BLUE HILL MEMORIAL HOSPITAL INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
BLUE HILL MEMORIAL HOSPITAL INC (EIN 01-0227195)
Tax period
2010-09-26 to 2011-09-24
Filed
2012-08-08
IRS object ID
201222219349300827
Schema version
2010v3.2
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)
Timestamp2012-08-08T10:21:26-07:00Timestamp
Tax Period End Date2011-09-24TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-09-26TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN010227195EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BLUE HILL MEMORIAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBLUENameControl
Phone2073742836Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 1029/57 WATER STREETAddressLine1
CityBLUE HILLCity
StateMEState
ZIP Code04614ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameEdward J OlivierName
TitleCFOTitle
Date Signed2012-08-08DateSigned
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonGregory RoraffNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line157 Water StreetAddressLine1
CityBlue HillCity
StateMEState
ZIP Code04614ZIPCode
FieldValueIRS element (for citing)
Gross Receipts52025583GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.bhmh.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1924YearFormation
State Legal DomicileMEStateLegalDomicile
Activity Or Mission DescriptionBlue Hill Memorial Hospital is dedicated to providing primary and selected specialty healthcare of outstanding quality, caring for our patients with respect and compassion, and improving the health of the communities we serve.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees359TotalNbrEmployees
Total Nbr Volunteers25TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year498179ContributionsGrantsPriorYear
Contributions Grants Current Year625192ContributionsGrantsCurrentYear
Program Service Revenue Prior Year22019083ProgramServiceRevenuePriorYear
Program Service Revenue CY49369043ProgramServiceRevenueCY
Investment Income Prior Year-55710InvestmentIncomePriorYear
Investment Income Current Year274911InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year22461552TotalRevenuePriorYear
Total Revenue Current Year50269146TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year9209215SalariesEtcPriorYear
Salaries Etc Current Year20177879SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year12111909OtherExpensePriorYear
Other Expenses Current Year29054400OtherExpensesCurrentYear
Total Expenses Prior Year21321124TotalExpensesPriorYear
Total Expenses Current Year49232279TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1140428RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1036867RevenuesLessExpensesCY
Total Assets BOY27214908TotalAssetsBOY
Total Assets EOY30312071TotalAssetsEOY
Total Liabilities BOY8453058TotalLiabilitiesBOY
Total Liabilities EOY11042921TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY18761850NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY19269150NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionBlue Hill Memorial Hospital is dedicated to providing primary and selected specialty healthcare of outstanding quality, caring for our patients with respect and compassion, and improving the health of the communities we serve.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense44308027Expense
Revenue49490137Revenue
DescriptionSee Schedule ODescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense827908Expense
DescriptionCharity care provided (at cost) 473 persons served.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense273029Expense
DescriptionMedicare shortfalls (at cost) 28,082 persons served.Description
FieldValueIRS element (for citing)
Total Program Service Expense45408964TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPtrueLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109662NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees359NumberOfEmployees
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 Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledMEStatesWhereCopyOfReturnIsFiled
Own WebsiteXOwnWebsite
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonWendy J JonesNamePerson
Telephone Number2073743409TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line157 Water StreetAddressLine1
CityBlue HillCity
StateMEState
ZIP Code04614ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeOfficerOfficerFormerFormerKey EmployeeKeyEmployee
Zoe Robbins Tenney
Trustee7.00X40725020541
Thomas Bugbee
Physician40.00255712031355X
Stacey Henner Walden DO
Trustee30.00X207893027217
Scott Oxley
IntCFO-part yr40.00022411837974X
Sally N Mills
Trustee2.00X000
Robert Baroody
Physician40.00213720014932X
Richard K Howe
Treasurer2.00X000X
Richard Gurin
Trustee2.00X000
Margaret Hannah
Trustee2.00X000
Kathleen J Ober
VP Med Affairs40.00459302041490X
Karl Liebermann
Hospitalist40.00231288031053X
Judith E Thomas
Trustee2.00X000
Joseph Babbitt
Hospitalist40.00244954027759X
John Ronan
VP Ancillary Sv40.00180201028338X
Jim Schatz
Trustee2.00X000
James White
Surgeon40.00474731033150X
Gregory Roraff
President & CEO40.00X9213108307X
Gordon Stewart
Trustee2.00X000
Frank Wanning
Vice Chair2.00X000X
Erik N Steele
Former Interim CEO0.00033992243888X
Edward Olivier
CFO-part year35.00949614069919630X
Deborah Turner
VP Phy Practice40.0099355018294X
David Snow
Trustee2.00X000
Danielle V Mutty MD
Trustee2.00X000
Claire Connor RN MPH
Chairman2.00X000X
Charles Hatfield
Trustee2.00X000
Arthur Newkirk MD
Chief of Staff40.00X133623020399X
Ann Louise d'Entremont
CNO/VP40.00114595021192X
Andrew K Laslie CPA
Secretary2.00X000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2843191TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs604739TotalReportableCompFrmRltdOrgs
Total Other Compensation425519TotalOtherCompensation
Number Individuals GT100 K22NumberIndividualsGT100K
Formers ListedtrueFormersListed
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
United Medical System
1500 West Park DriveWestboroughMA01581Surgical Services101375
Surapaneni P Ramanadha Rao
57 Water StreetBlue HillME04614Urology Phys Svcs370000
Nurse Anesthesia of Maine
141 N Main Street Ste 205BrewerME04412Anesthesia Svcs524629
Maine Coast Memorial Hospital
50 Union StreetEllsworthME04605General Surgery Svcs268983
Dahl Chase Diagnostic Services
417 State Street Ste 541BangorME04401Pathology Sevices114554
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Related Organizations5831RelatedOrganizations
Government Grants180545GovernmentGrants
All Other Contributions438816AllOtherContributions
Noncash Contributions1299NoncashContributions
Total Contributions625192TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Patient Care Service6219904924828449248284
Exempt Affiliate Rental5320003451034510
Cafeteria7222108624986249
FieldValueIRS element (for citing)
Total Program Service Revenue49369043TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column146447TotalRevenueColumn
Exclusion$146,447ExclusionAmount

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

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1877220Securities
Other7681Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1756126Securities
Other311Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities121094Securities
Other7370Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column128464TotalRevenueColumn
Related Or Exempt Function Income121094RelatedOrExemptFunctionIncome
Exclusion$7,370ExclusionAmount

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 Column50269146TotalRevenueColumn
Related Or Exempt Function Income49490137RelatedOrExemptFunctionIncome
Exclusion$153,817ExclusionAmount

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)
Total1622305Total
Program Services1054388ProgramServices
Management And General567917ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total15447995Total
Program Services14138641ProgramServices
Management And General1309354ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total426953Total
Program Services388527ProgramServices
Management And General38426ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1655271Total
Program Services1504432ProgramServices
Management And General150839ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1025355Total
Program Services933073ProgramServices
Management And General92282ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total13051Total
Program Services13051ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total124978Total
Management And General124978ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total2997Total
Program Services677ProgramServices
Management And General2320ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3215777Total
Program Services2303069ProgramServices
Management And General912708ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total59404Total
Program Services14311ProgramServices
Management And General45093ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4194982Total
Program Services4109854ProgramServices
Management And General85128ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total266232Total
Program Services244538ProgramServices
Management And General21694ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total747132Total
Program Services649048ProgramServices
Management And General98084ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total57835Total
Program Services34736ProgramServices
Management And General23099ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total125354Total
Program Services116572ProgramServices
Management And General8782ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total109015Total
Program Services109015ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1362322Total
Program Services1171328ProgramServices
Management And General190994ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total424638Total
Program Services417389ProgramServices
Management And General7249ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Taxes and Licensing71298470114411840
Repairs & Maintenance553465444477108988
Provision for uncollectible ac13075271307527
Contractual Allowances1428376314283763
Charity Care14153151415315

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total77629Total
Program Services54089ProgramServices
Management And General23540ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total49232279Total
Program Services45408964ProgramServices
Management And General3823315ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY48638BOY
EOY54471EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2014566BOY
EOY3122450EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY22616BOY
EOY11352EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY6704046BOY
EOY4350200EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY52659BOY
EOY27828EOY

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)
BOY103562BOY
EOY141312EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY370877BOY
EOY794051EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis25746842LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec17276022LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY8630113BOY
EOY8470820EOY

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)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY9267831BOY
EOY13339587EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY27214908BOY
EOY30312071EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5911066BOY
EOY8745390EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY2329463BOY
EOY2228461EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY212529BOY
EOY69070EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY8453058BOY
EOY11042921EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY17944848BOY
EOY18377236EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY178868BOY
EOY201887EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY638134BOY
EOY690027EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18761850BOY
EOY19269150EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY27214908BOY
EOY30312071EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1036867ReconcilationRevenueExpenses
Reconcilation Other Changes-529567ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals6848FilingOrganizationsTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals6848FilingOrganizationsTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals49225431FilingOrganizationsTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals49232279FilingOrganizationsTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals1000000FilingOrganizationsTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals250000FilingOrganizationsTotals
FieldValueIRS element (for citing)
Form4720 FiledfalseForm4720Filed

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3333418CurrentYearMinus3
Current Year Minus21000000CurrentYearMinus2
Current Year Minus11000000CurrentYearMinus1
Current Year1000000CurrentYear
Total3333418Total
FieldValueIRS element (for citing)
Lobbying Ceiling$5,000,127LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus34704CurrentYearMinus3
Current Year Minus22462CurrentYearMinus2
Current Year Minus14301CurrentYearMinus1
Current Year6848CurrentYear
Total18315Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus383355CurrentYearMinus3
Current Year Minus2250000CurrentYearMinus2
Current Year Minus1250000CurrentYearMinus1
Current Year250000CurrentYear
Total833355Total
FieldValueIRS element (for citing)
Grassroots Ceiling$1,250,033GrassrootsCeilingAmount

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance430983BeginningOfYearBalance
Contributions65500Contributions
Investment Earnings Or Losses4723InvestmentEarningsOrLosses
End Of Year Balance501206EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance252141BeginningOfYearBalance
Contributions159113Contributions
Investment Earnings Or Losses19729InvestmentEarningsOrLosses
End Of Year Balance430983EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance252141BeginningOfYearBalance
End Of Year Balance252141EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.01400BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.98600PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis137846OtherCostOrOtherBasis
Book Value137846BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11295074OtherCostOrOtherBasis
Depreciation7083698Depreciation
Book Value4211376BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2810OtherCostOrOtherBasis
Depreciation1164Depreciation
Book Value1646BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis13522250OtherCostOrOtherBasis
Depreciation9998415Depreciation
Book Value3523835BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis788862OtherCostOrOtherBasis
Depreciation192745Depreciation
Book Value596117BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8470820TotalOfBookValueLandBuildings

Other Assets OtherAssets (7 entries)

DescriptionDescriptionBook ValueBookValue
Temporarily Donor Restricted Funds201887
Self Insurance Funds Held by Trustee20810
Permanently Donor Restricted Funds474254
Board Designated Funds-Other6714755
Board Designated Funds-Funded Deprec.5663442
Beneficial Interest in Perpetual Trusts215773
Assets Whose Use is Limited48666
FieldValueIRS element (for citing)
Total Book Value Other Assets13339587TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Self-insurance Benefits$5,635
Liability Under Cap Lease Obligation$45,739
Deferred Compensation$17,696
FieldValueIRS element (for citing)
Total Of Amounts69070TotalOfAmounts
Total Revenue50269146TotalRevenue
Total Expenses49232279TotalExpenses
Excess Or Deficit For Year1036867ExcessOrDeficitForYear
Net Unrealized GL On Investments-584742NetUnrealizedGLOnInvestments
Other$55,175OtherAmount
Total Adjustments-529567TotalAdjustments
Excess Or Deficit Per FS507300ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt34011436TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-584742NetUnrealizedGainsInvestments
Other Revenues-15660360OtherRevenues
Revenue Not Rptd F990-16245102RevenueNotRptdF990
Revenue Subtotal50256538RevenueSubtotal
Other Revenues Not Included12608OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt12608RevenueNotRptdOnFinStmt
Total Revenue Per Form99050269146TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt33559834TotExpensesEtcAuditedFinclStmt
Expenses Subtotal33559834ExpensesSubtotal
Other Expenses Not Included15672445OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt15672445ExpensesNotRptdOnFinStmt
Total Expenses Per Form99049232279TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XPart X : FIN48 FootnoteIncome TaxesThe Hospital has been determined by the Internal Revenue Service to be a tax-exempt charitable organization as described in Section 501(c)(3) of the Code and, accordingly, is exempt from federal income taxed on related income pursuant to Section 501(a) of the Code. Accordingly, no provision for federal income taxes has been recorded in the accompanying financial statements.
Part XIII, Line 4bPart XIII, Line 4b: Other revenue amounts included on 990 but not included in F/SCharity Care $1415316 Contractual Allowance $14381763 Restricted Expenses from Fund Balance $12085 Reimbursed Expenses Reclassed to Expense $-136719
Part XII, Line 4bPart XII, Line 4b: Other revenue amounts included on 990 but not included in F/SRestricted Contributions from fund bal $7130 Restricted Investment Inc from fund bal $5478
Part XI, Line 8Part XI, Line 8: Other Changes in Net Assets or Fund BalancesChange in net assets held @ Healthcare Charities $93666 $ -0 Decrease in Beneficial Interest in Perpetual Trusts $ -11107 Transfer to exempt parent - Eastern Maine Healthcare Systems $ -27384 $ -0
Part V, Line 4Part V, Line 4: Intended uses of the endowment fund.Endowment funds are designated for purposes that align within this organization's exempt purpose.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served473PersonsServed
Total Community Benefit Expense827908TotalCommunityBenefitExpense
Net Community Benefit Expense827908NetCommunityBenefitExpense
Percent Of Total Expense0.02570PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense195122TotalCommunityBenefitExpense
Net Community Benefit Expense195122NetCommunityBenefitExpense
Percent Of Total Expense0.00610PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served473PersonsServed
Total Community Benefit Expense1023030TotalCommunityBenefitExpense
Net Community Benefit Expense1023030NetCommunityBenefitExpense
Percent Of Total Expense0.03180PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs8NumberOfActivitiesOrPrograms
Persons Served830PersonsServed
Total Community Benefit Expense213119TotalCommunityBenefitExpense
Net Community Benefit Expense213119NetCommunityBenefitExpense
Percent Of Total Expense0.00660PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Benefit Expense18020TotalCommunityBenefitExpense
Net Community Benefit Expense18020NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served103PersonsServed
Total Community Benefit Expense7421TotalCommunityBenefitExpense
Net Community Benefit Expense7421NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs10NumberOfActivitiesOrPrograms
Persons Served933PersonsServed
Total Community Benefit Expense238560TotalCommunityBenefitExpense
Net Community Benefit Expense238560NetCommunityBenefitExpense
Percent Of Total Expense0.00740PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs10NumberOfActivitiesOrPrograms
Persons Served1406PersonsServed
Total Community Benefit Expense1261590TotalCommunityBenefitExpense
Net Community Benefit Expense1261590NetCommunityBenefitExpense
Percent Of Total Expense0.03920PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served188PersonsServed
Total Community Building Expense3561TotalCommunityBuildingExpense
Net Community Building Expense3561NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense145945TotalCommunityBuildingExpense
Net Community Building Expense145945NetCommunityBuildingExpense
Percent Of Total Expense0.00450PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served188PersonsServed
Total Community Building Expense149506TotalCommunityBuildingExpense
Net Community Building Expense149506NetCommunityBuildingExpense
Percent Of Total Expense0.00460PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$814,380BadDebtExpenseAmount
Amount Reimbursed By Medicare12430287AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare12703316CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-273029MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number0FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Blue Hill Memorial HospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line157 Water StreetAddressLine1
CityBlue HillCity
StateMEState
ZIP Code04614ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Critical Access HospitalXCriticalAccessHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Blue Hill Memorial HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
OtherXOther
Needs Assessment Conducted11NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiestrueOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Other MethodXOtherMethod
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Participate Community PlanXParticipateCommunityPlan
Include Operational PlansXIncludeOperationalPlans
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
Other Needs AddressedXOtherNeedsAddressed
All Needs AddressedtrueAllNeedsAddressed
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.0000FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent300.0000FPGDiscountPercent
Explains BasistrueExplainsBasis
Other FactorsXOtherFactors
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Permit Other ActionsXPermitOtherActions
Collection ActivitiestrueCollectionActivities
Other ActionsXOtherActions
Other Actions TakenXOtherActionsTaken
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities7NumberOfOtherFacilities

Other Facilities OtherFacilities (7 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
Island Family Medicine
354 Airport RoadStoningtonME04681Physician Offices
Castine Community Health Services
102 Court StreetCastineME04421Physician Offices
Bucksport Family Medicine
58 Main StreetBucksportME04416Physician Offices
Blue Hill Womens Healthcare
65 Water StreetBlue HillME04614Physician Offices
Blue Hill Specialty Services
65 Water StreetBlue HillME04614Physician Offices
Blue Hill Orthopedics
65 Water StreetBlue HillME04614Physician Offices
Blue Hill Family Medicine
65 Water StreetBlue HillME04614Physician Offices

Form990 Schedule H Part VI Form990ScheduleHPartVI (25 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part V - Explanation of Number of Facility TypeN/A
Part VI - States Where Community Benefit Report FiledME
Part VI - Affilated Health Care System Roles and PromotionWe are part of Eastern Maine Healthcare Systems and receive support from our parent organization for activities such as community forums. In addition, we rely upon other system members to help us provide specialized care for community members. For example, we rely upon Eastern Maine Medical Center and Acadia Hospital (both in Bangor) to provide specialized care that could never be provided in the context of a small community hospital. We use strong referral networks and technology to make a full range of services as convenient, safe, and effective as possible for patients in our area.
Part VI - Explanation Of How Organization Furthers Its Exempt PurposeWe partner with many other non-profits, including Healthy Peninsula and the Jackson Laboratory to promote the health of our community. These partnerships are for the benefit of our community.
Part VI - Community Building ActivitiesOur outreach to the community includes blood drives, blood pressure clinics, an educational presence at local fairs and festivals, ongoing work with local schools in areas such as H1N1 preparation, and special events such as our annual Fun Run. Our providers also assist with outreach by giving educational sessions on topics such as osteoporosis, women's health and diabetes. We provide tours and "hands on" experiences to local school children in our emergency, radiology and rehabilitation departments.
Part VI - Community InformationWe serve a rural community that includes many senior citizens, i.e. 20% of our population is age 65 or older. With the exception of our wealthy seasonal residents, many of our patients are economically challenged. Our hospital and its primary care practices are impacted by the effects of chronic disease within the communities we serve. Depression, obesity, diabetes, and cardio-vascular disease are common problems. The rural, geographically isolated nature of our communities also means that many turn to our hospital and practices for assistance that might otherwise be provided by other agencies. Assistance for those with problems such as addiction, domestic violence, etc. is very limited particularly for those with transportation needs. We also have patients who live on offshore islands whose only transportation is the mailboat to the mainland. Our physician practices take this into consideration when a patient needs to be scheduled for an appointment.
Part VI - Patient Education of Eligibility for AssistanceWe have information available through our Web site, have financial counselors at the hospital, and equip our primary care practices with this information. In addition we have discharge planning personnel, including a licensed clinical social worker, who provide more extensive assistance to patients with complex financial issues. Further, our financial counselor screens our patients (using Hospital services) and personally meets with anyone listed as self-pay to help identify if financial assistance is needed.
Part VI - Needs AssessmentBlue Hill Memorial Hospital is an affiliate of Eastern Maine Healthcare Systems. As a small rural hospital, we rely upon our system to help us assess the healthcare needs of the communities we serve. In 2001 and again in 2007, EMHS contracted with an academic partner to conduct a regional Community Health Needs Assessment (CHNA). In 2010, EMHS again invested in a significant study, this time in collaboration with OneMaine Health. The OneMaine Health Collaborative is a partnership of three of Maines largest health systems: EMHS (Eastern Maine Healthcare Systems), MaineHealth, and MaineGeneral. The study was conducted to identify the most important health issues in the state and by county, using a scientific method to validate health indicators and to compare results. The assessment identifies priority health issues in the areas we serve. In addition to the CHNA report, we assess the needs of our community on an ongoing basis by reviewing feedback from various advisory groups, community health partners, area businesses, local schools, and other organizations.
Part V, Line 19d - Other Billing Determination of Individuals Without InsurancePart V, Section B is optional for tax year 2011. Blue Hill Memorial Hospital(BHMH) has elected to not completee lines 8 through 21. The software will not allow BHMH to leave these reponses blank.Number of Hospital Faciltiy - 0
Part V, Line 17e - Other Actions Took Before Any Collection ActionsPart V, Section B is optional for tax year 2011. Blue Hill Memorial Hospital(BHMH) has elected to not completee lines 8 through 21. The software will not allow BHMH to leave these reponses blank.Number of Hospital Faciltiy - 0
Part V, Line 16e - Other Collection Actions by Facility or Third Party EngagedPart V, Section B is optional for tax year 2011. Blue Hill Memorial Hospital(BHMH) has elected to not completee lines 8 through 21. The software will not allow BHMH to leave these reponses blank.Number of Hospital Faciltiy - 0
Part V, Line 15e - Other Collection Actions Against a PatientPart V, Section B is optional for tax year 2011. Blue Hill Memorial Hospital(BHMH) has elected to not completee lines 8 through 21. The software will not allow BHMH to leave these reponses blank.Number of Hospital Faciltiy - 0
Part V, Line 13g - Other Means Hospital Facility Publicized the PolicyPart V, Section B is optional for tax year 2011. Blue Hill Memorial Hospital(BHMH) has elected to not completee lines 8 through 21. The software will not allow BHMH to leave these reponses blank.Number of Hospital Faciltiy - 0
Part V, Line 11h - Other Factors Used in Determing Amounts Charged PatientsPart V, Section B is optional for tax year 2011. Blue Hill Memorial Hospital(BHMH) has elected to not completee lines 8 through 21. The software will not allow BHMH to leave these reponses blank.Number of Hospital Faciltiy - 0
Part V, Line 6i - Describe Other Needs Identified6a Blue Hill Memorial Hospital has adopted an implementation strategy that takes into account the CHNA report as well as other input from the community. Community benefit strategies are woven into our strategic plan as well as our master facility planning process.6b Our community relations office works closely with clinical personnel and community partners to execute our implementation strategy. The senior director of advancement is a member of the hospital's leadership team and also serves as staff to an Advancement Committee of the board (of Trustees) that provides feedback on community healthcare needs.6c Blue Hill Memorial Hospital staff interact with other community organizations (schools, nursing homes, retirement communities, businesses, home healthcare agencies etc.) to ensure that our community benefit plan takes into account the needs of various constituencies throughout our community. In addition, we recruited a Community Advisory Council that provides feedback on local healthcare needs and helps us assess the hospital's progress in helping meet these needs through targeted outreach programs.6d We are executing on our community-wide community benefit plan in conjunction with other partners, such as Healthy Peninsula, to co-sponsor programs that address community needs such as developmental delays in young children and substance abuse. 6e Our community benefit strategy and activities are in our operational plans through (i) duties described in job descriptions (ii) our budget (iii) our master facility and strategic planning processes (iv) our communication plan, which includes media releases and Web content, for example.6f Our budget accommodates the financial assistance we provide to patients who receive charity care as part of our community benefit strategy. The annual operating budget provides for increased access to behavioral health providers and primary care providers, as well as programs targeted at obesity and community health screenings. Also included in the budget is a staff member whose time is committed to supporting community benefit activities such as screenings, talks, etc.6g The Community Health Needs Assessment (survey), our Community Advisory Council, and community healthcare partners have helped us identify the following healthcare needs as local priorities: (i) access to primary care (being addressed in an operational plan); (ii) chronic illnesses such as obesity, depression, cardiovascular disease, and diabetes; (iii) substance abuse 6h We have prioritized the following services in response to 6g: (i) greater emphasis on early intervention and prevention for priority healthcare needs through screenings, education, etc.; (ii) delivery of programs outside of traditional settings (in retirement homes, local businesses, etc.); (iii) improved access to primary care through initiatives such as patient-centered medical come models ; (iv) improved public communication regarding various financial assistance programs for needy patients.Part V, Section B, Financial Assistance PolicyLines 8 through 21Part V, Section B is optional for tax year 2011. Blue Hill Memorial Hospital(BHMH) has elected to not completee lines 8 through 21. The software will not allow BHMH to leave these reponses blank.Number of Hospital Faciltiy - 0
Part V, Line 5c - Description of Making Needs Assessment Widely AvailableIn conjunction with EMHS, Blue Hill Memorial Hospital hosted a community forum to present an overview of local assessment results and recommendations. Invitees included: Other area hospitals, Physician leaders, Federally Qualified Health Centers, Healthy Maine Partnerships, District Liaisons linked to Maine CDC, Home Health and Long Term Care leaders, Social Service Agencies, Leaders of the tribal communities, Business leaders, Legislative leaders, Representatives of the State administrationAttendees were provided an executive summary of the assessment as well as a summary table of data reflective of the service area. A presentation was made by EMHS staff who were members of the assessment development steering committee providing selected data results, trends over time and the priorities and recommendations as suggested by the research consultants.In addition to the community forums, the entire statewide assessment (both narrative and data sets) were posted to the EMHS website. After the forums, Power Point presentations used at the Forum as well as input collected in the breakout sessions were also posted on the website. Forum participants were encouraged to go to the website to review the assessment in detail, and access the data for local planning. Media releases were also sent to local news outlets in combination with the forums, encouraging new articles on the forum and inviting all members of the public to view the report on the website.Instructions on the website assist viewers to download and /or print sections of the report. Individuals without computer or printer access were provided a phone number where they can request a printed assessment.Number of Hospital Faciltiy - 0
Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs AssessmentThe needs assessment was developed as a statewide collaborative between the state's three largest health systems: EMHS (in central, eastern and northern Maine), MaineGeneral (in central Maine) and MaineHealth (in southern Maine). Multiple collaborators were involved in the dissemination of the assessment findings and establishment of priorities (see Section 5).Number of Hospital Faciltiy - 0
Part V, Line 3 - Account Input from Person Who Represent the CommunityOn a statewide basis, the research consultants developed an advisory committee that met two times during the assessment research and drafting of the publication. These individuals represented a broad spectrum of backgrounds, and they are named: Carol Bell, Healthy Maine Partnership Director; Kelly Bentley, Healthy Maine Partnership Director; Gail Dana-Sacco, Wabanaki Center (serving tribal populations); Patricia Hart, Maine Development Foundation; Barbara Leonard, MPH, Maine Health Access Foundation (philanthropic foundation focused on access to care in Maine); Becca Matusovich, Maine Center for Disease Control; Lisa Miller, Bingham Foundation (philanthropic foundation); Dora Ann Mills, MD, Maine Center for Disease Control; Elizabeth Mitchell, Maine Health Management Coalition (representing the state's major employers, insurers and providers); Trish Riley, Governor's Office of Health Policy and Finance (GOHPF); Brian Rines, Advisory Committee for Health System Development (overseen by GOHPF); Rachel Talbot-Ross, Maine Chapter, NAACP; Ted Trainer, Public Health Coordinating Council Shawn Yardley, City of Bangor, Department of Health and Welfare.Number of Hospital Faciltiy - 0
Part V, Line 1j - Description of Other Needs Assessment1a Blue Hill Memorial Hospital and its practices serve a rural area that includes island communities that can be reached only by mail boat, private vessel, or the Lifeflight helicopter. The primary communities that we serve include: Blue Hill, Bucksport, Brooklin, Brooksville, Cape Rosier, Castine, Harborside, Deer Isle, Penobscot, Sargentville, Sedgwick, Stonington. We serve also serve patients from other communities, such as Ellsworth as well as tourists and seasonal residents. Our area is considered a "destination" for some wealthy families. This wealth contrasts significantly with substantial poverty in our region.1b Blue Hill Memorial Hospital and its related physician practices utilize extensive electronic medical records, including disease registries, which provide a vast amount of data relative to patients in care. The needs assessment provides a much broader picture of the community as a whole, including the health status of individuals not in care, as well as functional health status and social-demographics (such as employment, income and education levels). The local units of the state's public health infrastructure (known as Healthy Maine Partnerships) are also integrated into the process so that their data relative to health, environmental and social measures are part of the community dissemination process.1c Blue Hill Memorial Hospital engaged multiple health resource leaders in the community forum invitation list (as described in Section 1g). Additional resources and leaders needed were identified in the breakout sessions (see question for breakout participants, Section 1g). In the Blue Hill Memorial Hospital service area, key collaborators going forward will include: Bucksport Bay Healthy Communities, Healthy Island, and Healthy Peninsula. 1d-1e-1f EMHS, the parent company of Blue Hill Memorial Hospital, routinely conducts a community health needs assessment (Hereafter needs assessment) across the service area of all of its member hospitals. The most recent assessment, published in 2011, was conducted under a contract with the University of New England Center for Health Planning, Policy and Research (CHPPR) and the University of Southern Maine's Muskie School for Public Health. Using a methodology developed by CHPPR over decades of work, the assessment integrates primary data from a telephone survey to heads of households with secondary data retrieved from state databases (ED usage, Mortality, Cancer Registry, etc.). That data is reviewed in the context of multiple health related domains to develop a composite view of health status, behavioral risks, and barriers to access and care. Results are compared to national and state benchmarks to produce priorities and recommendations as prepared by the consultants.1g See question #3SEE SCHEDULE O FOR CONTINUATION OF RESPONSESNumber of Hospital Faciltiy - 0
Part III, Line 9b - Provisions On Collection Practices For Qualified PatientsSchedule H, Part III, Section C, line 9aEastern Maine Healthcare Systems (EMHS) has had a written billing and collections policy since September 2010. The policy applies to Blue Hill Memorial Hospital, a related organization of EMHS.All account guarantors who express an inability to pay inpatient and outpatient services will be screened for eligibility for charity care using an application and guidelines established by BHMH. An account may be reconsidered for charity care at any time when new information is available about a patients inability to pay.
Part III, Line 8 - Explanation Of Shortfall As Community BenefitMedicare losses should be treated as a community benefit because the losses are incurred in performing an important public service, and Maine hospitals experience one of the lowest Medicare reimbursement rates in the country.
Part III, Line 4 - Bad Debt ExpensePatient accounts receivable are stated at the amount management expects to collect from outstanding balances. Management provides for probable uncollectible amounts through a charge to earnings and a credit to a valuation allowance based on its assessment of the current status of individual accounts. Balances that are still outstanding after management has used reasonable collection efforts are written off through a charge to the valuation allowance and a credit to patient accounts receivable. The costing methodology used to determine the amount reported on line 2 is cost to charge ratio.
Part I, Line 7, Column F - Explanation of Bad Debt Expense$1,307,527 of bad debt expense, $1,415,315 of charity care, $14,283,763 of contractuals is included on Form 990, Part IX, line 25, column (A).
Part I, Line 7 - Explanation of Costing MethodologyRatio of Patient Care Cost-to-Charges is used in calculations.
Part I, Line 6a - Related Organization Community Benefit ReportThe BHMH community benefit report is contained in an annual community benefit report prepared by Eastern Maine Healthcare Systems which is the parent organization of all related organizations.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgs
Thomas Bugbee
24669930895924607225283287067
Stacey Henner Walden DO
2033503883660457922638235110
Scott Oxley
205611176428651492523049262092
Robert Baroody
20938529881347417410758228652
Kathleen J Ober
421346531332643997731513500792
Karl Liebermann
231054234541525638262341
Joseph Babbitt
2427082246542322336272713
John Ronan
1360275895382791057917759208539
James White
465758748614871009623054507881
Erik N Steele
2962583940142632205021838383810
Edward Olivier
879516173837629074511087023769426463592695319446588
Arthur Newkirk MD
13020218641557293017469154022

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Sch J, Part III, Additional InformationPart III, Additional InformationGregory E. RoraffThis officer is employed by the system parent organizaiton, Eastern Maine Healthcare Systems. 100% of his time is dedicated to Blue Hill Memorial Hospital. As a result his compensation is reported in Form 990, Part VII, column D and Schedule J, Part II, Line A(i).Edward J. OlivierThis officer is employed by the system parent organization, Eastern Maine Healthcare Systems. 70% of his time is dedicated to Blue Hill Memorial Hospital(BHMH) and the remaining time he is responsible for system-wide operations of seven hospitals and other related health care activities, including BHMH. The portion which relates directly is reported in Form 990, Part VII, column D and Schedule J, Part II, Line A(i).Scott A. Oxley and Erik N. SteeleThese officers are employed by the system parent organization, Eastern Maine Healthcare Systems and is responsible for system-wide operations of seven hospitals and other related health care activities, including Blue Hill Memorial Hospital.Compensation for employees of Blue Hill Memorial Hospital listed in Form 990, Part VII and Schedule J, Part II are for administrative services. Board members are not compensated for the time devoted on the board.
Sch J, Part I, Line 1aPart I, Line 1a: Relevant information in regards to selections on 1a.Ann Louise d'Entremont, officer received a taxable benefit for value of insurance policy transferred to her. The taxable benefit was for $3,392 with a $1,627 gross-up payment.Deborah Turner, officer received a taxable benefit for value of insurance policy transferred to her. The taxable benefit was for $3,453 with a $1,665 gross-up payment.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Maine Health & Higher Ed Facilities AuthorityBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN010314384IssuerEIN
CUSIP Number560427JA5CUSIPNumber
Date Issued2010-06-24DateIssued
Issue Price2533045IssuePrice
Description Of PurposeRefund 1998A Series BondsDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingtruePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds2917294TotalProceeds
Amount In Reserve Fund202081AmountInReserveFund
Refunding Escrow2673264RefundingEscrow
Issuance Costs From Proceeds39023IssuanceCostsFromProceeds
Other Spent Proceeds2926OtherSpentProceeds
Year Of Subst Completion1998YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingtrueAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Counsel Routinely EngagedfalseBondCounselRoutinelyEngaged
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonDr Kathleen OberNamePerson
Purpose Of LoanInsurancePurposeOfLoan
Loan From OrganizationXLoanFromOrganization
Original Principal$72,983OriginalPrincipalAmount
Balance Due27828BalanceDue
DefaultfalseDefault
Approved By BoardfalseApprovedByBoard
Written AgreementtrueWrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due27828TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Schedule H, Part V, Section B, Facility Policies and PracticesCommunity Health Needs Assessment1h On a statewide basis, the research consultants developed an advisory committee that met two times during the assessment research and drafting of the publication. These individuals represented a broad spectrum of backgrounds, and they are named: Carol Bell, Healthy Maine Partnership Director; Kelly Bentley, Healthy Maine Partnership Director; Gail Dana-Sacco, Wabanaki Center (serving tribal populations); Patricia Hart, Maine Development Foundation; Barbara Leonard, MPH, Maine Health Access Foundation (philanthropic foundation focused on access to care in Maine); Becca Matusovich, Maine Center for Disease Control; Lisa Miller, Bingham Foundation (philanthropic foundation); Dora Ann Mills, MD, Maine Center for Disease Control; Elizabeth Mitchell, Maine Health Management Coalition (representing the state's major employers, insurers and providers); Trish Riley, Governor's Office of Health Policy and Finance (GOHPF); Brian Rines, Advisory Committee for Health System Development (overseen by GOHPF); Rachel Talbot-Ross, Maine Chapter, NAACP; Ted Trainer, Public Health Coordinating Council Shawn Yardley, City of Bangor, Department of Health and Welfare. In the local area served by the assessment, multiple parties were engaged in dissemination of the assessment findings and establishment of priorities (see Section 5). We also consult with persons regarding community health needs on an ongoing basis through mechanisms such as our Community Advisory Committee and healthcare partners in the area such as Healthy Peninsula, Healthy Acadia, Island Medical Center, and Bucksport Bay Healthy Communities.
Form 990, Part VI, Line 14 - Explanation of Written Document RetentionEastern Maine Healthcare Systems (EMHS) has had a written document retention and destruction policy since July 2007. The policy is a system-wide policy which applies to Blue Hill Memorial Hospital, a related organization of EMHS.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableBlue Hill Memorial Hospital makes its governing documents, conflict of interest policy and financial statements available to the public upon request.Form 990, Part VI, Line 19
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesCompensation of other officers and key employees of the organization is established by the Human Resources department who utilize external market research to establish compensation ranges for specific positions. On an annual basis, the compensation ranges are compared to the updated survey information. The hiring manager will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials.Form 990, Part VI, Line 15b
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe organization requests updates of potential conflicts and relationships from the officers and Board members on an annual basis. The request requires disclosure of all business relationships, board memberships, and family relationships. A database is maintained that is compared to payroll records and the accounts payable vendor list to identify any potential conflicts of interest. Transactions are reviewed for reasonableness as an arm's length transaction. The first agenda item for board meetings and board committee meetings is for members to declare any conflict of interest with upcoming agenda items or deliberations. At any point when consideration is being given to purchase/contract with a party in interest, the member with the conflict is either excused from the discussion and consideration process or abstains from voting on the matter. All transactions identified with parties in interest are disclosed within the Form 990. All are deemed to be arm's length transactions.Form 990, Part VI, Line 12c
Form 990, Part VI, Line 11: Form 990 Review ProcessForm 990 is provided to each board member either electronically or in hard copy and was reviewed at the July 25, 2012 meeting of the board of trustees prior to filing with the IRS.Form 990, Part VI, Line 11
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyEach year at their annual meeting, the directors elect replacements for those directors whose terms are expiring. Election of directors is subject to ratification by EMHS.Form 990, Part VI, Line 7a
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderBlue Hill Memorial Hospital (the "Corporation") is a Maine nonprofit corporation. Eastern Maine Healthcare Systems ("EMHS"), also a Maine nonprofit corporation, is the sole corporate member of the Corporation.Form 990, Part VI, Line 6
Form 990, Part VI, Line 4: Description of Significant Changes to Organizational DocumentsThe organization amended the bylaw for (1) meeting requirments, (2) committee structure along with responsibilities, (3)indemnification, insurance, and defense of claims, and (4)rules of order.Form 990, Part VI, Line 4
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, EtFrank Wanning, trustee/vice chair and Margaret Hannah, trustee are trustees of George Stevens Academy board.Form 990, Part VI, Line 2
Form 990, Part III, Line 4d : Other Program Services DescriptionOTHER PROGRAM SERVICES 4: Charity care provided (at cost) 473 persons served.Form 990, Part III, Line 4d

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (25 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodePrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgEINEIN
Capitol Convenient Care LLC
43 Whiting Hill Rd Ste 500BrewerME04412Provide patient careME501(c)(3)11, Type IIEMHStrue
Horizons Health Services
PO Box 151 140 Academy StreetPresque IsleME047690151Provide patient careME501(c)(3)3TAMCtrue010504393
TAMC Endowments
PO Box 151 140 Academy StreetPresque IsleME047690151Raise funds for exempt organizationsME501(c)(3)11 Type ITAMCtrue010389222
TAMC Title Corp
PO Box 151 140 Academy StreetPresque IsleME047690151Real estate holding companyME501(c)(2)TAMCtrue010389226
The Aroostook Medical Center TAMC
PO Box 151 140 Academy StreetPresque IsleME047690151Provide healthcare servicesME501(c)(3)3EMHStrue010372148
Sebasticook Valley Hlth Convenient Care
447 North Main StreetPittsfieldME04967Provide patient careME501(c)(3)3SVHtrue273129791
Sebasticook Valley Family Practice Assoc
447 North Main StreetPittsfieldME04967Provide patient careME501(c)(3)9SVHtrue010357854
Sebasticook Valley Health SVH
447 North Main StreetPittsfieldME04967Critical care hospitalME501(c)(3)3EMHStrue010263628
Eastern Maine HomeCare
PO Box 688CaribouME04736Provide home health & hospice svcsME501(c)(3)9EMHStrue010328442
CA Dean Memorial Hospital & Nursing Home
Pritham Ave PO Box 1129GreenvilleME044411129Provide healthcare servicesME501(c)(3)3EMHStrue043341666
Inland Family Practice Associates LLC
200 Kennedy Memorial DriveWatervilleME04901Provide patient careME501(c)(3)3Inland Hospitaltrue272942245
Lakewood A Continuing Care Center
220 Kennedy Memorial DriveWatervilleME04901Provide skilled and long-term nursing careME501(c)(3)3Inland Hospitaltrue010421234
Inland Hospital
200 Kennedy Memorial DriveWatervilleME04901Provide healthcare servicesME501(c)(3)3EMHStrue010217211
Rosscare Nursing Home Inc
43 Whiting Hill Road Ste 400BrewerME04412Operation of nursing homesME501(c)(3)9Rosscaretrue010430751
Rosscare
43 Whiting Hill Road Ste 400BrewerME04412Provide services to elderlyME501(c)(3)PFEMHStrue010391038
ME Institute for Human Genetics & Health
43 Whiting Hill RoadBrewerME04412Biomedical research and developmentME501(c)(3)9EMHStrue550894346
Healthcare Charities
43 Whiting Hill Road Ste 400BrewerME04412Raise and manage funds for exempt organizationsME501(c)(3)11 Type IIEMHStrue222514163
Norumbega Medical Specialists LTD
43 Whiting Hill Road Ste 400BrewerME04412Provide patient care & educationME501(c)(3)9EMMCtrue010465231
Eastern Maine Medical Center Auxiliary
43 Whiting Hill RoadBrewerME04412Fund raising for exempt Eastern Maine Medical CenterME501(c)(3)9EMMCtrue010377901
Eastern Maine Medical Center EMMC
PO Box 404 489 State StreetBangorME044020404Provide healthcare servicesME501(c)(3)3EMHStrue010211501
Meadow Wood LLC
43 Whiting Hill RoadBrewerME04412Provide patient careME501(c)(3)9AHItrue272935243
Acadia Healthcare Inc AHI
43 Whiting Hill RoadBrewerME04412Provide healthcare servicesME501(c)(3)9AHCtrue223183888
Acadia Hospital Corp AHC
43 Whiting Hill RoadBrewerME04412Provide healthcare servicesME501(c)(3)3EMHStrue010459837
Eastern Maine Healthcare Systems EMHS
43 Whiting Hill RoadBrewerME04412Supporting organization for healthcare affiliatesME501(c)(3)11 Type IINAtrue010527066
Eastern Maine Healthcare Real Estate
43 Whiting Hill RoadBrewerME04412Leases real estateME501(c)(2)EMHStrue010391036

Form990 Schedule R Part IV Form990ScheduleRPartIV (12 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
Dirigo Pines Development Company LLC
9 Alumni DriveOronoME04473010537924RetCottagMEAHSC
Dirigo Funding LLC
9 Alumni DriveOronoME04473010599968Prov financeMEAHSC
Dirigo Pines Inn LLC
9 Alumni DriveOronoME04473020547749Contin careMERosscareC
Dirigo Pines Retirement Community LLC
9 Alumni DriveOronoME04473010537924Holding co.MEAHSC
Maine Network for Health
80 Exchange St 6th fl Ste 3BangorME04401010496352Support srvMEEMHSC
Meridian Mobile Health LLC
931 Union St PO Box 940BangorME044020940010512673AmbulanceMEAHSC
DE Collections DBA Affiliated Collection
PO Box 2759BangorME044022759010366209CollectionsMEAHSC
Affiliated Pharmacy Services
917 Union St Ste 7BangorME04401010587230PharmacyMEAHSC
Affiliated Materiel Services
PO Box 1300BangorME044021300010381189PurchasingMEAHSC
Affiliated Laboratory Inc
PO Box 638BangorME044020638010381283Clinical labMEAHSC
Affiliated Healthcare Management
PO Box 811BangorME044020811010349339Hlthcr mgmtMEAHSC
Affiliated Healthcare Systems AHS
PO Box 940BangorME044020940010385322Holding co.MEEMHSC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
DE Collections DBA Affiliated Collection
l58876FMV
Affiliated Materiel Services
o371320FMV
Affiliated Laboratory Inc
l301132FMV
Affiliated Healthcare Management
l165957FMV
Eastern Maine HomeCare
a28510FMV
Healthcare Charities
l165548FMV
Eastern Maine Medical Center EMMC
o258791FMV
Eastern Maine Medical Center EMMC
l447300FMV
Eastern Maine Healthcare Systems EMHS
l3994565FMV

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