WESTERN MAINE NURSING HOME INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- WESTERN MAINE NURSING HOME INC (EIN 22-2842655)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-08-09
- IRS object ID
- 201112219349300601
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-08-09T06:44:35-05:00 | 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 | MAINEHEALTH | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 FREE ST | AddressLine1 |
| City | PORTLAND | City |
| State | ME | State |
| ZIP Code | 041013908 | 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 | 222842655 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WESTERN MAINE NURSING HOME INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | WEST | NameControl |
| Phone | 2077437086 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3 MARKET SQUARE | AddressLine1 |
| City | SOUTH PARIS | City |
| State | ME | State |
| ZIP Code | 04281 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOHN COX | Name |
| Title | SENIOR VP - FISCAL | Title |
| Phone | 2077437086 | Phone |
| Date Signed | 2011-07-29 | DateSigned |
| Authorize Third Party | false | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Date Prepared | 2011-08-09 | DatePrepared |
| 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 | TIMOTHY CHURCHILL | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3 MARKET SQUARE | AddressLine1 |
| City | SOUTH PARIS | City |
| State | ME | State |
| ZIP Code | 04281 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 6511014 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.WMHCC.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1987 | YearFormation |
| State Legal Domicile | ME | StateLegalDomicile |
| Activity Or Mission Description | TO ENSURE A HIGH QUALITY, ACCESSIBLE, AFFORDABLE AND APPROPRIATE INTEGRATED HEALTH CARE SYSTEM TO IMPROVE THE HEALTH AND WELL BEING OF THE COMMUNITY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 19 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 185 | TotalNbrEmployees |
| Total Nbr Volunteers | 22 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 180 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 10 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 6473917 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 6495730 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2404 | InvestmentIncomePriorYear |
| Investment Income Current Year | 695 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 15033 | OtherRevenuePriorYear |
| Other Revenue Current Year | 14579 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 6491534 | TotalRevenuePriorYear |
| Total Revenue Current Year | 6511014 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 4351258 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 4425937 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 2558334 | OtherExpensePriorYear |
| Other Expenses Current Year | 2543246 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 6909592 | TotalExpensesPriorYear |
| Total Expenses Current Year | 6969183 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -418058 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -458169 | RevenuesLessExpensesCY |
| Total Assets BOY | 1149161 | TotalAssetsBOY |
| Total Assets EOY | 926134 | TotalAssetsEOY |
| Total Liabilities BOY | 583755 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 624232 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 565406 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 301902 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO ENSURE A HIGH QUALITY, ACCESSIBLE, AFFORDABLE AND APPROPRIATE INTEGRATED HEALTH CARE SYSTEM TO IMPROVE THE HEALTH AND WELL BEING OF THE COMMUNITY. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 6610959 | Expense |
| Revenue | 6510309 | Revenue |
| Description | THE ORGANIZATION PROVIDES LONG-TERM NURSING AND RELATED MEDICAL CARE TO ITS RESIDENTS. SERVICES INCLUDE A RESIDENTIAL CARE UNIT, SKILLED NURSING CARE AND INTERMEDIATE NURSING CARE. IN 2010 THE ORGANIZATION SERVED 32,570 RESIDENT DAYS, INCLUDING 21,373 MEDICAID DAYS. SEE COMMUNITY BENEFIT STATEMENT. | Description |
| Total Program Service Expense | 6610959 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| 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 | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| 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 | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | 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 | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 2 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 185 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Nbr Voting Governing Body Members | 19 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| 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 | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | SENIOR VP - FISCAL | NamePerson |
| Telephone Number | 2077435933 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3 MARKET SQUARE | AddressLine1 |
| City | SOUTH PARIS | City |
| State | ME | State |
| ZIP Code | 04281 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
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 |
|---|---|---|---|---|---|---|
| GREGORY HARDY MD | ||||||
| PHYSICIAN | 1.00 | X | 0 | 323478 | 22592 | |
| TIMOTHY CHURCHILL | ||||||
| PRESID & CEO | 5.00 | X | 0 | 299524 | 32948 | X |
| ADAM KAZIMIERCZAK DO | ||||||
| PHYSICIAN | 1.00 | X | 0 | 169021 | 17172 | |
| EUGENE BENNER | ||||||
| CHAIR | 1.00 | X | 0 | 0 | 0 | X |
| ANDREA BURNS | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| PETER CHAPMAN | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| C BRADLEY CUMMINGS | ||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | X |
| ROBERT HARMON | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| LARRY FARMER OD | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| DAVID HOISINGTON PA | ||||||
| VICE CHAIR | 1.00 | X | 0 | 0 | 0 | X |
| DAVID KUMAKI MD | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| REV ANNE STANLEY | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| WILLIAM L MEDD MD | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| OLA MELHUS MD | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| WENDY PENLEY | ||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | X |
| LYNN HAMPER | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| DAVID J PREBLE | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| TED MOCCIA | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| ROBIN J ZINCHUK | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| JOHN COX | ||||||
| SR VP-FISCAL | 5.00 | 0 | 168578 | 20923 | X | |
| M PATRICIA COOK | ||||||
| SR VP-CLINIC | 1.00 | 0 | 127732 | 26565 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp Frm Rltd Orgs | 1088333 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 120200 | TotalOtherCompensation |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SELECT REHABILITATION | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 35338 EAGLE WAY | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60678 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | PT STAFFING | DescriptionOfServices |
| Compensation | 523086 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| All Other Contributions | 10 | AllOtherContributions |
| Total Contributions | 10 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT SERVICE REVENUE | Description |
| Business Code | 623000 | BusinessCode |
| Total Revenue Column | 6495730 | TotalRevenueColumn |
| Related Or Exempt Function Income | 6495730 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 6495730 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 695 | TotalRevenueColumn |
| Exclusion | $695 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| OTHER REVENUE | 900099 | 11531 | 11531 |
| MEAL DELIVERY PROGRAM | 624210 | 3048 | 3048 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 14579 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6511014 | TotalRevenueColumn |
| Related Or Exempt Function Income | 6510309 | RelatedOrExemptFunctionIncome |
| Exclusion | $695 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3365055 | Total |
| Program Services | 3221057 | ProgramServices |
| Management And General | 143998 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 793 | Total |
| Program Services | 759 | ProgramServices |
| Management And General | 34 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 803469 | Total |
| Program Services | 769081 | ProgramServices |
| Management And General | 34388 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 256620 | Total |
| Program Services | 245637 | ProgramServices |
| Management And General | 10983 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32908 | Total |
| Management And General | 32908 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10074 | Total |
| Management And General | 10074 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 676619 | Total |
| Program Services | 619166 | ProgramServices |
| Management And General | 57453 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2314 | Total |
| Program Services | 2314 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 566902 | Total |
| Program Services | 556491 | ProgramServices |
| Management And General | 10411 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19942 | Total |
| Program Services | 19088 | ProgramServices |
| Management And General | 854 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 261206 | Total |
| Program Services | 228468 | ProgramServices |
| Management And General | 32738 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4885 | Total |
| Program Services | 4885 | ProgramServices |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11190 | Total |
| Program Services | 11190 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 161525 | Total |
| Program Services | 154612 | ProgramServices |
| Management And General | 6913 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 300952 | Total |
| Program Services | 288071 | ProgramServices |
| Management And General | 12881 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12441 | Total |
| Program Services | 12441 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PROVIDER TAX | 350236 | 350236 | |
| MISCELLANEOUS | 108762 | 104361 | 4401 |
| PROVISION FOR BAD DEBTS | 16351 | 16351 | |
| DUES AND SUBSCRIPTIONS | 6939 | 6751 | 188 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6969183 | Total |
| Program Services | 6610959 | ProgramServices |
| Management And General | 358224 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 370 | BOY |
| EOY | 370 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 160614 | BOY |
| EOY | 123445 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 671009 | BOY |
| EOY | 523750 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22787 | BOY |
| EOY | 25564 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4878 | BOY |
| EOY | 3453 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 289503 | BOY |
| EOY | 249552 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1149161 | BOY |
| EOY | 926134 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 412447 | BOY |
| EOY | 452982 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 171308 | BOY |
| EOY | 171250 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 583755 | BOY |
| EOY | 624232 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 559171 | BOY |
| EOY | 301902 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6235 | BOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 565406 | BOY |
| EOY | 301902 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1149161 | BOY |
| EOY | 926134 | 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 Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 91 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 105 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 7560 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 180 | CurrentTaxYearMinus1Year |
| Current Tax Year | 10 | CurrentTaxYear |
| Total | 7946 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2988452 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6179288 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6178476 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6488950 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6510309 | CurrentTaxYear |
| Total | 28345475 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2988543 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6179393 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6186036 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6489130 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6510319 | CurrentTaxYear |
| Total | 28353421 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 28353421 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 17319 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 9134 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2745 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2404 | CurrentTaxYearMinus1Year |
| Current Tax Year | 695 | CurrentTaxYear |
| Total | 32297 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 17319 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 9134 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2745 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2404 | CurrentTaxYearMinus1Year |
| Current Tax Year | 695 | CurrentTaxYear |
| Total | 32297 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3005862 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6188527 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6188781 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6491534 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6511014 | CurrentTaxYear |
| Total | 28385718 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99890 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99870 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00000 | InvestmentIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed4955 Tax | false | Form4720Filed4955Tax |
| Correction Made | false | CorrectionMade |
| Form1120 Pol Filed | false | Form1120PolFiled |
| Form4720 Filed | false | Form4720Filed |
| 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 | $2,165 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 2165 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
| Substantially All Dues Nondeduct | false | SubstantiallyAllDuesNondeduct |
| Only In House Lobbying | false | OnlyInHouseLobbying |
| Agree To Carryover Prior Year | false | AgreeToCarryoverPriorYear |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | SCHEDULE C, PART II-B, LINE 1I | ReturnReference |
| Explanation | ALLOCATED PERCENTAGE OF MEMBERSHIP DUES PAID TO MAINE HEALTH CARE ASSOCIATION AND AMERICAN HEALTH CARE ASSOCIATION. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disclosed Orgs Legal Control | false | DisclosedOrgsLegalControl |
| Disclosed For Charitable Purposes | false | DisclosedForCharitablePurposes |
| Written Policy Monitoring | false | WrittenPolicyMonitoring |
| Sect170h Requirements Satisfied | false | Sect170hRequirementsSatisfied |
| Solicited Assets For Sale | false | SolicitedAssetsForSale |
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Included On FS | false | IncludedOnFS |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 6235 | BeginningOfYearBalance |
| Other Expenditures | 6235 | OtherExpenditures |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 5235 | BeginningOfYearBalance |
| Contributions | 1000 | Contributions |
| End Of Year Balance | 6235 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| AR UNDER REIMBURSEMENT AGREEMENTS | 148684 |
| CASH SURRENDER VALUE-LIFE INSURANCE | 77761 |
| DUE FROM AFFILIATE | 23107 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 249552 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO AFFILIATES | $154,375 |
| PROFESSIONAL LIABILTY CLAIMS ACCRUAL | $16,875 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 171250 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL FINANCIAL INFORMATION | Identifier |
| Return Reference | SCHEDULE D, PAGE 4, PART XIV | ReturnReference |
| Explanation | ALL TERM ENDOWMENT FUNDS WERE RELEASED FROM RESTRICTION. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| 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 |
Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)
| Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs |
|---|---|---|---|---|---|
| GREGORY HARDY MD | |||||
| 265564 | 53211 | 4703 | 4416 | 18176 | 346070 |
| TIMOTHY CHURCHILL | |||||
| 247212 | 36000 | 16312 | 10833 | 22115 | 332472 |
| ADAM KAZIMIERCZAK DO | |||||
| 138900 | 30000 | 121 | 17172 | 186193 | |
| JOHN COX | |||||
| 160280 | 8298 | 3320 | 17603 | 189501 | |
| M PATRICIA COOK | |||||
| 126516 | 1216 | 9530 | 17035 | 154297 | |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| RELATED PARTY INFORMATION AMONG OFFICERS | FORM 990, PAGE 6, PART VI, LINE 2 | DAVID KUMAKI WILLIAM MEDD SHAREHOLDER SHAREHOLDER BUSINESS RELATIONSHIP. |
| CLASSES OF MEMBERS OR STOCKHOLDERS | FORM 990, PAGE 6, PART VI, LINE 6 | WESTERN MAINE HEALTH CARE, CORP. (EIN 01-0411788) IS THE SOLE MEMBER OF THE ORGANIZATION. |
| ELECTION OF MEMBERS AND THEIR RIGHTS | FORM 990, PAGE 6, PART VI, LINE 7A | THE SOLE MEMBER HAS THE RESPONSIBILITY FOR THE ELECTION OF THE MEMBERS OF THE GOVERNING BODY. |
| DECISIONS SUBJECT TO APPROVAL OF MEMBERS | FORM 990, PAGE 6, PART VI, LINE 7B | ALL DECISIONS BY THE WESTERN MAINE NUSING HOME, INC.'S GOVERNING BODY ARE APPROVED BY DEFAULT BY THE MEMBER ORGANIZATION'S GOVERNING BODY. THIS IS BECAUSE THESE TWO ORGANIZATIONS SHARE A COMMON GOVERNING BODY. |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11 | THE 990 WAS REVIEWED IN DETAIL BY A COMMITTEE OF THE BOARD OF TRUSTEES. THE PRESIDENT AND SENIOR VICE PRESIDENT - FISCAL LED THE DISCUSSION. SUBSEQUENT TO THAT REVIEW, A COPY OF THE ORGANIZATION'S 990 WAS DISTRIBUTED TO ALL TRUSTEES. THE 990 WAS REVIEWED IN SUMMARY AT A BOARD MEETING PRIOR TO FILING. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | CONFLICT OF INTEREST STATEMENTS ARE OBTAINED ANNUALLY. THE PRESIDENT'S OFFICE COLLECTS AND REVIEWS THE RESPONSES. WHERE ANY REAL OR PERCEIVED CONFLICTS EXIST, OFFICERS AND TRUSTEES ARE EXPECTED TO RECUSE THEMSELVES (1) FROM MEETINGS DURING TIMES WHEN THE TOPICS OF POTENTIAL CONFLICT ARE DISCUSSED AND (2) FROM VOTING ON SUCH MATTERS. KEY EMPLOYEES MAY NOT USE THEIR POSITIONS TO PROFIT PERSONALLY OR TO ASSIST OTHERS IN PROFITING IN ANY WAY AT THE EXPENSE OF WESTERN MAINE NURSING HOME, INC. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | FORM 990, PAGE 6, PART VI, LINE 15A | THE PARENT COMPANY OF WESTERN MAINE NURSING HOME, INC. IS WESTERN MAINE HEALTH CARE, CORP. (EIN 01-0411788) WHO THROUGH ITS PARENT COMPANY MAINEHEALTH, HAS A FORMAL WRITTEN COMPENSATION POLICY IN PLACE. IN CONSULTATION WITH TOWERS PERRIN, THE MAINEHEALTH BOARD COMPENSATION COMMITTEE ESTABLISHES APPROPRIATE COMPENSATION PARAMETERS FOR EACH ORGANIZATION'S CEO AND CERTAIN MEMBERS OF THEIR SENIOR MANAGEMENT TEAM. WORKING WITHIN THESE PARAMETERS, THE WESTERN MAINE HEALTH CARE BOARD DETERMINES THE LEVEL OF COMPENSATION FOR ITS CEO. THE FINDINGS OF THE COMPENSATION COMMITTEE ARE MADE TRANSPARENT TO, AND VOTED ON BY, THE FULL GOVERNING BOARD. THE "TOTAL EXECUTIVE COMPENSATION" IS FILED PUBLICLY BY THE ORGANIZATION, AND INCLUDES "TOTAL CASH COMPENSATION" AND "TOTAL VALUE OF ALL BENEFITS AND PERQUISITES" ASSOCIATED WITH THE POSITION. THE BOARD TAKES NECESSARY ACTION TO PREVENT THE CEO FROM VOTING OR DIRECTLY PARTICIPATING IN THE FINAL COMMITTEE DETERMINATION OF HIS OWN COMPENSATION. THE ORGANIZATION'S EXECUTIVE COMPENSATION PROCEDURES RELY UPON APPROPRIATE DATA FOR COMPARABILITY (E.G. COMPENSATION LEVELS PAID BY BOTH TAXABLE AND TAX-EXEMPT SIMILARLY SITUATED ORGANIZATIONS AND INDEPENDENT SURVEYS BY NATIONALLY RECOGNIZED INDEPENDENT FIRMS). FINALLY, THE ORGANIZATION REFRAINS FROM ALLOWING EXECUTIVE COMPENSATION TO EVER BE BASED SOLEY ON WESTERN MAINE HEALTH CARE, CORP.'S REVENUES OR OTHER SIMILAR PROFIT-SHARING STRATEGIES. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION ARE MADE AVAILABLE UPON REQUEST. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| WESTERN MAINE HEALTH CARE CORP | |||||||||
| 181 MAIN STREET | NORWAY | ME | 04268 | 010411788 | HEALTHCARE | ME | 501 | 11C | NA |
| MAINEHEALTH | |||||||||
| 110 FREE STREET | PORTLAND | ME | 04101 | 010431680 | HEALTHCARE | ME | 501 | 11C | NA |
| WESTERN MAINE MULTI-MEDICAL SPECIAL | |||||||||
| 181 MAIN STREET | NORWAY | ME | 04268 | 010489824 | PHYS PRACT | ME | 501 | 3 | NA |
| STEPHENS MEMORIAL HOSPITAL ASSOC | |||||||||
| 181 MAIN STREET | NORWAY | ME | 04268 | 010219904 | HOSPITAL | ME | 501 | 3 | NA |
| STEPHENS COMMUNITY HEALTHCARE FOUND | |||||||||
| 181 MAIN STREET | NORWAY | ME | 04268 | 311644144 | SUPP ORG | ME | 501 | 11A | NA |
| CHAPEL VALLEY BOARDING HOME CORP | |||||||||
| 181 MAIN STREET | NORWAY | ME | 04268 | 010433206 | HEALTHCARE | ME | 501 | 7 | NA |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | 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 | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |