YORK HOSPITAL: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
YORK HOSPITAL (EIN 01-0212444)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-13
IRS object ID
201111339349301926
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-13T11:26:34-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BAKER NEWMAN & NOYESBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 507AddressLine1
CityPORTLANDCity
StateMEState
ZIP Code04112ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN010212444EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1YORK HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlYORKNameControl
Phone2073634321Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line115 HOSPITAL DRIVEAddressLine1
CityYORKCity
StateMEState
ZIP Code03909ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROBIN LABONTEName
TitleCFOTitle
Phone2073634321Phone
Date Signed2011-05-10DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone2078792100Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJUD KNOXNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line115 HOSPITAL DRIVEAddressLine1
CityYORKCity
StateMEState
ZIP Code03909ZIPCode
FieldValueIRS element (for citing)
Gross Receipts154481988GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.yorkhospital.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1904YearFormation
State Legal DomicileMEStateLegalDomicile
Activity Or Mission DescriptionCOMMUNITY HOSPITALActivityOrMissionDescription
Nbr Voting Members Governing Body30NbrVotingMembersGoverningBody
Nbr Independent Voting Members22NbrIndependentVotingMembers
Total Nbr Employees1156TotalNbrEmployees
Total Nbr Volunteers274TotalNbrVolunteers
Total Gross UBI2217266TotalGrossUBI
Net Unrelated Business Txbl Income122876NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2870633ContributionsGrantsPriorYear
Contributions Grants Current Year1953529ContributionsGrantsCurrentYear
Program Service Revenue Prior Year137749577ProgramServiceRevenuePriorYear
Program Service Revenue CY144479219ProgramServiceRevenueCY
Investment Income Prior Year-412535InvestmentIncomePriorYear
Investment Income Current Year596291InvestmentIncomeCurrentYear
Other Revenue Prior Year1657640OtherRevenuePriorYear
Other Revenue Current Year1762564OtherRevenueCurrentYear
Total Revenue Prior Year141865315TotalRevenuePriorYear
Total Revenue Current Year148791603TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year100366GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY139403GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year74622326SalariesEtcPriorYear
Salaries Etc Current Year77601876SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year181978TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year502527TotalFundrsngExpCurrentYear
Other Expense Prior Year63205649OtherExpensePriorYear
Other Expenses Current Year65672062OtherExpensesCurrentYear
Total Expenses Prior Year138110319TotalExpensesPriorYear
Total Expenses Current Year143413341TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3754996RevenuesLessExpensesPriorYear
Revenues Less Expenses CY5378262RevenuesLessExpensesCY
Total Assets BOY97132766TotalAssetsBOY
Total Assets EOY106584493TotalAssetsEOY
Total Liabilities BOY45025960TotalLiabilitiesBOY
Total Liabilities EOY48170067TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY52106806NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY58414426NetAssetsOrFundBalancesEOY
Mission DescriptionCOMMUNITY HOSPITALMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense130914546Expense
Grants139403Grants
Revenue144021066Revenue
DescriptionYORK HOSPITAL IS A NOT-FOR-PROFIT HEALTH CARE CENTER ESTABLISHED TO PROVIDE HEALTH CARE SERVICES TO THE YORK COUNTY AREA. IT OFFERS BOTH INPATIENT AND OUTPATIENT ACUTE SERVICES AND HAS 79 LICENSED ACUTE BEDS AND 13 LICENSED SKILLED NURSING CARE BEDS. THE HOSPITAL HAS OUTPATIENT SATELLITE SERVICES IN WELLS, KITTERY, BERWICK AND SOUTH BERWICK.IT IS THE MISSION OF THE HOSPITAL TO PROVIDE EXCEPTIONAL CARE TO ALL ITS PATIENTS. THIS IS ACCOMPLISHED BY BEING COMPASSIONATE, PROMPT AND FOCUSED ON THE INDIVIDUAL'S NEEDS AND DESIRES. THE HOSPITAL AND MEDICAL STAFF WORK AS ONE TO SERVE OUR PATIENTS. EACH STAFF MEMBER'S CONTRIBUTIONS ARE EQUALLY IMPORTANT.THE HOSPITAL IS RESPONSIBLE TO ITS COMMUNITY. WE MUST LISTEN AND RESPOND. WE MUST BE INNOVATIVE, OUR COSTS FAIR AND OUR SERVICES OFFERED TO ALL. NO PERSON SHALL BE DENIED MEDICALLY NECESSARY SERVICES REGARDLESS OF THEIR ABILITY TO PAY.Description
Total Program Service Expense130914546TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109684NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1156NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members30NbrVotingGoverningBodyMembers
Number Independent Voting Members22NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ROBIN LABONTE CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2073634321TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line115 HOSPITAL DRIVEAddressLine1
CityYORKCity
StateMEState
ZIP Code03909ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (35 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
JUD KNOX
PRESIDENT/LEADER40.00XX373975032731
LORRAINE BOSTON
CHAIRMAN1.00XX000
DAVID COUSINEAU
TRUSTEE1.00X000
THOMAS ALBRIGHT MD
TRUSTEE/ORHTOPEDIC PHYS.40.00X366505027757
TONY CILLUFFO
TRUSTEE1.00X000
CRYSTAL BUTLER RN
TRUSTEE/RN34.00X55335022821
JAY BARROWS
TRUSTEE1.00X000
JENNIFER EATON DO
TRUSTEE/PHYSICIAN40.00X281076033778
JOAN GOODRICH
TRUSTEE1.00X000
STEPHEN JENDZEJEC DO
TRUSTEE/LEADER20.00X2100000
MICHAEL E MCGRATH
TRUSTEE1.00X000
SUZI RAESIDE
TRUSTEE1.00X000
DOUG GRAY DDS
TRUSTEE1.00X000
MARK FOSTER
VICE CHAIRMAN1.00XX000
DOUG BRACY
TRUSTEE1.00X000
ALICE EMERY
TRUSTEE1.00X000
KEN FELLOWS MD
TRUSTEE1.00X000
ANN HUSSEY
TRUSTEE1.00X000
LEISA SMITH
ASS'T TREAS/DIETARY FACILI40.00XX68432013040
OSCAR STONE
TRUSTEE1.00X000
ALA REID
TRUSTEE1.00X000
HUNT WALTON
TRUSTEE1.00X000
HENRY F WARNER JR
TREASURER1.00XX000
DANAL EPSTEIN
TRUSTEE1.00X000
RICHARD BROWN
TRUSTEE1.00X000
WARREN SPENCER
TRUSTEE1.00X000
CHRISTOPHER CRANE
TRUSTEE1.00X000
JEFFREY THURLOW
TRUSTEE/SURGEON40.00X604557028895
JEFFREY LOCKHART MD
TRUSTEE/SURGEON40.00X483555030921
ROBIN LABONTE
CFO/LEADER40.00X219685033613
TADHG O'GARA MD
ORTHOPEDIC PHYSICIAN40.00436024026780X
ALLEN HAYMAN
ANESTHESIOLOGIST40.00396850029176X
NINA EDWARDS
SURGEON40.00430882028622X
JOHN LIDDY MD
ANESTHESIOLOGIST40.00388240029318X
KIRA WENDORF MD
RADIOLOGIST40.00424198011180X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4550314TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation348632TotalOtherCompensation
Number Individuals GT100 K85NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HUTTER CONSTRUCTION
810 TURNPIKE RDNEW IPSWICHNH03071CONSTRUCTION1192726
HEALTH PLANS
PO BOX 257WESTBOROUGHMA01581HEALTH INSURANCE ADMINISTER911690
SEACOAST CARDIOLOGY ASSOCIATES
12 HOSPITAL DRYORKME03909PHYSICIAN FEES865495
DAVID POPLAWSKI
16 LONG SANDS RDYORKME03909PHYSICIAN COVERAGE577030
QUEST DIAGNOSTIC
415 MASSACHUSETTS AVECAMBRIDGEMA02139LAB SERVICES305621
FieldValueIRS element (for citing)
Number Of Contractors GT100 K28NumberOfContractorsGT100K
Federated Campaigns39067FederatedCampaigns
Fundraising Events18900FundraisingEvents
Government Grants531178GovernmentGrants
All Other Contributions1364384AllOtherContributions
Noncash Contributions94844NoncashContributions
Total Contributions1953529TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICES900099114539587114539587
LAB6215002627332025617314656006
PHARMACY446110366631221050521561260
FieldValueIRS element (for citing)
Total Program Service Revenue144479219TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column599816TotalRevenueColumn
Exclusion$599,816ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real163845Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real163845Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column163845TotalRevenueColumn
Related Or Exempt Function Income163845RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities5661774Securities
Other7150Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities5665970Securities
Other6479Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-4196Securities
Other671Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-3525TotalRevenueColumn
Exclusion-$3,525ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events21387GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events18900CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses17936FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column3451TotalRevenueColumn
Exclusion$3,451ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA722210649471649471
LIFELINE621990171036171036
GIFT SHOP453220124148124148

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column650613TotalRevenueColumn
Related Or Exempt Function Income650613RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue1595268TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column148791603TotalRevenueColumn
Related Or Exempt Function Income144021066RelatedOrExemptFunctionIncome
Unrelated Business Revenue2217266UnrelatedBusinessRevenue
Exclusion$599,742ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total139403Total
Program Services139403ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2697676Total
Program Services2565675ProgramServices
Management And General132001ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total58036461Total
Program Services55432068ProgramServices
Management And General2504525ManagementAndGeneral
Fundraising99868Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3202067Total
Program Services3059308ProgramServices
Management And General137430ManagementAndGeneral
Fundraising5329Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total9639051Total
Program Services9207137ProgramServices
Management And General415681ManagementAndGeneral
Fundraising16233Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4026621Total
Program Services3845413ProgramServices
Management And General174562ManagementAndGeneral
Fundraising6646Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total75322Total
Management And General75322ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total93911Total
Program Services37564ProgramServices
Management And General56347ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total12710783Total
Program Services5381295ProgramServices
Management And General7329488ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total28513480Total
Program Services28139613ProgramServices
Fundraising373867Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1766933Total
Program Services1501893ProgramServices
Management And General265040ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1009331Total
Program Services908398ProgramServices
Management And General100933ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total5264080Total
Program Services4474468ProgramServices
Management And General789612ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2050116Total
Program Services2034205ProgramServices
Management And General15327ManagementAndGeneral
Fundraising584Fundraising

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
PROVISION FOR BAD DEBT63316546331654
HEALTH CARE PROVIDER TA21844422184442
EXTINGUISHMENT OF DEBT9999499994

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total5572016Total
Program Services5572016ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total143413341Total
Program Services130914546ProgramServices
Management And General11996268ManagementAndGeneral
Fundraising502527Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY7494006BOY
EOY7469727EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1541115BOY
EOY1570984EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY12596241BOY
EOY16189290EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3398312BOY
EOY3639243EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY675654BOY
EOY863592EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis98337016LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec54402321LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY40824482BOY
EOY43934695EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY18872438BOY
EOY21869061EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY6338174BOY
EOY6835672EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5392344BOY
EOY4212229EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY97132766BOY
EOY106584493EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY13107747BOY
EOY13173533EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY19036244BOY
EOY18689424EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY3268576BOY
EOY3156552EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY9613393BOY
EOY13150558EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY45025960BOY
EOY48170067EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY44260679BOY
EOY49930421EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5726621BOY
EOY6201608EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2119506BOY
EOY2282397EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY52106806BOY
EOY58414426EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY97132766BOY
EOY106584493EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

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)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$18,183OtherActivitiesAmount
Total Lobbying Expenditures IIB18183TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1i:Identifier
Return ReferenceExplanation of Other Lobbying Activities:ReturnReference
ExplanationMAINE HOSPITAL ASSOCIATION DUES AND AMERICAN HOSPITAL ASSOCIATION DUES TOTALED $65,162 OF WHICH $12,120 WERE AVAILABLE FOR LOBBYING. A LAW FIRM WAS PAID $6,063 TO LOBBY FOR 2010 TAX & MATCH LEGISLATION.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance7846127BeginningOfYearBalance
Contributions1098494Contributions
Investment Earnings Or Losses625885InvestmentEarningsOrLosses
Other Expenditures1086501OtherExpenditures
End Of Year Balance8484005EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance7623514BeginningOfYearBalance
Contributions2000053Contributions
Investment Earnings Or Losses-881917InvestmentEarningsOrLosses
Other Expenditures895523OtherExpenditures
End Of Year Balance7846127EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.73090PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.26910TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis50762978OtherCostOrOtherBasis
Depreciation19233157Depreciation
Book Value31529821BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3041749OtherCostOrOtherBasis
Depreciation2125865Depreciation
Book Value915884BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis42462221OtherCostOrOtherBasis
Depreciation33043299Depreciation
Book Value9418922BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2070068OtherCostOrOtherBasis
Book Value2070068BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings43934695TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
OTHER INVESTMENTS1142835F
ALTERNATIVE INVESTMENTS5692837F
FieldValueIRS element (for citing)
Total Of Book Value Securities6835672TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
ASSETS HELD ON BEHALF OF THIRD PARTY$771,412
PENSION OBLIGATION$10,952,211
ESTIMATED 3RD-PARY PAYOR SETTLEMENTS$1,426,935
FieldValueIRS element (for citing)
Total Of Amounts13150558TotalOfAmounts
Total Revenue148791603TotalRevenue
Total Expenses143413341TotalExpenses
Excess Or Deficit For Year5378262ExcessOrDeficitForYear
Net Unrealized GL On Investments2410776NetUnrealizedGLOnInvestments
Other-$1,481,418OtherAmount
Total Adjustments929358TotalAdjustments
Excess Or Deficit Per FS6307620ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt151220315TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments2410776NetUnrealizedGainsInvestments
Other Revenues17936OtherRevenues
Revenue Not Rptd F9902428712RevenueNotRptdF990
Revenue Subtotal148791603RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990148791603TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt144902502TotExpensesEtcAuditedFinclStmt
Other Expenses Included1489161OtherExpensesIncluded
Expenses Not Rptd F9901489161ExpensesNotRptdF990
Expenses Subtotal143413341ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990143413341TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part V, Line 4:Description of Intended Use of Endowment Funds:Temporarily Restricted Funds Biewend (12/82)- Principal and income restricted for purchase of new equipment (at Board discretion which must be approved by a family member) and the acquisition of land and buildings other than an addition to the present hospital buildings. Page (1945) - To be used for support and maintenance of district visiting nurses. Palmer/Perkins Nursing Scholarship - See Perm Restricted for description. Rose Voignier Scholarship - Fund to remain in endowment until the value is $100,000, at that time the funds are to be used to provide training and instruction for staff @ York Hospital, as well as health care training for the public. Baldwin Fund for Nursing Excellence - Financial support for nurses who need to be re-certified and current in their health care skills, including advanced training or change of focus. Scholarships for support staff, who are interested in entering the field of nursing. Financial assistance to help defray the costs of ongoing orientation, classroom instruction and clinical training of new York Hospital nurses. To help defray the costs associated with the York Hospital's Summer Intern program for young nursing students who are currently enrolled in a nursing school. Winkler Fund - Funds to be used for Nursing Education. Rose Voignier Education Fund - Funds to be used for staff education. Permanently Restricted Funds Elizabeth B. Perkins - Principal to remain in perpetuity, the income for the care of patients who are unable to pay for proper treatment. Gerrity - 80% of income is unrestricted. 20% is to be reinvested as Principle YH Memorial Fund - Principal to be kept intact and the income to be used @ the board discretion Cowey - Income and gains to be used for pediatrics (Corpus only to be kept intact) Forristall - To be used for SNF (Corpus only to be kept intact) Mason - To be used for free work provided to patients who cannot afford to pay (Corpus only to be kept intact) Brewster - Income and gains to be used for any form of diabetes research and care (Corpus only to be kept intact. Palmer/Perkins Endowment - Principal to be kept intact and the income to be used for nursing education for the staff. Hospice - Principal to be reinvested and the income to be used to offset expenses of the Hospice. Sidelinger - (6/88) Principal to be kept intact and the income to be used for general purposes of the support, upkeep and maintenance of the hospital as determined by the Board. Oncology Fund - Income to be used for support programs for patients, their families and caregivers.
Part XI, Line 8 - Other Adjustments:ADJUSTMENTS TO LONG-TERM PENSION OBLIGATIONS: -1,471,225 OTHER: -10,193
Part XII, Line 2d - Other Adjustments:SPECIAL EVENTS EXPENSES: 17,936
Part XIII, Line 2d - Other Adjustments:SPECIAL EVENTS EXPENSES: 17,936 ADJUSTMENT TO LONG-TERM PENSION OBLIGATIONS: 1,471,225

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event133376GrossReceiptsEvent1
Charitable Contributions Event116950CharitableContributionsEvent1
Gross Revenue Event116426GrossRevenueEvent1
Non Cash Prizes Event18266NonCashPrizesEvent1
Rent Facility Costs Event14822RentFacilityCostsEvent1
Food And Beverage Event11120FoodAndBeverageEvent1
Other Direct Expenses Event1966OtherDirectExpensesEvent1
Name Of Event25KM ROAD RACENameOfEvent2
Gross Receipts Event26911GrossReceiptsEvent2
Charitable Contributions Event21950CharitableContributionsEvent2
Gross Revenue Event24961GrossRevenueEvent2
Non Cash Prizes Event2717NonCashPrizesEvent2
Food And Beverage Event2310FoodAndBeverageEvent2
Other Direct Expenses Event21735OtherDirectExpensesEvent2
Gross Receipts Total40287GrossReceiptsTotal
Charitable Contributions Total18900CharitableContributionsTotal
Gross Revenue Total Events21387GrossRevenueTotalEvents
Non Cash Prizes Total Events8983NonCashPrizesTotalEvents
Rent Facility Costs Total Events4822RentFacilityCostsTotalEvents
Food And Beverage Total Events1430FoodAndBeverageTotalEvents
Other Direct Expenses Total Events2701OtherDirectExpensesTotalEvents
Direct Expense Summary Events17936DirectExpenseSummaryEvents
Net Income Summary3451NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care0FPGReferenceDiscountedCare
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report0AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served759PersonsServed
Total Community Benefit Expense2293406TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense2293406NetCommunityBenefitExpense
Percent Of Total Expense0.01670PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served4599PersonsServed
Total Community Benefit Expense8190719TotalCommunityBenefitExpense
Direct Offsetting Revenue5360926DirectOffsettingRevenue
Net Community Benefit Expense2829793NetCommunityBenefitExpense
Percent Of Total Expense0.02070PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served5358PersonsServed
Total Community Benefit Expense10484125TotalCommunityBenefitExpense
Direct Offsetting Revenue5360926DirectOffsettingRevenue
Net Community Benefit Expense5123199NetCommunityBenefitExpense
Percent Of Total Expense0.03740PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense441132TotalCommunityBenefitExpense
Direct Offsetting Revenue11993DirectOffsettingRevenue
Net Community Benefit Expense429139NetCommunityBenefitExpense
Percent Of Total Expense0.00310PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense36519367TotalCommunityBenefitExpense
Direct Offsetting Revenue19496586DirectOffsettingRevenue
Net Community Benefit Expense17022782NetCommunityBenefitExpense
Percent Of Total Expense0.12430PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense36960499TotalCommunityBenefitExpense
Direct Offsetting Revenue19508579DirectOffsettingRevenue
Net Community Benefit Expense17451921NetCommunityBenefitExpense
Percent Of Total Expense0.12740PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served5358PersonsServed
Total Community Benefit Expense47444624TotalCommunityBenefitExpense
Direct Offsetting Revenue24869505DirectOffsettingRevenue
Net Community Benefit Expense22575120NetCommunityBenefitExpense
Percent Of Total Expense0.16480PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$2,960,359BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare28884238AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare37196320CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-8312082MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy0WrittenDebtCollectionPolicy

Form990 Schedule H Part V Form990ScheduleHPartV (7 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24Hours
YORK HOSPITAL
15 HOSPITAL DRYORKME03909XXX
HEART HEALTH INSTITUTEONCOLOGY SERVICES
127 LONG SANDS RDYORKME03909X
WELLS MEDICAL SERVICES
112-114 SANFORD RDWELLSME04090X
SOUTH BERWICK MEDICAL SERVICES
57 PORTLAND STSOUTH BERWICKME03908X
BERWICK MEDICAL SERVICES
4 DANA DRBERWICKME03901X
KITTERY MEDICAL SERVICES
75 US RT 1KITTERYME03904X
YORK OUTPATIENT PHYSICAL THERAPY
16 LONG SANDS RDYORKME03909X

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Number Of Facility Type ExplnPart V: 1.a)Part I, Line 3 c - The hospital uses the federal poverty guidelines.b)Part I, Line 6a - Not applicablec)Part I, Line 7g - York Hospital has several hospital clinical services and hospital owned physicians practices. Per the instructions for IRS form 990H, worksheet 6, we are allowed to include any applicable physician practice that the hospital subsidizes (i.e., operates at a loss). As such, we have included the following hospital clinical services and hospital owned physician practices that operate at a loss (i.e., subsidized by the hospital) and the associated costs of these practices.a.Diabetes Educationb.Berwick Walk-In Clinicc.Kittery Family Practice d.Emergency Room (the hospital has emergency rooms at the main hospital campus and also in Wells)e.Home Health Agencyf.Chemical Dependency Clinic g.Coastal OB/GYN Practice h.Surgical Practicei.Rheumatology Practicej.Neurology Practicek.Orthopedics Practicel.Urology Practicem.Physical Therapy Practicen.Pulmonary Practiceo.Great Works Family Practicep.Gynecology Practiceq.York Plastic Surgery Practicer.York Family Practices.Webhannett Internal Medicine Practicet.Pediatrics AssociatesThe above listed hospital clinical services and hospital owned physician practices have a community benefit (i.e., aggregate loss or subsidy from the hospital) of approximately $17.0 million. In addition, the community benefit also does not take into account bad debts, charity care and contractual adjustments. Thus this community benefit of approximately $17.0 million is a conservative figure that reconciles to the community benefit reported on IRS form 990H, Part I, Line 7g, column e.d)Part I, Line 7, Column F - As part of the hospital's total expenses, there are $6,331,654 of bad debts. This amount has been removed from the Part I, Line 7 Column F calculation per the IRS instructions. e)Part I, Line 7 - the IRS 990H instructions/guidance provide a template (Worksheet 2 template) as a way to determine the overall cost to charge ratio that could be applied throughout the IRS 990H form in order to convert charges to cost. Where applicable, we have utilized the Worksheet 2 template calculation. The only areas where we did not utilize this template calculation were the following:a.IRS 990H Worksheet 6 - Subsidized health services - (which is the supporting schedule for Part I, Line 7g) we did not utilize the Worksheet 2 percentage when we were determining the profit/loss of each of our provider based clinics. In addition, when we were compiling the subsidized hospital clinical services and hospital owned physician practices listed in 1c above, we utilized the actual estimated costs on the modified Medicare cost report we prepared instead of applying the Worksheet 2 cost to charge percentage. b. IRS 990H Worksheet 3 - Unreimbursed Medicaid and Other Means Tested Government Programs (which is the supporting schedule for Part I, Lines 7b and 7c) and Worksheet 6 Medicaid allowable costs for the subsidized health services listed in line 1c above (which is part of the line 7g costs) - We did not utilize the Worksheet 2 percentage when calculating the Medicaid allowable cost. Instead we utilized the actual Medicaid filed cost report for the allowable costs.f)The allowance for uncollectible accounts is provided based on an analysis by management of the collectibility of outstanding balances. Management considers the age of outstanding balances and past collection efforts in determining the allowance for uncollectible accounts. Accounts deemed uncollectible are charge off against the established allowance.g)Part III, Line 8 - Part I, Line 7 - the IRS 990H instructions/guidance provide a template (Worksheet 2 template) as a way to determine the overall cost to charge ratio that could be applied throughout the IRS 990H form in order to convert charges to cost. Where applicable, we have utilized the Worksheet 2 template calculation. The only areas where we did not utilize this template calculation were the following: a.IRS 990H Worksheet B, Line 2 & 6 - Medicare allowable costs and payments related to the subsidized health services - We utilized the Medicare cost report estimated cost and payment for these services. The hospital believes its hospital clinical services and hospital owned physician practices, along with the emergency room and the home health agency listed in 1c above, should be and are considered a community benefit. York Hospital believes that by offering and thus subsidizing these hospital clinical services and hospital owned physician practices within its community, the community at large benefits by having easy access and an easy commute for these services.h)Part III, Line 9b - Not Applicablei)Part V - See 990H Part V2 York Hospital assesses the healthcare needs of the community through participation in the "Healthy York County Maine - Mobilizing for Action through Planning and Partnerships Visioning and Assessment Report (June 2010)"3. A description of the York Hospital Financial Assistance Program is listed on the back of all patient statements. The York Hospital Assistance Program guidelines are posted at patient registration areas. The Charity Care program is listed on the York Hospital website.4. York Hospital primary service area includes the following communities in Southern York County Maine: Berwick, Eliot, Kittery, North Berwick, Ogunquit, South Berwick, Wells and York. The Hospitals secondary service area includes: Kennebunk and Lebanon, Maine, and Portsmouth, Dover, Rollinsford and Somersworth, New Hampshire. Approximately 6% of York Hospital patients utilize Medicaid and 60% of York Hospital patients utilize Medicare. The population of southern York County with income under 200% of federal poverty guidelines is 20%, 33.3% of York County children received MaineCare in 2009 and more than 5,000 or 11.8% lived in poverty. 5. Not Applicable6. The board of trustees is made up of members from all communities served by York Hospital. All medical staff are eligible to participate if they meet privileging criteria. All hospital income gains are reinvested in the facilities, equipment and services for the communities.7. Not Applicable8. Not ApplicableNumberOfFacilityTypeExpln

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII (3 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrant
SCHOLARSHIPS620333
ORIENTATION PROGRAM629895
CONTINUING EDUCATION/SEMINARS & WORKSHOPS14689175

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: The scholarship fund is monitored by a committee which manages the funds in accordance with the donor's wishes. The committee does this by allocating a portion for seminars and workshops or Continuing Education, allocating a portion for an Orientation Program, and allocating funds for folks who want to attend Nursing School or Primary Education. Continuing Education funds are allocated to each department head responsible for nurses and each is then responsible for spending funds in accordance with the donor's wishes. The Orientation Program is directly administered by some of the members of the Committee. For Nursing Scholarships, folks must apply to the Committee through an application process and then report back to the committee on their progress. All amounts spent are also tracked and reviewed in accounting to ensure that the monies are used in accordance with the donor's wishes. Annually, the Director of Development reports fund activity directly to the donor.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses0WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JUD KNOX
3676270006348059510267800406706000
THOMAS ALBRIGHT MD
364027024780009770267800394262000
JENNIFER EATON DO
2810760000069980267800314854000
JEFFREY THURLOW
406200019835700021150267800633452000
JEFFREY LOCKHART MD
4835550000041410267800514476000
ROBIN LABONTE
2196850000068330267800253298000
TADHG O'GARA MD
4287390007285000267800462804000
ALLEN HAYMAN
3968500000023960267800426026000
NINA EDWARDS
299744013113800018420267800459504000
JOHN LIDDY MD
3882400000025380267800417558000
KIRA WENDORF MD
4241980000000111800435378000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part I, Line 1aMINIMAL ROTARY DUES FOR PRESIDENT
Part I, Line 7PERFORMANCE-BASED VARIABLE COMPENSATION WHICH IS SUBJECT TO REVIEW ANNUALLY.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (5 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuer
MHHEFA
010314384560425NW62003-07-246988265FOR MRI UNIT00
MHHEFA
010314384560425UT52004-12-0942196950CT SCANNER, NUCLEAR ME, RADIOLOGY, MAMMO UNIT00
MHHEFA
010314384560425G202006-09-0791723676CT SCANNER, DIGITAL MAMMO EQUIP, PAC'S EQUIPMENT00
MHHEFA
010314384560425L402007-07-1897716087REFINANCE 1999B ER PROJECT & 2000C WELLS REGIONAL00
MHHEFA
010314384560525Z782008-06-1948451841IMAGING EQUIPMENT00

Form990 Schedule K Part II Form990ScheduleKPartII (5 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount DefeasedAmountDefeasedAmount UnspentAmountUnspent
117956113787939017100266520030011
194100513532531950177373020050011
231838029120037906198927420060011
743793854756897896200711117368244
17072091623304281614740182008001128044

Form990 Schedule K Part III Form990ScheduleKPartIII (5 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
000000.000000.000000.000001
000000.000000.000000.000001
000000.000000.000000.000001
000000.000000.000000.000001
000000.000000.000000.000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (5 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICTerm Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfiedGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
FSA
100123.000000000000100
FSA
000124.000000000000100
FSA
000126.000000000000100
TRANS AMERICA
000120.000000000000100
GEFCM
000128.000000000000100

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuer
MHHEFA
0103143845604253L22008-12-0341658395SURGERY CENTER ADDITION00
MHHEFA
010314384560427GE02009-12-1093040181NEW CT AND OTHER EQUIPMENT00
MHHEFA
010314384560427JA52010-06-24113477369REFINANCE 1993, 1998, 1999A & 2001D00

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount UnspentAmountUnspentAmount DefeasedAmountDefeased
278857634154546861240017020100011
182796019492529377107652120100001527137
400187760705651237201011115418358

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
000000.000000.000000.000001
000000.000000.000000.000001
000000.000000.000000.000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
000000
000000
000000

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions5NumberOfContributions
Noncash Contribs Rptd F99094844NoncashContribsRptdF990
Method Of Determining RevenuesSTOCK EXCHANGE PRICEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section B, line 11THE 990 IS DISTRIBUTED TO THE BOARD OF TRUSTEES FOR THEIR REVIEW AFTER IT IS FILED.
Form 990, Part VI, Section B, line 12cANNUALLY THE BOARD OF TRUSTEES AND THE OFFICERS SIGN A CONFLICT OF INTEREST FORM.
Form 990, Part VI, Section B, line 15THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES UTILIZES AN OUTSIDE FIRM'S DATA BASE OF CEO SALARIES TO DETERMINE THE CEO'S COMPENSATION. THE CEO DETERMINES THE COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES USING AN OUTSIDE FIRM'S DATA TO MAKE SURE THE COMPENSATION IS WITHIN THE MARKET.
Form 990, Part VI, Section C, line 19DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
FORM 990, SCHEDULE K, PART I:THESE TAX-EXEMPT BONDS ARE PART OF A POOLED BOND ISSUE.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1YORK HEALTH SERVICESBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line115 HOSPITAL DRAddressLine1
CityYORKCity
StateMEState
ZIP Code03909ZIPCode
FieldValueIRS element (for citing)
EIN020469065EIN
Primary ActivitiesHEART HEALTHPrimaryActivities
Legal Domicile StateMELegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status9PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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