Mid Coast Hospital: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- Mid Coast Hospital (EIN 01-0215911)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-13
- IRS object ID
- 201202269349300635
- Schema version
- 2010v3.4
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-13T09:05:30-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER NEWMAN & NOYES | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | BOX 507 | AddressLine1 |
| City | PORTLAND | City |
| State | ME | State |
| ZIP Code | 04112 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010215911 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mid Coast Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MIDC | NameControl |
| Phone | 2077290181 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 123 Medical Center Drive | AddressLine1 |
| City | Brunswick | City |
| State | ME | State |
| ZIP Code | 04011 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Robert McCue | Name |
| Title | CFO | Title |
| Phone | 2077290181 | Phone |
| Date Signed | 2012-08-09 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Nicholas E Porto | Name |
| Phone | 2078792100 | Phone |
| Date Prepared | 2012-08-09 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Lois Skillings | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 123 Medical Center Drive | AddressLine1 |
| City | Brunswick | City |
| State | ME | State |
| ZIP Code | 04011 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 134234149 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.midcoasthealth.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1991 | YearFormation |
| State Legal Domicile | ME | StateLegalDomicile |
| Activity Or Mission Description | Acute and specialty care hospital | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 20 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 18 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1141 | TotalNbrEmployees |
| Total Nbr Volunteers | 500 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1750288 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1757517 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 108209426 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 119216128 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 688605 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1907781 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 25361 | OtherRevenuePriorYear |
| Other Revenue Current Year | 19416 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 110673680 | TotalRevenuePriorYear |
| Total Revenue Current Year | 122900842 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 7700 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 11675 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 56030771 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 59523676 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 51472643 | OtherExpensePriorYear |
| Other Expenses Current Year | 54948897 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 107511114 | TotalExpensesPriorYear |
| Total Expenses Current Year | 114484248 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 3162566 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 8416594 | RevenuesLessExpensesCY |
| Total Assets BOY | 134698531 | TotalAssetsBOY |
| Total Assets EOY | 139681202 | TotalAssetsEOY |
| Total Liabilities BOY | 50185494 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 48796139 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 84513037 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 90885063 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | To provide quality health care and health-related services directed toward continually improving the health and wellbeing of the patients and communities we serve. We will provide compassionate, humanistic, accessible, personal, professional, efficient, cost-effective and quality services. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 96218142 | Expense |
| Grants | 11675 | Grants |
| Revenue | 119230138 | Revenue |
| Description | Acute and specialty health care services were provided to residents of the Mid-Coast Maine area. Charity care was provided to those patients who did not have the ability to pay for medical services. | Description |
| Total Program Service Expense | 96218142 | 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 | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | 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 | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 1 | 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 | 100 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1141 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| 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 | 20 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 18 | 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 | 0 | 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 |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Michael Perry | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2077290181 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 123 Medical Center Drive | AddressLine1 |
| City | Brunswick | City |
| State | ME | State |
| ZIP Code | 04011 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
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 | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| James Ashe | |||||||
| Director | 0.30 | X | 0 | 0 | 0 | ||
| William S Gardiner | |||||||
| Director | 0.30 | X | 0 | 0 | 0 | ||
| Donald Gerrish | |||||||
| Director | 0.30 | X | 0 | 0 | 0 | ||
| Susan Gillies | |||||||
| Director | 0.30 | X | 0 | 0 | 0 | ||
| Jill Haer | |||||||
| Director | 0.30 | X | 0 | 0 | 0 | ||
| Partice Hennin | |||||||
| Director | 0.30 | X | 0 | 0 | 0 | ||
| Steven Levesque | |||||||
| Director | 0.30 | X | 0 | 0 | 0 | ||
| Abigail Manny | |||||||
| Director | 0.30 | X | 0 | 0 | 0 | ||
| Anne Marsh | |||||||
| Director | 0.30 | X | 0 | 0 | 0 | ||
| Daniel Morgenstern MD | |||||||
| Director | 0.30 | X | 0 | 0 | 0 | ||
| Douglas Niven | |||||||
| Director | 0.30 | X | 0 | 0 | 0 | ||
| Loren Wright | |||||||
| Director | 0.30 | X | 0 | 0 | 0 | ||
| Charles Frizzle | |||||||
| Chairperson | 0.30 | X | 0 | 0 | 0 | X | |
| Ervin Snyder | |||||||
| Vice Chairperson | 0.30 | X | 0 | 0 | 0 | X | |
| Glenn L Hutchinson | |||||||
| Treasurer | 0.30 | X | 0 | 0 | 0 | X | |
| Charles Bridge | |||||||
| Secretary | 0.30 | X | 0 | 0 | 0 | X | |
| James Mullen MD | |||||||
| President Medical Staff | 0.30 | X | 0 | 0 | 0 | X | |
| James Rines MD | |||||||
| VP of Medical Staff | 0.30 | X | 145245 | 0 | 37571 | X | |
| Lois Skillings | |||||||
| CEO (effective 7/1/11) | 15.20 | X | 0 | 243720 | 58252 | X | |
| Carolyn Gibson | |||||||
| President of Auxiliary | 0.30 | X | 0 | 0 | 0 | X | |
| Robert McCue | |||||||
| CFO | 30.50 | 0 | 234007 | 56523 | X | ||
| Herbert Paris | |||||||
| CEO (10/1/10 - 6/30/11) | 15.20 | 0 | 405609 | 98504 | X | ||
| Jonathan Telsey MD | |||||||
| Physician | 41.50 | 506987 | 0 | 33472 | X | ||
| John Taylor MD | |||||||
| Physician | 41.50 | 278061 | 0 | 23435 | X | ||
| Elaine Secskas MD | |||||||
| Physician | 41.50 | 260578 | 0 | 36625 | X | ||
| Stephanie Grohs MD | |||||||
| Physician | 41.50 | 254900 | 0 | 36157 | X | ||
| Paul Leprad MD | |||||||
| Physician | 41.50 | 250076 | 0 | 37258 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1695847 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 883336 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 417797 | TotalOtherCompensation |
| Number Individuals GT100 K | 46 | 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 |
|---|---|---|---|---|---|
| Mid Coast Anesthesia PA | |||||
| 121 Medical Center Drive Box 6 | Brunswick | ME | 04011 | Anesthesiology Services | 1059788 |
| Midcoast Pediatrics | |||||
| 121 Medical Center Drive Suite 260 | Brunswick | ME | 04011 | Physician Coverage | 698321 |
| Vista Staffing SOL Inc | |||||
| File 5834 | Los Angelos | CA | 900740834 | Physician Coverage | 694873 |
| Coastal Maine Emergency Physicians | |||||
| PO Box 270 | South Freeport | ME | 04078 | ER Facility Coverage | 690380 |
| Mayo Collaborative SVC Inc | |||||
| PO Box 9146 | Minneapolis | MN | 554809146 | Laboratory Services | 656732 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 23 | NumberOfContractorsGT100K |
| Fundraising Events | 16418 | FundraisingEvents |
| Government Grants | 1082294 | GovernmentGrants |
| All Other Contributions | 658805 | AllOtherContributions |
| Noncash Contributions | 80854 | NoncashContributions |
| Total Contributions | 1757517 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Net Patient Service Re | 621400 | 115957179 | 115957179 |
| Miscellaneous Revenue | 621400 | 1941579 | 1941579 |
| Electronic Health Reco | 621400 | 1317370 | 1317370 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 119216128 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1251071 | TotalRevenueColumn |
| Exclusion | $1,251,071 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 14010 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 14010 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 14010 | TotalRevenueColumn |
| Related Or Exempt Function Income | 14010 | RelatedOrExemptFunctionIncome |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 11955378 | Securities |
| Other | 27000 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 11266204 | Securities |
| Other | 59464 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 689174 | Securities |
| Other | -32464 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 656710 | TotalRevenueColumn |
| Exclusion | $656,710 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 13045 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 16418 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 7639 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5406 | TotalRevenueColumn |
| Exclusion | $5,406 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 122900842 | TotalRevenueColumn |
| Related Or Exempt Function Income | 119230138 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,913,187 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11675 | Total |
| Program Services | 11675 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 182816 | Total |
| Program Services | 175503 | ProgramServices |
| Management And General | 7313 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49268423 | Total |
| Program Services | 42350426 | ProgramServices |
| Management And General | 6917997 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 903806 | Total |
| Program Services | 700389 | ProgramServices |
| Management And General | 203417 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6463509 | Total |
| Program Services | 5039354 | ProgramServices |
| Management And General | 1424155 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2705122 | Total |
| Program Services | 2109995 | ProgramServices |
| Management And General | 595127 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 62029 | Total |
| Management And General | 62029 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54210 | Total |
| Management And General | 54210 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11798209 | Total |
| Program Services | 9185042 | ProgramServices |
| Management And General | 2613167 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 340231 | Total |
| Program Services | 264874 | ProgramServices |
| Management And General | 75357 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8294583 | Total |
| Program Services | 6457428 | ProgramServices |
| Management And General | 1837155 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4413475 | Total |
| Program Services | 3435941 | ProgramServices |
| Management And General | 977534 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32007 | Total |
| Program Services | 24918 | ProgramServices |
| Management And General | 7089 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1740332 | Total |
| Program Services | 1354869 | ProgramServices |
| Management And General | 385463 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5837906 | Total |
| Program Services | 4544877 | ProgramServices |
| Management And General | 1293029 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1616816 | Total |
| Program Services | 1258710 | ProgramServices |
| Management And General | 358106 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Patient Medical Expense | 6832780 | 6832780 | |
| Provision for Bad Debts | 5141859 | 5141859 | |
| Pharmacy Expenses | 4855301 | 3779908 | 1075393 |
| Revenue Tax | 2215458 | 2215458 | |
| Non-Patient Medical Exp | 1070161 | 833133 | 237028 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 643540 | Total |
| Program Services | 501003 | ProgramServices |
| Management And General | 142537 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 114484248 | Total |
| Program Services | 96218142 | ProgramServices |
| Management And General | 18266106 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7260630 | BOY |
| EOY | 4715779 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14591507 | BOY |
| EOY | 14996767 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8424478 | BOY |
| EOY | 8689651 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2060130 | BOY |
| EOY | 2116406 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2035417 | BOY |
| EOY | 3881385 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 103497692 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 45564973 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 59504691 | BOY |
| EOY | 57932719 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30321908 | BOY |
| EOY | 32321195 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 361548 | BOY |
| EOY | 344351 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10138222 | BOY |
| EOY | 14682949 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 134698531 | BOY |
| EOY | 139681202 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11887869 | BOY |
| EOY | 11130536 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33920115 | BOY |
| EOY | 32877247 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4377510 | BOY |
| EOY | 4788356 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50185494 | BOY |
| EOY | 48796139 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 70036682 | BOY |
| EOY | 76895478 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7036575 | BOY |
| EOY | 6460695 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7439780 | BOY |
| EOY | 7528890 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 84513037 | BOY |
| EOY | 90885063 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 134698531 | BOY |
| EOY | 139681202 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 8416594 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -2044568 | 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 | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 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 | $12,897 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 12897 | 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 | The Organization paid dues to MHA totaling $46,628, of which 15.5% was used for lobbying. The Organization also paid dues to AHA totaling $23,217, of which 24.42% was used for lobbying. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 19263606 | BeginningOfYearBalance |
| Contributions | 89457 | Contributions |
| Investment Earnings Or Losses | 1420387 | InvestmentEarningsOrLosses |
| Other Expenditures | 159680 | OtherExpenditures |
| End Of Year Balance | 20613770 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 18850981 | BeginningOfYearBalance |
| Contributions | 85217 | Contributions |
| Investment Earnings Or Losses | 500960 | InvestmentEarningsOrLosses |
| Other Expenditures | 173552 | OtherExpenditures |
| End Of Year Balance | 19263606 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 18696946 | BeginningOfYearBalance |
| Contributions | 61289 | Contributions |
| Investment Earnings Or Losses | 360571 | InvestmentEarningsOrLosses |
| Other Expenditures | 267825 | OtherExpenditures |
| End Of Year Balance | 18850981 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.35830 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.36460 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.27710 | 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 | 329281 | OtherCostOrOtherBasis |
| Book Value | 329281 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 55512373 | OtherCostOrOtherBasis |
| Depreciation | 13242736 | Depreciation |
| Book Value | 42269637 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3800304 | OtherCostOrOtherBasis |
| Depreciation | 1383642 | Depreciation |
| Book Value | 2416662 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 43855734 | OtherCostOrOtherBasis |
| Depreciation | 30938595 | Depreciation |
| Book Value | 12917139 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 57932719 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Estimated Third-Party Payor Settlements | 6006201 |
| Construction in Progress | 170870 |
| L-T Asset (Deferred Comp Plan) | 4788356 |
| Due from Affiliates | 3148373 |
| Other Assets | 569149 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 14682949 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Deferred Compensation Plan | Description |
| Amount | $4,788,356 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 4788356 | TotalOfAmounts |
| Total Revenue | 122900842 | TotalRevenue |
| Total Expenses | 114484248 | TotalExpenses |
| Excess Or Deficit For Year | 8416594 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -1404568 | NetUnrealizedGLOnInvestments |
| Other | -$640,000 | OtherAmount |
| Total Adjustments | -2044568 | TotalAdjustments |
| Excess Or Deficit Per FS | 6372026 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 121503913 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -1404568 | NetUnrealizedGainsInvestments |
| Other Revenues | 7639 | OtherRevenues |
| Revenue Not Rptd F990 | -1396929 | RevenueNotRptdF990 |
| Revenue Subtotal | 122900842 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 122900842 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 115131887 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 647639 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 647639 | ExpensesNotRptdF990 |
| Expenses Subtotal | 114484248 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 114484248 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Intended Use of Endowment Funds: | Part V, Line 4: | Endowment funds are invested and used in a manner that provides predictable streams of funding to the programs supported by the endowed funds, all while seeking to maintain the purchasing power of the endowment assets. |
| Description of Uncertain Tax Positions Under FIN 48: | Part X: | The Hospital is a not-for-profit corporation and is tax-exempt under Section 501(c)(3) of the Internal Revenue Code. Tax-exempt organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the Financial Accounting Standards Board, assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. The Hospital has evaluated the position taken on its filed tax returns. The Hospital has concluded no uncertain income tax positions exist at September 30, 2011. The Hospital's tax years from 2008 through 2011 are open and subject to examination. |
| Part XI, Line 8 - Other Adjustments: | Equity Transfer to Affiliates -640,000. | |
| Part XII, Line 2d - Other Adjustments: | Golf Tournament Expenses 7,639. | |
| Part XIII, Line 2d - Other Adjustments: | Golf Tournament Expenses 7,639. Equity Transfer to Affiliates 640,000. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Golf Tournament | NameOfEvent1 |
| Gross Receipts Event1 | 29463 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 16418 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 13045 | GrossRevenueEvent1 |
| Cash Prizes Event1 | 619 | CashPrizesEvent1 |
| Rent Facility Costs Event1 | 7020 | RentFacilityCostsEvent1 |
| Gross Receipts Total | 29463 | GrossReceiptsTotal |
| Charitable Contributions Total | 16418 | CharitableContributionsTotal |
| Gross Revenue Total Events | 13045 | GrossRevenueTotalEvents |
| Cash Prizes Total Events | 619 | CashPrizesTotalEvents |
| Rent Facility Costs Total Events | 7020 | RentFacilityCostsTotalEvents |
| Direct Expense Summary Events | 7639 | DirectExpenseSummaryEvents |
| Net Income Summary | 5406 | NetIncomeSummary |
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 |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3869736 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1198463 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2671273 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02440 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12989574 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8142440 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4847134 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04430 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 16859310 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9340903 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7518407 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06870 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 554508 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 21609 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 532899 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00490 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 16114620 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12964080 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3150540 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02880 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 16669128 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12985689 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3683439 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03370 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 33528438 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 22326592 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11201846 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10240 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $2,617,333 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 25818147 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 26897547 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -1079400 | 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 | 0 | WrittenDebtCollectionPolicy |
| Number Of Hospital Facilities | 12 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (12 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours |
|---|---|---|---|---|---|---|---|
| Mid Coast Hospital | |||||||
| 1 | 123 Medical Center Drive | Brunswick | ME | 04011 | X | X | X |
| Mid Coast Hospital | |||||||
| 2 | 121 Medical Center Drive | Brunswick | ME | 04011 | X | ||
| Mid Coast Hospital | |||||||
| 3 | 81 Medical Center Drive | Brunswick | ME | 04011 | X | ||
| Mid Coast Hospital | |||||||
| 4 | 11 Medical Center Drive | Brunswick | ME | 04011 | X | ||
| Mid Coast Hospital | |||||||
| 5 | 310 Bath Road | Brunswick | ME | 04011 | X | ||
| Mid Coast Hospital | |||||||
| 6 | 81 Medical Center Drive | Brunswick | ME | 04011 | X | ||
| Mid Coast Hospital | |||||||
| 7 | 430 Bath Road | Brunswick | ME | 04011 | X | ||
| Mid Coast Hospital | |||||||
| 8 | 66 Baribeau Drive | Brunswick | ME | 04011 | X | ||
| Mid Coast Hospital | |||||||
| 9 | 30 So Bristol Road | Bath | ME | 04543 | X | ||
| Mid Coast Hospital | |||||||
| 10 | 1356A Washington Avenue | Bath | ME | 04530 | X | ||
| Mid Coast Hospital - Mid Coast Med Group | |||||||
| 11 | 1 Bowdoin Mill Island | Topsham | ME | 04086 | X | ||
| Mid Coast Hospital | |||||||
| 12 | 22 Maine Street Station | Brunswick | ME | 04011 | X | ||
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)
| ExplanationExplanation |
|---|
| Part I, Line 7: Based on the IRS Form 990, Schedule H, a worksheet was provided to determine the overall cost to charge ratio that could be used to apply throughout Schedule H of Form 990. Where applicable, the Organization utilized this worksheet to convert charges to costs. The Organization did not use the Worksheet 2 percentage for the IRS Form 990, Schedule H, Worksheet 3, Unreimbursed Medicaid and Other Means Tested Government Programs, or Worksheet 6, Subsidized Health Services, for the Medicaid allowable costs. Instead, the Organization utilized the actual Medicaid filed cost report for the Medicaid allowable costs. Additionally, the Organization used the modified Medicare allowable costs and payments related to these services in regards to the cardiopulmonary community program and psychiatric unit. For our provider based clinics, in this same section we used the actual costs for each clinic. In addition, for its addiction resource center, access health service, and senior psychiatric services, the Organization used the estimated costs calculated based on actual clinic costs estimated from reporting on these centers to the State of Maine. |
| Part I, Line 7g: Mid Coast Hospital has clinical services and hospital-owned physician practices. Mid Coast Hospital has included these practices in this section of the 990, Schedule H of subsidized health services if they are operating at a loss. The Hospital has included the following clinical services and hospital-owned physician practices that operate at a loss and the corresponding costs of these practices: neurology practice, OB/GYN practice, pulmonary practice, urology practice, primary care clinic, walk-in clinic, nephrology practice, orthopedics practice, psychiatric department, cardiopulmonary community program, addiction resource center, access health service, senior psychiatric service, and chemical dependency services. The above listed hospital clinical services and hospital-owned physician practices have a community benefit of approximately $3.2 million. In addition, the community benefit does not take into account bad debts, charity care, and contractual adjustments. Thus, this community benefit of approximately $3.2 million is a conservative number that reconciles to the community benefit on the IRS Form 990, Schedule H. |
| Part I, L7 Col(f): Bad debt expense of $5,141,859 has been removed from the denominator of the calculation in Schedule H, Part I, Line 7, column f. |
| Part II: N/A |
| Part III, Line 4: Services rendered to individuals from whom payment is expected and ultimately not received is written off and included as part of the provision for bad debts.In accordance with generally accepted accounting principles, the allowance for doubtful accounts and bad debt expense is provided based on an analysis by management of the collectibility of outstanding balances. Management considers the age of outstanding balances and past collection efforts in determining the allowance for doubtful accounts and bad debt expense. Accounts deemed uncollectible are charged off against the established allowance. |
| Part III, Line 8: The Hospital believes all of the clinical areas included in the Form 990, Schedule H should be and are considered a community benefit. Mid Coast Hospital believes that by offering and thus subsidizing these clinical services within the community, the community benefits by having easy access to these services. If these services were not available by Mid Coast Hospital there would be a greater burden on the community and many, if not all, of these services would not be available with such easy access. Based on the IRS Form 990, Schedule H, a worksheet was provided to assist in determining the overall cost-to-charge ratio that could be used to apply throughout the Schedule H of the Form 990 in order to convert charges to costs. Where applicable, we have utilized this worksheet to convert charges to costs. We did not use this worksheet percentage on the calculation of Medicare costs in this section. We used the Medicare allowable costs and payments related to the subsidized health service; and, we utilized the Medicare cost report estimated cost and payment for these services. |
| Part VI, Line 2: Mid Coast Hospital assesses the health care needs of the community on an ongoing basis. Mid Coast Hospital's strategic plan is a road map as to where and how to deliver services to the surrounding communities. This process of how to provide these services included listening and learning to/from the community - patients and families, faith community, municipal leaders, legislatures and local businesses. Mid Coast also looked inward, calling upon board members, corporators, medical staff, volunteers, auxiliary, and employees since they are all part of the community Mid Coast Hospital serves. |
| Part VI, Line 3: Mid Coast Hospital will notify patients about access to various financial assistance needs in different ways. We have postings in various departments as well has handouts informing patients how to access these programs if a need for financial assistance is required. There are signs and pamphlets in the Hospital settings indicating the poverty guidelines and how to obtain assistance to free or discounted care. All of our patients can speak to one of the Hospital's employees on how to obtain financial assistance; and, if there is assistance needed, the employee will inform our patient financial services department who will then work with the patient to either help them apply for MaineCare or discuss options for free or discounted care. |
| Part VI, Line 4: Mid Coast Hospital primary service area includes the communities in the Mid Coast Maine communities including: Arrowsic, Bailey Island, Bath, Bowdoin, Bowdoinham, Brunswick, Dresden, Durham, Freeport, Georgetown, Harpswell, Lisbon, Litchfield, North Yarmouth, Perkins Township, Phippsburg, Pownal, Richmond, Sabattus, Topsham, West Bath, Westport, Wiscasset, Woolwich, Yarmouth. Approximately 15% of Mid Coast Hospital patients utilize Medicaid and 40% of Mid Coast Hospital patients utilize Medicare. The population of the communities supported by Mid Coast Hospital with income under 200% of the poverty guidelines is about 21%. |
| Part VI, Line 6: Mid Coast Hospital is a local, not-for-profit, community hospital that serves the local communities and the people regardless of their ability to pay. The members on the board of directors and corporators are all members of the communities that Mid Coast Hospital serves. All Hospital net income gains are reinvested into the facilities, equipment and services for the community. |
| Part VI, Line 7: Mid Coast Hospital has a clinical affiliation with Maine Health to provide the best patient care to all of the communities that Mid Coast Hospital and Maine Health serves. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | Schedule I, Part I, Line 2: During the tax year, the Organization only granted funds to local municipal school systems, further monitoring is not deemed necessary. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | X | IndependentConsultant |
| 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 | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (9 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| James Rines MD | |||||||||||||
| 145245 | 0 | 0 | 0 | 0 | 0 | 25445 | 0 | 12126 | 0 | 182816 | 0 | 0 | 0 |
| Lois Skillings | |||||||||||||
| 0 | 243720 | 0 | 0 | 0 | 0 | 0 | 38250 | 0 | 20002 | 0 | 301972 | 0 | 0 |
| Robert McCue | |||||||||||||
| 0 | 234007 | 0 | 0 | 0 | 0 | 0 | 36719 | 0 | 19804 | 0 | 290530 | 0 | 0 |
| Herbert Paris | |||||||||||||
| 0 | 405609 | 0 | 0 | 0 | 0 | 0 | 78502 | 0 | 20002 | 0 | 504113 | 0 | 0 |
| Jonathan Telsey MD | |||||||||||||
| 506987 | 0 | 0 | 0 | 0 | 0 | 21779 | 0 | 11693 | 0 | 540459 | 0 | 0 | 0 |
| John Taylor MD | |||||||||||||
| 278061 | 0 | 0 | 0 | 0 | 0 | 12990 | 0 | 10445 | 0 | 301496 | 0 | 0 | 0 |
| Elaine Secskas MD | |||||||||||||
| 260578 | 0 | 0 | 0 | 0 | 0 | 23850 | 0 | 12775 | 0 | 297203 | 0 | 0 | 0 |
| Stephanie Grohs MD | |||||||||||||
| 254900 | 0 | 0 | 0 | 0 | 0 | 23850 | 0 | 12307 | 0 | 291057 | 0 | 0 | 0 |
| Paul Leprad MD | |||||||||||||
| 250076 | 0 | 0 | 0 | 0 | 0 | 23850 | 0 | 13408 | 0 | 287334 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Part I, Line 4b | ReturnReference |
| Explanation | The Hospital has a deferred compensation arrangement under a nonqualified defined contribution plan to provide supplemental retirement benefits to certain employees. Herbert Paris (effective 10/1/10-6/30/11), Lois Skillings (effective 7/1/11-9/30/11), and Robert McCue, who are officers of the Organization, participated in this plan and received $78,502, $38,250, and $36,719, respectively. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| Maine Health and Higher Ed Fac Auth (MHHEFA) | |||||||
| 010314384 | 560425L40 | 2007-07-18 | 97716087 | Refinance Series 1998B Revenue Bond | 0 | 0 | 0 |
| Maine Health and Higher Ed Fac Auth (MHHEFA) | |||||||
| 010314384 | 560425362 | 2008-12-03 | 41658395 | Hospital Facility Expansion Project | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Amount UnspentAmountUnspent | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Capital ExpendituresCapitalExpenditures |
|---|---|---|---|---|---|---|---|---|---|---|
| 28930803 | 1984500 | 26651099 | 290758 | 4446 | 2002 | 1 | 1 | 1 | 1 | |
| 12393996 | 892731 | 138784 | 338 | 2009 | 0 | 0 | 1 | 1 | 11362143 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 0 | 1 |
| 0 | 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 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 |
|---|---|---|---|---|---|---|---|
| Trans America | |||||||
| 0 | 0 | 0 | 1 | 20.000000000000 | 1 | 0 | 0 |
| (no name) | |||||||
| 0 | 0 | 0 | 0 | 0 | 0 | ||
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Herbert Paris | |||
| Member of board of directors of Medical Mutual Insurance Company | 1421672 | The amount paid to Medical Mutual and identified in this section is for malpractice insurance coverage for the Hospital. Mr. Paris served on the board of directors for Medical Mutual and was the CEO of Mid Coast Hospital from October 1, 2010 until June 30, 2011. Mr. Paris was paid a nominal fee to serve on Medical Mutual's board of directors.The amount included in column c represents the total amount paid to Medical Mutual the amounts paid during the time specifically relating to Mr. Paris's tenure on the board are not easily determinable. | 0 |
| Lois Skillings | |||
| Member of board of directors of Medical Mutual Insurance Company | 1421672 | The amount paid to Medical Mutual and identified in this section is for malpractice insurance coverage for the Hospital. Ms. Skillings serves on the board of directors for Medical Mutual and, as of July 1, 2011, is the CEO of Mid Coast Hospital. Ms. Skillings was paid a nominal fee to serve on Medical Mutual's board of directors.The amount included in column c represents the total amount paid to Medical Mutual the amounts paid during the time specifically relating to Ms. Skillings's tenure on the board are not easily determinable . | 0 |
Schedule M IRS990ScheduleM
Works Of Art WorksOfArt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 72000 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | Appraisal | MethodOfDeterminingRevenues |
Securities Publicly Traded SecuritiesPubliclyTraded
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 5 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 8524 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | Market Value | MethodOfDeterminingRevenues |
Food Inventory FoodInventory
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 330 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | Actual Cost | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of8283 Received | 1 | NumberOf8283Received |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 1 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 1 | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Third Party Use: | Identifier |
| Return Reference | Part I, Line 32b: | ReturnReference |
| Explanation | The Organization sells contributions of securities through its investment broker. All gifts of securities are sold as soon as administratively possible. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section A, line 6 | Mid Coast Health Services (MCHS) shall be the Organization's sole member with all rights and responsibilities of membership, including all voting rights. | |
| Form 990, Part VI, Section A, line 7a | At each annual meeting of the sole member, the sole member shall elect directors to hold office until the election and qualification of their respective successors. The directors shall be persons who have demonstrated an interest in the Organization's goals and objectives and, to the extent reasonably feasible, shall represent the Mid-Coast area. To the extent feasible, fifty percent of all directors serving on the Organization's board of directors shall be persons who also serve on the board of directors of MCHS. | |
| Form 990, Part VI, Section A, line 7b | The business and affairs of the Organization shall be conducted and managed by its board of directors which shall exercise all of the powers of the Organization. The board of directors shall approve an annual operating budget, develop a long-term capital expenditure plan and, through its own committees or the committees of its sole member, monitor the implementation of the plan. Notwithstanding the foregoing, the directors shall not submit any application for a certificate of need to the Maine Department of Health and Human Services, or incur any long-term debt without the approval of MCHS as the sole member. The board of directors may delegate such powers as it sees fit to committees and officers of the Organization. | |
| Form 990, Part VI, Section B, line 11 | A draft of the return is reviewed by an officer of the Hospital prior to it being filed with the IRS. | |
| The Hospital has a compliance committee that meets on a quarterly basis to review any compliance issues that may arise. | Form 990, Part VI, Section B, line 12c | |
| An independent consultant prepares a market analysis at the regional level for all officers and key employees of the Organization. | Form 990, Part VI, Section B, line 15 | |
| The Organization makes its governing documents, conflict of interest policy and audited financial statements available to the public upon request. | Form 990, Part VI, Section C, line 19 | |
| Dr. James Rines receives compensation for his services to the Organization in his capacity as a physician. His salary and benefit amounts disclosed in Part VII do not reflect payments made to him for his services as a member of the board. | Form 990, Part VII, Section A: | |
| Herbert Paris, CEO (10/1/10 - 6/30/11), Lois Skillings, CEO (effective 7/1/11), and Robert McCue, CFO, provided services as officers to several related organizations. Their hours per week disclosed in Part VII of this Form 990 reflect only time devoted to the Hospital. Their salary and benefit amounts reflect 2010 reportable compensation for their services in the entire Mid Coast network of entities. | Form 990, Part VII, Section A: | |
| Lois Skillings is the current CEO of Mid Coast Hospital, and started in that capacity during the fiscal year. Compensation represents amounts paid to her in her capacity as a regular employee of a related organization as was her position during calendar year 2010. | Form 990, Part VII, Section A: | |
| Changes in Net Assets or Fund Balances: | Net unrealized losses on investments: -1,404,568. Equity Transfer to Affiliates -640,000. Total to Form 990, Part XI, Line 5: -2,044,568. | Form 990, Part XI, line 5: |
| Oversight of Audit: | The audit process has not changed from the prior year. | Form 990, Part XI, Line 2c |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| Mid Coast Health Services | ||||||||||
| 123 Medical Center Drive | Brunswick | ME | 04011 | 010430069 | Health Services | ME | 501(C)(3) | 7 | N/A | 0 |
| Mid Coast Geriatric Services Corporation | ||||||||||
| 123 Medical Center Drive | Brunswick | ME | 04011 | 010496211 | Geriatric Services | ME | 501(C)(3) | 9 | N/A | 0 |
| Community Health and Nursing Services | ||||||||||
| 60 Baribeau Drive | Brunswick | ME | 04011 | 010211546 | Hospice Services | ME | 501(C)(3) | 9 | N/A | 0 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| Mid Coast Medical Group | ||||||||
| 123 Medical Center Drive | Brunswick | ME | 04011 | 010484592 | Medical Services | ME | N/A | C |
| Midcoast Health Management Corporation | ||||||||
| 123 Medical Center Drive | Brunswick | ME | 04011 | 010429598 | Management of Health Services | ME | N/A | C |
| Thornton Oaks Development Corporation | ||||||||
| 123 Medical Center Drive | Brunswick | ME | 04011 | 010448411 | Management of Health Services | ME | N/A | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | 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 | 0 | 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 | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
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