HOSPICE OF SOUTHERN MAINE: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- HOSPICE OF SOUTHERN MAINE (EIN 01-0540180)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-08-12
- IRS object ID
- 201312249349300701
- Schema version
- 2012v2.1
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-12T06:59:58-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010494526 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Baker Newman & Noyes | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 507 | AddressLine1 |
| City | Portland | City |
| State | ME | State |
| ZIP Code | 04112 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010540180 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hospice of Southern Maine | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HOSP | NameControl |
| Phone | 2072893641 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 180 US Route 1 | AddressLine1 |
| City | Scarborough | City |
| State | ME | State |
| ZIP Code | 04074 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Arlene Wing | Name |
| Title | CEO | Title |
| Phone | 2072893641 | Phone |
| Date Signed | 2013-08-02 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Nicholas E Porto | Name |
| PTIN | P01310283 | PTIN |
| Phone | 2078792100 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Arlene Wing | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 180 US Route 1 | AddressLine1 |
| City | Scarborough | City |
| State | ME | State |
| ZIP Code | 04074 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 12529380 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.hospiceofsouthernmaine.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2003 | YearFormation |
| State Legal Domicile | ME | StateLegalDomicile |
| Activity Or Mission Description | Hospice services: To provide compassion, care, and comfort through end of life. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 19 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 19 | NbrIndependentVotingMembers |
| Total Nbr Employees | 166 | TotalNbrEmployees |
| Total Nbr Volunteers | 180 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 718434 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2237885 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 8414981 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 10231554 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 26461 | InvestmentIncomePriorYear |
| Investment Income Current Year | 20242 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 35790 | OtherRevenuePriorYear |
| Other Revenue Current Year | -3293 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 9195666 | TotalRevenuePriorYear |
| Total Revenue Current Year | 12486388 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 5352114 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 6243274 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 268538 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 3439440 | OtherExpensePriorYear |
| Other Expenses Current Year | 3899476 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 8791554 | TotalExpensesPriorYear |
| Total Expenses Current Year | 10142750 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 404112 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2343638 | RevenuesLessExpensesCY |
| Total Assets BOY | 8774788 | TotalAssetsBOY |
| Total Assets EOY | 11271962 | TotalAssetsEOY |
| Total Liabilities BOY | 3141748 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 3278573 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 5633040 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 7993389 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | Hospice services | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 8513748 | Expense |
| Revenue | 10231554 | Revenue |
| Description | Hospice of Southern Maine (HSM) provides comprehensive hospice services through a free-standing, licensed, Medicare certified program consistent with the hospice philosophy, and consisting of physical, emotional and spiritual services to patients and their families in the setting most appropriate for the patient. HSM operates an 18-bed hospice facility to provide an alternative for those patients who are unable to remain in their homes and who require an inpatient level of care for acute pain and symptom management or occasionally for respite for their caregivers as a temporary residential alternative. HSM provides bereavement support to family members served by HSM, as well as the community at large, and volunteers are offered to patients and families at least 4 hrs per week. HSM participates in educating practitioners and multidisciplinary caregivers to better provide hospice and palliative care in the community. HSM supports the community by fostering awareness, encouraging volunteerism and advocating for an improved social framework regarding all end of life issues. HSM performs fundraising activities to support care for uninsured and unreimbursed care and program activity. In 2012, HSM cared for 1,261 patients/families primarily in York and Cumberland counties, with an average census of 138 patients each day. HSM provided approximately $230,000 in unreimbursed care in 2012. HSM volunteers provided approximately 10,000 hours of service. | Description |
| Total Program Service Expense | 8513748 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 35 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 166 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 19 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 19 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mary Pinto | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2072893640 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 180 US Route 1 | AddressLine1 |
| City | Scarborough | City |
| State | ME | State |
| ZIP Code | 04074 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| Maryanna Arsenault | ||||||
| Director | 0.70 | X | 0 | 0 | 0 | |
| Joel Botler MD | ||||||
| Director | 0.20 | X | 0 | 0 | 0 | |
| Elaine Brady RN | ||||||
| Director/Past Chair | 1.80 | X | 0 | 0 | 0 | |
| William Caron | ||||||
| Director | 1.20 | X | 0 | 0 | 0 | |
| Sally Daggett Esq | ||||||
| Director | 0.90 | X | 0 | 0 | 0 | |
| Roland Eon | ||||||
| Director | 1.20 | X | 0 | 0 | 0 | |
| Annette Gosnell | ||||||
| Director | 1.80 | X | 0 | 0 | 0 | |
| Laurence Gross | ||||||
| Director | 0.80 | X | 0 | 0 | 0 | |
| Daniel Hayes MD | ||||||
| Director | 0.70 | X | 0 | 0 | 0 | |
| Holly LeBlanc | ||||||
| Director | 1.80 | X | 0 | 0 | 0 | |
| Betsey McCandless Esq | ||||||
| Director | 1.10 | X | 0 | 0 | 0 | |
| Edward J McGeachey | ||||||
| Director | 0.80 | X | 0 | 0 | 0 | |
| Lucy Perkins | ||||||
| Director | 1.20 | X | 0 | 0 | 0 | |
| Bob Schools | ||||||
| Director | 1.90 | X | 0 | 0 | 0 | |
| Ann Stockbridge | ||||||
| Director | 1.10 | X | 0 | 0 | 0 | |
| David Perkins Esq | ||||||
| Director/Chair | 1.80 | X | 0 | 0 | 0 | X |
| Miriam Leonard | ||||||
| Director/Vice Chair | 1.40 | X | 0 | 0 | 0 | X |
| Kevin Montminy | ||||||
| Director/Treasurer | 1.90 | X | 0 | 0 | 0 | X |
| Karl Turner | ||||||
| Director/Secretary | 2.50 | X | 0 | 0 | 0 | X |
| Arlene Wing | ||||||
| CEO/Ex Officio | 40.00 | 135493 | 0 | 14061 | X | |
| Mark Wrona MD | ||||||
| Medical Director/Ex Officio | 40.00 | 268102 | 0 | 17338 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 403595 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 31399 | TotalOtherCompensation |
| Number Individuals GT100 K | 2 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Fundraising Events | 11150 | FundraisingEvents |
| All Other Contributions | 2226735 | AllOtherContributions |
| Noncash Contributions | 9967 | NoncashContributions |
| Total Contributions | 2237885 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Patient services | 621610 | 10163317 | 10163317 |
| Palliative Consultative Services | 621610 | 43650 | 43650 |
| Education and outreach programs | 621610 | 17300 | 17300 |
| Miscellaneous income | 621610 | 7287 | 7287 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 10231554 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 20136 | TotalRevenueColumn |
| Exclusion | $20,136 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 30200 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 30094 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 106 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 106 | TotalRevenueColumn |
| Exclusion | $106 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 9605 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 11150 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 12898 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -3293 | TotalRevenueColumn |
| Exclusion | -$3,293 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12486388 | TotalRevenueColumn |
| Related Or Exempt Function Income | 10231554 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $16,949 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 434994 | Total |
| Program Services | 285439 | ProgramServices |
| Management And General | 149555 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4737700 | Total |
| Program Services | 4082356 | ProgramServices |
| Management And General | 514575 | ManagementAndGeneral |
| Fundraising | 140769 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49444 | Total |
| Program Services | 45980 | ProgramServices |
| Management And General | 3464 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 493552 | Total |
| Program Services | 411025 | ProgramServices |
| Management And General | 53354 | ManagementAndGeneral |
| Fundraising | 29173 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 527584 | Total |
| Program Services | 458998 | ProgramServices |
| Management And General | 68586 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30367 | Total |
| Management And General | 30367 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34450 | Total |
| Management And General | 34450 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 279419 | Total |
| Program Services | 184062 | ProgramServices |
| Management And General | 66214 | ManagementAndGeneral |
| Fundraising | 29143 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 155808 | Total |
| Management And General | 155808 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 294374 | Total |
| Program Services | 167146 | ProgramServices |
| Management And General | 65401 | ManagementAndGeneral |
| Fundraising | 61827 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 134948 | Total |
| Program Services | 117405 | ProgramServices |
| Management And General | 17543 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 366959 | Total |
| Program Services | 197694 | ProgramServices |
| Management And General | 169265 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 256976 | Total |
| Program Services | 251433 | ProgramServices |
| Management And General | 5346 | ManagementAndGeneral |
| Fundraising | 197 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 56849 | Total |
| Program Services | 48215 | ProgramServices |
| Management And General | 7205 | ManagementAndGeneral |
| Fundraising | 1429 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 141211 | Total |
| Program Services | 136975 | ProgramServices |
| Management And General | 4236 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 332859 | Total |
| Program Services | 317053 | ProgramServices |
| Management And General | 9806 | ManagementAndGeneral |
| Fundraising | 6000 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40687 | Total |
| Program Services | 35398 | ProgramServices |
| Management And General | 5289 | ManagementAndGeneral |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| Patient related expense | 1568376 | 1568376 |
| Bad debt | 206193 | 206193 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10142750 | Total |
| Program Services | 8513748 | ProgramServices |
| Management And General | 1360464 | ManagementAndGeneral |
| Fundraising | 268538 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18323 | BOY |
| EOY | 27596 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3839008 | BOY |
| EOY | 5238384 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 126674 | BOY |
| EOY | 50000 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 861342 | BOY |
| EOY | 1601561 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 94969 | BOY |
| EOY | 160314 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 5371986 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1689305 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3834472 | BOY |
| EOY | 3682681 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 511426 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8774788 | BOY |
| EOY | 11271962 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 718081 | BOY |
| EOY | 984271 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1762386 | BOY |
| EOY | 1702746 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 130349 | BOY |
| EOY | 67506 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 530932 | BOY |
| EOY | 524050 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3141748 | BOY |
| EOY | 3278573 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5288833 | BOY |
| EOY | 6187167 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 74007 | BOY |
| EOY | 1536022 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 270200 | BOY |
| EOY | 270200 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5633040 | BOY |
| EOY | 7993389 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8774788 | BOY |
| EOY | 11271962 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 2343638 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 9829 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 6882 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 556516 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 704525 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 713145 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 718434 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2237885 | CurrentTaxYear |
| Total | 4930505 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 556516 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 704525 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 713145 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 718434 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2237885 | CurrentTaxYear |
| Total | 4930505 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 2105175 | AmountsSubstContributorsTotal |
| Public Support Total170 | 2825330 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 54537 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 16836 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 19220 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 25105 | CurrentTaxYearMinus1Year |
| Current Tax Year | 20136 | CurrentTaxYear |
| Total | 135834 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 5066339 | TotalSupport |
| Gross Receipts From Admissions Etc | 39694446 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.55770 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.77860 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
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 | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 1 | GrantsOtherOrganizations |
| Grants Other Organizations | $1,200 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 1200 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Explanation of Lobbying Activities: | Identifier |
| Return Reference | Part II-B, Line 1: | ReturnReference |
| Explanation | National Hospice and Palliative Care Organization portion of dues paid allocated to lobbying activities was $847. Home Care and Hospice Alliance of Maine portion of dues paid allocated to lobbying activities was $353. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 344207 | BeginningOfYearBalance |
| Contributions | 1752246 | Contributions |
| Investment Earnings Or Losses | 19606 | InvestmentEarningsOrLosses |
| Other Expenditures | 309837 | OtherExpenditures |
| End Of Year Balance | 1806222 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 361752 | BeginningOfYearBalance |
| Contributions | 239503 | Contributions |
| Investment Earnings Or Losses | 109 | InvestmentEarningsOrLosses |
| Other Expenditures | 257157 | OtherExpenditures |
| End Of Year Balance | 344207 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 454893 | BeginningOfYearBalance |
| Contributions | 153052 | Contributions |
| Investment Earnings Or Losses | 68 | InvestmentEarningsOrLosses |
| Other Expenditures | 246261 | OtherExpenditures |
| End Of Year Balance | 361752 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 351905 | BeginningOfYearBalance |
| Contributions | 211462 | Contributions |
| Investment Earnings Or Losses | 41 | InvestmentEarningsOrLosses |
| Other Expenditures | 108515 | OtherExpenditures |
| End Of Year Balance | 454893 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 330200 | BeginningOfYearBalance |
| Contributions | 136970 | Contributions |
| Investment Earnings Or Losses | 33 | InvestmentEarningsOrLosses |
| Other Expenditures | 115298 | OtherExpenditures |
| End Of Year Balance | 351905 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.00000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.14960 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.85040 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 440000 | OtherCostOrOtherBasis |
| Book Value | 440000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3856946 | OtherCostOrOtherBasis |
| Depreciation | 1078295 | Depreciation |
| Book Value | 2778651 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1075040 | OtherCostOrOtherBasis |
| Depreciation | 611010 | Depreciation |
| Book Value | 464030 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 3682681 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Interest rate swap liability | Description |
| Amount | $524,050 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 524050 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 12515997 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 9829 | NetUnrealizedGainsInvestments |
| Other Revenues | 19780 | OtherRevenues |
| Revenue Not Rptd F990 | 29609 | RevenueNotRptdF990 |
| Revenue Subtotal | 12486388 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 12486388 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 10155648 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 12898 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 12898 | ExpensesNotRptdF990 |
| Expenses Subtotal | 10142750 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 10142750 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Intended Use of Endowment Funds: | Part V, Line 4: | To ensure the long-term financial viability of the organization |
| Description of Uncertain Tax Positions Under FIN 48: | Part X, Line 2: | The organization is exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code. Tax-exempt organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the Financial Accounting Standards Board, assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. The Organization has evaluated the positions taken on its filed tax returns. The Organization has concluded no uncertain income tax positions exist at December 31, 2012. The Organization's tax years from 2009 through 2012 are open and subject to examination. |
| Part XI, Line 2d - Other Adjustments: | Special Events Expense 12,898. Interest Rate Swap 6,882. | |
| Part XII, Line 2d - Other Adjustments: | Special Events Expense 12,898. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Twilight in the Park | NameOfEvent1 |
| Gross Receipts Event1 | 19535 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 11150 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 8385 | GrossRevenueEvent1 |
| Rent Facility Costs Event1 | 5026 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 385 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 437 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 6243 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 19535 | GrossReceiptsTotal |
| Charitable Contributions Total | 11150 | CharitableContributionsTotal |
| Gross Revenue Total Events | 8385 | GrossRevenueTotalEvents |
| Rent Facility Costs Total Events | 5026 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 385 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 437 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 6243 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 12091 | DirectExpenseSummaryEvents |
| Net Income Summary | -3706 | NetIncomeSummary |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Mark Wrona MD | NamePerson |
| Title | Medical Director/Ex Officio | Title |
| Base Compensation Filing Org | 268102 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 0 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 0 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 3675 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 0 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 13663 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 0 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 285440 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 0 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section A, line 2 | --Directors William Caron and Edward McGeachey have a business relationship with each other; --Directors William Caron and Maryanna Arseneault have a business relationship with each other; --Directors William Caron and Kevin Montminy have a business relationship with each other; and --Directors William Caron and Miriam Leonard have a business relationship with each other. | |
| Form 990, Part VI, Section A, line 6 | Initial Members of the Corporation were established in 2003. Thereafter, Members shall include all other persons who may be admitted to membership from time to time by vote of the Members at an annual or special meeting. The Governance Committee of the Board of Directors shall present a report to propose new Members to be admitted for membership. | |
| Form 990, Part VI, Section A, line 7a | Provisions in bylaws pertaining to Members of the Corporation: -individuals may be admitted to membership from time to time by vote of Members at annual or special meetings -Nominating Committee of the Board of Directors proposes new members -Members must have an interest in, and ability to contribute to, the advancement of the mission and goals of the Corporation -powers include election of Board of Directors, election of new members, changes in the corporate structure, and action on any matters brought to them by the BOD, at the annual meeting or at special meetings Purpose: to strengthen links to the community, and ensure that effective governing bodies are elected Responsibilities: -understanding and affirmation of HSM's mission, principles and objectives. -advocacy in the community, fostering of public awareness and support for the Organization's goals and programs and its fundraising efforts -attendance at the annual meeting, election of Board and Members of the Corporation, and action on any other matters brought by the Board. | |
| Form 990, Part VI, Section A, line 7b | See line 7a | |
| Form 990, Part VI, Section B, line 11 | The 990 was reviewed by the finance committee. Then a complete copy of the 990 was distributed to the full Board of Directors. | |
| Form 990, Part VI, Section B, line 12c | Annually all persons are required to review and sign the conflict of interest policy statement, which is then kept on file. | |
| Form 990, Part VI, Section B, line 15a | The process for determining compensation for the CEO was as follows: Review of candidate's current responsibilities and compensation, and her expectations and performance as CEO of HSM Review of national and regional market data Discussion and decision by the Executive Committee of the Board | |
| Form 990, Part VI, Section C, line 19 | All documents that are required to be made available are made available upon request. | |
| Form 990, Part XI, line 9: | Change in fair value of interest rate swap 6,882. | Changes in Net Assets or Fund Balances: |
| Form 990, Part XI, line 2c: | The responsibility of the audit committee for overseeing the audit and selecting the independent accountant has not changed from prior years. |
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