FURP.ORG / PUBLIC DATA EXPLORER

CENTRAL MAINE MEDICAL CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
CENTRAL MAINE MEDICAL CENTER (EIN 01-0211494)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-14
IRS object ID
201341349349304829
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)
Timestamp2013-05-14T14:39:28-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1910 E ST LOUIS 200/PO BOX 1190AddressLine1
CitySPRINGFIELDCity
StateMOState
ZIP Code658062523ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN010211494EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CENTRAL MAINE MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% PHIL MORISSETTEInCareOfName
Name ControlCENTNameControl
Phone2077952972Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 4500AddressLine1
CityLEWISTONCity
StateMEState
ZIP Code042434500ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMATTHEW COXName
TitleTREASURERTitle
Date Signed2013-04-17DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBrian D ToddName
Phone4178658701Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLAIRD COVEYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1300 MAIN STREETAddressLine1
CityLEWISTONCity
StateMEState
ZIP Code04240ZIPCode
FieldValueIRS element (for citing)
Gross Receipts332892170GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CMMC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1888YearFormation
State Legal DomicileMEStateLegalDomicile
Activity Or Mission DescriptionCMMC STRIVES TO PROVIDE EXCEPTIONAL HEALTHCARE SERVICES. THE HOSPITAL DEPENDS ON THE EXPERTISE OF ITS CAREGIVERS IN ADDITION TO THE COMMITMENT AND COMPASSION THEY PROVIDE TO FULFILL ITS MISSION.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees2419TotalNbrEmployees
Total Nbr Volunteers1000TotalNbrVolunteers
Total Gross UBI373841TotalGrossUBI
Net Unrelated Business Txbl Income-56806NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1929956ContributionsGrantsPriorYear
Contributions Grants Current Year3966975ContributionsGrantsCurrentYear
Program Service Revenue Prior Year307216974ProgramServiceRevenuePriorYear
Program Service Revenue CY323332135ProgramServiceRevenueCY
Investment Income Prior Year717616InvestmentIncomePriorYear
Investment Income Current Year761529InvestmentIncomeCurrentYear
Other Revenue Prior Year-1300129OtherRevenuePriorYear
Other Revenue Current Year82469OtherRevenueCurrentYear
Total Revenue Prior Year308564417TotalRevenuePriorYear
Total Revenue Current Year328143108TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year9200GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY2408132GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year161421646SalariesEtcPriorYear
Salaries Etc Current Year160620748SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year5694TotalFundrsngExpCurrentYear
Other Expense Prior Year156300142OtherExpensePriorYear
Other Expenses Current Year168047303OtherExpensesCurrentYear
Total Expenses Prior Year317730988TotalExpensesPriorYear
Total Expenses Current Year331076183TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-9166571RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-2933075RevenuesLessExpensesCY
Total Assets BOY279256735TotalAssetsBOY
Total Assets EOY305089875TotalAssetsEOY
Total Liabilities BOY195393908TotalLiabilitiesBOY
Total Liabilities EOY223909421TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY83862827NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY81180454NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE EXCEPTIONAL HEALTHCARE SERVICES IN A SAFE AND TRUSTFUL ENVIRONMENT THROUGH THE EXPERTISE, COMMITMENT AND COMPASSION OF OUR FAMILY OF CAREGIVERS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense266155429Expense
Grants2408132Grants
Revenue323332135Revenue
DescriptionCENTRAL MAINE MEDICAL CENTER IS A 250-BED, NOT-FOR-PROFIT HOSPITAL LOCATED IN LEWISTON, MAINE OFFERING COMPREHENSIVE HEALTHCARE SERVICES TO THE RESIDENTS OF THE CENTRAL AND WESTERN MAINE REGION WITH AN ACTIVE MEDICAL STAFF OF MORE THAN 300 PHYSICIANS REPRESENTING SOME 30 SPECIALTIES OVER 2,000 HIGHLY SKILLED EMPLOYEES AND WITH THE SUPPORT OF THE LATEST TECHNOLOGIES, CMMC IS WELL POSITIONED TO MEET THE REGION'S HEALTHCARE NEEDS WITH THE UTMOST COMPASSION, KINDNESS, AND UNDERSTANDING.Description
Total Program Service Expense266155429TotalProgramServiceExpense
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 EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPtrueLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096192NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2419NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledMEStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonPHIL MORISSETTENamePerson
Telephone Number2077952972TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line129 LOWELL STREET LEWISTON MEAddressLine1
CityLEWISTONCity
StateMEState
ZIP Code04240ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
PAULINE V BEALE OD
CHAIRMAN1.0XX000
RICHARD L ROY
VICE CHAIRMAN1.0XX000
MARK A ADAMS
TRUSTEE1.0X000
SHARON BUCKLEY
TRUSTEE BEGINNING 3/20121.0X000
PETER E CHALKE
SYSTEM EXECUTIVE1.0XX0811982439996
MICHAEL TOMPKINS
TRUSTEE1.0X000
STEPHEN M COSTELLO
TRUSTEE1.0X000
DEBORAH HAIRE
TRUSTEE BEGINNING 6/20121.0X000
JULIE SHACKLEY
TRUSTEE ENDING 10/20111.0X000
LAWRENCE OLIVER
TRUSTEE55.0X321820035262
JOHN E BLANCHARD
TRUSTEE1.0X000
PHILIPPE NADEAU
TRUSTEE1.0X000
RONALD PEYSER
TRUSTEE1.0X000
MARK CARRIER
TRUSTEE1.0X000
NANCY WILKINS
TRUSTEE ENDING 6/20121.0X000
CANDACE SANBORN
TRUSTEE BEGINNING 3/20121.0X000
REBECCA WEBBER
TRUSTEE BEGINNING 6/20121.0X000
MATTHEW COX
TREASURER1.0X036755837284
CAROL J MORIN
SECRETARY1.0X08114315510
LAIRD COVEY
PRESIDENT - CMMC1.0X0408372112021
GLENN FOCHT
PHYSICIAN PRACTICE EXECUTIVE1.0X040649241463
JAMIE LOGGINS MD
PHYSICIAN DIVISION CHIEF55.0509958038929X
WILLIAM LEE MD
PHYSICIAN DIVISION CHIEF55.0322249085184X
DAVID LAUVER MD
PHYSICIAN DIVISION CHIEF55.0274205035566X
GUILLERMO CANDIA MD
PHYSICIAN55.0746074037693X
DANIEL LALONDE MD
PHYSICIAN55.0801291022589X
PATRICIO MUJICA MD
PHYSICIAN55.0827476035240X
JOHN LEWANDOWSKI
PHYSICIAN55.0639632043133X
OSWALDO BISBAL
PHYSICIAN55.0845088046143X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5287793TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2075547TotalReportableCompFrmRltdOrgs
Total Other Compensation1026013TotalOtherCompensation
Number Individuals GT100 K293NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensation
CONSIGLI CONSTRUCTION CO INC
CONSTRUCTION4929090
UNITED AMBULANCE SERVICES
MEDICAL TRANSIT3575206
CPS INC
PHARMACY SERVICES3616404
ANESTHESIA ASSOCIATES OF LA
MEDICAL SERVICES2212821
ST JUDE MEDICAL
MEDICAL SERVICES2524205
FieldValueIRS element (for citing)
Number Of Contractors GT100 K43NumberOfContractorsGT100K
Fundraising Events2015963FundraisingEvents
Government Grants362835GovernmentGrants
All Other Contributions1588177AllOtherContributions
Noncash Contributions52634NoncashContributions
Total Contributions3966975TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE900099312468572312468572
PHARMACY REVENUE44611025362192536219
CAFETERIA REVENUE900099758058758058
OTHER REVENUE90009975692867569286
FieldValueIRS element (for citing)
Total Program Service Revenue323332135TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column127145TotalRevenueColumn
Exclusion$127,145ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column276715TotalRevenueColumn
Exclusion$276,715ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real14089Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real14089Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column14089TotalRevenueColumn
Exclusion$14,089ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities3381991Securities
Other75778Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities3098344Securities
Other1756Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities283647Securities
Other74022Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column357669TotalRevenueColumn
Exclusion$357,669ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events306669GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events2015963CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses630950FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-324281TotalRevenueColumn
Exclusion-$324,281ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Sales Of Inventory1391853GrossSalesOfInventory
Cost Of Goods Sold1018012CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column373841TotalRevenueColumn
Unrelated Business Revenue373841UnrelatedBusinessRevenue

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionEQUITY INVESTMENTDescription
Business Code900099BusinessCode
Total Revenue Column18820TotalRevenueColumn
Exclusion$18,820ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue18820TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column328143108TotalRevenueColumn
Related Or Exempt Function Income323332135RelatedOrExemptFunctionIncome
Unrelated Business Revenue373841UnrelatedBusinessRevenue
Exclusion$470,157ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total2408132Total
Program Services2408132ProgramServices

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)
Total1623173Total
Program Services1623173ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total145661Total
Program Services145661ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total135234520Total
Program Services101911690ProgramServices
Management And General33322830ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total298447Total
Program Services194094ProgramServices
Management And General104353ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total15266055Total
Program Services11529234ProgramServices
Management And General3736821ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total8052892Total
Program Services6091288ProgramServices
Management And General1961604ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total889292Total
Management And General889292ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total167249Total
Management And General167249ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total5625Total
Management And General5625ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total41880278Total
Program Services31678661ProgramServices
Management And General10201617ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total519404Total
Program Services392882ProgramServices
Management And General126522ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total10847379Total
Program Services8200759ProgramServices
Management And General2640926ManagementAndGeneral
Fundraising5694Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3746199Total
Program Services2833662ProgramServices
Management And General912537ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total5216980Total
Program Services3946175ProgramServices
Management And General1270805ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1315297Total
Program Services994904ProgramServices
Management And General320393ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total36139Total
Program Services27336ProgramServices
Management And General8803ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3483594Total
Program Services2635025ProgramServices
Management And General848569ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total21065563Total
Program Services15934203ProgramServices
Management And General5131360ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total7984538Total
Program Services6039584ProgramServices
Management And General1944954ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES & DRUGS3894956338949563
BAD DEBT2651797626517976
REPAIRS & MAINTENANCE411614731134951002652
LICENSES, DUES, SUBSCRIPTIONS1005979760933245046

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total300101Total
Program Services226999ProgramServices
Management And General73102ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total331076183Total
Program Services266155429ProgramServices
Management And General64915060ManagementAndGeneral
Fundraising5694Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3485BOY
EOY9810EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY19209624BOY
EOY21929730EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY191126BOY
EOY224879EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY36113312BOY
EOY33793183EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY31217BOY
EOY5301EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY2282237BOY
EOY2422283EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2853171BOY
EOY2558455EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2376147BOY
EOY9475087EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis338548627LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec182962973LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY148230622BOY
EOY155585654EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY8460266BOY
EOY5102297EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY2989658BOY
EOY3008478EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY56515870BOY
EOY70974718EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY279256735BOY
EOY305089875EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY61311659BOY
EOY83556529EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY281354BOY
EOY267418EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY125857257BOY
EOY123035157EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY7943638BOY
EOY17050317EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY195393908BOY
EOY223909421EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY68364919BOY
EOY65239108EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4188513BOY
EOY5077531EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY11309395BOY
EOY10863815EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY83862827BOY
EOY81180454EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY279256735BOY
EOY305089875EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-2933075ReconcilationRevenueExpenses
Reconcilation Other Changes250702ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

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)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$23,283OtherActivitiesAmount
Total Lobbying Expenditures IIB23283TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierOTHER LOBBYING ACTIVITIESIdentifier
Return ReferenceSCHEDULE C, PART II-B, LINE 1(I)ReturnReference
ExplanationPORTION OF DUES FOR PROFESSIONAL ASSOCIATIONS ATTRIBUTED TO LOBBYING EXPENSES - $23,283.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance15497906BeginningOfYearBalance
Contributions2327217Contributions
Investment Earnings Or Losses-115277InvestmentEarningsOrLosses
Other Expenditures1270445OtherExpenditures
End Of Year Balance16439401EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance13567546BeginningOfYearBalance
Contributions2332798Contributions
Investment Earnings Or Losses801345InvestmentEarningsOrLosses
Other Expenditures1203783OtherExpenditures
End Of Year Balance15497906EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance12631431BeginningOfYearBalance
Contributions2070765Contributions
Investment Earnings Or Losses-32907InvestmentEarningsOrLosses
Other Expenditures1101743OtherExpenditures
End Of Year Balance13567546EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance13848034BeginningOfYearBalance
Contributions908502Contributions
Investment Earnings Or Losses-1683575InvestmentEarningsOrLosses
Other Expenditures441530OtherExpenditures
End Of Year Balance12631431EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.72800PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.27200TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2368022OtherCostOrOtherBasis
Book Value2368022BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis148408756OtherCostOrOtherBasis
Depreciation48458975Depreciation
Book Value99949781BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis4945143OtherCostOrOtherBasis
Depreciation3236894Depreciation
Book Value1708249BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis162496141OtherCostOrOtherBasis
Depreciation126079634Depreciation
Book Value36416507BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis20330565OtherCostOrOtherBasis
Depreciation5187470Depreciation
Book Value15143095BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings155585654TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM AFFILIATES5022891
OTHER RECEIVABLES3051621
DEPOSITS5900
EST AMT DUE FROM 3RD PARTY PYR47451013
INTEREST IN CMHC15443293
FieldValueIRS element (for citing)
Total Book Value Other Assets70974718TotalBookValueOtherAssets
Total Revenue328143108TotalRevenue
Total Expenses331076183TotalExpenses
Excess Or Deficit For Year-2933075ExcessOrDeficitForYear
Net Unrealized GL On Investments-233220NetUnrealizedGLOnInvestments
Other$483,922OtherAmount
Total Adjustments250702TotalAdjustments
Excess Or Deficit Per FS-2682373ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt327743006TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-233220NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities14168DonatedSrvcAndUseOfFacilities
Other Revenues478297OtherRevenues
Revenue Not Rptd F990259245RevenueNotRptdF990
Revenue Subtotal327483761RevenueSubtotal
Other Revenues Not Included659347OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt659347RevenueNotRptdOnFinStmt
Total Revenue Per Form990328143108TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt330425379TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities14168DonatedServicesUseOfFacilities
Other Expenses Included1648962OtherExpensesIncluded
Expenses Not Rptd F9901663130ExpensesNotRptdF990
Expenses Subtotal328762249ExpensesSubtotal
Investment Expenses Not Included25625InvestmentExpensesNotIncluded2
Other Expenses Not Included2308309OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt2313934ExpensesNotRptdOnFinStmt
Total Expenses Per Form990331076183TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
INTENDED USE OF ENDOWMENT FUNDSSCHEDULE D, PART V, LINE 4ENDOWMENT FUNDS ARE USED TO SUPPORT THE ORGANIZATION IN A VARIETY OF WAYS, DEPENDING UPON THE STATED PURPOSE OF EACH FUND. MANY OF THESE FUNDS HELP TO COVER COSTS OF CAPITAL EQUIPMENT PURCHASES, CONTINUING MEDICAL EDUCATION, OR FREE CARE. OTHERS ARE DESIGNATED TO SUPPORT SPECIFIC DEPARTMENTS OF THE HOSPITAL.
UNCERTAIN TAX POSITIONSSCHEDULE D, PART X, LINE 2MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
OTHER CHANGES IN NET ASSETSSCHEDULE D, PART XI, LINE 8$( 483,922) CHANGE IN INTEREST IN CMHC
AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12SCHEDULE D, PART XII, LINE 2D$ 483,922 CHANGE IN INTEREST IN CMHC ( 5,625) INVESTMENT MANAGEMENT FEES ------------- $ 478,297 NET ADJUSTMENT
AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1SCHEDULE D, PART XII, LINE 4B$( 630,950) SPECIAL EVENTS EXPENSES 2,308,309 SPECIAL PURPOSE FUND CONTRIBUTIONS ( 1,018,012) COST OF GOODS SOLD ------------- $ 659,347 NET ADJUSTMENT
AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25SCHEDULE D, PART XIII, LINE 2D$ 630,950 SPECIAL EVENTS EXPENSES 1,018,012 COST OF GOODS SOLD ------------- $ 1,648,962 NET ADJUSTMENT
AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1SCHEDULE D, PART XIII, LINE 4B$ 2,308,309 SPECIAL PURPOSE FUND CONTRIBUTIONS

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1DEMPSEY CHALLENNameOfEvent1
Gross Receipts Event12105288GrossReceiptsEvent1
Charitable Contributions Event11874213CharitableContributionsEvent1
Gross Revenue Event1231075GrossRevenueEvent1
Cash Prizes Event10CashPrizesEvent1
Non Cash Prizes Event17649NonCashPrizesEvent1
Rent Facility Costs Event155475RentFacilityCostsEvent1
Food And Beverage Event114124FoodAndBeverageEvent1
Entertainment Event10EntertainmentEvent1
Other Direct Expenses Event1505032OtherDirectExpensesEvent1
Name Of Event2SPRING GALANameOfEvent2
Gross Receipts Event2105493GrossReceiptsEvent2
Charitable Contributions Event277773CharitableContributionsEvent2
Gross Revenue Event227720GrossRevenueEvent2
Cash Prizes Event20CashPrizesEvent2
Non Cash Prizes Event20NonCashPrizesEvent2
Rent Facility Costs Event20RentFacilityCostsEvent2
Food And Beverage Event211063FoodAndBeverageEvent2
Entertainment Event23500EntertainmentEvent2
Other Direct Expenses Event25533OtherDirectExpensesEvent2
Total Number Of Other Events3TotalNumberOfOtherEvents
Gross Receipts Other Events111851GrossReceiptsOtherEvents
Charitable Contrib Other Events63977CharitableContribOtherEvents
Gross Revenue Other Events47874GrossRevenueOtherEvents
Cash Prizes Other Events3000CashPrizesOtherEvents
Non Cash Prizes Other Events1200NonCashPrizesOtherEvents
Rent Facility Costs Other Events7945RentFacilityCostsOtherEvents
Food And Beverage Other Events6632FoodAndBeverageOtherEvents
Entertainment Other Events0EntertainmentOtherEvents
Other Direct Expenses Other Events9797OtherDirectExpensesOtherEvents
Gross Receipts Total2322632GrossReceiptsTotal
Charitable Contributions Total2015963CharitableContributionsTotal
Gross Revenue Total Events306669GrossRevenueTotalEvents
Cash Prizes Total Events3000CashPrizesTotalEvents
Non Cash Prizes Total Events8849NonCashPrizesTotalEvents
Rent Facility Costs Total Events63420RentFacilityCostsTotalEvents
Food And Beverage Total Events31819FoodAndBeverageTotalEvents
Entertainment Total Events3500EntertainmentTotalEvents
Other Direct Expenses Total Events520362OtherDirectExpensesTotalEvents
Direct Expense Summary Events630950DirectExpenseSummaryEvents
Net Income Summary-324281NetIncomeSummary

Form990 Schedule G Part IV Form990ScheduleGPartIV

FieldValueIRS element (for citing)
IdentifierFUNDRAISING ACTIVITIESIdentifier
Return ReferenceSCHEDULE G, PART II, COLUMN AReturnReference
ExplanationDEMPSEY CHALLENGE - THIS EVENT OCCURS ANNUALLY IN OCTOBER AND OCCUPIES A YEAR-LONG PLANNING AND EXPENSE CYCLE. DUE TO THE OVERLAPPING YEAR CYCLE OF THIS EVENT, EACH REPORTED TAX YEAR WILL HAVE A PORTION OF REVENUE AND EXPENSES ATTRIBUTABLE TO THE EVENT OCCURRING WITHIN THE REPORTABLE TAX YEAR, AS WELL AS SOME EXPENSES, SPONSORSHIPS, REGISTRATIONS AND DONATIONS ASSOCIATED WITH THE FOLLOWING YEAR'S EVENT. AS SUCH, THE AMOUNT REPORTED WITH THIS RETURN IS NOT REPRESENTATIVE OF A SINGLE EVENT'S PROCEEDS; RATHER IT IS A REPORT OF ACTIVITY ENCOMPASSING OVERLAPPING PERIODS FOR AN EVENT THAT CROSSES A REPORTABLE TAX PERIOD.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent150XPcent150
FPG Reference Discounted CarefalseFPGReferenceDiscountedCare
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense9946726TotalCommunityBenefitExpense
Net Community Benefit Expense9946726NetCommunityBenefitExpense
Percent Of Total Expense0.03270PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense44601349TotalCommunityBenefitExpense
Direct Offsetting Revenue41566735DirectOffsettingRevenue
Net Community Benefit Expense3264127NetCommunityBenefitExpense
Percent Of Total Expense0.00990PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense54548075TotalCommunityBenefitExpense
Direct Offsetting Revenue41566735DirectOffsettingRevenue
Net Community Benefit Expense13210853NetCommunityBenefitExpense
Percent Of Total Expense0.04260PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense732528TotalCommunityBenefitExpense
Net Community Benefit Expense732528NetCommunityBenefitExpense
Percent Of Total Expense0.00240PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense2049393TotalCommunityBenefitExpense
Direct Offsetting Revenue1143339DirectOffsettingRevenue
Net Community Benefit Expense906054NetCommunityBenefitExpense
Percent Of Total Expense0.00300PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense100214TotalCommunityBenefitExpense
Net Community Benefit Expense100214NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense2882135TotalCommunityBenefitExpense
Direct Offsetting Revenue1143339DirectOffsettingRevenue
Net Community Benefit Expense1738796NetCommunityBenefitExpense
Percent Of Total Expense0.00570PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense57430210TotalCommunityBenefitExpense
Direct Offsetting Revenue42710074DirectOffsettingRevenue
Net Community Benefit Expense14949649NetCommunityBenefitExpense
Percent Of Total Expense0.04830PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$26,517,976BadDebtExpenseAmount
Amount Attributable To5436185AmountAttributableTo
Amount Reimbursed By Medicare71263890AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare75025652CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-3761762MedicareSurplusOrShortfall

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 Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1CENTRAL MAINE MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1300 MAIN STREETAddressLine1
CityLEWISTONCity
StateMEState
ZIP Code04243ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CENTRAL MAINE MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent150.FPGFreePercent
Uses FPG DiscountedfalseUsesFPGDiscounted
Explains BasistrueExplainsBasis
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities40NumberOfOtherFacilities

Other Facilities OtherFacilities (40 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
CENTRAL MAINE GASTROENTEROLOGY ASSOCIATE
77 BATES STREET SUITE 202LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE SURGICAL ASSOCIATES
12 HIGH STREET SUITE 401LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE HEART ASSOCIATES
60 HIGH STREET GROUND FLOORLEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE OBSTETRICSGYNECOLOGY
12 HIGH STREET SUITE 200LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
FAMILY HEALTH CARE ASSOCIATES
190 STETSON ROADAUBURNME04210OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE PEDIATRICS
12 HIGH STREET SUITE 301LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE HEMATOLOGY & ONCOLOGY
12 HIGH STREET SUITE 102LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE UROLOGY
12 HIGH STREET SUITE 404LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE NEUROLOGY
10 MINOT AVENUELEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE INTERNAL MEDICINE
12 HIGH STREET SUITE 400LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE FAMILY MEDICINE RESIDENCY
76 HIGH STREET 1ST FLOORLEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE FAMILY PRACTICE
12 HIGH STREET SUITE 302LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE BARIATIRC SURGERY
10 HIGH STREET SUITE 105LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE PAIN & HEADACHE CENTER
77 BATES STREET SUITE 101LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE EAR NOSE & THROAT
12 HIGH STREET SUITE 102LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
WOMEN'S SPECIALITY CENTER
287 MAIN STREET SUITE 201LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE PLASTIC SURGERY
287 MAIN STREET SUITE 302LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
MINOT AVENUE FAMILY MEDICINE
789 MINOT AVENUEAUBURNME04210OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE ENDOCRINOLOGY
287 MAIN STREET SUITE 301LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
LISBON FAMILY PRACTICE
2 BISBEE ROADLISBONME04250OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE PULMONARY & CRITICAL CARE
300 MAIN STREETLEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
BRUNSWICK FAMILY HEALTH
329 MAINE STREET SUITE HLEWISTONME04011OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE SLEEP CENTER
60 HIGH STREET LOWER LEVELLEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE PULMONARY & SLEEP MEDICINE
76 HIGH STREET SUITE 300LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
TOPSHAM FAMILY MEDICINE
4 HORTON PLACETOPSHAMME04086OUTPATIENT PHYSICIAN CLINIC
POLAND COMMUNITY HEALTH CENTER
364 MAIN STREETPOLANDME04274OUTPATIENT PHYSICIAN CLINIC
GRAY FAMILY HEALTH CENTER
126 SHAKER ROAD ROUTE 26BGRAYME04039OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE HEART ASSOCIATION
11 EVERGREEN DRIVEOAKLANDME04693OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE SPORTS MEDICINE
77 BATES STREET SUITE 201LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
MECHANIC FALLS FAMILY PRACTICE
22 PLEASANT STREETMECHANIC FALLSME04256OUTPATIENT PHYSICIAN CLINIC
CMMC BLADDER CONTROL CENTER
287 MAIN STREETLEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
BRUNSWICK PEDIATRICS
329 MAINE STREET SUITE JBRUNSWICKME04011OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE HEARING CENTER
12 HIGH STREET SUITE 102LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
INFECTIOUS DISEASE ASSOCIATES
76 HIGH STREET SUITE 200LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE FERTILITY CENTER
287 MAIN STREET SUITE 201LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
BRUNSWICK NEUROLOGY
51 HARPSWELL ROAD SUITE 100BRUNSWICKME04011OUTPATIENT PHYSICIAN CLINIC
BRUNSWICK WOMEN'S HEALTH
331 MAINE STREET SUITE 6BRUNSWICKME04011OUTPATIENT PHYSICIAN CLINIC
BRUNSWICK PULMONOLOGY
329 MAINE STREET SUITE cBRUNSWICKME04011OUTPATIENT PHYSICIAN CLINIC
NORWAY FAMILY MEDICINE
39 MAIN STREETNORWAYME04268OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE HEART ASSOCIATES
329 MAINE STREET SUITE CBRUNSWICKME04011OUTPATIENT PHYSICIAN CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PERCENT OF TOTAL EXPENSESCHEDULE H, PART I, LINE 7, COLUMN FTO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF THE FORM 990 ($331,076,183) WAS REDUCED BY BAD DEBT EXPENSE ($26,517,976).
COSTING METHODOLOGYSCHEDULE H, PART I, LINE 7GTHE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED TO CALCULATE AMOUNTS ON IRS WORKSHEETS 1 AND 3. ALL OTHER WORKSHEETS USED THE ORGANIZATION'S COST ACCOUNTING SYSTEM.
BAD DEBT EXPENSESCHEDULE H, PART III, SECTION A, LINE 4THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE. THAT FOOTNOTE READS AS FOLLOWS: THE CORPORATION REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE CORPORATION PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE CORPORATION BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENTS LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. LINE 2 REPORTS BAD DEBT EXPENSE FROM THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS. BAD DEBT ATTRIBUTABLE TO PATIENTS UNDER THE ORGANIZATION'S CHARITY CARE POLICY FOR LINE 3 WAS DETERMINED USING A COMPARISON OF EXPERIENCED CHARITY CARE COVERAGE AND US CENSUS BUREAU DATA FOR THE MOST RECENT YEAR AVAILABLE WHEN CHARITY CARE CONVERGE EXCEEDS THE CENSUS DATA, A MINIMAL AMOUNT OF BAD DEBT IS ASSUMED TO BE ELIGIBLE FOR CHARITY CARE TO ACCOUNT FOR THOSE PATIENTS WHO REFUSE TO PROVIDE INFORMATION DOCUMENTING ELIGIBILITY FOR THE PROGRAM. THESE ESTIMATES ARE BASED ON STATE-WIDE DATA AND DO NOT ACCOUNT FOR DIFFERENCES IN GEOGRAPHIC LOCATIONS WITHIN THE STATE. AS THIS AMOUNT IS RELATED TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY, IT IS INCLUDED AS A COMMUNITY BENEFIT.
COMMUNITY BENEFITSCHEDULE H, PART III, SECTION B, LINE 8THE COSTING METHODOLOGY USED FOR LINE 6 IS INFORMATION PULLED FROM THE MEDICARE COST REPORT FILING. THE SHORTFALL REPORTED ON LINE 7 COULD BE CONSIDERED COMMUNITY BENEFIT TO A LEVEL PROPORTIONAL TO THE POVERTY LEVELS INDICATED BY CENSUS BUREAU DATA. IN 2010, DATA INDICATES THAT 59.2% OF MAINE RESIDENTS, AGE 65 OR OLDER, ARE BELOW THE 300% FPG LEVEL. IF THESE PATIENTS WERE NOT COVERED BY MEDICARE THEY WOULD QUALIFY UNDER CMMC'S FREE CARE POLICY. UNDER THAT CIRCUMSTANCE, THESE PATIENTS WOULD THEN APPEAR AS PART OF THE STATISTICS ON PART I, LINE 7A.
COLLECTION POLICYSCHEDULE H, PART III, SECTION C, LINE 9BCOLLECTION PRACTICES FOR PATIENTS KNOWN TO BE ELIGIBLE FOR CHARITY CARE ARE LIMITED TO COLLECTING FROM ANY AVAILABLE PAYMENT SOURCES SUCH AS MEDICARE OR MEDICAID. IF A PATIENT IS ELIGIBLE, BUT HAS NOT APPLIED FOR MEDICAID COVERAGE, THE PATIENT IS REQUESTED TO APPLY. ASSISTANCE IS AVAILABLE TO HELP THE PATIENT WITH THE MEDICAID APPLICATION PROCESS. OTHER METHODS USED TO PUBLICIZE THE FINANCIAL ASSISTANCE POLICY SCHEDULE H, PART V, LINE 13G The FAP is posted in all outpatient departments including provider based physicians' offices, Patient Financial Services, and is offered to any patients indicating a financial need when they call customer service or present themselves in the Patient Financial Services department. MAXIMUM AMOUNTS CHARGED TO FAP-ELIGIBLE PATIENTS FOR EMERGENCY CARE SCHEDULE H, PART V, LINE 19D FAP-eligible patients ultimately receive free care. If the patient has insurance, the insurance company would be billed and only the patient responsibility portion, under that carrier's contract, would be billed to the patient. If the patient is uninsured, the patient would be billed with a 20% uninsured discount from gross charges. Once a patient's eligibility is confirmed through the FAP's application process, a FAP adjustment would be applied to the patient's account, bringing the balance to zero.
NEEDS ASSESSMENTSCHEDULE H, PART VI, LINE 2CENTRAL MAINE MEDICAL CENTER PROVIDES A FULL RANGE OF SERVICES TO ITS PRIMARY SERVICE AREA, AS WELL AS THE EXTENDED AREA OF THE ENTIRE CENTRAL MAINE HEALTHCARE SYSTEM. IT ASSESSES THE NEEDS OF ITS VARIOUS COMMUNITIES FROM VARIOUS THIRD-PARTY SURVEYS AND REPORTS, OBSERVATIONS IN ITS PATIENT POPULATION AND THE POPULATIONS OF ITS AFFILIATED SYSTEM HOSPITALS, AS WELL AS ASSISTING WITH STATE-WIDE INITIATES IN PREVENTATIVE MEDICINE AND EDUCATION.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCESCHEDULE H, PART VI, LINE 3CENTRAL MAINE MEDICAL CENTER PROVIDES NOTICES ABOUT ITS FREE CARE POLICY IN ALL CLINICAL DEPARTMENTS AND MAJOR PATIENT AREAS. AN INPATIENT FINANCIAL COUNSELOR VISITS WITH ALL UNINSURED PATIENTS TO DISCUSS OPTIONS, INCLUDING GOVERNMENTAL PROGRAM ELIGIBILITY AND FREE CARE ASSISTANCE IS AVAILABLE TO HELP PATIENTS WITH COMPLETION OF MEDICAID APPLICATIONS. ALL PATIENT FINANCIAL SERVICES STAFF ARE TRAINED TO OFFER FREE CARE AS AN OPTION TO PATIENTS WHO INDICATE AN INABILITY OR DIFFICULTY IN PAYING FOR SERVICES. INFORMATION ABOUT FINANCIAL ASSISTANCE AVAILABILITY IS INCLUDED ON THE BACK OF EVERY PATIENT STATEMENT. ADDITIONALLY, UNINSURED PATIENTS RECEIVE A SEPARATE INFORMATION SHEET WITH THEIR STATEMENTS, FURTHER INFORMING THEM ABOUT THE AVAILABLE OPTIONS.
COMMUNITY INFORMATIONSCHEDULE H, PART VI, LINE 4CENTRAL MAINE MEDICAL CENTER, LOCATED IN LEWISTON, MAINE SERVES A PRIMARY AREA OF ANDROSCOGGIN COUNTY IN CENTRAL MAINE. ADDITIONALLY, IT SERVES PORTIONS OF CUMBERLAND, FRANKLIN, KENNEBEC, OXFORD, AND SAGADAHOC COUNTIES. THE LEWISTON-AUBURN AREA IS URBAN, FOR MAINE STANDARDS, BUT QUICKLY BECOMES SUBURBAN TO ALMOST-RURAL QUICKLY OUTSIDE THE CITY LIMITS. ANDROSCOGGIN COUNTY HAS A POPULATION OF JUST UNDER 108,000 PERSONS, WHICH MAKES UP APPROXIMATELY 8% OF THE OVERALL MAINE POPULATION. WHILE ALMOST 93% OF THE POPULATION IS MADE UP OF CAUCASIAN PERSONS, MORE THAN 16% SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. THIRTEEN PERCENT OF THE POPULATION IS BELOW THE POVERTY LEVEL, SPECIFICALLY IN LEWISTON, THE THIRD LARGEST CITY IN MAINE, WITH A POPULATION OF APPROXIMATELY 36,600 PERSONS, SIMILAR RACIAL DISTRIBUTIONS ARE OBSERVED, BUT MORE THAN 28% CLAIM A LANGUAGE OTHER THAN ENGLISH AS THEIR PRIMARY. FIFTEEN PERCENT ARE BELOW THE POVERTY LEVEL.
PROMOTION OF COMMUNITY HEALTHSCHEDULE H, PART VI, LINE 5CENTRAL MAINE MEDICAL CENTER HAS AN OPEN MEDICAL STAFF, ALLOWING ANY NON-EMPLOYED OR AFFILIATED PHYSICIANS TO HAVE ADMITTING PRIVILEGES TO THE HOSPITAL. THE BOARD OF DIRECTORS IS MADE UP OF A MAJORITY OF LOCAL COMMUNITY MEMBERS ALONG WITH SOME REPRESENTATION BY DIRECTORS FROM CENTRAL MAINE HEALTHCARE, THE PARENT OF THE HEALTHCARE SYSTEM WHICH CENTRAL MAINE MEDICAL CENTER BELONGS TO, HELPING TO BRING TOGETHER THE VISIONS OF THE LOCAL COMMUNITY WITH THE CAPABILITIES AND VISION OF THE SYSTEM AS A WHOLE FOR THE BENEFIT OF LEWISTON AND SURROUNDING COMMUNITIES.
AFFILIATED HEALTH CARE SYSTEMSCHEDULE H, PART VI, LINE 6CENTRAL MAINE MEDICAL CENTER (CMMC) IS A TERTIARY CARE HOSPITAL IN THE CENTRAL MAINE HEALTHCARE SYSTEM. TWO RURAL, CRITICAL ACCESS HOSPITALS ARE ALSO MEMBERS OF THIS SYSTEM. CMMC PROVIDES A WIDE RANGE OF SPECIALIST PHYSICIANS AND SERVICES TO ITS COMMUNITY, AS WELL AS THE SYSTEM. CMMC PROVIDES PHYSICIANS TO STAFF SPECIALTY CLINICS IN THE RURAL COMMUNITIES SERVED BY THE CRITICAL ACCESS HOSPITALS ON A LIMITED, BUT REGULAR, BASIS. THESE SERVICES WOULD NOT NORMALLY BE SUPPORTED BY THE LIMITED POPULATIONS AND PATIENTS WOULD INSTEAD NEED TO TRAVEL MUCH LONGER DISTANCES TO CONSULT OR VISIT WITH A SPECIALIST. CMMC ALSO PROVIDES ACCESS TO TRAUMA CARE, NEONATAL INTENSIVE CARE, AND SPECIALIZED CARDIAC CARE. THE SYSTEM PARENT, CENTRAL MAINE HEALTHCARE, PROVIDES STREAMLINED ADMINISTRATIVE FUNCTIONS AND BACKROOM SERVICES FOR THE ENTIRE SYSTEM, PROVIDING COST EFFICIENCY AND OTHER BENEFITS TO ALL MEMBERS. THIS ALSO ALLOWS FOR EASY ADMINISTRATIVE HANDLING OF TRANSFERS OF PATIENTS BETWEEN HOSPITALS, AS WELL AS A SINGLE POINT OF CONTACT FOR PATIENTS TO ADDRESS BILLS AND INSURANCE ISSUES.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1CENTRAL MAINE HEALTHCARE CORPORATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 4500AddressLine1
CityLEWISTONCity
StateMEState
ZIP Code04243ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient010386913EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant2308309AmountOfCashGrant
Purpose Of GrantSUPPORTPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierMONITORING USE OF GRANT FUNDSIdentifier
Return ReferenceSCHEDULE I, PART I, LINE 2ReturnReference
ExplanationGRANTS FUNDS WERE RECEIVED THROUGH THE SPECIAL PURPOSE FUND TO BENEFIT CENTRAL MAINE MEDICAL CENTER AND WERE USED TO BENEFIT THE CENTRAL MAINE HEALTHCARE SYSTEM.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
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

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
PETER E CHALKE
0558067011282201410930428229011767012519780127213
LAWRENCE OLIVER
302227013731058620198950153670357082000
MATTHEW COX
0292508051300023750015692021592040484200
LAIRD COVEY
0329582020000058790094627017394052039302237
GLENN FOCHT
0326120039780040592020540020923044795500
GUILLERMO CANDIA MD
6454010225000781730206400170530783767000
DANIEL LALONDE MD
77088002517705234053700172190823880000
PATRICIO MUJICA MD
7520160225000529600179420172980862716000
JOHN LEWANDOWSKI
538380095093061590223370207960682765000
OSWALDO BISBAL
50153003223060212520177200284230891231000
JAMIE LOGGINS MD
3868440557860673280213580175710548887000
WILLIAM LEE MD
2658630444690119170667130184710407433000
DAVID LAUVER MD
194894075471038400189540166120309771000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
CEO COMPENSATIONSCHEDULE J, PART I, LINE 3THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT IS DETERMINED BY THE PARENT CORPORATION'S BOARD OF DIRECTORS' EXECUTIVE COMPENSATION COMMITTEE USING THE FOLLOWING: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANSCHEDULE J, PART I, LINE 4BA PARTICIPANT'S ENTITLEMENT TO BENEFITS WILL VEST ON THE PARTICIPANT'S VESTING DATE PROVIDED THE PARTICIPANT HAS REMAINED IN CONTINUOUS EMPLOYMENT IN THE SAME POSITION WHILE PARTICIPATING IN THIS PLAN. A PARTICIPANT WILL HAVE ONLY ONE VESTING DATE FOR ALL ELECTIVE DEFERRALS AND OTHER PLAN CONTRIBUTIONS MADE ON THE PARTICIPANT'S BEHALF. DURING ALL PLAN YEARS, A PARTICIPANT'S ENTITLEMENT TO BENEFITS WILL ALSO VEST (A) IF THE PARTICIPANT DIES WHILE STILL EMPLOYED BY THE EMPLOYER, (B) IF THE PARTICIPANT'S EMPLOYMENT TERMINATES DUE TO TOTAL DISABILITY; OR (C) IF THE EMPLOYER TERMINATES THE PARTICIPANT'S EMPLOYMENT FOR ANY REASON OTHER THAN FOR "CAUSE". ANY PORTION OF THE PARTICIPANTS ENTITLEMENT TO BENEFITS THAT IS NOT VESTED WHEN THE PARTICIPANT'S EMPLOYMENT WITH THE EMPLOYER TERMINATES, INCLUDING ELECTIVE DEFERRALS, WILL BE FORFEITED. THE EMPLOYER WILL DISTRIBUTE A PARTICIPANT'S BENEFITS UNDER THE PLAN AS SOON AS PRACTICABLE AFTER THE PARTICIPANT'S ENTITLEMENT BECOMES VESTED. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THROUGH CENTRAL MAINE HEALTHCARE CORPORATION, A RELATED ENTITY. $ 69,544 LAIRD COVEY (DEFERRAL) 2,237 LAIRD COVEY (PAYOUT) 12,000 MATTHEW COX (DEFERRAL) 405,206 PETER CHALKE (DEFERRAL) 127,213 PETER CHALKE (PAYOUT) 150 GLENN FOCHT (DEFERRAL)
COMPENSATION REPORTED IN PRIOR FORM 990SCHEDULE J, PART II, COLUMN FCOMPENSATION IS REPORTED ON THE FORM 990 IN THE YEAR THAT THE COMPENSATION IS EARNED BY OR AWARDED TO AN INDIVIDUAL, EVEN IF THE COMPENSATION IS NOT PAID TO THE INDIVIDUAL, IS NOT FULLY VESTED, OR IS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. IF COMPENSATION IS EARNED OR AWARDED IN ONE YEAR BUT PAID IN A LATER YEAR, THEN THE COMPENSATION IS REPORTED A SECOND TIME ON THE FORM 990 IN THE YEAR THE COMPENSATION IS VESTED OR PAID TO THE INDIVIDUAL.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTH
010314384560425LU22003-02-0762898646BUILD & EQUIP FACILITYfalsefalsetrue
MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTH
010314384560425WW62005-12-2928435783REFUND BOND SERIES 1993D, BLDGfalsefalsefalse
MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTH
010314384560427GE02009-12-1056033554FACILITY EXPANSION/CONSTRUCTIONfalsefalsetrue

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Amount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
0062898646538981119178960703668236000054651271002004falsefalsetruetrue
0028435783232564801208242037015080000013577565002006falsetruetruetrue
00560335546631632192331106394100167500032010671002011falsefalsefalsetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalse0.000000.000000.00000true
falsefalsefalsefalse0.000000.000000.00000true
falsefalsefalsefalse0.000000.000000.00000true

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
0
falsefalsefalsefalse0falsefalse
0
falsefalsefalsefalse0falsefalse
0
falsefalsefalsefalse0falsefalse

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonOSWALDO BISBALNamePerson
Purpose Of LoanSALARY ADVANCEPurposeOfLoan
Loan From OrganizationXLoanFromOrganization
Original Principal$30,000OriginalPrincipalAmount
Balance Due5301BalanceDue
DefaultfalseDefault
Approved By BoardfalseApprovedByBoard
Written AgreementtrueWrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due5301TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
PATRICIA E ROY
RELATIVE OF R. ROY134083SALARY AND WAGESfalse
LEWISTON DAILY SUN INC
SEE PART V117168ADVERTISING AND SUBSCRIPTIONfalse
HE CALLAHAN CONSTRUCTION CO
SEE PART V193926CONTRACTORfalse
MARCY COVEY
RELATIVE OF L. COVEY11578SALARY AND WAGESfalse
MECHANICS SAVINGS BANK
SEE PART V835319BANKING AND RELATED SERVICESfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierTRANSACTIONS WITH INTERESTED PERSONSIdentifier
Return ReferenceSCHEDULE L, PART IVReturnReference
ExplanationSTEPHEN COSTELLO, A TRUSTEE OF CENTRAL MAINE MEDICAL CENTER, IS ALSO AN OFFICER OF LEWISTON DAILY SUN, INC. JOHN BLANCHARD, A TRUSTEE OF CENTRAL MAINE MEDICAL CENTER, IS ALSO AN OFFICER OF H.E. CALLAHAN CONSTRUCTION CO. RICHARD ROY, VICE CHAIRMAN OF CENTRAL MAINE MEDICAL CENTER, IS ALSO AN OFFICER OF MECHANICS SAVINGS BANK.Explanation

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F99021400NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty
Securities Publicly TradedSecuritiesPubliclyTraded
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther

Collectibles Collectibles

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990150NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues

Food Inventory FoodInventory

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F99061NoncashContribsRptdF990
Method Of Determining RevenuesCOSTMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XEQUIPMENT524548FMV
XTICKETS36420FMV
XMISC155COST
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierNUMBER OF CONTRIBUTIONSIdentifier
Return ReferenceSCHEDULE B, PART I, COLUMN BReturnReference
ExplanationTHE NUMBER IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS FOR EACH LINE ITEM.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
MEMBERS OF THE ORGANIZATIONFORM 990, PART VI, SECTION A, LINES 6, 7A, & 7BTHE SOLE MEMBER OF CENTRAL MAINE MEDICAL CENTER IS CENTRAL MAINE HEALTHCARE CORPORATION. UP TO THREE TRUSTEES SHALL BE APPOINTED BY THE CHAIRMAN OF CENTRAL MAINE HEALTHCARE CORPORATION FOR A TERM OF ONE YEAR, AND NINE TO FIFTEEN TRUSTEES SHALL BE NOMINATED BY VOTE OF THE BOARD OF TRUSTEES OF THIS CORPORATION AND ELECTED BY THE SOLE MEMBER TO SERVE A TERM OF THREE YEARS. NO MORE THAN FOUR TRUSTEES CAN SIMULTANEOUSLY BE DIRECTORS OF THE CENTRAL MAINE HEALTHCARE CORPORATION. THE SOLE MEMBER HAS THE POWER AND AUTHORITY TO REMOVE ANY TRUSTEES OF CENTRAL MAINE MEDICAL CENTER WITH OR WITHOUT CAUSE. THE MEMBER ALSO APPOINTS THE EXECUTIVE COMPENSATION COMMITTEE. IN ADDITION, THE MEMBER HAS THE SOLE AUTHORITY TO ALTER, AMEND, OR REPEAL THE BYLAWS AT ANYTIME. THE MEMBER SHALL HAVE THE RIGHT TO APPROVE CERTAIN DECISIONS OF THE BOARD OF TRUSTEES, AS DETAILED IN THE BYLAWS OF THE CORPORATION.
FORM 990 REVIEW PROCESSFORM 990, PART VI, SECTION B, LINE 11BALL AFFILIATED FORM 990'S AND APPLICABLE SCHEDULES ARE PREPARED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM IN COOPERATION WITH THE FINANCE DEPARTMENT. THE COMPLETED RETURNS ARE REVIEWED WITH THE DIRECTOR OF FINANCE THEN WITH THE CFO FOLLOWING THAT REVIEW; THEY ARE PRESENTED TO THE FINANCE COMMITTEE OF THE CENTRAL MAINE HEALTHCARE BOARD OF DIRECTORS, WHICH HAS REPRESENTATIVES FROM ALL AFFILIATED BOARDS. ONCE THIS REVIEW IS COMPLETED, ANY NECESSARY CHANGES ARE MADE AND THE FINAL RETURN IS PRESENTED TO ITS RESPECTIVE BOARD WITH THE FINANCE COMMITTEE MEMBER TAKING AND ANSWERING QUESTIONS. A FINANCE DEPARTMENT REPRESENTATIVE, KNOWLEDGEABLE OF THE RETURN, IS AVAILABLE TO ASSIST DURING PRESENTATIONS, IF REQUESTED BY THE FINANCE COMMITTEE MEMBER IN THE EVENT THAT THE NEXT BOARD MEETING IS NOT SCHEDULED UNTIL AFTER THE FILING DATE, THE FINAL RETURN IS MAILED TO ALL BOARD MEMBERS AND THE PRESENTATION OCCURS AT THE NEXT SCHEDULED BOARD MEETING.
MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICYFORM 990, PART VI, SECTION B, LINE 12COFFICERS AND DIRECTORS COMPLETE AN ANNUAL CONFLICT OF INTEREST STATEMENT WHICH IS REVIEWED BY THE CHAIRMAN OF THE BOARD AND CONFORMS TO THE CONDITIONS CONTAINED WITHIN THE CORPORATION'S BYLAWS, WHICH MEET OR EXCEED THE CURRENT IRS REPORTING THRESHOLDS. IN AREAS OF CONFLICT BY THE CHAIRMAN, THE VICE-CHAIRMAN REVIEWS. ADDITIONALLY, AS PART OF THE ANNUAL FORM 990 PREPARATION PROCESS, A SEPARATE QUESTIONNAIRE IS PROVIDED, WHICH INCLUDES DISTRIBUTION TO KEY EMPLOYEES, COVERING REPORTING AREAS OF LOANS, GRANTS, BUSINESS RELATIONSHIPS, AND OTHER CONFLICTS. THESE QUESTIONNAIRES ARE REVIEWED BY THE FINANCE DEPARTMENT FOR REPORTABLE ITEMS FOR THE FORM 990. IN THE CASE OF A POSSIBLE CONFLICT, THE BOARD WOULD REVIEW THE SITUATION AND TAKE ACTIONS DEEMED APPROPRIATE FOR THE POSSIBLE OR ACTUAL CONFLICTS OF MEMBERS OF THE BOARD OR THE EXECUTIVE OFFICERS. IN THE CASE OF KEY EMPLOYEES, THE REVIEW AND ACTIONS TAKEN WOULD BE PERFORMED BY THEIR DIRECT SUPERVISOR.
EXECUTIVE COMPENSATION REVIEWFORM 990, PART VI, SECTION B, LINE 15A & 15BA STANDING EXECUTIVE COMPENSATION COMMITTEE (ECC), COMPRISED OF INDEPENDENT MEMBERS OF BOARD LEADERSHIP, EXISTS TO UNDERTAKE THE PROCESS OF DETERMINING COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, CHIEF MEDICAL OFFICER, PRESIDENT OF CENTRAL MAINE MEDICAL CENTER, PHYSICIAN PRACTICE EXECUTIVE, AND PRESIDENT OF RUMFORD AND BRIDGTON HOSPITALS. THE PROCESS GUIDELINES AND AUTHORITY OF THE ECC ARE SET OUT IN THE EXECUTIVE COMPENSATION PHILOSOPHY AND RESPONSIBILITIES CHARTER WHICH WAS APPROVED BY THE CMHC BOARD. THE ENTIRE CMHC BOARD PARTICIPATES IN THE ANNUAL PERFORMANCE EVALUATION OF EACH EXECUTIVE, INCLUDING A REVIEW OF ACCOMPLISHMENTS RELATIVE TO GOALS AND OBJECTIVES DERIVED FROM THE STRATEGIC PLAN. THE ECC REVIEWS THE RESULTS OF THE ANNUAL PERFORMANCE EVALUATION AND APPROPRIATE COMPARABILITY DATA BASED ON SEVERAL FACTORS RECOMMENDED BY AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT, WHO SPECIALIZES IN NOT-FOR-PROFIT HOSPITALS AND HEALTH SYSTEMS, AND OUR ATTORNEYS. FACTORS USED IN DETERMINING COMPARABILITY TO THE ORGANIZATION INCLUDE SIZE, GEOGRAPHY, ORGANIZATIONAL COMPLEXITY, FACILITY TYPE, OWNERSHIP TYPE, AND ANY OTHER FACTORS DEEMED RELEVANT BY THE COMMITTEE, ITS CONSULTANTS, OR ITS ATTORNEYS. USING THIS INFORMATION, THE ECC ANNUALLY REVIEWS THE EXECUTIVES' COMPENSATION TO DETERMINE IF MODIFICATION TO BASE SALARY IS WARRANTED, AND REVIEWS THE EXECUTIVES' ACCOMPLISHMENTS TO DETERMINE IF ANY VARIABLE PAY IS TO BE AWARDED. THE ENTIRE PROCESS IS THEN DOCUMENTED CONTEMPORANEOUSLY WITH THE DECISION-MAKING PROCESS AND APPROVED THEREAFTER IN ACCORDANCE WITH THE REQUIREMENTS OF THE IRS.
PUBLIC DISCLOSUREFORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST IN THE ORGANIZATION'S ADMINISTRATIVE OFFICES. THE FINANCIAL STATEMENTS OF THE ORGANIZATION ARE INCLUDED IN THE MOST RECENTLY FILED FORM 990 AND PROVIDED, UPON REQUEST, IN THAT FORMAT UNLESS THE SPECIFIC REQUEST DEEMS A DIFFERENT FORMAT MORE APPROPRIATE.
HOURS WORKED FOR RELATED ORGANIZATIONSFORM 990, PART VII, SECTION A, LINE 1A, COLUMN BTHE CENTRAL MAINE HEALTHCARE SYSTEM, WHICH INCLUDES THE FOLLOWING ENTITIES REPORTABLE AS RELATED ORGANIZATIONS ON SCHEDULE R OF THE FORM 990, SHARES EXECUTIVE MANAGEMENT AND GOVERNING BOARD MEMBERS: CENTRAL MAINE HEALTHCARE CORPORATION, CENTRAL MAINE MEDICAL CENTER, CENTRAL MAINE MEDICAL CENTER COLLEGE OF NURSING AND HEALTH PROFESSIONS, RUMFORD HOSPITAL, RUMFORD COMMUNITY FAMILY HEALTH CENTER, RUMFORD COMMUNITY HOME CORPORATION, BRIDGTON HOSPITAL, BRIDGTON HOSPITAL PHYSICIAN'S GROUP, CENTRAL MAINE COMMUNITY HEALTH CORPORATION, CENTRAL MAINE REAL ESTATE MANAGEMENT CORPORATION, CENTRAL MAINE HEART AND VASCULAR INSTITUTE, GARD W. TWADDLE NURSES ENDOWMENT, ELIAS E TUCKER TRUST FUND, CENTRAL MAINE HEALTH VENTURES AND SUBSIDIARIES, AND CWM INSURANCE, LTD. THE PRESIDENT OF CENTRAL MAINE HEALTHCARE SYSTEM, PETER E. CHALKE, ALSO SERVES ON THE BOARDS OF OTHER RELATED ORGANIZATIONS. CAROL J. MORIN AND MATTHEW E. COX, OFFICERS OF CENTRAL MAINE HEALTHCARE CORPORATION, SERVE AS OFFICERS FOR OTHER RELATED ORGANIZATIONS. JOHN WELSH, FORMER PRESIDENT OF RUMFORD HOSPITAL, ALSO SERVED AS AN OFFICER FOR OTHER RELATED ORGANIZATIONS. R. DAVID FRUM, PRESIDENT OF RUMFORD AND BRIDGTON HOSPITALS, ALSO SERVES AS AN OFFICER FOR OTHER RELATED ORGANIZATIONS. LAIRD COVEY, COMPENSATED BY CENTRAL MAINE HEALTHCARE CORPORATION FOR IN HIS CAPACITY AS PRESIDENT OF CENTRAL MAINE MEDICAL CENTER, ALSO SERVES AS AN OFFICER FOR OTHER RELATED ORGANIZATIONS. GLENN FOCHT, EMPLOYED BY CENTRAL MAINE HEALTHCARE CORPORATION, ALSO SERVES AS AN OFFICER FOR OTHER RELATED ORGANIZATIONS. MOST BOARD MEMBERS SERVE ON THE BOARDS OF MULTIPLE RELATED ORGANIZATIONS.
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 5$ 483,922 CHANGE IN INTEREST IN CMHC ( 233,220) NET UNREALIZED GAINS ------------- $ 250,702 NET ADJUSTMENT

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (11 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
CENTRAL MAINE HEART & VASCULAR INSTITUTE
PO BOX 4500LEWISTONME04243542078282HEALTHCAREME501(C)(3)9CMHCfalse
CMMC COLLEGE OF NURSING AND HEALTH PROF
PO BOX 4500LEWISTONME04243010356077EDUCATIONME501(C)(3)2CMMCtrue
CENTRAL MAINE REAL ESTATE MANAGEMENT COR
PO BOX 4500LEWISTONME04243010387674REAL ESTATEME501(C)(2)CMHCfalse
CENTRAL MAINE COMMUNITY HEALTH CORP
PO BOX 4500LEWISTONME04243010386912PUBLIC EDME501(C)(3)7CMHCfalse
RUMFORD COMMUNITY FAMILY HEALTH CENTER
430 FRANKLIN STREETRUMFORDME04276010481000HEALTHCAREME501(C)(3)3CMHCfalse
RUMFORD COMMUNITY HOME CORPORATION
11 JOHN F KENNEDY DRIVERUMFORDME04276222844951NURSING HOMEME501(C)(3)9CMHCfalse
RUMFORD HOSPITAL
PO BOX 619RUMFORDME04276010215227HEALTHCAREME501(C)(3)3CMHCfalse
BRIDGTON HOSPITAL
10 HOSPITAL DRIVEBRIDGTONME04009010130427HEALTHCAREME501(C)(3)3CMHCfalse
BRIDGTON HOSPITAL PHYSICIANS GROUP
SOUTH HIGH STREETBRIDGTONME04009010493083HEALTHCAREME501(C)(3)3CMHCfalse
CENTRAL MAINE HEALTHCARE CORPORATION
PO BOX 4500LEWISTONME04243010386913HEALTHCAREME501(C)(3)11 B IINAfalse
ELIAS E TUCKER TRUST FUND
C/O CMMC 300 MAIN STREETLEWISTONME04240016042343NURSING EDME501(C)(3)11 A ICMMCtrue

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityLegal Domicile Foreign CountryLegalDomicileForeignCountry
CENTRAL MAINE HEALTH VENTURES INC
300 MAIN STREETLEWISTONME04240010430016HEALTHCAREMEN/AC CORP
CWM INSURANCE LTD
980220891INSURANCEN/AC CORPCJ
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
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 OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
CMMC COLLEGE OF NURSING AND HEALTH PROFESSION
A443921FMV
CMMC COLLEGE OF NURSING AND HEALTH PROFESSION
N1796602FMV