ST MARYS REGIONAL MEDICAL CENTER: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- ST MARYS REGIONAL MEDICAL CENTER (EIN 01-0211551)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-07-24
- IRS object ID
- 201202069349300010
- Schema version
- 2011v1.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-07-24T08:48:08-05:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020383073 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILLIAM STEELE & ASSOCIATES PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 40 STARK STREET | AddressLine1 |
| City | MANCHESTER | City |
| State | NH | State |
| ZIP Code | 03101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010211551 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARY'S REGIONAL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STMA | NameControl |
| Phone | 2077778546 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | CAMPUS AVENUE PO BOX 0291 | AddressLine1 |
| City | LEWISTON | City |
| State | ME | State |
| ZIP Code | 042430291 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LEO MYLES CEO | Name |
| Title | PRESIDENT & CEO | Title |
| Phone | 2077778802 | Phone |
| Date Signed | 2012-07-16 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MICHAEL A BARBARITA CPA | Name |
| PTIN | P00801253 | PTIN |
| Phone | 6036228881 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | LEO MYLES | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | CAMPUS AVENUE PO BOX 0291 | AddressLine1 |
| City | LEWISTON | City |
| State | ME | State |
| ZIP Code | 042430291 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 158234801 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.STMARYSMAINE.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1967 | YearFormation |
| State Legal Domicile | ME | StateLegalDomicile |
| Activity Or Mission Description | ST. MARY'S REGIONAL MEDICAL CENTER IS A 233-BED ACUTE CARE FACILITY THAT OFFERS THE BEST OF MEDICAL TECHNOLOGY, PREVENTIVE SERVICES AND A "WHOLE PERSON APPROACH" IN MEETING THE NEEDS OF THE ANDROSCOGGIN COUNTY AREA. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1535 | TotalNbrEmployees |
| Total Nbr Volunteers | 191 | TotalNbrVolunteers |
| Total Gross UBI | 191779 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 54207 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 601080 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 661698 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 141024829 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 156798268 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 29858 | InvestmentIncomePriorYear |
| Investment Income Current Year | 521952 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 238279 | OtherRevenuePriorYear |
| Other Revenue Current Year | 235274 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 141894046 | TotalRevenuePriorYear |
| Total Revenue Current Year | 158217192 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 51786774 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 84317673 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 168432 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 84132694 | OtherExpensePriorYear |
| Other Expenses Current Year | 70966574 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 135919468 | TotalExpensesPriorYear |
| Total Expenses Current Year | 155284247 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 5974578 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2932945 | RevenuesLessExpensesCY |
| Total Assets BOY | 152706428 | TotalAssetsBOY |
| Total Assets EOY | 157535163 | TotalAssetsEOY |
| Total Liabilities BOY | 63915591 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 64526953 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 88790837 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 93008210 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | ST. MARY'S REGIONAL MEDICAL CENTER IS A 233 BED ACUTE CARE FACILITY THAT OFFERS THE BEST OF MEDICAL TECHNOLOGY, PREVENTIVE SERVICES AND A "WHOLE PERSON APPROACH" TO MEETING THE NEEDS OF THE ANDROSCOGGIN COUNTY AREA.ST. MARYS REGIONAL MEDICAL CENTER OFFERS A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES TO MEET THE GROWING AND CHANGING NEEDS OF THE COMMUNITY. OUR PROFESSIONAL, QUALIFIED STAFF ARE ABLE TO DELIVER CARDIOPULMONARY, LABORATORY, NURSING, PHYSICAL THERAPY, RADIOLOGY, SOCIAL AND SURGICAL SERVICES WITH THE PERSONALIZED TOUCH DESIGNED TO MAKE OUR PATIENTS FEEL MORE RELAXED AND AT HOME. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 9385203 | Expense |
| Revenue | 24766543 | Revenue |
| Description | SURGICAL CARE: PROVIDES ALL SERVICES (EXCEPT OPEN HEART) TO PATIENTS RANGING FROM INFANT TO GERIATRICS WHO NEED SURGICAL INTERVENTION. TOTAL HOURS = 5,098 | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 7832005 | Expense |
| Revenue | 11726283 | Revenue |
| Description | BEHAVIORAL HEALTH: ST. MARYS OFFERS THE MOST ADVANCED BEHAVIORAL HEALTHCARE DIAGNOSTIC AND TREATMENT SERVICES FOR CHILDREN, ADOLESCENTS AND ADULTS IN BOTH INPATIENT AND OUTPATIENT PROGRAMS. INPATIENT AND OUTPATIENT TREATMENTS INCLUDE COMPREHENSIVE PSYCHIATRIC ASSESSMENT AND EVALUATIONS, EDUCATION, INDIVIDUAL AND GROUP THERAPY, INDIVIDUALIZED BIO-PSYCHOSOCIAL TREATMENT PLAN AND DISCHARGE AND AFTERCARE PLANNING.TOTAL PATIENT DAYS = 17,956 | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 8419499 | Expense |
| Revenue | 10129890 | Revenue |
| Description | EMERGENCY CARE: ST. MARY'S REGIONAL MEDICAL CENTER OFFERS A 24-HOUR PER DAY LEVEL II EMERGENCY CARE FACILITY. SERVICES PROVIDED INCLUDE MEDICAL, SURGICAL, ETC. TOTAL VISITS = 29,240 | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 101816568 | Expense |
| Revenue | 110175552 | Revenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 101816568 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 110175552 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 127453275 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 1 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1535 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | ME | StatesWhereCopyOfReturnIsFiled |
| Own Website | X | OwnWebsite |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAROLYN M KASABIAN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2077778546 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 96 CAMPUS AVE | AddressLine1 |
| City | LEWISTON | City |
| State | ME | State |
| ZIP Code | 04240 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (27 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| JUDITH ANDRUCKI | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| MARK ANTHOINE | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| PATRICIA FINNIGAN | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| MARTIN EISENSTEIN | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| JOHN ISAACSON | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| CAROLYN KASABIAN | ||||||||
| TREASURER/SECRETARY | 40.00 | X | 269457 | 0 | 32371 | X | ||
| DONALD FOURNIER | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| SHARON MILLETT | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| SR DOROTHY COOPER | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| SIDNEY STEINKELER MD | ||||||||
| DIRECTOR | 40.00 | X | 398534 | 0 | 40208 | |||
| WILLIAM SCHULTZ | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| MICHAEL KELLEY MD | ||||||||
| DIRECTOR | 40.00 | X | 0 | 376800 | 27732 | |||
| CRAIG GUNDERSON | ||||||||
| VICE CHAIR | 2.00 | X | 0 | 0 | 0 | X | ||
| LEO MYLES | ||||||||
| PRESIDENT/CEO | 40.00 | X | 530405 | 0 | 30157 | X | ||
| J PAUL SPELLMAN | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| DONNA STECKINO | ||||||||
| CHAIR | 2.00 | X | 0 | 0 | 0 | X | ||
| CAROLYN LEPAGE | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| ANNE SCHUETTINGER | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| JUSTIN CLARK MD | ||||||||
| DIRECTOR | 40.00 | X | 310085 | 0 | 22896 | |||
| SUSAN KEILER | ||||||||
| COO | 40.00 | 250259 | 0 | 33196 | X | |||
| RALPH HARDER | ||||||||
| PHYSICIAN | 40.00 | 386592 | 0 | 27922 | X | |||
| IRA SHAPIRO | ||||||||
| PHYSICIAN | 40.00 | 0 | 262632 | 30861 | X | |||
| SANJAY GODARA | ||||||||
| PHYSICIAN | 40.00 | 449012 | 0 | 3076 | X | |||
| MARC CHRISTENSEN | ||||||||
| PHYSICIAN | 40.00 | 1363504 | 0 | 13814 | X | |||
| WAYNE MOODY | ||||||||
| PHYSICIAN | 40.00 | 1059272 | 0 | 21426 | X | |||
| MARIA IKOSSI | ||||||||
| PHYSICIAN | 40.00 | 853647 | 0 | 15161 | X | |||
| MICHAEL PARKER | ||||||||
| PHYSICIAN | 40.00 | 448209 | 0 | 2858 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 6318976 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 639432 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 301678 | TotalOtherCompensation |
| Number Individuals GT100 K | 89 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| COVENANT HEALTH SYSTEM INC | |||||
| 100 AMES POND ROAD | TEWKSBURY | MA | 01876 | MANAGEMENT SERVICES | 2310434 |
| ST MARY'S ANESTHESIA | |||||
| PO BOX 1823 | LEWISTON | ME | 04240 | HEALTH CARE PROFESSIONAL | 990570 |
| VISTA STAFFING | |||||
| FILE 50834 | LOS ANGELES | CA | 900740834 | STAFFING AGENCY | 865371 |
| ST MARY'S D'YOUVILLE PAVILION | |||||
| 100 CAMPUS AVE | LEWISTON | ME | 04240 | LAUNDRY SERVICE | 629929 |
| THE OUTSOURCE GROUP | |||||
| 39867 TREASURER CENTER | CHICAGO | IL | 606949800 | COLLECTION AGENCY | 608434 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 13 | NumberOfContractorsGT100K |
| All Other Contributions | 661698 | AllOtherContributions |
| Total Contributions | 661698 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICE RE | 621300 | 146976438 | 146976438 |
| OTHER OPERATING INCOME | 621300 | 9821830 | 9821830 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 156798268 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 519552 | TotalRevenueColumn |
| Exclusion | $519,552 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 63504 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 20009 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 43495 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 43495 | TotalRevenueColumn |
| Exclusion | $43,495 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -2400 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 2400 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2400 | TotalRevenueColumn |
| Exclusion | $2,400 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | LAB REVENUE | Description |
| Business Code | 621500 | BusinessCode |
| Total Revenue Column | 191779 | TotalRevenueColumn |
| Unrelated Business Revenue | 191779 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 191779 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 158217192 | TotalRevenueColumn |
| Related Or Exempt Function Income | 156798268 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 191779 | UnrelatedBusinessRevenue |
| Exclusion | $565,447 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1758740 | Total |
| Program Services | 708619 | ProgramServices |
| Management And General | 1050121 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 66362260 | Total |
| Program Services | 59599834 | ProgramServices |
| Management And General | 6762426 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 977037 | Total |
| Program Services | 864984 | ProgramServices |
| Management And General | 112053 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15219636 | Total |
| Program Services | 13474152 | ProgramServices |
| Management And General | 1745484 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 240623 | Total |
| Program Services | 13778 | ProgramServices |
| Management And General | 226845 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68612 | Total |
| Management And General | 68612 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2197027 | Total |
| Program Services | 378116 | ProgramServices |
| Management And General | 1818911 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 65484 | Total |
| Program Services | 62304 | ProgramServices |
| Management And General | 3180 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 354617 | Total |
| Program Services | 265108 | ProgramServices |
| Management And General | 89509 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2162256 | Total |
| Management And General | 2162256 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4992516 | Total |
| Program Services | 2811270 | ProgramServices |
| Management And General | 2181246 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2555482 | Total |
| Program Services | 2547840 | ProgramServices |
| Management And General | 7642 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| SUPPLIES | 18997340 | 17641330 | 1356010 | |
| PURCHASED SERVICES | 10016334 | 9358515 | 489387 | 168432 |
| BAD DEBT EXPENSE | 6925527 | 6925527 | ||
| OUTSIDE LABOR | 3423157 | 2885829 | 537328 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18967599 | Total |
| Program Services | 9916069 | ProgramServices |
| Management And General | 9051530 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 155284247 | Total |
| Program Services | 127453275 | ProgramServices |
| Management And General | 27662540 | ManagementAndGeneral |
| Fundraising | 168432 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1410255 | BOY |
| EOY | 2893612 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12749282 | BOY |
| EOY | 14748578 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1270826 | BOY |
| EOY | 1172520 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 768496 | BOY |
| EOY | 1227355 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 106497210 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 47160947 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 54607850 | BOY |
| EOY | 59336263 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 81899719 | BOY |
| EOY | 78156835 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 152706428 | BOY |
| EOY | 157535163 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13004453 | BOY |
| EOY | 12980100 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 477133 | BOY |
| EOY | 432638 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24334170 | BOY |
| EOY | 22913516 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26099835 | BOY |
| EOY | 28200699 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 63915591 | BOY |
| EOY | 64526953 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 86821201 | BOY |
| EOY | 90616251 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1278625 | BOY |
| EOY | 1695930 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 691011 | BOY |
| EOY | 696029 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 88790837 | BOY |
| EOY | 93008210 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 152706428 | BOY |
| EOY | 157535163 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 2932945 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 1284428 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $10,775 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 10775 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF OTHER LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1I: | ReturnReference |
| Explanation | ST. MARY'S REGIONAL MEDICAL CENTER IS A MEMBER OF THE MAINE HOSPITAL ASSOCIATION AND A PORTION OF THE DUES PAID IN THE AMOUNT OF $10,775 IS USED FOR LOBBYING. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1969636 | BeginningOfYearBalance |
| Contributions | 570518 | Contributions |
| Investment Earnings Or Losses | 14238 | InvestmentEarningsOrLosses |
| Other Expenditures | 162432 | OtherExpenditures |
| End Of Year Balance | 2391960 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1877705 | BeginningOfYearBalance |
| Contributions | 469782 | Contributions |
| Investment Earnings Or Losses | 24648 | InvestmentEarningsOrLosses |
| Other Expenditures | 402501 | OtherExpenditures |
| End Of Year Balance | 1969634 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3069142 | BeginningOfYearBalance |
| Contributions | 656993 | Contributions |
| Investment Earnings Or Losses | 24713 | InvestmentEarningsOrLosses |
| Other Expenditures | 1873143 | OtherExpenditures |
| End Of Year Balance | 1877705 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3353022 | BeginningOfYearBalance |
| Contributions | 1539784 | Contributions |
| Investment Earnings Or Losses | 17453 | InvestmentEarningsOrLosses |
| Other Expenditures | 1841117 | OtherExpenditures |
| End Of Year Balance | 3069142 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.29000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.71000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 922346 | OtherCostOrOtherBasis |
| Book Value | 922346 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 67007009 | OtherCostOrOtherBasis |
| Depreciation | 20438330 | Depreciation |
| Book Value | 46568679 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1124693 | OtherCostOrOtherBasis |
| Depreciation | 263312 | Depreciation |
| Book Value | 861381 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 36881687 | OtherCostOrOtherBasis |
| Depreciation | 26459305 | Depreciation |
| Book Value | 10422382 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 561475 | OtherCostOrOtherBasis |
| Book Value | 561475 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 59336263 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| LTD USE ASSETS | 36263446 |
| DUE FROM AFFILIATES | 22336289 |
| OTHER ACCOUNTS RECEIVABLE | 878918 |
| SETTLEMENTS W/ THIRD PARTIES | 18678182 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 78156835 | TotalBookValueOtherAssets |
| Total Revenue | 158217192 | TotalRevenue |
| Total Expenses | 155284247 | TotalExpenses |
| Excess Or Deficit For Year | 2932945 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -358512 | NetUnrealizedGLOnInvestments |
| Other | $1,642,940 | OtherAmount |
| Total Adjustments | 1284428 | TotalAdjustments |
| Excess Or Deficit Per FS | 4217373 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 157261038 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -358512 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | -358512 | RevenueNotRptdF990 |
| Revenue Subtotal | 157619550 | RevenueSubtotal |
| Other Revenues Not Included | 597642 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 597642 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 158217192 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 153001094 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 153001094 | ExpensesSubtotal |
| Other Expenses Not Included | 2283152 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 2283152 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 155284246 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | CONTINUING EDUCATION CAPITAL PURCHASES FOR SPECIFIC SPECIALITIES |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | NET TRANSFERS 1,642,940. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | TEMPORARILY RESTRICTED INVESTMENT INCOME 14,238. DONATIONS 570,518. SMR OCCUPANCY 12,886. | |
| PART XIII, LINE 4B - OTHER ADJUSTMENTS: | NOI ADMINISTRATION INCOME GUARANTEE 2,270,264. SMR OCCUPANCY 12,888. |
Schedule F IRS990ScheduleF
Accts Actvs Out US Table AcctsActvsOutUSTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | NORTH AMERICA | Region |
| Number Of Employees | 1 | NumberOfEmployees |
| Total Expenditures | 69821 | TotalExpenditures |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Number Of Offices | 0 | SubtotalNumberOfOffices |
| Subtotal Number Of Employees | 1 | SubtotalNumberOfEmployees |
| Cont Number Of Offices | 0 | ContNumberOfOffices |
| Cont Number Of Employees | 0 | ContNumberOfEmployees |
| Total Number Of Offices | 0 | TotalNumberOfOffices |
| Total Number Of Employees | 1 | TotalNumberOfEmployees |
| Subtotal Amount Spent | 69821 | SubtotalAmountSpent |
| Cont Amount Spent | 0 | ContAmountSpent |
| Total Amount Spent | 69821 | TotalAmountSpent |
| Transfer To Foreign Corp | 0 | TransferToForeignCorp |
| Interest In Foreign Trust | 0 | InterestInForeignTrust |
| Own Foreign Corp | 0 | OwnForeignCorp |
| Passive Foreign Invest Co | 0 | PassiveForeignInvestCo |
| Foreign Partnership | 0 | ForeignPartnership |
| Boycott Countries | 0 | BoycottCountries |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 0 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4361138 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 4361138 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02810 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 31316958 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 26504434 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4812524 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03100 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 35678096 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 26504434 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9173662 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05910 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 383578 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 383578 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00250 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 880261 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 31982 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 848279 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00550 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 339281 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 339281 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00220 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1603120 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 31982 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1571138 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01020 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 37281216 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 26536416 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10744800 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06930 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 4232 | PersonsServed |
| Total Community Building Expense | 34711 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 34711 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1359 | PersonsServed |
| Total Community Building Expense | 52793 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 52793 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 16 | PersonsServed |
| Total Community Building Expense | 7978 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 7978 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 294 | PersonsServed |
| Total Community Building Expense | 6589 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 6589 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 24 | PersonsServed |
| Total Community Building Expense | 6199 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 6199 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 693684 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 693684 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00450 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 5925 | PersonsServed |
| Total Community Building Expense | 801954 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 801954 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00510 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $6,298,917 | BadDebtExpenseAmount |
| Amount Attributable To | 100000 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 45194413 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 47752804 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -2558391 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 UNITED AMBULANCE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | AMBULANCE SERVICE | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.50000 | OrganizationProfitOrOwnership |
| Officers Etc Profit Or Ownership | 0.00000 | OfficersEtcProfitOrOwnership |
| Physicans Profit Or Ownership | 0.00000 | PhysicansProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARY'S REGIONAL MEDICAL CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 93 CAMPUS AVE | AddressLine1 |
| City | LEWISTON | City |
| State | ME | State |
| ZIP Code | 042430291 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARY'S REGIONAL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Needs Assessment Conducted | 11 | NeedsAssessmentConducted |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 300.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 1 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| PART II: IN RESPONSE TO THE SIGNIFICANT NEEDS AROUND NUTRITION, POVERTY AND FOOD ACCESS FOR THE COUNTY, ST. MARYS HEALTH SYSTEM FOUNDED THE NUTRITION CENTER OF MAINE IN 2006. THROUGH ORGANIZING, ADVOCACY AND EDUCATION, THE CENTER IS A LOCAL AND STATEWIDE RESOURCE, PROMOTING OVERALL COMMUNITY WELLNESS THROUGH NUTRITION, YOUTH DEVELOPMENT AND SUSTAINABLE URBAN AGRICULTURE PROGRAMS. MANY OF THE CONSTITUENTS ARE AT HIGH RISK FOR HUNGER, OBESITY AND NUTRITION-RELATED DISEASES. IN 2011 THE FOOD PANTRY DISTRIBUTED 12,350 BOXES OF FOOD, PROVIDING ENOUGH FOOD FOR 21,167 PEOPLE AND PROVIDED NUTRITIOUS SNACKS TO DAYCARE AND SCHOOL-BASED HEALTH CENTERS IN LEWISTON. TWELVE COMMUNITY GARDENERS SUPPORTED 99 COMMUNITY GARDENERS IN GROWING THEIR OWN FOOD. ONE HUNDRED TWENTY-TWO CHILDREN PARTICIPATED IN THE WEEKLY KIDS COOKING CLUB. FORTY-THREE TEENAGERS CONTRIBUTED 3286 HOURS TO THEIR COMMUNITY AND THEIR OWN DEVELOPMENT AS YOUTH GARDENERS PARTICIPATING IN UNIQUE LEADERSHIP, EDUCATION AND TRAINING PROGRAMS. ONE HUNDRED CHILDREN PARTICIPATED IN GARDEN-BASED LEARNING PROGRAMS. AS AN INAUGURAL FOOD CORPS SITE, WE STARTED OUR FIRST SHCOOL GARDEN PROGRAM WHERE 98% OF STUDENTS QUALIFY FOR FREE AND REDUCED MEALS. FIVE HUNDRED TWENTY-FOUR TEENS AND ADULTS PARTICIPATED IN HANDS-ON COOKING AND NUTRITION EDUCATION CLASSES. IN ADDITION, SMHS LEADERSHIP MEMBERS SERVE ON THE LOCAL CHAMBER OF COMMERCE AND OTHER COMMUNITY COALITIONS RELATED TO COMMUNITY HEALTH SUCH ASE THE MAINE HEALTHCARE ACTION TEAM AND THE MAINEHEALTH ELDER CARE TEAM, AS WELL AS WORKFORCE DEVELOPMENT PROGRAMS SUCH AS THE COLLEGE FOR ME STEERING COMMITTEE, AND THE HEALTHCARE WORKFORCE FORUM WHICH REPORTS ITS EFFORTS TO ASSURE AVAILABILITY OF A HEALTHCARE WORKFORCE TO THE STATE LEGISLATURE. | |
| PART III, LINE 4: THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THE AMOUNTS REPORTED ABOVE ARE CALCULATED BASED ON A RATIO OF COST TO CHARGES. | |
| PART III, LINE 8: APPROXIMATELY 33% OF MEDICARE PATIENTS ALSO QUALIFY FOR MEDICAID. COSTING ON LINE 6 IS BASED ON RATIO OF COST TO CHARGE FROM WORKSHEET 2. | |
| PART III, LINE 9B: ST. MARY'S REGIONAL MEDICAL CENTER WILL MAKE A REASONABLE EFFORT TO DETERMINE WHETHER AN INDIVIDUAL QUALIFIES FOR FINANCIAL ASSISTANCE PRIOR TO INITIATING ANY COLLECTION ACTIVITY. | |
| PART V, SECTION B, LINE 13G: THE FREE CARE AND SELF-PAY DISCOUNT PROGRAM POLICY IS SUMMARIZED IN THE FINANCIAL ASSISTANCE APPLICATION WHICH IS AVAILABLE ON THE MEDICAL CENTER'S WEBSITE | ST. MARY'S REGIONAL MEDICAL CENTER |
| PART V, SECTION B, LINE 19D: ST. MARY'S REGIONAL MEDICAL CENTER OFFERS TWO SELF-PAY DISCOUNT LEVELS UNDER THE FACILITY'S FINANCIAL ASSISTANCE POLICY (FAP) FOR INDIVIDUALS WHO CANNOT AFFORD TO PAY AND WHO DO NOT QUALIFY FOR FREE CARE. THE 40% SELF-PAY DISCOUNT IS BASED ON THE FEDERAL POVERTY LEVEL FROM 200% TO 250%. THE 20% SELF-PAY DISCOUNT IS BASED ON THE FEDERAL POVERTY LEVEL FROM 250% TO 300%. THE PROGRAM IS BASED ON THE FAMILY SIZE AND THE HOUSE HOLD INCOME | ST. MARY'S REGIONAL MEDICAL CENTER |
| PART V, SECTION B, LINE 20: THE MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR FREE CARE FOR PATIENTS WITH FINANCIAL MEANS UP TO 200% OF THE POVERTY LIMIT. THE POLICY ALSO PROVIDES A 40% DISCOUNT FOR SELF-PAY PATIENTS FALLING BETWEEN 200% AND 250% OF THE POVERTY LEVEL; AND A 20% DISCOUNT FOR SELF-PAY PATIENTS FALLING BETWEEN 250% AND 300% OF THE POVERTY LEVEL. IN 2011, THE MEDICAL CENTER HAD AGREEMENTS WITH INSURANCE COMPANIES THAT PROVIDED FOR DISCOUNTS OF APPROXIMATELY 40% OF CHARGES. EFFECTIVE IN 2012 THE MEDICAL CENTER WILL REVISE ITS BILLING PRACTICE TO ENSURE THAT NO PATIENT ELIGIBLE FOR FINANCIAL ASSISTANCE WILL BE BILLED MORE THAN THE AMOUNTS GENERALLY BILLED TO INDIVIDUALS COVERED BY INSURANCE. | ST. MARY'S REGIONAL MEDICAL CENTER |
| PART VI, LINE 2: IN ORDER TO ENSURE OUR EFFORTS ADDRESS IDENTIFIED NEEDS IN THE COMMUNITY, ST. MARY'S HEALTH SYSTEM AND ITS SUBSIDIARIES ELICITED THE VOICE OF THE COMMUNITY IN SEVERAL WAYS. THE INSTITUTION HOSTED FOCUS GROUPS AS WE DEVELOPED OUR NEW STRATEGIC PLAN. OUR COMUNITY HEALTH RISK SCREENING PROGRAM ASSESSES PHYSICAL ACTIVITY, BLOOD PRESSURE, OBESITY, TOBACCO USE, BLOOD GLUCOSE LEVELS AND OTHER RISK FACTORS FOR LOCAL RESIDENTS. ST. MARY'S LEADERS SERVE ON BOARDS IN MANY COMMUNITY HEALTH ORGANIZATIONS AND THE BOARD MEMBERS INVITED TO SERVE WITH ST. MARY'S ARE STRATEGICALLY SELECTED. PATIENT SATISFACTION SURVEYS ALSO PROVIDE VALUABLE INFORMATION IN COMMUNITY BENEFIT PLANNING. A FEEDBACK LOOP HAS BEEN ESTABLISHED FOR EMPLOYEES TO IDENTIFY UNMET NEEDS OF PATIENTS. IN ADDITION, WE UTILIZED DATA THAT IDENTIFIES KEY HEALTH ISSUES FOR THE DEMOGRAPHIC AREAS WE SERVE. DATA WAS COMPILED FROM A VARIETY OF SOURCES INCLUDING A STATEWIDE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED IN 2010 AND PUBLISHED IN 2011 BY THE ONEMAINE HEALTH COLLABORATIVE, HEALTHY MAINE 2010 GOALS, STATEWIDE INITIATIVES FROM THE MAINE HOSPITAL ASSOCIATION, AND COMMUNITY PARTNERSHIPS SUCH AS THE UNITED WAY, THE LEWISTON-AUBURN PUBLIC HEALTH INITIATIVE AND HEALTHY ANDROSCOGGIN.ANDROSCOGGIN COUNTY HAS SEVERAL MAJOR PUBLIC HEALTH CONCERNS. POVERTY-RELATED PROBLEMS HAVE A SIGNIFICANT IMPACT ON THE AREA, AND SOME ISSUES SUCH AS POOR NUTRITION, INFANT MORTALITY, UNEMPLOYMENT, CHILDREN LIVING IN POVERTY AND TEEN PREGNANCY OCCUR AT A HIGHER PERCENTAGE RATE IN THIS COUNTY THAN OTHER PARTS OF THE STATE OF MAINE.THE LEADING CAUSES OF MORTALITY IN THE ST. MARY'S SERVICE AREA ARE HEART DISEASE, CANCER AND STROKE. ACCESS TO HEALTH CARE, BEHAVIORAL RISK FACTORS, CARDIOVASCULAR HEALTH, RESPIRATORY HEALTH, DIABETES, CANCER HEALTH, SUBSTANCE ABUSE AND MENTAL HEALTH AND YOUTH HEALTH WERE THE IDENTIFIED NEEDS FROM ONE MAINE HEALTH NEEDS ASSESSMENT, HEALTHY MAINE 2010 DATA, COMMUNITY HEALTH CARE PARTNERSHIP REPORTS AND PHYSCIAN FEEDBACK.A COMMUNITY BENEFIT PLAN WAS DEVELOPED IN CONJUNCTION WITH THE COMMUNITY BENEFIT STAFF, MISSION ADVISORY COMMITTEE, SYSTEM LEADERSHIP AND SENIOR LEADERSHIP AND WAS ENDORSED BY THE BOARD OF DIRECTORS. | |
| PART VI, LINE 3: ST. MARY'S REGIONAL MEDICAL CENTER PROVIDES FINANCIAL EDUCATION AT THE POINT OF REGISTRATION BY HAVING BROCHURES AVAILABLE. THESE BROCHURES PROVIDE INFORMATION ABOUT THE HOSPITAL BILL AND VARIOUS OPTIONS ON FINANCIAL ASSISTANCE. ON THE BACKSIDE OF THE MONTHLY PATIENT STATEMENTS ALSO PROVIDES EDUCATION OF THE FINANCIAL ASSISTANCE AVAILABILITY AND OPTIONS TO THOSE WHO NEED IT. | |
| PART VI, LINE 4: ST. MARYS SERVICE AREA INCLUDES MOST OF ANDROSCOGGIN COUNTY IN CENTRAL MAINE, WHICH IS APPROXIMATELY 43,490 HOUSEHOLDS (JUST OVER 107,000 PEOPLE). ACCORDING TO THE 2010 CENSUS BUREAU, THE DEMOGRAPHIC DISTRIBUTION IS: AGE GROUP0 TO 18 YEARS 29%18 TO 64 YEARS 57%65 YEARS AND OVER 14%15% OF FAMILIES LIVE BELOW THE POVERTY LEVEL (IN LEWISTON TEH FIGURE IS 25% AND FOR CHILD POVERTY IN LEWISTON THE FIGURE IS 41%)RACE/ETHNICITYWHITE 87.7%BLACK/AFRICAN-AMERICAN 8.7%*OTHER 3.6%LANGUAGE SPOKEN AT HOMEENGLISH 85%OTHER THAN ENGLISH 15% | |
|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| |
| PART VI, LINE 6: ST. MARY'S HEALTH SYSTEM, A MEMBER OF COVENANT HEALTH SYSTEMS, INCLUDES ST. MARY'S REGIONAL MEDICAL CENTER, A 233-BED ACUTE CARE FACILITY; ST. MARY'S PHYSICIAN NETWORK, WITH PRIMARY CARE AND SPECIALTY PHYSICIANS, PHYSICIAN ASSISTANTS, NURSE PRACTITIONERS, AND MIDWIVES; COMMUNITY CLINICAL SERVICES, WITH PRIMARY CARE AND BEHAVIORAL PHYSICIANS, AND NURSE PRACTITIONERS; ST. MARY'S DYOUVILLE PAVILION, ONE OF THE LARGEST NURSING HOMES NORTH OF BOSTON, WITH 210 BEDS DEDICATED TO LONG-TERM CARE, A SECURE ALZHEIMERS UNIT, AND A REHAB CENTER; ST. MARY'S RESIDENCES, AN INDEPENDENT LIVING CENTER; AND ST. MARY'S WORKMED, OCCUPATIONAL HEALTH SERVICES, WHICH PROVIDES COMPREHENSIVE WORKSITE SERVICES TO BUSINESSES IN ANDROSCOGGIN COUNTY AND BEYOND. OUR MISSION IS TO CONTINUE THE HEALING MINISTRY OF THE CATHOLIC CHURCH IN THE SPIRIT OF ST. MARGUERITE D'YOUVILLE BY PROVIDING PREVENTIVE, CURATIVE, RESTORATIVE, AND SUPPORTIVE SERVICES WITH COMPASSION AND RESPECT FOR EVERYONE. WE TAKE SERIOUSLY THE PREVENTIVE ASPECT OF THE MISSION STATEMENT BY OFFERING PREVENTION AND WELLNESS PROGRAMS FOR THE COMMUNITY, OFFER HEALTH SCREENINGS AND WORKING TO PROVIDE ACCESS TO HEALTHY FOOD THROUGH THE NUTRITION CENTER. THE NURSING HOME OFFERS EDUCATION TO THE COMMUNITY ABOUT FALL PREVENTION, GRIEF SUPPORT AND CAREGIVER SUPPORT. HEALTH SYSTEM LEADERSHIP PARTICIPATE IN VARIOUS COMMUNITY GROUPS TO CONDUCT HEALTH CARE NEEDS ASSESSMENTS AND TO DEVELOP COMMUNITY INTERVENTIONS TO IMPROVE HEALTH. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | X | TravelForCompanions |
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CAROLYN KASABIAN | |||||||||||||
| 255058 | 0 | 0 | 0 | 14399 | 0 | 6369 | 0 | 26002 | 0 | 301828 | 0 | 0 | 0 |
| SIDNEY STEINKELER MD | |||||||||||||
| 354034 | 0 | 22500 | 0 | 22000 | 0 | 7350 | 0 | 32858 | 0 | 438742 | 0 | 0 | 0 |
| MICHAEL KELLEY MD | |||||||||||||
| 0 | 309898 | 0 | 61389 | 0 | 5513 | 0 | 2756 | 0 | 24976 | 0 | 404532 | 0 | 0 |
| LEO MYLES | |||||||||||||
| 327808 | 0 | 0 | 0 | 202597 | 0 | 7350 | 0 | 22807 | 0 | 560562 | 0 | 0 | 0 |
| JUSTIN CLARK MD | |||||||||||||
| 296140 | 0 | 13945 | 0 | 0 | 0 | 0 | 0 | 22896 | 0 | 332981 | 0 | 0 | 0 |
| SUSAN KEILER | |||||||||||||
| 235559 | 0 | 0 | 0 | 14700 | 0 | 7350 | 0 | 25846 | 0 | 283455 | 0 | 0 | 0 |
| RALPH HARDER | |||||||||||||
| 290516 | 0 | 74076 | 0 | 22000 | 0 | 7350 | 0 | 20572 | 0 | 414514 | 0 | 0 | 0 |
| IRA SHAPIRO | |||||||||||||
| 0 | 208022 | 0 | 32610 | 0 | 22000 | 0 | 6590 | 0 | 24271 | 0 | 293493 | 0 | 0 |
| SANJAY GODARA | |||||||||||||
| 435774 | 0 | 0 | 0 | 13238 | 0 | 2648 | 0 | 428 | 0 | 452088 | 0 | 0 | 0 |
| MARC CHRISTENSEN | |||||||||||||
| 1347004 | 0 | 0 | 0 | 16500 | 0 | 0 | 0 | 13814 | 0 | 1377318 | 0 | 0 | 0 |
| WAYNE MOODY | |||||||||||||
| 740146 | 0 | 297126 | 0 | 22000 | 0 | 0 | 0 | 21426 | 0 | 1080698 | 0 | 0 | 0 |
| MARIA IKOSSI | |||||||||||||
| 613948 | 0 | 217699 | 0 | 22000 | 0 | 7350 | 0 | 7811 | 0 | 868808 | 0 | 0 | 0 |
| MICHAEL PARKER | |||||||||||||
| 430440 | 0 | 0 | 0 | 17769 | 0 | 0 | 0 | 2858 | 0 | 451067 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 1A | THE PRESIDENT/CEO OR THE CFO MAY AUTHORIZE PAYMENT OF SPOUSAL TRAVEL EXPENSES. THE PAYMENT OF SUCH AMOUNTS ARE TREATED AS TAXABLE COMPENSATION AND REPORTED ON FORM W-2 OR 1099 AS REQUIRED. THE PRESIDENT/CEO RECEIVED TAX INDEMNIFICATION PAYMENTS RELATED TO A SUPPLEMENTAL RETIREMENT PLAN. THE PAYMENTS ARE REPORTED AS TAXABLE COMPENSATION AND INCLUDED IN THE REASONABLENESS REVIEW OF COMPENSATION. |
| PART I, LINE 4B | LEO MYLES RECEIVED A SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN CONTRIBUTION OF $182,000. THE AMOUNT IS INCLUDED IN TAXABLE WAGES IN 2011. |
| PART I, LINE 7 | IN CONJUNCTION WITH ITS SOLE MEMBER, COVENANT HEALTH SYSTEMS, THE ORGANIZATION MAINTAINS AN INCENTIVE COMPENSATION PLAN FOR EXECUTIVES THAT IS ADMINISTERED BY COVENANT HEALTH SYSTEM'S COMPENSATION COMMITTEE. THE PLAN PROVIDES EXECUTIVES WITH THE OPPORTUNITY TO EARN REASONABLE INCENTIVE COMPENSATION BASED ON THE PERFORMANCE OF THE INDIVIDUAL EXECUTIVE, AS MEASURED AGAINST GOALS THAT ARE SET AT THE BEGINNING OF THE YEAR. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| MHHEFA REVENUE BOND SERIES 2004A | |||||||
| 010314384 | 560425TL4 | 2004-06-03 | 17835000 | ADVANCED REFUNDING | 0 | 0 | 0 |
| MHHEFA REVENUE BOND SERIES 2007A | |||||||
| 010314384 | 560425V80 | 2007-11-01 | 6685000 | CONSTRUCTION | 0 | 0 | 0 |
| MHHEFA REVENUE BOND SERIES 2010B | |||||||
| 010314384 | 560427JA5 | 2010-06-24 | 7825000 | REFINANCE OF 2001 AND 2004 TAX-EXEMPT BONDS | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)
| Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Capital ExpendituresCapitalExpenditures |
|---|---|---|---|---|---|---|---|---|
| 2770203 | 1615380 | 237062 | 2004 | 1 | 0 | 1 | 1 | |
| 6853065 | 444500 | 89925 | 2009 | 0 | 0 | 1 | 1 | 6318640 |
| 9077696 | 603175 | 96465 | 2004 | 1 | 0 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 1 |
| 0 | 0 | 0 | 0 | 1 |
| 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Term Of GICTermOfGIC | Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|---|---|
| FSA | |||||||
| 1 | 0 | 0 | 1 | 30.000000000000 | 1 | 0 | 0 |
| FSA | |||||||
| 0 | 0 | 0 | 1 | 30.000000000000 | 1 | 0 | 0 |
| FSA | |||||||
| 1 | 0 | 0 | 1 | 20.000000000000 | 1 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION HAS A SOLE CORPORATE MEMBER | |
| FORM 990, PART VI, SECTION A, LINE 7A | THE SOLE CORPORATE MEMBER WHO MAY APPOINT OR REMOVE ONE OR MORE OF THE BOARD OF DIRECTORS | |
| FORM 990, PART VI, SECTION A, LINE 7B | CERTAIN DECISIONS OF THE BOARD OF DIRECTORS ARE SUBJECT TO APPROVAL BY THE MEMBERS | |
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 IS PROVIDED TO THE BOARD MEMBERS AND REVIEWED AT THE JUNE MEETING. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THIS PROCESS IS THE RESONSIBILITY OF THE COMPLIANCE OFFICER. A FORM IS SUBMITTED TO ALL LEADERSHIP, BOARD MEMBERS, BOARD COMMITTEE MEMBERS, EMPLOYED PHYSICIANS, MEDICAL DIRECTORS AND CERTAIN EMPLOYEES IN KEY POSITIONS ANNUALLY TO BE COMPLETED. REMINDERS ARE SENT TO MAKE CERTAIN THAT ALL CONFLICT OF INTEREST FORMS ARE RETURNED. | |
| FORM 990, PART VI, SECTION B, LINE 15 | EVERY TWO TO THREE YEARS THE COMPENSATION COMMITTEE OF THE COVENANT HEALTH SYSTEMS' BOARD OF DIRECTORS ENGAGES AN EXTERNAL CONSULTANT TO PROVIDE COMPETITIVE MARKET DATA FROM VARIOUS SURVEY SOURCES, WHICH IS USED TO DEVELOP RECOMMENDATIONS FOR CHANGES TO THE COMPENSATION PROGRAM. SINCE 2003, THE COMPENSATION COMMITTEE HAS ENGAGED MERCER HUMAN RESOURCES CONSULTING TO CONDUCT THIS ANALYSIS. OBJECTIVES ARE TO ASSESS THE COMPOSITENESS OF THE CURRENT TOTAL CASH COMPENSATION LEVELS OF THE SENIOR LEADERSHIP TEAM; DEVELOP MARKET BASED COMPETITIVE SALARY RANGES FOR ALL EXECUTIVE POSITIONS AND ENSURE THAT THE ANNUAL INCENTIVE OPPORTUNITIES, IF THERE ARE ANY, ARE COMPETITIVE AND REASONABLE. | |
| FORM 990, PART VI, SECTION C, LINE 18 | FORM 990 IS AVAILABLE ON OUR WEBSITE. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION PROVIDES FORM 990, FORM 990-T AND FORM 1023 TO THE PUBLIC UPON REQUEST. THE ORGANIZATION DOES NOT CURRENTLY PROVIDE ACCESS TO GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OF FINANCIAL STATEMENTS. | |
| FORM 990, PART X, LINE 24E | TAXES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,911,582. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,911,582. EQUIPMENT RENTAL & MAINTENANCE: PROGRAM SERVICE EXPENSES 2,094,902. MANAGEMENT AND GENERAL EXPENSES 794,080. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,888,982. DUES: PROGRAM SERVICE EXPENSES 85,414. MANAGEMENT AND GENERAL EXPENSES 2,468,407. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,553,821. CCS SUBSIDY: PROGRAM SERVICE EXPENSES 2,270,264. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,270,264. OUTSIDE WORK: PROGRAM SERVICE EXPENSES 2,233,759. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,233,759. COMPUTER SERVICES: PROGRAM SERVICE EXPENSES 248,468. MANAGEMENT AND GENERAL EXPENSES 1,298,305. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,546,773. RECRUITMENT: PROGRAM SERVICE EXPENSES 984,514. MANAGEMENT AND GENERAL EXPENSES 115,516. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,100,030. ADMIN FEES: PROGRAM SERVICE EXPENSES 552,894. MANAGEMENT AND GENERAL EXPENSES 190,800. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 743,694. ADVERTISING & MARKETING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 602,309. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 602,309. TELEPHONE: PROGRAM SERVICE EXPENSES 389,935. MANAGEMENT AND GENERAL EXPENSES 2,163. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 392,098. CONSULTANTS: PROGRAM SERVICE EXPENSES 153,110. MANAGEMENT AND GENERAL EXPENSES 158,363. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 311,473. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 276,036. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 276,036. SUNDRY: PROGRAM SERVICE EXPENSES 205,338. MANAGEMENT AND GENERAL EXPENSES 16,638. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 221,976. PRINTING AND PUBLICATIONS: PROGRAM SERVICE EXPENSES 113,838. MANAGEMENT AND GENERAL EXPENSES 101,081. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 214,919. POSTAGE & SHIPPING: PROGRAM SERVICE EXPENSES 19,517. MANAGEMENT AND GENERAL EXPENSES 177,195. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 196,712. BANK CHARGES & FINANCE FEES: PROGRAM SERVICE EXPENSES 40. MANAGEMENT AND GENERAL EXPENSES 173,634. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 173,674. STAFFING AGENCIES: PROGRAM SERVICE EXPENSES 120,594. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 120,594. MICROFILMING: PROGRAM SERVICE EXPENSES 71,696. MANAGEMENT AND GENERAL EXPENSES 38,021. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 109,717. CERTIFICATION: PROGRAM SERVICE EXPENSES 33,612. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,612. LICNESES: PROGRAM SERVICE EXPENSES 22,541. MANAGEMENT AND GENERAL EXPENSES 3,436. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,977. LAUNDRY: PROGRAM SERVICE EXPENSES 20,273. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,273. PROFICIENCY TESTS: PROGRAM SERVICE EXPENSES 19,324. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,324. | ALL OTHER FUNCTIONAL EXPENSES |
| FORM 990, PART XI, LINE 5: | NET TRANSFERS 1,642,940. UNREALIZED GAINS -358,512. TOTAL TO FORM 990, PART XI, LINE 5: 1,284,428. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990 PART XI, LINE 2C | THE AUDIT COMMITTEE OF COVENANT HEALTH SYSTEM ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT AUDITOR. | AUDIT COMMITTEE |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| ST MARY'S HEALTH SYSTEM | ||||||||||
| PO BOX 7291 CAMPUS AVENUE | LEWISTON | ME | 04240 | 222504349 | PARENT COMPANY | ME | 501(C)(3) | 509(A)(3) | COVENANT HEALTH SYSTEMS | 0 |
| COMMUNITY CLINICAL SERVICES | ||||||||||
| PO BOX 7291 CAMPUS AVENUE | LEWISTON | ME | 04240 | 010409788 | PHYSICIAN PRACTICE | ME | 501(C)(3) | 509(A)(2) | ST MARY'S HEALTH SYSTEM | 0 |
| ST MARY D'YOUVILLE PAVILION | ||||||||||
| 102 CAMPUS AVE | LEWISTON | ME | 04240 | 010211558 | NURSING HOME | ME | 501(C)(3) | 509(A)(2) | ST MARY'S HEALTH SYSTEM | 0 |
| ST MARY'S RESIDENCES | ||||||||||
| PO BOX 7291 CAMPUS AVENUE | LEWISTON | ME | 04240 | 222504356 | LOW INCOME HOUSING | ME | 501(C)(3) | 509(A)(2) | ST MARY'S HEALTH SYSTEM | 0 |
| NEIGHBORHOOD HOUSING INITIATIVE | ||||||||||
| PO BOX 7291 CAMPUS AVENUE | LEWISTON | ME | 04240 | 010539730 | AFFORDABLE HOUSING | ME | 501(C)(3) | 509(A)(1) | ST MARY'S HEALTH SYSTEM | 0 |
| COVENANT HEALTH SYSTEMS | ||||||||||
| 100 AMES POND DRIVE | TEWKSBURY | MA | 01876 | 222484505 | HEALTHCARE MANAGEMENT AND RESOURCE ADMINISTRATION | MA | 501(C)(3) | 509(A)(2) | 0 | |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAMPUS HOLDING | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 7291 CAMPUS AVENUE | AddressLine1 |
| City | LEWISTON | City |
| State | ME | State |
| ZIP Code | 04240 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010406049 | EIN |
| Primary Activity | HOLDING COMPANY | PrimaryActivity |
| Legal Domicile State | ME | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARY'S HEALTH SYSTEM | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (23 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| ST MARY'S D'YOUVILLE PAVILION | ||
| K | 244496 | FAIR MARKET VALUE |
| ST MARY'S D'YOUVILLE PAVILION | ||
| L | 4210462 | ACTUAL EXPENSE |
| ST MARY'S D'YOUVILLE PAVILION | ||
| J | 24168 | FAIR MARKET VALUE |
| ST MARY'S D'YOUVILLE PAVILION | ||
| N | 895008 | ACTUAL EXPENSE |
| ST MARY'S D'YOUVILLE PAVILION | ||
| P | 8272 | ACTUAL EXPENSE |
| ST MARY'S D'YOUVILLE PAVILION | ||
| I | 21000 | FAIR MARKET VALUE |
| COMMUNITY CLINICAL SERVICES | ||
| G | 55701 | FAIR MARKET VALUE |
| COMMUNITY CLINICAL SERVICES | ||
| I | 482568 | FAIR MARKET VALUE |
| COMMUNITY CLINICAL SERVICES | ||
| L | 429488 | ACTUAL EXPENSE |
| COMMUNITY CLINICAL SERVICES | ||
| K | 60000 | ACTUAL EXPENSE |
| COMMUNITY CLINICAL SERVICES | ||
| P | 38252 | ACTUAL EXPENSE |
| ST MARY'S HEALTH SYSTEM | ||
| H | 480872 | ACTUAL EXPENSE |
| ST MARY'S HEALTH SYSTEM | ||
| P | 1787494 | ACTUAL EXPENSE |
| ST MARY'S HEALTH SYSTEM | ||
| L | 2403875 | ACTUAL EXPENSE |
| ST MARY'S HEALTH SYSTEM | ||
| N | 649895 | ACTUAL EXPENSE |
| ST MARY'S HEALTH SYSTEM | ||
| J | 540113 | FAIR MARKET VALUE |
| ST MARY'S HEALTH SYSTEM | ||
| Q | 1001802 | ACTUAL EXPENSE |
| ST MARY'S HEALTH SYSTEM | ||
| K | 6983 | ACTUAL EXPENSE |
| COVENANT HEALTH SYSTEMS | ||
| K | 2310434 | ACTUAL EXPENSE |
| ST MARY'S RESIDENCE | ||
| O | 141347 | ACTUAL EXPENSE |
| ST MARY'S RESIDENCE | ||
| J | 78888 | FAIR MARKET VALUE |
| ST MARY'S RESIDENCE | ||
| N | 366120 | ACTUAL EXPENSE |
| ST MARY'S RESIDENCE | ||
| P | 1110 | ACTUAL EXPENSE |
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