REDINGTON-FAIRVIEW GENERAL HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
REDINGTON-FAIRVIEW GENERAL HOSPITAL (EIN 01-0284446)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-15
IRS object ID
201321359349301832
Schema version
2011v1.5
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

FieldValueIRS element (for citing)
Timestamp2013-05-15T07:34:23-07:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Macpage LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line130 Long Creek DrAddressLine1
CitySouth PortlandCity
StateMEState
ZIP Code04106ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN010284446EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1REDINGTON-FAIRVIEW GENERAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlREDINameControl
Phone2074745121Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 468AddressLine1
CitySKOWHEGANCity
StateMEState
ZIP Code04976ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDANA C KEMPTONName
TitleCFOTitle
Date Signed2013-05-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGeorge RafuseName
Phone2077745701Phone
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts73602550GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1969YearFormation
State Legal DomicileMEStateLegalDomicile
Activity Or Mission DescriptionREDINGTON-FAIRVIEW GENERAL HOSPITAL'S MISSION IS TO DEVELOP, PROVIDE AND FACILITATE HIGH QUALITY, COMPREHENSIVE, COST EFFECTIVE HEALTH SERVICES FOR THE PEOPLE WE SERVE. WE AFFIRM A COMMITMENT TO MAINTAIN OUR UNIQUE COMMUNITY HOSPITAL IDENTITY, OFFERING PERSONALIZED SERVICES.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees711TotalNbrEmployees
Total Nbr Volunteers35TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year771822ContributionsGrantsPriorYear
Contributions Grants Current Year1699975ContributionsGrantsCurrentYear
Program Service Revenue Prior Year70301571ProgramServiceRevenuePriorYear
Program Service Revenue CY70592055ProgramServiceRevenueCY
Investment Income Prior Year1053727InvestmentIncomePriorYear
Investment Income Current Year1063037InvestmentIncomeCurrentYear
Other Revenue Prior Year287672OtherRevenuePriorYear
Other Revenue Current Year247483OtherRevenueCurrentYear
Total Revenue Prior Year72414792TotalRevenuePriorYear
Total Revenue Current Year73602550TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year43120877SalariesEtcPriorYear
Salaries Etc Current Year43418582SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year28817017OtherExpensePriorYear
Other Expenses Current Year28986705OtherExpensesCurrentYear
Total Expenses Prior Year71937894TotalExpensesPriorYear
Total Expenses Current Year72405287TotalExpensesCurrentYear
Revenues Less Expenses Prior Year476898RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1197263RevenuesLessExpensesCY
Total Assets BOY98203505TotalAssetsBOY
Total Assets EOY98454205TotalAssetsEOY
Total Liabilities BOY39435255TotalLiabilitiesBOY
Total Liabilities EOY39078365TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY58768250NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY59375840NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionREDINGTON-FAIRVIEW GENERAL HOSPITAL WILL PROVIDE A LEADERSHIP ROLE TO DEVELOP, PROVIDE AND/OR FACILITATE HEALTH CARE SERVICES THAT ARE CONSISTENT, EFFECTIVE, ACCESSIBLE, SAFE, PATIENT CENTERED, TIMELY, AND EFFICIENTLY PROVIDED.RFGH AND ITS HOSPITAL STAFF WILL ADHERE TO THE HOSPITALS' MISSION, VISION AND STRATEGIC PLAN IN PROVIDING EXCEPTIONAL HEALTHCARE TO THE COMMUNITY IT SERVES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense26165449Expense
Revenue15893013Revenue
DescriptionREDINGTON-FAIRVIEW GENERAL HOSPITAL (RFGH) IS LICENSED AS A CRITICAL ACCESS HOSPITAL OPERATING 25 BEDS. RFGH EMPLOYS HOSPITALISTS WHO ARE PHYSICIANS DEDICATED TO THE TREATMENT OF INPATIENTS. INPATIENTS SERVICES INCLUDES MEDICAL AND SURGICAL, SPECIAL CARE, OBSTETRICS AND PEDIATRICS. DURING FISCAL 2012, RFGH PROVIDED INPATIENT SERVICES TO 1,543 PATIENTS WHO STAYED 4,925 PATIENT DAYS. MEDICARE AND MEDICAID PATIENTS REPRESENTED 77% OF RFGH'S INPATIENTS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense20510275Expense
Revenue47003810Revenue
DescriptionRFGH PROVIDES 24 HOUR SEVEN DAY A WEEK EMERGENCY SERVICES. THESE SERVICES INCLUDE AN EMERGENCY DEPARTMENT STAFFED WITH PHYSICIANS 24 HOURS A DAY AS WELL AS AN AMBULANCE SERVICE WHICH OPERATES 24 HOURS A DAY. DURING FISCAL 2012, RFGH HAD 24,823 EMERGENCY DEPARTMENT VISITS AND 3,821 AMBULANCE RUNS. IN ADDITION TO EMERGENCY SERVICES, THE HOSPITAL PROVIDES A FULL RANGE OF SERVICES, RADIOLOGY, C.T., ULTRASOUND, NUCLEAR MEDICINE, BLOOD BANK, PATHOLOGY, CARDIOLOGY AND LABORATORY SERVICES. IN TOTAL, THESE SERVICES TREATED APPROXIMATELY 51,000 PATIENTS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense12580803Expense
Revenue7740356Revenue
DescriptionRFGH OPERATES A NUMBER OF PHYSICIAN OFFICES IN ORDER TO BETTER SERVE THE RESIDENTS OF SOMERSET COUNTY. DURING FISCAL 2011, THESE PHYSICIAN SPECIALTIES INCLUDED INTERNAL MEDICINE, GENERAL SURGERY, ORTHOPEDICS, PEDIATRICS,FAMILY MEDICINE AND NEUROLOGY. DURING FISCAL 2012, THESE PHYSICIAN SPECIALTIES SERVED 10,705 PATIENTS WHO TOTALLED 39,007 VISITS AT THESE OFFICES.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp987015TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev940415TotalOfOtherProgramServiceRev
Total Program Service Expense60243542TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccounttrueEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109668NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees711NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonRICHARD D WILLETTNamePerson
Telephone Number2078582315TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line146 FAIRVIEW AVEAddressLine1
CitySKOWHEGANCity
StateMEState
ZIP Code049760468ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
GINA GOMEZ MD
Director50.00X23528000
JOHN WITHERSPOON
Director2.00X000
MICHAEL LAMBKE MD
Director2.00X9832100
WILLIAM LANEY
Treasurer2.00X000X
MICHAEL CURRAN MD
Director50.00X45042600
DONNA FINLEY
Director2.00X000
JEFFREY LLOYD
Director2.00X000
L JOSEPH CLARK
Vice President2.00X000X
CHRISTOPHER PERKINS
President2.00X000X
DANA C KEMPTON
CFO50.002447780459052X
RICHARD D WILLETT
CEO/SECRETARY50.003444270183092X
TIRUNELLAI R SHANKAR
Surgeon50.0034984800X
AMIR BAIG MD
ANESTHESIOLOGIST50.0033314600X
JOHN COMIS MD
ER PHYSICIAN50.0033371300X
DEEP ACHARYA
ER PHYSICIAN50.0027288100X
CARMEN CROFOOT MD
ORTHOPEDIC SURG50.0039890100X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3061721TotalReportableCompFromOrg
Total Other Compensation642144TotalOtherCompensation
Number Individuals GT100 K9NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
VISTA STAFFING SOLUTIONS
275 EAST 200 SOUTHSALT LAKE CITYUT84111CLINICAL STAFFING638043
SYSTEM ENGINEERING
120 EXCHANGE STREETPORTLANDME04101INFORMATION TECH SRV220285
SECURITAS SECURITY
PO BOX 403412ATLANTAGA303843412SECURITY PERSONNEL221376
QUEST DIAGNOSTIC INC
5763 COLLECTION CENTER DRCHICAGOIL60693LAB TESTING333482
DAHL-CHASE DIAGNOSTIC SERVICES
417 STATE STREETBANGORME04401LAB TESTING241274
FieldValueIRS element (for citing)
Number Of Contractors GT100 K12NumberOfContractorsGT100K
Government Grants657302GovernmentGrants
All Other Contributions1042673AllOtherContributions
Total Contributions1699975TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT REVENUEDescription
Total Revenue Column70592055TotalRevenueColumn
Related Or Exempt Function Income70592055RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue70592055TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1063037TotalRevenueColumn
Exclusion$1,063,037ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
OTHER MISCELLANEOUS2588725887
CAFETERIA221596$221,596
FieldValueIRS element (for citing)
Total Other Revenue247483TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column73602550TotalRevenueColumn
Related Or Exempt Function Income70617942RelatedOrExemptFunctionIncome
Exclusion$1,284,633ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2015376Total
Program Services784027ProgramServices
Management And General1231349ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total31553001Total
Program Services27305315ProgramServices
Management And General4247686ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1746305Total
Program Services1410665ProgramServices
Management And General335640ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5892106Total
Program Services4759643ProgramServices
Management And General1132463ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2211794Total
Program Services1786687ProgramServices
Management And General425107ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total100524Total
Management And General100524ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total57014Total
Management And General57014ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total9178Total
Management And General9178ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total179986Total
Management And General179986ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2799710Total
Program Services2508975ProgramServices
Management And General290735ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total98121Total
Management And General98121ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4227222Total
Program Services3719984ProgramServices
Management And General507238ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2463799Total
Program Services603926ProgramServices
Management And General1859873ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1229121Total
Program Services1023941ProgramServices
Management And General205180ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total93740Total
Program Services86386ProgramServices
Management And General7354ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total224597Total
Program Services182368ProgramServices
Management And General42229ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1146362Total
Program Services942539ProgramServices
Management And General203823ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4002691Total
Program Services3197609ProgramServices
Management And General805082ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total692516Total
Program Services569958ProgramServices
Management And General122558ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAID PROVIDER TAX12931701293170
Equipment & Maintenance19594071815406144001
PHARMACEUTICALS28962782896278
Bad Debt Expense42909014290901

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1222368Total
Program Services1065764ProgramServices
Management And General156604ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total72405287Total
Program Services60243542ProgramServices
Management And General12161745ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY6869798BOY
EOY3249915EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3303905BOY
EOY4121807EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY8568460BOY
EOY10639363EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY459206BOY
EOY417904EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1325087BOY
EOY1309026EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY93356BOY
EOY100294EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis65595907LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec37357611LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY29512074BOY
EOY28238296EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY39869998BOY
EOY40439720EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY8201621BOY
EOY9937880EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY98203505BOY
EOY98454205EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY8767701BOY
EOY9107676EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY24620010BOY
EOY23891500EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6047544BOY
EOY6079189EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY39435255BOY
EOY39078365EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY57989639BOY
EOY58497358EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY778611BOY
EOY878482EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY58768250BOY
EOY59375840EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY98203505BOY
EOY98454205EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1197263ReconcilationRevenueExpenses
Reconcilation Other Changes-589673ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals9178FilingOrganizationsTotals
Affiliated Group Totals9178AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals9178FilingOrganizationsTotals
Affiliated Group Totals9178AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals9178FilingOrganizationsTotals
Affiliated Group Totals9178AffiliatedGroupTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals1836FilingOrganizationsTotals
Affiliated Group Totals1836AffiliatedGroupTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals459FilingOrganizationsTotals
Affiliated Group Totals459AffiliatedGroupTotals

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

FieldValueIRS element (for citing)
Filing Organizations Totals7342FilingOrganizationsTotals
Affiliated Group Totals7342AffiliatedGroupTotals
FieldValueIRS element (for citing)
Form4720 FiledfalseForm4720Filed

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus31000000CurrentYearMinus3
Current Year Minus21000000CurrentYearMinus2
Current Year Minus11000000CurrentYearMinus1
Current Year1000000CurrentYear
Total4000000Total
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus39378CurrentYearMinus3
Current Year Minus29734CurrentYearMinus2
Current Year Minus18973CurrentYearMinus1
Current Year9178CurrentYear
Total37263Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3250000CurrentYearMinus3
Current Year Minus2250000CurrentYearMinus2
Current Year Minus1250000CurrentYearMinus1
Current Year250000CurrentYear
Total1000000Total
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmount

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis300981OtherCostOrOtherBasis
Book Value300981BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis38145414OtherCostOrOtherBasis
Depreciation16635057Depreciation
Book Value21510357BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis27149512OtherCostOrOtherBasis
Depreciation20722554Depreciation
Book Value6426958BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings28238296TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
SOMERSET FITNESS CENTER138302
ESTIMATED THIRD PARTY SETTLEMENTS9063649
DISCOUNT ON BONDS PAYABLE60230
DEFERRED FINANCING CHARGES675699
FieldValueIRS element (for citing)
Total Book Value Other Assets9937880TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionLIABILITY FOR PENSION BENEFITSDescription
Amount$6,079,189Amount
FieldValueIRS element (for citing)
Total Of Amounts6079189TotalOfAmounts
Total Revenue73602550TotalRevenue
Total Expenses72405287TotalExpenses
Excess Or Deficit For Year1197263ExcessOrDeficitForYear
Net Unrealized GL On Investments173650NetUnrealizedGLOnInvestments
Other-$763,323OtherAmount
Total Adjustments-589673TotalAdjustments
Excess Or Deficit Per FS607590ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt73776200TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments173650NetUnrealizedGainsInvestments
Revenue Not Rptd F990173650RevenueNotRptdF990
Revenue Subtotal73602550RevenueSubtotal
Total Revenue Per Form99073602550TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt72405287TotExpensesEtcAuditedFinclStmt
Expenses Subtotal72405287ExpensesSubtotal
Total Expenses Per Form99072405287TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XPart X : FIN48 FootnoteSCHEDULE D - PART X:THE HOSPITAL IS EXEMPT FROM TAXES UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE.MANAGEMENT EVALUATED THE HOSPITAL'S TAX POSITIONS AND CONCLUDED THAT THE HOSPITAL HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRED ADJUSTMENTS TO THE FINANCIAL STATEMENTS. WHEN NECESSARY, THE HOSPITAL ACCOUNTS FOR INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS AS PART OF ITS PROVISION FOR FEDERAL AND STATE INCOME TAXES.THE HOSPITAL DOES NOT EXPECT THAT UNRECOGNIZED TAX BENEFITS OR LIABILITIES ARISING FROM TAX POSITIONS WILL CHANGE SIGNIFICANTLY WITHIN THE NEXT TWELVE MONTHS. THE HOSPITAL IS SUBJECT TO U.S FEDERAL AND STATE EXAMINATIONS BY TAX AUTHORITIES FOR YEARS ENDING JUNE 30,2009 THROUGH 2012.
Part XI, Line 8Part XI, Line 8: Other Changes in Net Assets or Fund Balancesincrease in temporarily restricted assets $99871 ADOPTION OF FASB 158 $ -863194

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent150XPcent150
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport
Report Publically AvailablefalseReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1418192TotalCommunityBenefitExpense
Net Community Benefit Expense1418192NetCommunityBenefitExpense
Percent Of Total Expense0.01960PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense1418192TotalCommunityBenefitExpense
Net Community Benefit Expense1418192NetCommunityBenefitExpense
Percent Of Total Expense0.01960PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1047557TotalCommunityBenefitExpense
Net Community Benefit Expense1047557NetCommunityBenefitExpense
Percent Of Total Expense0.01450PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense13918328TotalCommunityBenefitExpense
Direct Offsetting Revenue7223523DirectOffsettingRevenue
Net Community Benefit Expense6694805NetCommunityBenefitExpense
Percent Of Total Expense0.09250PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense14965885TotalCommunityBenefitExpense
Direct Offsetting Revenue7223523DirectOffsettingRevenue
Net Community Benefit Expense7742362NetCommunityBenefitExpense
Percent Of Total Expense0.10700PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense16384077TotalCommunityBenefitExpense
Direct Offsetting Revenue7223523DirectOffsettingRevenue
Net Community Benefit Expense9160554NetCommunityBenefitExpense
Percent Of Total Expense0.12660PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$2,386,642BadDebtExpenseAmount
Amount Attributable To238664AmountAttributableTo
Amount Reimbursed By Medicare24422478AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare24660940CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-238462MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number0FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1REDINGTON-FAIRVIEW GENERAL HOSBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line146 FAIRVIEW AVENUE PO BOX 468AddressLine1
CitySKOWHEGANCity
StateMEState
ZIP Code04976ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
Critical Access HospitalXCriticalAccessHospital

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1REDINGTON-FAIRVIEW GENERAL HOSBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Take Into AccounttrueTakeIntoAccount
Other FacilitiesfalseOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
On RequestXOnRequest
Other MethodXOtherMethod
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Participate Community PlanXParticipateCommunityPlan
Prioritize Health NeedsXPrioritizeHealthNeeds
All Needs AddressedtrueAllNeedsAddressed
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent150.0000FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent170.0000FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On NonpaymentfalseActionsOnNonpayment
Collection ActivitiestrueCollectionActivities
Report To Credit AgencyXReportToCreditAgency
LawsuitXLawsuit
Lien On ResidenceXLienOnResidence
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Lowest Negotiated RatesXLowestNegotiatedRates
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part VI - Additional InformationPART VI RE: PART III QUESTIONS 4BAD DEBTS: IN FULFILLING ITS CHARITABLE MISSION, THE HOSPITAL GRANTS CREDIT WITHOUT COLLATERAL TO THEIR PATIENTS, MANY OF WHOM ARE INSURED UNDER THIRD-PARTY PAYOR AGREEMENTS. AT JUNE 30, 2011 AND 2010, NET ACCOUNTS RECEIVABLE RELATING TO PATIENTS WITHOUT INSURANCE WAS 2.9% AND 8.5%, RESPECTIVELY.ACCOUNTS RECEIVABLE ARE STATED AT THE AMOUNT THAT MANAGEMENT EXPECTS TO COLLECT. MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS THROUGH A CHARGE TO THE STATMENT OF CHANGES IN NET ASSETS AND A CREDIT TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON ITS ASSESSMENT OF THE CURRENT STATUS OF INDIVIDUAL ACCOUNTS. BALANCES THAT ARE STILL OUTSTANDING AFTER MANAGEMENT HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE ALLOWANCE ACCOUNT AND A CREDIT TO ACCOUNTS RECEIVABLE.
Part VI - Affilated Health Care System Roles and PromotionREDINGTON-FAIRVIEW GENERAL HOSPITAL IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.
Part VI - Explanation Of How Organization Furthers Its Exempt PurposeSEE ATTACHED STATEMENT
Part VI - Community Building ActivitiesSEE ATTACHED STATEMENT
Part VI - Patient Education of Eligibility for AssistanceSEE ATTACHED STATEMENT
Part VI - Needs AssessmentSEE ATTACHED STATEMENT
Part V, Line 5c - Description of Making Needs Assessment Widely AvailableSEE ATTACHED STATEMENTNumber of Hospital Faciltiy - 0
Part V, Line 3 - Account Input from Person Who Represent the CommunitySEE ATTACHED STATEMENTNumber of Hospital Faciltiy - 0

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrg
TIRUNELLAI R SHANKAR
2506238395215273349848
RICHARD D WILLETT
32216522262527519183092
MICHAEL CURRAN MD
3476848721815524450426
JOHN COMIS MD
31800615707333713
GINA GOMEZ MD
211201577018309235280
DEEP ACHARYA
25874914132272881
DANA C KEMPTON
22506919709703830459052
CARMEN CROFOOT MD
3467963750014605398901
AMIR BAIG MD
31633116815333146

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuer
MAINE HEALTH & HIGHER EDUCATION FACILITY
010314384560427JA52010-06-24108030000BOND REFINANCINGtruefalse
MAINE HEALTH & HIGHER EDUCATION FACILITY AUTHORITY
010314384560425V802007-11-0172040461REPLACEMENT OF TWO BOILERS, PURCHASE OF A BACK-UP GENERATORfalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCapital ExpendituresCapitalExpenditures
356192448677843890004187686389372010falsetruetruetrue
2388203215135793043032009falsefalsetruetrue23577729

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalsetrue
falsefalsefalsefalsetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
falsefalsefalsefalsefalsefalse
falsefalsefalsefalsefalsefalse
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableREDINGTON FAIRVIEW GENERAL MAKE ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsANNUALLY THE CONFLICT OF INTERESTS DISCLOSURE IS REVIEWED WITH THE MEMBERS OF THE BOARD AND DIRECTORS, WHO THEN SIGN THE DISCLOSURE
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessPRIOR TO THE FILING THE FORM 990, THE HOSPITAL'S CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER REVIEWED THE FILING IN DETAIL WITH THE EXECUTIVE COMMITTEE OF THE HOSPITAL BOARD, WHICH IS COMPOSED OF THE PRESIDENT, THE VICE PRESIDENT, AND THE TREASURER OF THE HOSPITAL. THE OFFICERS FOUND THE FILING TO BE COMPREHENSIVE AND COMPLETE. THE OTHER SIX HOSPITAL BOARD MEMBERS HAVE BEEN NOTIFIED THAT THE FORM 990 IS AVAILABLE FOR THE DETAILED REVIEW IF THEY SHOULD SO DESIRE.
Form 990, Part III, Line 4dForm 990, Part III, Line 4d : Other Program Services DescriptionOTHER PROGRAM SERVICES 4: FORM 990, PART III, LINE 4D: OTHER PROGRAM SERVICES DESCRIPTIONSee attached statement

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1SOMERSET FITNESS CENTER INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 3158AddressLine1
CitySKOWHEGANCity
StateMEState
ZIP Code04976ZIPCode
FieldValueIRS element (for citing)
EIN010524417EIN
Primary ActivitiesFITNESS ACTIVITIES FOR MEMBERSPrimaryActivities
Legal Domicile StateMELegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1REDINGTON FAIRVIEW GENERAL HOSPITALBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
FAIRVIEW HOSPITAL INC
PO BOX 468SKOWHEGANME04976010222130SOLE SUPPORTING ORGANIZATION OF RFGHME501 c (3)11 (d)NAfalse
REDINGTON MEMORIAL HOSPITAL ASSN
PO BOX 468SKOWHEGANME04976010211154SOLE SUPPORTING ORGANIZATION OF RFGHME501 c (3)11 (d)NAfalse

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1SOMERSET SPORTS & FITNESS CENTERBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16 COMMERCE DRIVEAddressLine1
CitySKOWHEGANCity
StateMEState
ZIP Code04976ZIPCode
FieldValueIRS element (for citing)
EIN010524417EIN
Primary ActivityFITNESS CENTERPrimaryActivity
Legal Domicile StateMELegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1RFGHBusinessNameLine1
FieldValueIRS element (for citing)
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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