HEALTHINFONET: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
HEALTHINFONET (EIN 20-5150062)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-07-24
IRS object ID
201222069349300647
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-07-24T13:25:10-07:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Macdonald Page & Co LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

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

Filer Filer

FieldValueIRS element (for citing)
EIN205150062EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HEALTHINFONETBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHEALNameControl
Phone2075419250Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1125 Presumpscot Street Box 8AddressLine1
CityPortlandCity
StateMEState
ZIP Code04103ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDevore CulverName
TitleCEOTitle
Date Signed2012-07-24DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NamePeter MontanoName
Phone2077745701Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonNona BoyinkNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1125 Presumpscot Street Box 8AddressLine1
CityPortlandCity
StateMEState
ZIP Code04103ZIPCode
FieldValueIRS element (for citing)
Gross Receipts6077296GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.hinfonet.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2008YearFormation
State Legal DomicileMEStateLegalDomicile
Activity Or Mission DescriptionTo oversee the implementation and operation of a statewide health information technology network.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees13TotalNbrEmployees
Total Nbr Volunteers20TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year5291080ProgramServiceRevenuePriorYear
Program Service Revenue CY6076313ProgramServiceRevenueCY
Investment Income Prior Year-2572InvestmentIncomePriorYear
Investment Income Current Year983InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year5288508TotalRevenuePriorYear
Total Revenue Current Year6077296TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year330392SalariesEtcPriorYear
Salaries Etc Current Year1408441SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6094002OtherExpensePriorYear
Other Expenses Current Year3709815OtherExpensesCurrentYear
Total Expenses Prior Year6424394TotalExpensesPriorYear
Total Expenses Current Year5118256TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1135886RevenuesLessExpensesPriorYear
Revenues Less Expenses CY959040RevenuesLessExpensesCY
Total Assets BOY4306144TotalAssetsBOY
Total Assets EOY4416131TotalAssetsEOY
Total Liabilities BOY4436032TotalLiabilitiesBOY
Total Liabilities EOY3586979TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-129888NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY829152NetAssetsOrFundBalancesEOY
Mission DescriptionTo oversee the implementation and operation of a statewide health information technology network.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense4349068Expense
Revenue6077296Revenue
DescriptionContinued to move toward full implementation of the project as scheduled.Description
Total Program Service Expense4349068TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109610NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees13NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKim BustamanteNamePerson
Telephone Number2075419250TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1125 Presumpscot Street Box 8AddressLine1
CityPortlandCity
StateMEState
ZIP Code04103ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
James Leonard
Director1.00X000
Richard White
Treasurer1.00X000X
Karl Turner
Director1.00X000
Barry Blumenfeld
Director1.00X000
Robert Allen
Director1.00X000
Mary Mayhew
Director1.00X000
Richard Marston
Director1.00X000
Douglas Jorgensen
Director1.00X000
Stephen Sears
Director1.00X000
Roderick Prior
Director1.00X000
Timothy Agnew
Director1.00X000
Stefanie Nadeau
Director1.00X000
Ann Conway
Director1.00X000
Peter Mills
Director1.00X000
Carol Carothers
Director1.00X000
Arthur Blank
Secretary1.00X000X
Nona Boyink
Chairman1.00X000X
Daniel Coffey
Vice Chair1.00X000X
David Howes
Past Chair1.00X000X
Shaun Alfreds
COO40.00170684026095X
Kim Bustamante
Mgr Fin.&Admin.40.0075377012964X
Devore Culver
CEO40.00305155023027X
Todd Rogow
Director of IT40.00121173023628X
FieldValueIRS element (for citing)
Total Reportable Comp From Org672389TotalReportableCompFromOrg
Total Other Compensation85714TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Orion Health Inc
PO Box 2927BuffaloNY142402927Software2068595
Maine Health
110 Free StreetPortlandME04101provider enrollments206463
Health Language Inc
Dept CH 19061PalatineIL600559061Software235966
DrFirstCom Inc
9420 Key West Avenue Suite 230RockvilleMD20850Software265000
3M
PO Box 200715DallasTX752844127Software402000
FieldValueIRS element (for citing)
Number Of Contractors GT100 K8NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Unencumbered revenue1058010580
Participation Revenue21929162192916
Grant Revenue38420213842021
Commission3079630796
FieldValueIRS element (for citing)
Total Program Service Revenue6076313TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column983TotalRevenueColumn
Exclusion$983ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column6077296TotalRevenueColumn
Related Or Exempt Function Income6076313RelatedOrExemptFunctionIncome
Exclusion$983ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total613302Total
Program Services404779ProgramServices
Management And General208523ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total551323Total
Program Services410441ProgramServices
Management And General140882ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total39318Total
Program Services25826ProgramServices
Management And General13492ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total133405Total
Program Services87755ProgramServices
Management And General45650ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total71093Total
Program Services46796ProgramServices
Management And General24297ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total23979Total
Program Services11799ProgramServices
Management And General12180ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total25573Total
Program Services12584ProgramServices
Management And General12989ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total41702Total
Management And General41702ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total69755Total
Program Services51259ProgramServices
Management And General18496ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total26516Total
Program Services21047ProgramServices
Management And General5469ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total17127Total
Program Services1156ProgramServices
Management And General15971ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total72512Total
Management And General72512ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total565932Total
Program Services481000ProgramServices
Management And General84932ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total36909Total
Program Services29544ProgramServices
Management And General7365ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Vendors15677561567756
Telephone and Postage17196126944502
SUPPLIES1759693278269
subcontracts10308371030837
contractual services16247912088941590

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total33946Total
Program Services23579ProgramServices
Management And General10367ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total5118256Total
Program Services4349068ProgramServices
Management And General769188ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY360955BOY
EOY786786EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY354124BOY
EOY1027064EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1028225BOY
EOY546649EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis447110LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec115061LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY358257BOY
EOY332049EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY2204583BOY
EOY1723583EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4306144BOY
EOY4416131EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1318565BOY
EOY613824EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY376667BOY
EOY1488559EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2740800BOY
EOY1484596EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4436032BOY
EOY3586979EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-129888BOY
EOY829152EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-129888BOY
EOY829152EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4306144BOY
EOY4416131EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses959040ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years1668357CurrentTaxYearMinus2Years
Total1668357Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years1668357CurrentTaxYearMinus2Years
Total1668357Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total1701668357PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years572CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1667CurrentTaxYearMinus1Year
Current Tax Year983CurrentTaxYear
Total3222Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years2348CurrentTaxYearMinus2Years
Total2348Total
FieldValueIRS element (for citing)
Total Support1673927TotalSupport
Gross Receipts From Admissions Etc12336739GrossReceiptsFromAdmissionsEtc
First5 Years170XFirst5Years170
Public Support Pertcentage1700.00000PublicSupportPertcentage170

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$41,702DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB41702TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1iIdentifier
Return ReferencePart II-B, Line 1i - Other Activities DescriptionReturnReference
ExplanationIn the 2011 legislative session two bills, LD 1337 and 1331 were introduced which impacted HealthInfoNet's (HIN's) operations. LD 1337 codified in legislation HINs consent policy and data management processes. LD 1331 was drafted to allow behavioral health and HIV information to be shared within the HIE. HealthInfoNet participated in the multi-stakeholder workgroup that drafted the final legislation. A consultant was hired to educate legislators and other government stakeholders about the HIE, its benefits and the issues concerning these two bills.Explanation

Schedule D IRS990ScheduleD

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis447110OtherCostOrOtherBasis
Depreciation115061Depreciation
Book Value332049BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings332049TotalOfBookValueLandBuildings
Total Revenue6077296TotalRevenue
Total Expenses5118256TotalExpenses
Excess Or Deficit For Year959040ExcessOrDeficitForYear
Excess Or Deficit Per FS959040ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt6077296TotRevenueEtcAuditedFinclStmt
Revenue Subtotal6077296RevenueSubtotal
Total Revenue Per Form9906077296TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt5118256TotExpensesEtcAuditedFinclStmt
Expenses Subtotal5118256ExpensesSubtotal
Total Expenses Per Form9905118256TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart XIdentifier
Return ReferencePart X : FIN48 FootnoteReturnReference
ExplanationManagement evaluated the Organization's tax positions and concluded that the Organization had taken no uncertain tax positions that required adjustment to the financial statements. As a result, there was no cumulative effect and no interest or penalties related to uncertain tax positions. When necessary, the Organization accounts for interest and penalties related to uncertain tax positions as part of its provision for federal and state income taxes. The Organization does not expect that any unrecognized tax benefits or liabilities arising from tax positions will change significantly within the next twelve months. The Organization is currently open to audit under the statute of limitations by the Internal Revenue Service and state taxing authorities for the years ending December 31, 2008 through 2011.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredfalseSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrg
Shaun Alfreds
1500002068426095196779
Devore Culver
248999397762302732818216380

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Sch J, Part I, Line 7Part I, Line 7: Non-Fixed payments not listed aboveEmployees including the CEO are eligible to receive merit bonuses from the organization at their annual reviews. This is included on the W-2s.
Sch J, Part I, Line 1aPart I, Line 1a: Relevant information in regards to selections on 1a.CEO receives a housing allowance of $16,380 annually; it is included in his W-2 wages but is not part of his base salary.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (13 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
D Howes R White PrGM Martin's Pt
HIN's BOD members4732Schedule O-HIN paymentfalse
Arthur Blank PresCEO MDI Hospital
HIN BOD officer26843Schedule O-HIN paymentfalse
Nona Boyink Pres Maine General Reh
HIN's BOD officer43771Schedule O-HIN paymentfalse
Robert Allen Exec MedDir PCHC
HIN BOD member99372Schedule O-HIN paymentfalse
Dan Coffey PresCEO Acadia EMHS
HIN BOD officer149398Schedule O-HIN paymentfalse
Barry Blumenfeld VPCIO Maine Health
HIN BOD member206463Schedule O-HIN paymentfalse
Arthur Blank PresCEO MDI Hospital
HIN BOD officer16667Schedule O-HIN revenuefalse
D Howes R White PrGM Martin's Pt
HIN's BOD members50000Schedule O-HIN revenuefalse
Nona Boyink Pres Maine General Reh
HIN's BOD officer150000Schedule O-HIN revenuefalse
Stephen Sears Dir Maine CDC
HIN's BOD member208401Schedule O-HIN revenuefalse
Barry Blumenfeld VPCIO Maine Health
HIN's BOD member470000Schedule O-HIN revenuefalse
James Leonard Dir of HIT Maine CDC
HIN's BOD member643648Schedule O-HIN revenuefalse
Dan Coffey PresCEO Acadia EMHS
HIN's BOD officer1014343Schedule O-HIN revenuefalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
ExplanationSee Schedule OExplanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Schedule L, Supplemental InformationHealthInfoNet receives revenue from several entities which have representatives serving on the Board of Directors. In addition, HealthInfoNet makes payments to several of these entities which participate in a program funded by a federal grant. Part IV (1)&(9) Daniel B. Coffey, President & CEO of Acadia Hospital (member of Eastern Maine Healthcare Systems). Eastern Maine Healthcare System made grants and payments to HealthInfoNet totaling revenue of $1,014,343 and deferred revenue of $355,833. HealthInfoNet made payments totaling $149,398 to Eastern Maine Healthcare Systems in 2011. At Dec. 31, 2011 HealthInfoNet had accounts payable totaling $125,398 due to Eastern Maine Healthcare Systems.Part IV (2) James F. Leonard, Director, Office of the State Coordinator for HIT Maine CDC. This office made grants totaling $643,648 in revenue to HealthInforNet in 2011; HealthInfoNet had accounts receivable totaling $485,245 from this office at Dec. 31, 2011.Part IV (3)&(8) Barry Blumenfeld, MD, Vice President & CIO, MaineHealth and Maine Medical Center. MaineHealth and Maine Medical Center provided revenue totaling $470,000 to HealthInfoNet in 2011. HealthInfoNet made payments totaling $206,463 to MaineHealth and Maine Medical Center in 2011.Part IV (4) Stephen D. Sears, MD, Acting Director & State Epidemiologist, Maine CDC. The Maine CDC made grants to HealthInfoNet totaling $208,401 in 2011; HealthInfoNet had accounts receivable totaling $75,000 from this office at Dec. 31, 2011. Part IV (5)&(11) Nona Boyink, MD, President, HealthReach Network and MaineGeneral Rehab & Nursing Care (member MaineGeneral Health). MaineGeneral Health provided HealthInfoNet with revenue totaling $150,000 in 2011. HealthInfoNet made payments totaling $43,771 to MaineGeneral Health in 2011. Part IV (6)&(13) David Howes, MD, President, and Richard White, General Manager of Employer and Provider Partnerships, Martin's Point Health Care. Martin's Point Health Care provided HealthInfoNet with revenue totaling $50,000 in 2011. HealthInfoNet made payments totaling $4,732 to Martin's Point Health Care in 2011. Part IV (7)&(12) Arthur J. Blank, President & CEO, Mt. Desert Island Hospital. Mt. Desert Island Hospital provided HealthInfoNet with revenue totaling $16,667 in 2011. HealthInfoNet made payments totaling $26,843 to Mt. Desert Island Hospital in 2011.Part IV (10) Robert Allen, MD, Executive Medical Director, Penobscot Community Health Care. HealthInfoNet made payments totaling $99,372 to Penobscot Community Health Care in 2011.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableFinancial statements, governing documents and policies are provided upon request.Form 990, Part VI, Line 19
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesThe Executive Director conducts an annual review of key employees. Salaries for Officers are determined by the Board of Directors and salaries for key employees are determined by the Chief Executive Officer. In 2011 the Board of Directors paid consultants to conduct an executive salary survey. As a result of the survey, the Board approved pay increases for the CEO, COO and Director of IT in 2011.Form 990, Part VI, Line 15b
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe Board members sign a conflict of interest statement annually and disclose any conflict of interest issues at meetings when applicable.Form 990, Part VI, Line 12c
Form 990, Part VI, Line 11: Form 990 Review ProcessReviewed by the Board of Directors prior to filing.Form 990, Part VI, Line 11

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.