVAILABLE ON THE SPRING HARBOR HOSPITAL WEBSITE WWWSPRINGHARBORORG AND THE MAINEHEALTH WEBSITE WWWMAINEHEALTHORG |
| SPRING HARBOR HOSPITAL LINE NUMBER 1 PART V LINE 20D | PART V LINE 20D | CHARGES ARE BASED ON SPRING HARBOR HOSPITALS NORMAL FEE STRUCTURE WITH SUBSEQUENT WRITE OFF TO CHARITY CARE |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)
| TitleTitle | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Base Compensation Filing OrgBaseCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|
| FRANCIS G MCGINTY | |||||||||||
| EX-OFFICIO VP - MH | 420311 | 70000 | 120775 | 51461 | 18022 | 680569 | |||||
| DENNIS P KING | |||||||||||
| EX-OFFICIO CEO-MMHP | 288324 | 53000 | 88518 | 65842 | 9743 | 505427 | |||||
| FRANK LAVOIE MD | |||||||||||
| TRUSTEE | 327461 | 14858 | 16058 | 8750 | 22765 | 389892 | |||||
| KAREN E SIMONE | |||||||||||
| TRUSTEE | 134708 | 407 | 16592 | 7568 | 159275 | ||||||
| GIRARD ROBINSON MD | |||||||||||
| CHIEF MEDICAL OFF | 314119 | 41473 | 74795 | 51161 | 4589 | 486137 | |||||
| DONALD E QUIGLEY | |||||||||||
| ASST SECRETARY | 276686 | 36000 | 36595 | 69579 | 16438 | 435298 | |||||
| GREGORY BOWERS | |||||||||||
| EXEC VPTREAS -MMHP | 181185 | 21000 | 5997 | 17338 | 225520 | ||||||
| MICHAEL ABBATIELLO | |||||||||||
| CFO - MMHP | 140005 | 2109 | 16834 | 158948 | |||||||
| MARK FULTON | |||||||||||
| PSYCHIATRIST | 222566 | 7802 | 17944 | 248312 | |||||||
| JOHN MURPHY MD | |||||||||||
| PSYCHIATRIST | 209654 | 23441 | 17681 | 250776 | |||||||
| MATTHEW SIEGEL MD | |||||||||||
| PSYCHIATRIST | 201818 | 4345 | 17714 | 223877 | |||||||
| WILLIAM BRENNAN MD | |||||||||||
| PSYCHIATRIST | 191947 | 6724 | 17561 | 221232 | 5000 | ||||||
| MELISSA M BOWKER-KINLEY | |||||||||||
| PSYCHIATRIST | 192379 | 6740 | 17573 | 216692 | |||||||
| RICHARD HANLEY | |||||||||||
| COO | 153908 | 13200 | 4468 | 2434 | 174010 | ||||||
| GAIL WILKERSON | |||||||||||
| CHF PLAN & DEV OFF | 118298 | 14600 | 1835 | 10983 | 145716 | ||||||
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS | SCHEDULE J, PAGE 1, PART I, LINE 4 | FRANCIS G. MCGINTY 0 117,211 0 DENNIS P. KING 0 74,954 0 FRANK LAVOIE, MD 0 14,804 0 GIRARD ROBINSON, MD 0 71,231 0 DONALD E. QUIGLEY 0 29,797 0 |
| OTHER ADDITIONAL INFORMATION | SCHEDULE J, PART III | THE NONQUALIFIED PAYMENTS SHOWN ABOVE ARE FROM RELATED ORGANIZATIONS WHERE THE INDIVIDUALS ARE EMPLOYED. TOP MANAGEMENT OFFICIALS ARE COMPENSATED BY RELATED ORGANIZATIONS. THESE ORGANIZATIONS USED ONE OR MORE OF THE METHODS SHOWN ABOVE TO ESTABLISH THE COMPENSATION OF TOP MANAGEMENT. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS | FORM 990, PAGE 6, PART VI, LINE 4 | ON APRIL 1, 2014, MAINE MENTAL HEALTH PARTNERS (26-3426990) AND ITS MEMBERS, SPRING HARBOR HOSPITAL (01-0524834), COMMUNITY COUNSELING CENTER (01-0288362), COUNSELING SERVICES INC. (01-0315038) AND SPRING HARBOR COMMUNITY SERVICES (01-0524835) MERGED INTO A SINGLE, UNIFIED ORGANIZATION UNDER THE TAX IDENTIFICATION NUMBER OF SPRING HARBOR HOSPITAL. THE NEW, MERGED ORGANIZATION WAS RENAMED MAINE BEHAVIORAL HEALTHCARE. |
| CLASSES OF MEMBERS OR STOCKHOLDERS | FORM 990, PAGE 6, PART VI, LINE 6 | MAINE MENTAL HEALTH PARTNERS (MMHP) IS THE SOLE MEMBER OF SPRING HARBOR HOSPITAL. MAINEHEALH (EIN 01-0431680), AS THE SOLE MEMBER OF MMHP, HAS THE RIGHT TO APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BODY OF MMHP AND ITS SUBSIDIARIES. |
| ELECTION OF MEMBERS AND THEIR RIGHTS | FORM 990, PAGE 6, PART VI, LINE 7A | THE SOLE MEMBER, MAINE MENTAL HEALTH PARTNERS MAY ELECT THE BOARD OF DIRECTORS FROM A SLATE OF NOMINEES SUBMITTED BY THE CORPORATION. THE OFFICERS ARE ELECTED BY THE BOARD OF TRUSTEES, EXCEPT THAT THE CFO, COO, CHIEF MEDICAL OFFICER AND CHIEF CLINICAL & NURSING OFFICER ARE APPOINTED BY THE BOARD OF TRUSTEES BASED UPON A RECOMMENDATION OF THE CEO. |
| DECISIONS SUBJECT TO APPROVAL OF MEMBERS | FORM 990, PAGE 6, PART VI, LINE 7B | DECISIONS OF THE GOVERNING BODY SUCH AS BUDGETS, BUSINESS STRATEGIES, SIGNIFICANT FINANCIAL COMMITMENTS, AMENDMENTS TO THE ARTICLES OF INCORPORATION, AND ELECTION OF THE PRESIDENT/CEO AMONG OTHER DECISIONS, ARE SUBJECT TO THE APPROVAL OF THE SOLE MEMBER. |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | THE FORM 990 WAS REVIEWED BY THE BOARD OF THE NEWLY FORMED ORGANIZATION, MAINE BEHAVIORAL HEALTHCARE. (DETAILS AT BEGINNING OF SCHEDULE O). A DETAILED REVIEW OF THE FORM 990 IS PERFORMED BY THE CONTROLLER & CFO, PRIOR TO THE CFO SIGNING AND FILING THE RETURN. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | CONFLICT OF INTEREST STATEMENTS ARE OBTAINED ANNUALLY. THE ORGANIZATION REVIEWS THE RESPONSES TO THESE DOCUMENTS AND ADDRESSES ANY ISSUES IMMEDIATELY. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | FORM 990, PAGE 6, PART VI, LINE 15A | SPRING HARBOR HOSPITAL BOARD OF DIRECTORS ARE RESPONSIBLE FOR AN ANNUAL EVALUATION OF THE PRESIDENT/CEO AND THE OTHER KEY ADMINISTRATIVE EMPLOYEES OF THE ORGANIZATION. FOR THOSE KEY ADMINISTRATIVE EMPLOYEES THAT ARE SHARED WITH MMHP, COMPENSATION IS EVALUATED BY THE MMHP GOVERNANCE COMMITTEE AND APPROVED BY THE ORGANIZATION'S BOARD OF DIRECTORS. IN ADDITION, THE ORGANIZATION UTILIZES THE SERVICES OF AN INDEPENDENT COMPENSATION CONSULTING FIRM, AND INDUSTRY SURVEY. |
| COMPENSATION PROCESS FOR OFFICERS | FORM 990, PAGE 6, PART VI, LINE 15B | THE MEMBER IS RESPONSIBLE FOR AN ANNUAL EVALUATION OF THE PRESIDENT/CEO AND THE OTHER KEY ADMINISTRATIVE EMPLOYEES OF THE ORGANIZATION. COMPENSATION IS EVALUATED BY THE COMPENSATION COMMITTEE APPOINTED BY THE MEMBER, AND THE ORGANIZATION'S BOARD OF TRUSTEES MUST APPROVE OF THE COMPENSATION. IN ADDITION, THE ORGANIZATION UTILIZES THE SERVICES OF AN INDEPENDENT COMPENSATION CONSULTING FIRM, AND INDUSTRY SURVEY. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION ARE MADE AVAILABLE UPON REQUEST. |
| OTHER CHANGES IN NET ASSETS EXPLANATION | FORM 990, PART XI, LINE 9 | INCOME ON PERM RESTRICTED NET ASSETS 42,824 |
| ADDITIONAL INFORMATION | FORM 990, PART XII | A-133 AUDIT - THE ORGANIZATION DID NOT HAVE A SEPARATE A-133 AUDIT. IT WAS PART OF THE CONSOLIDATED A-133 AUDIT OF ITS PARENT COMPANY, MAINE MENTAL HEALTH PARTNERS (EIN 26-3426990). |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| MAINEHEALTH | ||||||||||
| 110 FREE STREET | PORTLAND | ME | 04101 | 010431680 | HEALTHCARE | ME | 501C3 | 11C | NA | false |
| MAINE MENTAL HEALTH PARTNERS | ||||||||||
| 78 ATLANTIC PLACE | SOUTH PORTLAND | ME | 04106 | 263426990 | HEALTHCARE | ME | 501C3 | 11C | MAINEHLTH | false |
| SPRING HARBOR COMMUNITY SERVICES | ||||||||||
| 78 ATLANTIC PLACE | SOUTH PORTLAND | ME | 04106 | 010524835 | HEALTHCARE | ME | 501C3 | 9 | MMHP | false |
| COMMUNITY COUNSELING CENTER | ||||||||||
| 78 ATLANTIC PLACE | SOUTH PORTLAND | ME | 04106 | 010288362 | HEALTHCARE | ME | 501C3 | 7 | MMHP | false |
| COUNSELING SERVICES INC | ||||||||||
| 78 ATLANTIC PLACE | SOUTH PORTLAND | ME | 04106 | 010315038 | HEALTHCARE | ME | 501C3 | 7 | MMHP | false |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INTEGRATED BEHAVIORAL HEALTH INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 78 ATLANTIC PLACE | AddressLine1 |
| City | SOUTH PORTLAND | City |
| State | ME | State |
| ZIP Code | 04106 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 208736290 | EIN |
| Primary Activity | HEALTHCARE | PrimaryActivity |
| Legal Domicile State | ME | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Controlled Org | false | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |