HOULTON REGIONAL HOSPITAL: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- HOULTON REGIONAL HOSPITAL (EIN 23-7134386)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-05-04
- IRS object ID
- 201101249349300205
- Schema version
- 2009v1.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-04T06:39:14-07:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CYNTHIA M THOMPSON CPA | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1723 US HWY 1 | AddressLine1 |
| City | ORIENT | City |
| State | ME | State |
| ZIP Code | 044713010 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237134386 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOULTON REGIONAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HOUL | NameControl |
| Phone | 2075322900 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20 HARTFORD ST | AddressLine1 |
| City | HOULTON | City |
| State | ME | State |
| ZIP Code | 04730 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | THOMAS MOAKLER | Name |
| Title | CEO | Title |
| Date Signed | 2011-05-04 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Barbara McGuan | Name |
| Phone | 2075412319 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | THOMAS MOAKLER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20 HARTFORD ST | AddressLine1 |
| City | HOULTON | City |
| State | ME | State |
| ZIP Code | 04730 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 45403401 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| All Affiliates Included | false | AllAffiliatesIncluded |
| Organization501c | X | Organization501c |
| Web Site | houltonregional.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1973 | YearFormation |
| State Legal Domicile | ME | StateLegalDomicile |
| Activity Or Mission Description | HOULTON REGIONAL HOSPITAL OPERATES A CRITICAL ACCESS HOSPITAL, SKILLED NURSING FACILITY AND 2 RURAL HEALTH CLINICS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 499 | TotalNbrEmployees |
| Total Nbr Volunteers | 85 | TotalNbrVolunteers |
| Total Gross UBI | 10448 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -8380 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 88773 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 420042 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 43388322 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 43426074 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -131190 | InvestmentIncomePriorYear |
| Investment Income Current Year | 373011 | InvestmentIncomeCurrentYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 43345905 | TotalRevenuePriorYear |
| Total Revenue Current Year | 44219127 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 25997630 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 27363465 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 16917975 | OtherExpensePriorYear |
| Other Expenses Current Year | 16589344 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 42915605 | TotalExpensesPriorYear |
| Total Expenses Current Year | 43952809 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 430300 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 266318 | RevenuesLessExpensesCY |
| Total Assets BOY | 31314072 | TotalAssetsBOY |
| Total Assets EOY | 29534896 | TotalAssetsEOY |
| Total Liabilities BOY | 22945172 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 21237309 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 8368900 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 8297587 | NetAssetsOrFundBalancesEOY |
| Mission Description | HOULTON REGIONAL HOSPITAL'S PURPOSE IS TO PROVIDE SAFE, COMPASSIONATE, QUALITY, COST EFFECTIVE CARE TO THE COMMUNITIES WE SERVE. OUR RESOURCES WILL BE DEDICATED TOWARDS IMPROVING THE HEALTH STATUS OF THOSE WE SERVE THROUGH EDUCATION, TREATMENT AND REHABILITATION. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 33457387 | Expense |
| Revenue | 43426074 | Revenue |
| Description | PROVISION OF HEALTH CARE SERVICES IN RURAL MAINE. DURING THE FISCAL YEAR ENDED 9/30/10, 1,686 PEOPLE HAD AN INPATIENT STAY (INCLUDING THE PROGRESSIVE CARE FACILITY); 87,069 OUTPATIENT SERVICES WERE RENDERED; 12,833 PEOPLE WERE SERVED IN THE EMERGENCY ROOM. OF THESE SERVICES, 1,442 ACCOUNTS (REPRESENTING 373 PEOPLE AND $1,245,888) WERE WRITTEN OFF AS CHARITY CARE. HOULTON REGIONAL HOSPITAL (HRH) ALSO ASSISTS ELDERLY CITIZENS WITH THEIR WISH TO REMAIN INDEPENDENT AS LONG AS POSSIBLE. TO ACCOMPLISH THIS GOAL, HRH ASSISTS WITH THE RENTAL OF LIFELINE EMERGENCY RESPONSE UNITS. DURING FISCAL YEAR 9/30/10, 68 LIFELINE UNITS WERE RENTED. | Description |
| Total Program Service Expense | 33457387 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | true | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 40 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 499 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Form8886 T Filed | false | Form8886TFiled |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Non Deductible Disclosure | false | NonDeductibleDisclosure |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Quid Pro Quo Disclosure | false | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Filed Lieu1041 | false | FiledLieu1041 |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Policies Reference Chapters | false | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | ME | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | CINDY L DAIGLE CFO | NamePerson |
| Telephone Number | 2075322900 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20 HARTFORD ST | AddressLine1 |
| City | HOULTON | City |
| State | ME | State |
| ZIP Code | 04730 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| WALTER GOODRICH | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| THOMAS MOAKLER | |||||||
| CEO | 40.00 | 218518 | 0 | 9017 | X | ||
| STEPHEN NELSON | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| ROBERT MOSENFELDER | |||||||
| OB PHYSICIAN | 40.00 | 236567 | 0 | 12910 | X | ||
| RICHARD CLEARY | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| REV JESSIE DRYSDALE | |||||||
| Vice President | 1.00 | X | 0 | 0 | 0 | X | |
| RAHILA BILAL | |||||||
| ANESTHESIOLOGIST | 40.00 | 272972 | 0 | 13534 | X | ||
| PHILIP MCFARLANE MD | |||||||
| Director | 40.00 | X | 205260 | 0 | 12499 | ||
| PEDRO HERNANDEZ MD | |||||||
| Med Staff Pres. | 40.00 | X | 251516 | 0 | 12288 | ||
| NANCY KETCH | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| MICHAEL NORTHWAY | |||||||
| CRNA | 40.00 | 223248 | 0 | 6829 | X | ||
| MAX LYNDS | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| MARGUERITE LAWLER | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| LYNETTE MCLAUGHLIN | |||||||
| Treasurer | 1.00 | X | 0 | 0 | 0 | X | |
| LAKSHMIMALINI GOVINDAN | |||||||
| OB PHYSICIAN | 0. | 211776 | 0 | 13914 | X | ||
| JOHN CLARK | |||||||
| President | 1.00 | X | 0 | 0 | 0 | X | |
| JERRY YORK | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| HASSAN E ABOULEISH MD | |||||||
| Secretary | 40.00 | X | 259213 | 0 | 0 | X | |
| CINDY DAIGLE | |||||||
| CFO | 40.00 | 125456 | 0 | 15235 | X | ||
| BRIAN GRIFFIN MD | |||||||
| ED PHYSICIAN | 40.00 | 236172 | 0 | 16328 | X | ||
| ALISON BOSSIE | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2240698 | TotalReportableCompFromOrg |
| Total Other Compensation | 112554 | TotalOtherCompensation |
| Number Individuals GT100 K | 25 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | true | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| JAMES CURTIS MADIX MD | |||||
| 20 HARTFORD ST | HOULTON | ME | 04730 | RADIOLOGIST | 567760 |
| VISTA STAFFING SOLUTIONS | |||||
| 675 EAST 2100 SOUTH SUITE 390 | SALT LAKE CITY | UT | 841069813 | LOCUM SURGEON SVCS | 218881 |
| PIZZAGALLI CONSTRUCTION COMPANY | |||||
| 50 JOY DRIVE | SOUTH BURLINGTON | VT | 054072009 | GENERAL CONTRACTOR | 2012977 |
| LINDE HEALTHCARE STAFFING INC | |||||
| PO BOX 915241 | DALLAS | TX | 753915241 | LOCUM PHYSICIAN SVCS | 173098 |
| HOULTON INTERNAL MEDICINE PA | |||||
| 22 HARTFORD ST | HOULTON | ME | 04730 | INTERNAL MEDICINE | 1308412 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 9 | NumberOfContractorsGT100K |
| Government Grants | 302500 | GovernmentGrants |
| All Other Contributions | 117542 | AllOtherContributions |
| Total Contributions | 420042 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|
| VENDING MACHINES & MISC. | 308513 | 301357 | $7,156 |
| PHARMACY | 27328 | $27,328 | |
| PATIENT FEES | 42115931 | 42115931 | |
| MEDICARE & MEDICAID PYMTS | 25500765 | 25500765 | |
| CAFETERIA SALES | 125060 | $125,060 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -24651523 | TotalRevenueColumn |
| Related Or Exempt Function Income | -24661971 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 10448 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 43426074 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 122100 | TotalRevenueColumn |
| Exclusion | $122,100 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1435185 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1184274 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 250911 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 250911 | TotalRevenueColumn |
| Exclusion | $250,911 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 44219127 | TotalRevenueColumn |
| Related Or Exempt Function Income | 43256082 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 10448 | UnrelatedBusinessRevenue |
| Exclusion | $532,555 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1109001 | Total |
| Program Services | 740775 | ProgramServices |
| Management And General | 368226 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19901737 | Total |
| Program Services | 18129770 | ProgramServices |
| Management And General | 1771967 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 47887 | Total |
| Management And General | 47887 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4872737 | Total |
| Management And General | 4872737 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1432103 | Total |
| Program Services | 1287031 | ProgramServices |
| Management And General | 145072 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49624 | Total |
| Management And General | 49624 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42056 | Total |
| Management And General | 42056 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8957 | Total |
| Management And General | 8957 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13441 | Total |
| Management And General | 13441 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 79466 | Total |
| Management And General | 79466 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 123855 | Total |
| Program Services | 31331 | ProgramServices |
| Management And General | 92524 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 93344 | Total |
| Management And General | 93344 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 569914 | Total |
| Program Services | 569914 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 141723 | Total |
| Program Services | 117258 | ProgramServices |
| Management And General | 24465 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 474087 | Total |
| Program Services | 474087 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1026806 | Total |
| Program Services | 1026806 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 473863 | Total |
| Program Services | 189167 | ProgramServices |
| Management And General | 284696 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| UTILITIES | 738307 | 738307 | |
| SUPPLIES | 5285149 | 5257144 | 28005 |
| PROVISION FOR BAD DEBTS | 1102308 | 1102308 | |
| PROFESSIONAL SERVICES | 3323930 | 3188911 | 135019 |
| MEDICAID TAX - STATE OF MAINE | 910830 | 910830 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2131684 | Total |
| Program Services | 1706886 | ProgramServices |
| Management And General | 424798 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 43952809 | Total |
| Program Services | 33457387 | ProgramServices |
| Management And General | 10495422 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 46639 | BOY |
| EOY | 21507 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1441565 | BOY |
| EOY | 549230 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4702062 | BOY |
| EOY | 5516033 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 726148 | BOY |
| EOY | 888495 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1010286 | BOY |
| EOY | 1230583 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 39282928 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 25616528 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12411510 | BOY |
| EOY | 13666400 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2839540 | BOY |
| EOY | 3233923 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8136322 | BOY |
| EOY | 4428725 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31314072 | BOY |
| EOY | 29534896 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4936410 | BOY |
| EOY | 4653008 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12550043 | BOY |
| EOY | 12189673 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 400434 | BOY |
| EOY | 336320 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5058285 | BOY |
| EOY | 4058308 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22945172 | BOY |
| EOY | 21237309 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8106048 | BOY |
| EOY | 7930948 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 211188 | BOY |
| EOY | 314975 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 51664 | BOY |
| EOY | 51664 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8368900 | BOY |
| EOY | 8297587 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31314072 | BOY |
| EOY | 29534896 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
| Federal Grant Audit Performed | false | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed4955 Tax | false | Form4720Filed4955Tax |
| Correction Made | false | CorrectionMade |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $8,957 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 8957 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part II-B, Line 1i | Identifier |
| Return Reference | Part II-B, Line 1i - Other Activities Description | ReturnReference |
| Explanation | OTHER LOBBYING AMOUNTS REPRESENT AN ALLOCABLE PORTION OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION, THE MAINE HOSPITAL ASSOCIATION, AND THE MAINE HEALTH CARE ASSOCIATION. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 79673 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 9038 | InvestmentEarningsOrLosses |
| Administrative Expenses | 200 | AdministrativeExpenses |
| End Of Year Balance | 88511 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 761985 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -84267 | InvestmentEarningsOrLosses |
| Other Expenditures | 597107 | OtherExpenditures |
| Administrative Expenses | 938 | AdministrativeExpenses |
| End Of Year Balance | 79673 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 193107 | OtherCostOrOtherBasis |
| Book Value | 193107 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 22806173 | OtherCostOrOtherBasis |
| Depreciation | 12810786 | Depreciation |
| Book Value | 9995387 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10328816 | OtherCostOrOtherBasis |
| Depreciation | 8292483 | Depreciation |
| Book Value | 2036333 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5954832 | OtherCostOrOtherBasis |
| Depreciation | 4513259 | Depreciation |
| Book Value | 1441573 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 13666400 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DUE FROM THIRD PARTY PAYORS | 3510281 |
| DUE FROM MEDICAL ARTS | 5702663 |
| DEFERRED FINANCING COSTS | 444276 |
| 457 PLAN ASSETS | 132806 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 4428725 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| LINE OF CREDIT | $239,484 |
| DUE TO THIRD PARTY PAYORS | $3,686,018 |
| 457 PLAN ASSETS | $132,806 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 4058308 | TotalOfAmounts |
| Total Revenue | 44219127 | TotalRevenue |
| Total Expenses | 43952809 | TotalExpenses |
| Excess Or Deficit For Year | 266318 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -40459 | NetUnrealizedGLOnInvestments |
| Other | -$297,172 | OtherAmount |
| Total Adjustments | -337631 | TotalAdjustments |
| Excess Or Deficit Per FS | -71313 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 69137811 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -40459 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | -40459 | RevenueNotRptdF990 |
| Revenue Subtotal | 69178270 | RevenueSubtotal |
| Other Revenues Not Included | -24959143 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -24959143 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 44219127 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 68614780 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 24661971 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 24661971 | ExpensesNotRptdF990 |
| Expenses Subtotal | 43952809 | ExpensesSubtotal |
| Total Expenses Per Form990 | 43952809 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part XIII, Line 2d | Part XIII, Line 2d: Other expenses and losses per audited F/S | CONTRACTUAL ADJUSTMENTS $23416083 CHARITY CARE $1245888 |
| Part XI, Line 8 | Part XI, Line 8: Other Changes in Net Assets or Fund Balances | LOSS ON INVESTMENT IN SUBSIDIARY $ -297172 |
| Part V, Line 4 | Part V, Line 4: Intended uses of the endowment fund. | THE CORPUS OF THE ENDOWMENT IS PERMANENTLY RESTRICTED, WITH ANY EARNINGS AVAILABLE TO PROMOTE THE HOSPITAL'S EXEMPT PURPOSE. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent150 | X | Pcent150 |
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | false | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | false | AnnualCommunityBenefitReport |
| Report Publically Available | false | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 757218 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 757218 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01770 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9605316 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10347982 | DirectOffsettingRevenue |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10362534 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10347982 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 757218 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01720 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 36563 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8422 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 28141 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 695 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 695 | NetCommunityBenefitExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 480886 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 249101 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 231786 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00540 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 83361 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7560 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 75801 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00180 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 601505 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 265083 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 336423 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00770 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10964039 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10613065 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1093641 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02490 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $676,073 | BadDebtExpenseAmount |
| Amount Attributable To | 102763 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 15363678 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 16574940 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -1211262 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOULTON REGIONAL HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20 HARTFORD ST | AddressLine1 |
| City | HOULTON | City |
| State | ME | State |
| ZIP Code | 04730 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| Critical Access Hospital | X | CriticalAccessHospital |
| Er24 Hours | X | Er24Hours |
| Other | SKILLED NURSING FACILITY & 2 RHCS | Other |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Income Based Criteria | DISCOUNTED CARE PROVIDED IN THE RHC SETTING, BEGINNING AT 150% OF FPG. | IncomeBasedCriteria |
| Costing Method Used | COST-TO-CHARGE RATIO WAS USED TO DERIVE CHARITY CARE AT COST IN THE TABLE. COST-TO-CHARGE RATIO WAS ALSO USED TO DERIVE THE COST OF MEDICAID SERVICES, WHICH IS INCLUDED AS A PORTION OF THE UNREIMBURSED MEDICAID COMMUNITY BENEFIT EXPENSE. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARECOST-TO-CHARGES. | CostingMethodUsed |
| Subsidized Health Services Expln | SUBSIDIZED HEALTH SERVICES CONSIST OF THREE SERVICES: A SURGICAL PRACTICE; CARDIAC & RESPIRATORY REHABILITATION CLASSES; AND LIFELINE UNIT RENTALS.MEDICAL ARTS, INC. IS A WHOLLY OWNED SUBSIDIARY OF HOULTON REGIONAL HOSPITAL (HRH) CURRENTLY CONTAINING ONE SURGICAL PHYSICIAN PRACTICE. THIS PRACTICE REGULARLY OPERATES AT A LOSS. IF THIS PRACTICE WERE DISCONTINUED, PATIENTS WOULD HAVE TO DRIVE TO ANOTHER FACILITY THAT IS AT A MINIMUM 45 MILES AWAY. CALCULATED COMMUNITY BENEFIT COSTS FOR THIS PRACTICE WERE COMPUTED USING THE COST TO CHARGE RATIO FROM WORKSHEET 2.CARDIAC REHAB PHASE III AND RESPIRATORY REHAB PHASE III CLASSES ARE OFFERED TO THE HRH PATIENT BASE, BUT ARE NOT ELIGIBLE FOR REIMBURSEMENT FROM THIRD PARTY INSURANCES. PATIENTS PAY UP FRONT TO ATTEND THESE SESSIONS, THEREFORE CHARITY CARE AND BAD DEBT DO NOT APPLY. COSTS FOR THESE SESSIONS HAS BEEN DETERMINED BY USING ACTUAL STAFF TIME LOGGED TO TEACH THE SESSIONS. FACILITY COSTS HAVE BEEN INCLUDED BASED ON THE TIME USAGE OF THE CLASSES COMPARED TO THE AVAILABLE SQUARE FOOTAGE. THIS PERCENTAGE WAS THEN MULTIPLIED AGAINST THE FACILITY COSTS DRAWN DOWN BY THE CARDIAC DEPARTMENT ON THE MEDICARE COST REPORT.DIRECT STAFFING & BENEFIT COSTS $22,225FACILITY COSTS 41,564CLASS REVENUES COLLECTED ( 6,629)NET COMMUNITY BENEFIT $57,159HRH RENTS LIFELINE EMERGENCY RESPONSE UNITS TO INDIVIDUALS IN OUR SERVICE AREA. THIS PROGRAM IS OPERATED TO ASSIST THE ELDERLY WITH THEIR DESIRE TO REMAIN INDEPENDENT AND LIVING IN THEIR OWN HOME. HRH PAYS A FEE FOR THE UNIT AND A RELATED CONNECTION COST. HRH ALSO INCURS STAFFING COST FOR INSTALLATION AND DISCONNECTION OF THE UNITS. A LOG OF THESE COSTS WAS CREATED FROM THE RELATED INVOICES AND TIMECARDS:STAFFING, UNIT RENTAL & CONNECTION COSTS $24,664UNIT RENTAL FEES COLLECTED ( 23,877)NET COMMUNITY BENEFIT 787 | SubsidizedHealthServicesExpln |
| Bad Debt Footnote | TEXT TO FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE: PATIENT 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.COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINE 2: WORKSHEET A, WHICH IS COST-TO-CHARGE METHODOLOGY.PAYMENTS OR DISCOUNTS ON BAD DEBT ACCOUNTS: ANY PAYMENTS OR DISCOUNTS ON PATIENT ACCOUNTS AFTER THE ACCOUNT HAS BEEN WRITTEN-OFF ARE RECORDED THROUGH THE VALUATION ACCOUNT. PERIODICALLY REASONABLENESS OF THE BALANCE IN THE VALUATION ACCOUNT IS REVIEWED. IF THE BALANCE NEEDS TO BE ADJUSTED AN ENTRY IS MADE TO THE VALUATION ACCOUNT WITH AN OFFSETTING ENTRY POSTED TO BAD DEBT EXPENSE.COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 3:THIS AMOUNT IS BASED ON THE ORGANIZATION'S BAD DEBT EXPENSE AT COST (CALCULATED AT LINE 2) MULTIPLIED BY THE PERCENTAGE OF PERSONS IN AROOSTOOK COUNTY BELOW THE POVERTY LEVEL (15.2%). THE HOSPITAL USES THE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR PROVIDING FREE CARE TO LOW INCOME INDIVIDUALS. THE FAMILY INCOME LIMIT FOR ELIGIBILITY FOR FREE CARE IS 150% OF POVERTY LEVEL. WE ASSUME THAT THE DEMOGRAPHICS OF THE PATIENTS COMPRISING OUR BAD DEBT EXPENSE ARE SIMILAR TO THE DEMOGRAPHICS OF AROOSTOOK COUNTY (THE COUNTY WE ARE LOCATED IN). PER THE US CENSUS BUREAU QUICKFACTS FOR AROOSTOOK COUNTY, MAINE, 15.2% OF PERSONS IN 2008 ARE BELOW POVERTY LEVEL. SINCE OUR ELIGIBILITY CRITERIA FOR OUR HOSPITAL IS 150% POVERTY LEVEL AND WE USED THE PERCENTAGE BELOW 100% TO ESTIMATE THE POTENTIAL CHARITY CARE WRITTEN OFF AS BAD DEBT, WE BELIEVE OUR CALCULATION IS REASONABLE AND CONSERVATIVE. | BadDebtFootnote |
| Shortfall As Community Benefit | THE PORTION OF THE MEDICARE SHORTFALL RELATED TO THE SKILLED NURSING FACILITY SHOULD CONSTITUTE COMMUNITY BENEFIT SINCE HOULTON REGIONAL HOSPITAL (HRH) WILL CONTINUE TO PROVIDE THIS SERVICE REGARDLESS OF THE LEVEL OF LOSSES IT CONTINUES TO SUSTAIN. THIS IS THE REMAINING SERVICE LINE THAT HRH SUPPORTS THAT IS NOT AN ESSENTIAL SERVICE TYPICALLY PROVIDED BY A HOSPITAL AND IS NOT COST REIMBURSEABLE. IF HRH DISCONTINUED THIS SERVICE LINE THERE WOULD BE A SHORTAGE OF SKILLED NURSING SERVICES IN OUR SERVICE AREA AND MEMBERS OF THE COMMUNITY WOULD HAVE TO SEEK THE SERVICES FURTHER FROM HOME, WHICH MAY POSE ISSUES WITH THEIR FAMILY SUPPORT SYSTEM AND COULD LEAD TO A HINDERED RECOVERY. THE HRH SKILLED NURSING FACILITY IS LICENSED FOR 28 BEDS AND HAD AN OCCUPANCY % OF 80.2% IN 2009. IF HRH WERE TO CLOSE THE FACILITY, BASED ON THE OCCUPANCY PERCENTAGE, 22.46 PATIENTS WOULD BE DISPLACED AT ANY GIVEN TIME. THE OTHER TWO FACILITIES IN OUR COMMUNITY WOULD ONLY BE ABLE TO ACCOMODATE 7 OF THOSE PATIENTS, LEAVING 15 TO SEEK SERVICES AWAY FROM HOME. IN ADDITION, ALTHOUGH OUR FACILITY HAS ONLY 7% OF THE NURSING FACILITY BEDS IN THE SURROUNDING REGION, WE HAVE 32% OF THE MEDICARE POPULATION, WHICH INDICATES THAT INDIVIDUALS REQUIRING POST-ACUTE, SKILLED NURSING/REHAB STAYS TEND TO COME TO OUR FACILITY. THE NEXT HIGHEST MEDICARE POPULATION SERVED WAS 16%, SO IT IS DOUBTFUL THAT THE OTHER FACILITIES WOULD HAVE THE INFRASTRUCTURE/STAFFING IN PLACE TO ASSUME THE ADDITIONAL MEDICARE POPULATION IF HRH WERE TO DISCONTINUE THE SKILLED NURSING FACILITY SERVICES.SNF REIMBURSEMENT $1,608,945SNF ALLOWABLE COSTS $2,660,171SNF SHORTFALL ($1,051,226)ADDITIONAL MEDICARE SHORTFALL - REVENUES & COSTS NOT INCLUDED IN THE MEDICARE COST REPORT: COST REPORT PROFESS FEES TOTALREIMBURSEMENT $15,363,678 $862,386 $16,226,064COSTS 16,578,940 1,683,248 18,258,188SHORTFALL (1,211,262) ( 820,862) ( 2,032,124)THE HOSPITAL BILLS FOR VARIOUS PHYSICIAN SERVICES THROUGHOUT THE YEAR. THE CHARGES AND COSTS RELATED TO THOSE PROFESSIONAL SERVICES ARE NOT REPORTED IN THE HOSPTIAL'S COST REPORT. PROFESSIONAL FEE REIMBURSEMENT: WHEN PREPARING THE COST REPORT TOTAL CHARGES BY DEPARTMENT ARE TAKEN FROM THE GENERAL LEDGER, DETAIL REPORTS BY PROCEDURES AND INPATIENT/OUTPATIENT ARE GENERATED FOR THOSE DEPARTMENTS THAT INCLUDE PROFESSIONAL SERVICE REVENUE, AND PROFESSIONAL SERVICE REVENUE IS THEN SUBTRACTED FROM TOTAL REVENUE TO ARRIVE AT REVENUE TO REPORT ON WORKSHEET C ON THE COST REPORT. THE SAME REPORTS WERE RUN FOR ONLY MEDICARE PROFESSIONAL SERVICE REVENUE BY INPATIENT AND OUTPATIENT. INPATIENT MEDICARE PROFESSIONAL FEE REVENUE WAS THEN REDUCED BY THE INPATIENT MEDICARE PROFESSIONAL FEE DEDUCTIONS FROM REVENUE ON THE GENERAL LEDGER TO ARRIVE AT INPATIENT PROFESSIONAL FEE REIMBURSEMENT. OUTPATIENT MEDICARE PROFESSIONAL FEE REIMBURSEMENT WAS DERIVED BY MULTIPLYING THE GROSS REIMBURSEMENT ON THE CAH-FEE REIMBURSED PROVIDER SUMMARY REPORT (REPORT TYPE 855) BY THE PERCENTAGE OF PREOFESSIONAL CHARGES INCLUDED IN THE SAME REPORT. PROFESSIONAL FEE COSTS: MEDICARE PROFESSIONAL FEE COSTS WERE DERIVED BY DETERMINING THE PERCENTAGE OF PROFESSIONAL FEE REVENUE BY SPECIALTY SERVICE RELATED TO MEDICARE AND MULTIPLYING THE SPECIFIC PROFESSIONAL COSTS SUMMARIZED BY SPECIALTY SERVICE (A-8-2 SUPPORT) BY THE MEDICARE PERCENTAGE. SHORTFALL: THE PROFESSIONAL FEE REIMBURSEMENT IS $820,862 LESS THAN THE PROFESSIONAL FEE COSTS.TOTAL REVENUE RECEIVED FROM MEDICARE REPORTED ON LINE 5 WAS REDUCED BY $274,860 RELATED TO PRIOR YEAR ACTIVITY. THE AMOUNT CONSISTS OF THE FOLLOWING:HOSPITAL ($159,215)SKILLED NURSING FACILITY 533RURAL HEALTH CLINICS ( 116,178)TOTAL ( 274,860) | ShortfallAsCommunityBenefit |
| Debt Collection Policy | THE HOSPITAL HAS MANY INDIVIDUAL POLICIES THAT RELATE TO COLLECTIONS. THE HOSPITAL HAS A FREE CARE DISCOUNT POLICY WHICH SPECIFIES THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE. WHEN AN APPLICATION IS RECEIVED THAT MEETS THE INCOME ELIGIBILITY REQUIREMENTS, A SEARCH OF THE BILLING/ACCOUNTS RECEIVABLE IS PERFORMED TO LOCATE ALL ACCOUNTS FOR MEMBERS OF THE HOUSEHOLD. THE ACCOUNTS FOR HOUSEHOLD MEMBERS ARE THEN FLAGGED AS "FREE", BALANCES ARE WRITTEN OFF, AND AN APPROVAL LETTER IS MAILED TO THE APPLICANT. A COPY OF THE APPLICATION IS PLACED IN THE FREE CARE BINDER AND RETAINED THERE FOR THREE MONTHS, WHICH IS THE LENGTH OF TIME AN APPLICATION IS VALID AND IN EFFECT. SELF-PAY ACCOUNTS ARE REVIEWED FOR OPEN/ACTIVE FREE CARE APPLICATIONS BEFORE BILLING THE PATIENT. IF THE PATIENT HAS AN OPEN/ACTIVE FREE CARE APPLICATION, THE BALANCE IS WRITTEN-OFF AS CHARITY CARE AND THE PATIENT IS NOT BILLED. A SIMILAR PROCESS IS IN PLACE FOR THE SLIDING FEE DISCOUNTS THAT ARE AVAILABLE TO PATIENTS OF THE HOSPITAL-BASED RURAL HEALTH CLINICS. | DebtCollectionPolicy |
| Number Of Facility Type Expln | THE HOSPITAL ALSO OPERATES A SKILLED NURSING FACILITY AND 2 RURAL HEALTH CLINICS. | NumberOfFacilityTypeExpln |
| General Explanation | FORM 990, SCHEDULE H, QUESTION 7, LINES D, J, & K, COLUMN F:COMPUTER SYSTEM IS INCORRECTLY INCLUDING BAD DEBTS IN THE TOTAL AMOUNT OF EXPENSES USED FOR THE PERCENTAGE CALCULATION SHOWN ON THE TOTAL LINES. CORRECT TOTAL EXPENSES FOR PURPOSES THIS CALCULATION IS $42,850,501. CORRECTED PERCENTAGES ARE AS FOLLOWS:LINE D, COLUMN F: 1.77%LINE J, COLUMN F: 0.79%LINE K, COLUMN F: 2.56% | GeneralExplanation |
| Needs Assessment | THE HOSPITAL IS A STRATEGIC AFFILIATE OF EASTERN MAINE HEALTHCARE SYSTEMS (EMHS). EMHS OWNS SEVERAL OTHER HOSPITALS INCLUDING EASTERN MAINE MEDICAL CENTER (EMMC). EMMC IS THE TERTIARY FACILITY FOR OUR SERVICE AREA, SO EMMC AND HRH OFTEN SERVE THE SAME PATIENTS AND HAVE SIMILAR PATIENT DEMOGRAPHICS AND NEEDS.IN 2007, EMHS ORGANIZED A COMMUNITY FORUM IN HOULTON TO PRESENT AN OVERVIEW OF THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT THEY HAD COMMISSIONED. THE COMMUNITY HEALTH NEEDS ASSESSMENT ENCOMPASSED THE HOULTON SERVICE AREA, SO WE ARE ABLE TO USE THE REPORT ON A LOCAL LEVEL. IT IS OUR UNDERSTANDING THAT THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS BASED ON SEVERAL SOURCES INCLUDING PATIENT/COMMUNITY MEMBER FOCUS GROUPS. EMHS IS IN THE PROCESS OF ORGANIZING A NEW FORUM IN THE HOULTON AREA AND THIS NEW REPORT WILL BE USED TO PRIORITIZE AND PLAN FOR ADDRESSING THE HOULTON COMMUNITY'S HEALTH NEEDS.IN ADDITION, WE RELY ON FEEDBACK FROM OUR PATIENTS, EMPLOYEES, MEDICAL STAFF, AND BOARD MEMBERS REGARDING SERVICE NEEDS. OUR BOARD IS COMPRISED OF RESIDENTS FROM THE COMMUNITIES WE SERVE, AND BOARD MEMBERS KEEP HOSPITAL MANAGEMENT AWARE OF ANY ISSUES IN THEIR COMMUNITIES. | NeedsAssessment |
| Patient Education Assistance | PATIENTS ARE MADE AWARE OF THE CHARITY CARE POLICY THROUGH SIGNAGE IN WAITING ROOMS, DIRECT NOTIFICATION BY STAFF, INFORMATIONAL BROCHURES, AND NOTICES PRINTED ON THE BACK OF PATIENT BILLS. IN ORDER TO QUALIFY FOR CHARITY CARE, THE PATIENT IS ASKED TO PROVIDE A MEDICAID DENIAL LETTER. IF THE PATIENT DOES NOT KNOW HOW TO APPLY FOR STATE ASSISTANCE PROGRAMS, THEY ARE REFERRED TO THE LOCAL HEALTH AND HUMAN SERVICES OFFICE. IF THE PATIENT IS AN INPATIENT, THE HOSPITAL'S SOCIAL SERVICES DEPARTMENT WILL ASSIST THE PATIENT IN FILING STATE AND FEDERAL ASSISTANCE APPLICATIONS.IN ADDITION, THE HOSPITAL HAS A STAFF PERSON AVAILABLE TO ASSIST INDIVIDUALS IN SELECTING WHICH MEDICARE PART D PLAN WOULD BE BEST FOR THE PATIENT'S SPECIFIC MEDICATION NEEDS. THAT SAME STAFF PERSON ADMINISTERS THE HOSPITAL'S PRESCRIPTION ASSISTANCE PROGRAM. | PatientEducationAssistance |
| Community Information | HRH SERVES THE COMMUNITIES LOCATED IN SOUTHERN AROOSTOOK COUNTY AS WELL AS A FEW COMMUNITIES IN BORDERING COUNTIES. THE SERVICE AREA IS GEOGRAPHICALLY ISOLATED FROM THE LARGER POPULATION CENTER OF BANGOR, ME. TRAVEL WITHIN THE SERVICE AREA AND TO OUT-OF-AREA DESTINATIONS IS FURTHER COMPLICATED BY THE HARSH MAINE WINTERS.THE POPULATION IN AROOSTOOK COUNTY IS OLDER THAN THE STATEWIDE AVERAGE. BASED ON THE 2000 US CENSUS, 18.2% OF THE SERVICE AREA POPULATION IS ELDERLY (65+ YEARS), WHICH IS HIGHER THAN THE STATE % OF ELDERLY. THIS HIGHER CONCENTRATION OF ELDERLY COULD CONTRIBUTE TO A DISPROPORTIONATE UTILIZATION OF HEALTH CARE SERVICES. HRH SERVICE AREA RESIDENTS ARE POORER AND CONFRONTED BY A SIGNIFICANTLY HIGHER UNEMPLOYMENT RATE THAN MAINERS AS A WHOLE. MOST INCOME MEASURES FOR AROOSTOOK COUNTY ARE LOWER AND POVERTY IS HIGHER THAN STATEWIDE AVERAGES. 44.2% OF THE SERVICE AREA RESIDENTS ARE CONSIDERED TO BE LOW-INCOME (LESS THAN 200% OF THE FEDERAL POVERTY LEVEL) ACCORDING TO THE 2000 CENSUS COMPARED TO 29.5% IN MAINE AS A WHOLE. UNEMPLOYMENT IN AROOSTOOK COUNTY FOR FEBRUARY 2011 WAS 10.1% COMPARED TO 8.5% FOR MAINE AS A WHOLE.WITH RESPECT TO INSURANCE STATUS IN COMPARISON TO THE STATE, MORE SERVICE AREA RESIDENTS ARE COVERED BY MEDICAID AND MEDICARE OR ARE UNINSURED. | CommunityInformation |
| Other Information | AT HRH, ALL QUALIFIED PHYSICIANS IN THE COMMUNITY ARE ELIGIBLE FOR MEDICAL STAFF PRIVILEGES AT THE HOSPITAL. NO QUALIFIED PHYSICIANS HAVE BEEN DENIED PRIVILEGES.THE HOSPITAL IS GOVERNED BY A COMMUNITY BOARD WITH BOARD MEMBERS RESIDING IN THE HOSPITAL'S SERVICE AREA. BOARD MEMBERS COME FROM VARIOUS PROFESSIONAL BACKGROUNDS. THE BOARD MEETS A MINIMUM OF TEN TIMES PER YEAR. EACH MEETING STARTS OFF WITH A BOARD EDUCATION SESSION ON TOPICS SUCH AS QUALITY IMPROVEMENT, REIMBURSEMENT METHODOLOGIES, AND REGULATORY REPORTING OR CHANGES.THE HOSPITAL COORDINATES CONTINUING MEDICAL EDUCATION (CME) FOR ITS MEDICAL STAFF. MANY OF THE SESSIONS ARE PERFORMED IN CONJUNCTION WITH THE MONTHLY MEDICAL STAFF MEETINGS AND ARE TOPICS THAT THE MEDICAL STAFF HAS EXPRESSED AN INTEREST IN. THE MAJORITY OF THE SESSIONS ARE SPONSORED BY THE HOSPITAL, HELD IN THE HOSPITAL CONFERENCE ROOMS, AND THE SPEAKERS DONATE THEIR TIME.THE HOSPITAL PROVIDES VARIOUS MEDICAL SCREENING PROGRAMS TO THE COMMUNITY. THE HOSPITAL ALSO HOLDS VARIOUS HEALTH EDUCATION PROGRAMS AND HOSTS SUPPORT GROUPS IN ITS CENTER FOR COMMUNITY HEALTH EDUCATION. | OtherInformation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
| Rebuttable Presumption Procedure | false | RebuttablePresumptionProcedure |
Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg |
|---|---|---|---|---|
| THOMAS MOAKLER | ||||
| 209826 | 8692 | 2188 | 6829 | 227535 |
| ROBERT MOSENFELDER | ||||
| 235062 | 1505 | 2415 | 10495 | 249477 |
| RAHILA BILAL | ||||
| 272540 | 432 | 2783 | 10751 | 286506 |
| PHILIP MCFARLANE MD | ||||
| 204270 | 990 | 2004 | 10495 | 217759 |
| PEDRO HERNANDEZ MD | ||||
| 250355 | 1161 | 2560 | 9728 | 263804 |
| MICHAEL NORTHWAY | ||||
| 222397 | 851 | 6829 | 230077 | |
| LAKSHMIMALINI GOVINDAN | ||||
| 211613 | 163 | 13914 | 225690 | |
| HASSAN E ABOULEISH MD | ||||
| 259213 | 259213 | |||
| BRIAN GRIFFIN MD | ||||
| 235897 | 275 | 2414 | 13914 | 252500 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (5 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer |
|---|---|---|---|---|---|---|
| MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTHORITY 2010B | ||||||
| 010314384 | 560427JA5 | 2010-06-24 | 3171803 | REFINANCE EXISTING DEBT | false | false |
| MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTHORITY | ||||||
| 010314384 | 5604253L2 | 2008-11-01 | 3572529 | CONSTRUCTION | false | false |
| MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTHORITY | ||||||
| 010314384 | 560425QS2 | 2003-10-16 | 4606976 | REFINANCE EXISTING BOND | false | false |
| MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTHORITY | ||||||
| 010314384 | 560425469 | 2006-07-01 | 1529734 | 51% CONSTRUCTION, 49% REFINANCING | false | false |
| MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTHORITY | ||||||
| 010314384 | 560425L40 | 2007-07-01 | 2371246 | REFINANCE EXISTING DEBT | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (5 entries)
| Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Amount DefeasedAmountDefeased | Amount UnspentAmountUnspent | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Capital ExpendituresCapitalExpenditures |
|---|---|---|---|---|---|---|---|---|---|---|
| 3680810 | 295081 | 3339864 | 938 | 44927 | 2010 | false | false | true | true | |
| 3572529 | 575156 | 2604 | 54116 | 2010 | false | false | true | true | 2928949 | |
| 5120949 | 384170 | 4652011 | 1442 | 79427 | 2003 | false | false | true | true | |
| 1529734 | 119500 | 30689 | 2006 | false | false | true | true | 1363375 | ||
| 2584832 | 191153 | 2346112 | 2033 | 38601 | 2007 | false | false | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI |
|---|---|---|---|---|---|---|---|
| false | false | false | false | false | false | ||
| false | true | false | false | false | false | 0.07500 | 0.01000 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (5 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate | Term Of GICTermOfGIC |
|---|---|---|---|---|---|---|---|
| (no name) | |||||||
| false | false | false | false | true | false | false | |
| (no name) | |||||||
| false | false | false | false | true | false | false | |
| FSA | |||||||
| true | false | false | true | true | false | false | 20.0000 |
| FSA | |||||||
| false | false | false | true | true | false | false | 29.0000 |
| TRANSAMERICA | |||||||
| false | false | false | true | true | false | false | 33.0000 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (7 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| HOULTON WATER COMPANY | |||
| PRES IS OFFICER | 519974 | UTILITY SERVICES | false |
| KAREN GALLOP | |||
| MOTHER OF TREAS | 27667 | WAGES/EMPLOYMENT | false |
| NANCY PUTNAM FNP | |||
| SISTER OF DIRECTOR | 107451 | WAGES/EMPLOYMENT | false |
| COMMUNITY LIVING ASSOCIATION | |||
| CEO A DIRECTOR | 19350 | WASTE COLLECTION SVCS | false |
| TERAN CLARK | |||
| SPOUSE OF PRES | 69368 | WAGES/EMPLOYMENT | false |
| BARBARA MOAKLER | |||
| SPOUSE OF CEO | 55785 | WAGES/EMPLOYMENT | false |
| HASSAN E ABOULEISH INC | |||
| DIR 100% OWNER | 259213 | ED PHYSICIAN | false |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Form 990, Part VI, Line 19 | Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | THE BY-LAWS OF HOULTON REGIONAL HOSPITAL ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. |
| Form 990, Part VI, Line 15b | Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | WAGES FOR THE CEO AND CFO ARE COMPARED AGAINST THE MHA EXECUTIVE COMPENSATION SURVEY ON A BI-ANNUAL BASIS BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. |
| Form 990, Part VI, Line 12c | Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | ANNUALLY, DIRECTORS, OFFICERS, AND KEY EMPLOYEES SHALL COMPLETE A CONFLICT OF INTEREST STATEMENT, IN ACCORDANCE WITH THE HOSPITAL'S CONFLICT OF INTEREST POLICY, DISCLOSING ANY POTENTIAL BUSINESS AND PROFESSIONAL CONFLICTS WHICH MAY ARISE. POTENTIAL CONFLICTS WILL BE REVIEWED ON AN ANNUAL BASIS BY THE BOARD OF DIRECTORS. SHOULD A DIRECTOR ENCOUNTER A SPECIFIC CONFLICT OF INTEREST IN ANY MEETING OF THE BOARD OR A BOARD COMMITTEE, THAT DIRECTOR WILL EXCUSE THEMSELVES FROM THE MEETING, WILL NOT PARTICIPATE IN DISCUSSION OF THE ISSUE AND WILL NOT VOTE. |
| Form 990, Part VI, Line 11 | Form 990, Part VI, Line 11: Form 990 Review Process | REVIEWED WITH THE BOARD OF DIRECTORS AT A REGULARLY SCHEDULED MEETING. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDICAL ARTS INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20 HARTFORD ST | AddressLine1 |
| City | HOULTON | City |
| State | ME | State |
| ZIP Code | 04730 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010456638 | EIN |
| Primary Activity | PHYSICIAN PRACTICE | PrimaryActivity |
| Legal Domicile State | ME | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C CORP | TypeOfEntity |
| Share Of Total Income | 645663 | ShareOfTotalIncome |
| Share Of EOY Assets | 14765 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDICAL ARTS INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | a | TransactionType |
| Amount Involved | 7601 | AmountInvolved |
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