BLUE HILL MEMORIAL HOSPITAL INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
BLUE HILL MEMORIAL HOSPITAL INC (EIN 01-0227195)
Tax period
2009-04-01 to 2010-03-31
Filed
2011-02-14
IRS object ID
201120459349300112
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)
Timestamp2011-02-14T06:33:12-08:00Timestamp
Tax Period End Date2010-03-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2009-04-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN010227195EIN

Name Name

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 1029/57 WATER STREETAddressLine1
CityBLUE HILLCity
StateMEState
ZIP Code04614ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameEdward J OlivierName
TitleCFOTitle
Date Signed2011-02-14DateSigned
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonErik Steele DONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line143 Whiting Hill RdAddressLine1
CityBrewerCity
StateMEState
ZIP Code04412ZIPCode
FieldValueIRS element (for citing)
Gross Receipts46732658GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501cXOrganization501c
Web SiteWWW.BHMH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1924YearFormation
State Legal DomicileMEStateLegalDomicile
Activity Or Mission DescriptionBlue Hill Memorial Hospital is dedicated to providing primary and selected specialty healthcare of outstanding quality, caring for our patients with respect and compassion, and improving the health of the communities we serve.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees367TotalNbrEmployees
Total Nbr Volunteers18TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year511529ContributionsGrantsPriorYear
Contributions Grants Current Year585761ContributionsGrantsCurrentYear
Program Service Revenue Prior Year44630994ProgramServiceRevenuePriorYear
Program Service Revenue CY46050943ProgramServiceRevenueCY
Investment Income Prior Year-356346InvestmentIncomePriorYear
Investment Income Current Year26627InvestmentIncomeCurrentYear
Other Revenue Prior Year34380OtherRevenuePriorYear
Other Revenue Current Year58638OtherRevenueCurrentYear
Total Revenue Prior Year44820557TotalRevenuePriorYear
Total Revenue Current Year46721969TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year19293261SalariesEtcPriorYear
Salaries Etc Current Year18357440SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year29978359OtherExpensePriorYear
Other Expenses Current Year25436210OtherExpensesCurrentYear
Total Expenses Prior Year49271620TotalExpensesPriorYear
Total Expenses Current Year43793650TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-4451063RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2928319RevenuesLessExpensesCY
Total Assets BOY27102686TotalAssetsBOY
Total Assets EOY25502022TotalAssetsEOY
Total Liabilities BOY12989331TotalLiabilitiesBOY
Total Liabilities EOY8258039TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY14113355NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY17243983NetAssetsOrFundBalancesEOY
Mission DescriptionBlue Hill Memorial Hospital is dedicated to providing primary and selected specialty healthcare of outstanding quality, caring for our patients with respect and compassion, and improving the health of the communities we serve.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense38936517Expense
Revenue46050943Revenue
DescriptionProvided heathcare services regardless of ability to pay as well as education and promotion of health. Provided $1,051,053 of other uncompensated care (at cost).Blue Hill Memorial Hospital is dedicated to providing primary and selected specialty healthcare of outstanding quality, caring for our patients with respect and compassion, and improving the health of the communities we serve. Blue Hill Memorial Hospital provides hospital and primary care practices servicing over 89,000 people in western Hancock County, Maine. Additional information can be found at BHMH's website: www.bhmh.org.Additional Statistics:Total Admissions 871Emergency Room Visits 6,054Medical Imaging Procedures 11,517Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense713145Expense
DescriptionCharity care provided (at cost) 546 persons served.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense695575Expense
DescriptionMedicare shortfalls (at cost) 29,922 persons served.Description
FieldValueIRS element (for citing)
Total Program Service Expense40345237TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPtrueLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109666NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees367NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledMEStatesWhereCopyOfReturnIsFiled
Own WebsiteXOwnWebsite
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

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

Address US AddressUS

FieldValueIRS element (for citing)
Address Line157 Water StreetAddressLine1
CityBlue HillCity
StateMEState
ZIP Code04614ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationFormerFormerHighest Compensated EmployeeHighestCompensatedEmployeeOfficerOfficer
Zoe Robbins Tenney
Trustee22.00X38760019423
Timothy F Garrity
Past President/VP0.23651703029X
Thomas Bugbee
Physician40.00229027030564X
Stacey Henner Walden DO
Trustee30.00X200144029098
Scott A Oxley
Interim CFO40.00022482830655X
Sally N Mills
Trustee2.00X000
Richard K Howe
Treasurer2.00X000X
Richard H Evans
Trustee2.00X000
Meredith Norris
Former Trustee0.173491023465X
Margaret Hannah
Trustee2.00X000
L Berell Kornreich PhD
Trustee2.00X000
Kristin Thom
Former Trustee0.105108022154X
Kathleen J Ober
VP Med Affairs40.00308350031265X
Karl Liebermann
Hospitalist40.00234239029252X
Judith E Thomas
Trustee2.00X000
Joseph Babbitt
Hospitalist40.00259699027490X
John Ronan
Interim VP40.00012868634539X
James White
Surgeon40.00452013036663X
Frank Wanning
Secretary2.00X000X
Erik Steele DO
Interim CEO40.00X033538250596X
Deborah Turner
VP Phy Practice40.00113562014770X
David Snow
Trustee2.00X000
Danielle V Mutty MD
Trustee2.00X000
Claire Conner RN
Vice Chair2.00X000
Charles Hatfield
Chairman2.00X000
Arthur Newkirk MD
Chief of Staff40.00X109695023191
Arthur Blake
Physician0.213942027989X
Ann Louise d'Entremont
CNO/VP40.00102868014848X
Andrew K Laslie CPA
Trustee2.00X000
Andrea McGill O'Rourke
VP Ancillary Sv40.0092451012103X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2869866TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs688896TotalReportableCompFrmRltdOrgs
Total Other Compensation461094TotalOtherCompensation
Number Individuals GT100 K28NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Surapaneni P Ramanadha Rao
57 Water StreetBlue HillME04614Urology Phys Svcs195000
Nurse Anesthesia of Maine
PO Box 1173BangorME04401Anesthesia Svcs530891
Maine Coast Memorial Hospital
590 Union StreetEllsworthME04605General Surgery Svcs343894
Healthcare Management System
1302 West End Ave Ste 400NashvilleTN37203Sofware Support134303
Dahl Chase Diagnostic Services
417 State Street Ste 441BangorME04401Pathology Lab113334
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
Related Organizations8050RelatedOrganizations
Government Grants194758GovernmentGrants
All Other Contributions382953AllOtherContributions
Noncash Contributions6579NoncashContributions
Total Contributions585761TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Rental to Non-Profit Aff.5320003381633816
Patient Care Service6219904566745445667454
Cafeteria7222107755977559
Bus Interruption Insuranc621990272114272114
FieldValueIRS element (for citing)
Total Program Service Revenue46050943TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column29316TotalRevenueColumn
Exclusion$29,316ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other8000Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other10689Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-2689Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-2689TotalRevenueColumn
Exclusion-$2,689ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMiscellaneous RevenueDescription
Business Code900099BusinessCode
Total Revenue Column58638TotalRevenueColumn
Exclusion$58,638ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue58638TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column46721969TotalRevenueColumn
Related Or Exempt Function Income46050943RelatedOrExemptFunctionIncome
Exclusion$85,265ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1110528Total
Program Services692003ProgramServices
Management And General418525ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total13943141Total
Program Services13247970ProgramServices
Management And General695171ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total93604Total
Program Services87052ProgramServices
Management And General6552ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2202918Total
Program Services2049060ProgramServices
Management And General153858ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1007249Total
Program Services936904ProgramServices
Management And General70345ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total165624Total
Management And General165624ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total69905Total
Management And General69905ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total3932Total
Program Services3932ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3152955Total
Program Services2163208ProgramServices
Management And General989747ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total32364Total
Program Services19166ProgramServices
Management And General13198ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3484234Total
Program Services3308062ProgramServices
Management And General176172ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total289578Total
Program Services249145ProgramServices
Management And General40433ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total636707Total
Program Services536107ProgramServices
Management And General100600ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total52911Total
Program Services31119ProgramServices
Management And General21792ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total75696Total
Program Services64594ProgramServices
Management And General11102ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total179012Total
Program Services176111ProgramServices
Management And General2901ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1381569Total
Program Services1164861ProgramServices
Management And General216708ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1099246Total
Program Services1045717ProgramServices
Management And General53529ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Taxes and Licensing59663158633310298
Repairs & Maintenance515036338901176135
Provision for uncollectible ac17267171726717
Contractual Allowances1074448210744482
Charity Care11604331160433

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total69178Total
Program Services13360ProgramServices
Management And General55818ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total43793650Total
Program Services40345237ProgramServices
Management And General3448413ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3111BOY
EOY28218EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1114037BOY
EOY1821075EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY25358BOY
EOY23366EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3834092BOY
EOY6916839EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY64132EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY131551BOY
EOY170357EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY329580BOY
EOY248500EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis24945016LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec16316127LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY9481903BOY
EOY8628889EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1225353BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY5066654BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY40607BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5850440BOY
EOY7600646EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY27102686BOY
EOY25502022EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2979788BOY
EOY5698343EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY2379306BOY
EOY2302710EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1257634BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6372603BOY
EOY256986EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY12989331BOY
EOY8258039EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY13773175BOY
EOY16613503EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY88039BOY
EOY150285EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY252141BOY
EOY480195EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14113355BOY
EOY17243983EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY27102686BOY
EOY25502022EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals7532FilingOrganizationsTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals7532FilingOrganizationsTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals43786118FilingOrganizationsTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals43793650FilingOrganizationsTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals1000000FilingOrganizationsTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

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

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus31000000CurrentYearMinus3
Current Year Minus2333418CurrentYearMinus2
Current Year Minus11000000CurrentYearMinus1
Current Year1000000CurrentYear
Total3333418Total
FieldValueIRS element (for citing)
Lobbying Ceiling$5,000,127LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus34136CurrentYearMinus3
Current Year Minus24704CurrentYearMinus2
Current Year Minus12462CurrentYearMinus1
Current Year7532CurrentYear
Total18834Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3250000CurrentYearMinus3
Current Year Minus283355CurrentYearMinus2
Current Year Minus1250000CurrentYearMinus1
Current Year250000CurrentYear
Total833355Total
FieldValueIRS element (for citing)
Grassroots Ceiling$1,250,033GrassrootsCeilingAmount

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance252141BeginningOfYearBalance
End Of Year Balance252141EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance252141BeginningOfYearBalance
End Of Year Balance252141EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis122846OtherCostOrOtherBasis
Book Value122846BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11263073OtherCostOrOtherBasis
Depreciation6496983Depreciation
Book Value4766090BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2810OtherCostOrOtherBasis
Depreciation328Depreciation
Book Value2482BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis13115669OtherCostOrOtherBasis
Depreciation9675099Depreciation
Book Value3440570BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis440618OtherCostOrOtherBasis
Depreciation143717Depreciation
Book Value296901BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8628889TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
Temporarily Donor Restricted Funds150285
Self Insurance Funds Held by Trustee34642
Permanently Donor Restricted Funds252141
Board Designated Funds-Other6473583
Beneficial Interest in Perpetual Trusts228055
Assets Whose Use is Limited461940
FieldValueIRS element (for citing)
Total Book Value Other Assets7600646TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Self-insurance Benefits$4,794
Liability Under Cap Lease Obligation$218,984
Deferred Compensation$33,208
FieldValueIRS element (for citing)
Total Of Amounts256986TotalOfAmounts
Total Revenue46721969TotalRevenue
Total Expenses43793650TotalExpenses
Excess Or Deficit For Year2928319ExcessOrDeficitForYear
Other$202,309OtherAmount
Total Adjustments202309TotalAdjustments
Excess Or Deficit Per FS3130628ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt34938113TotRevenueEtcAuditedFinclStmt
Other Revenues-11735726OtherRevenues
Revenue Not Rptd F990-11735726RevenueNotRptdF990
Revenue Subtotal46673839RevenueSubtotal
Other Revenues Not Included48130OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt48130RevenueNotRptdOnFinStmt
Total Revenue Per Form99046721969TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt32043961TotExpensesEtcAuditedFinclStmt
Expenses Subtotal32043961ExpensesSubtotal
Other Expenses Not Included11749689OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt11749689ExpensesNotRptdOnFinStmt
Total Expenses Per Form99043793650TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XIII, Line 4bPart XIII, Line 4b: Other revenue amounts included on 990 but not included in F/S$0 Restricted expenses from fund balance $13963 Contractual Allowance $10744482 Charity Care $1160433 Reimbursed Expenses Reclassed to Expense $-169189
Part XII, Line 4bPart XII, Line 4b: Other revenue amounts included on 990 but not included in F/S$0 Restricted Contributions from fund bal $48130
Part XI, Line 8Part XI, Line 8: Other Changes in Net Assets or Fund BalancesChange in Net Assets Held @ Healthcare Charities $98929 Transfer from exempt parent-Eastern Maine Healthcare Systems $96610 Increase in Beneficial Interest in Perpetual Trusts $228055 Change in Beneficial Interest in Net Assets $ -221285
Part V, Line 4Part V, Line 4: Intended uses of the endowment fund.Endowment funds are designated for purposes that align within this organization's exempt purpose.

Schedule H IRS990ScheduleH

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served546PersonsServed
Total Community Benefit Expense713145TotalCommunityBenefitExpense
Net Community Benefit Expense713145NetCommunityBenefitExpense
Percent Of Total Expense0.01630PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense296616TotalCommunityBenefitExpense
Net Community Benefit Expense296616NetCommunityBenefitExpense
Percent Of Total Expense0.00680PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served546PersonsServed
Total Community Benefit Expense1009761TotalCommunityBenefitExpense
Net Community Benefit Expense1009761NetCommunityBenefitExpense
Percent Of Total Expense0.02310PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Persons Served60583PersonsServed
Total Community Benefit Expense177208TotalCommunityBenefitExpense
Net Community Benefit Expense177208NetCommunityBenefitExpense
Percent Of Total Expense0.00400PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Persons Served60583PersonsServed
Total Community Benefit Expense177208TotalCommunityBenefitExpense
Net Community Benefit Expense177208NetCommunityBenefitExpense
Percent Of Total Expense0.00400PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Persons Served61129PersonsServed
Total Community Benefit Expense1186969TotalCommunityBenefitExpense
Net Community Benefit Expense1186969NetCommunityBenefitExpense
Percent Of Total Expense0.02710PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served124PersonsServed
Total Community Building Expense2288TotalCommunityBuildingExpense
Net Community Building Expense2288NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served124PersonsServed
Total Community Building Expense2288TotalCommunityBuildingExpense
Net Community Building Expense2288NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$1,051,053BadDebtExpenseAmount
Amount Reimbursed By Medicare11728595AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare12424170CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-695575MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV (8 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeOtherOtherLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalCritical Access HospitalCriticalAccessHospitalEr24 HoursEr24Hours
Island Family Practice
354 Airport RoadStoningtonME04681Physician Offices
Castine Community Health Svcs
102 Court StreetCastineME04421Physician Offices
Bucksport Family Medicine
58 Main StreetBucksportME04416Physician Offices
Blue Hill Womens Healthcare
65 Water StreetBlue HillME04614Physician Offices
Blue Hill Family Medicine
65 Water StreetBlue HillME04614Physician Offices
Blue Hill Cardiac Rehab Svc
57 Water StreetBlue HillME04614Physician Offices
BHMH Oncology Department
65 Water StreetBlue HillME04614Physician Offices
Blue Hill Memorial Hospital
57 Water StreetBlue HillME04614XXXX

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Annual Community Benefit ExplnThe BHMH community benefit report is contained in an annual community benefit report prepared by Eastern Maine Healthcare Systems which is the parent organization of all related organizations.AnnualCommunityBenefitExpln
Costing Method UsedRatio of Patient Care Cost-to-Charges is used in calculations.CostingMethodUsed
Bad Debt FootnotePatient accounts receivable are stated at the amount management expects to collect from outstanding balances. Management provides for probable uncollectible amounts through a charge to earnings and a credit to a valuation allowance based on its assessment of the current status of individual accounts. Balances that are still outstanding after management has used reasonable collection efforts are written off through a charge to the valuation allowance and a credit to patient accounts receivable. The costing methodology used to determine the amount reported on line 2 is cost to charge ratio.BadDebtFootnote
Shortfall As Community BenefitMedicare losses should be treated as a community benefit because the losses are incurred in performing an important public service and Maine hospitals experience one of the lowest Medicare reimbursement rates in the country.ShortfallAsCommunityBenefit
Debt Collection PolicyAll account guarantors who express an inability to pay inpatient and outpatient services will be screened for eligibility for charity care using an application and guidelines established by BHMH. An account may be reconsidered for charity care at any time when new information is available about a patients inability to pay.DebtCollectionPolicy
Number Of Facility Type ExplnN/ANumberOfFacilityTypeExpln
Needs AssessmentIn 2006, EMHS commissioned the Center for Health Policy, Planning and Research (CHPPR) of the University of New England, formerly the Public Health Resource Group (PHRG), to conduct an independent Community Health Care Needs Assessment (CHNA) and Service Planning Study for Northern, Eastern and Central Maine. The primary goal of the study was to identify key health care service issues in those communities and to develop a comprehensive health plan to improve services and service delivery for residents. An added focus of the current study is an expanded assessment of quality and access. We utilize data from the Hancock Study Region which includes communities within our service area.NeedsAssessment
Patient Education AssistanceWe have information available through our Web site, have financial counselors at the hospital, and equip our primary care practices with this information. In addition we have discharge planning personnel, including a licensed clinical social worker, who provide more extensive assistance to patients with complex financial issues.PatientEducationAssistance
Community InformationWe serve a rural community that includes many senior citizens, i.e. 20% of our population is age 65 or older. With the exception of our wealthy seasonal residents, many of our patients are economically challenged. Our hospital and its primary care practices are impacted by the effects of chronic disease within the communities we serve. Depression, obesity, diabetes, and cardio-vascular disease are common problems. The rural, geographically isolated nature of our communities also means that many turn to our hospital and practices for assistance that might otherwise be provided by other agencies. Assistance for those with problems such as addiction, domestic violence, etc. is very limited particularly for those with transportation needs.CommunityInformation
Community Building ActivitiesOur outreach to the community includes blood drives, blood pressure clinics, an educational presence at local fairs and festivals, ongoing work with local schools in areas such as H1N1 preparation, and special events such as our annual Fun Run. Our providers also assist with outreach by giving educational sessions on topics such as osteoporosis.CommunityBuildingActivities
Other InformationWe partner with many other non-profits, including Healthy Peninsula and the Jackson Laboratory to promote the health of our community. This partnerships are for the benefit of our community.OtherInformation
Affiliated Health Care SystemWe are part of Eastern Maine Healthcare Systems and receive support from our parent organization for activities such as community forums. Within our organization, we have a number of physician practices such as Blue Hill Women's Health Care and Island Family Medicine which participate in our community benefits activities.AffiliatedHealthCareSystem
Reports Filed With StatesMEReportsFiledWithStates

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgs
Timothy F Garrity
235462597458294584239546
Thomas Bugbee
209825161317589343427130259591
Stacey Henner Walden DO
1970982606440251126587229242
Scott A Oxley
18798919483173561451116144255483
Meredith Norris
1657907701218621279196956
Kristin Thom
1024021796910164220512127262
Kathleen J Ober
2345035243821409203129234339615
Karl Liebermann
2300484191324726005263491
Joseph Babbitt
24219417505345324037287189
John Ronan
103244706618376889925640163225
James White
44484933753789956327100488676
Erik Steele DO
26569042975267172100029596385978
Arthur Blake
183412258754655161326376241931

Schedule L IRS990ScheduleL

Loan Table LoanTable (2 entries)

Purpose Of LoanPurposeOfLoanLoan From OrganizationLoanFromOrganizationOriginal PrincipalOriginalPrincipalAmountBalance DueBalanceDueDefaultDefaultApproved By BoardApprovedByBoardWritten AgreementWrittenAgreement
Dr Kathleen Ober
InsuranceX$72,98364054falsefalsetrue
Dr Arthur Blake
EducationX$10,89478truefalsetrue
FieldValueIRS element (for citing)
Total Balance Due64132TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableBlue Hill Memorial Hospital makes its governing documents, conflict of interest policy and financial statements available to the public upon request.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesCompensation of other officers and key employees of the organization is established by the Human Resources department who utilize external market research to establish compensation ranges for specific positions. On an annual basis, the compensation ranges are compared to the updated survey information. The hiring manager will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe organization requests updates of potential conflicts and relationships from the officers and Board members on an annual basis. The request requires disclosure of all business relationships, board memberships, and family relationships. A database is maintained that is compared to payroll records and the accounts payable vendor list to identify any potential conflicts of interest. Transactions are reviewed for reasonableness as an arm's length transaction. The first agenda item for board meetings and board committee meetings is for members to declare any conflict of interest with upcoming agenda items or deliberations. At any point when consideration is being given to purchase/contract with a party in interest, the member with the conflict is either excused from the discussion and consideration process or abstains from voting on the matter. All transactions identified with parties in interest are disclosed within the Form 990. All are deemed to be arm's length transactions.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessForm 990 is provided to each board member either electronically or in hard copy with an opportunity to ask questions prior to filing with the IRS.
Form 990, Part VI, Line 7aForm 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyEach year at their annual meeting, the directors elect replacements for those directors whose terms are expiring. Election of directors is subject to ratification by EMHS.
Form 990, Part VI, Line 6Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderBlue Hill Memorial Hospital (the "Corporation") is a Maine nonprofit corporation. Eastern Maine Healthcare Systems ("EMHS"), also a Maine nonprofit corporation, is the sole corporate member of the Corporation.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (26 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Horizons Health Services
PO Box 151 140 Academy StreetPresque IsleME047690151010504393Provide patient careME501(c)(3)3TAMC
TAMC Endowments
PO Box 151 140 Academy StreetPresque IsleME047690151010389222Raise funds for exempt organizationsME501(c)(3)11 Type ITAMC
TAMC Title Corp
PO Box 151 140 Academy StreetPresque IsleME047690151010389226Real estate holding companyME501(c)(2)TAMC
The Aroostook Medical Center TAMC
PO Box 151 140 Academy StreetPresque IsleME047690151010372148Provide healthcare servicesME501(c)(3)3EMHS
Sebasticook Valley Hlth Convenient Care
447 North Main StreetPittsfieldME04967273129791Provide patient careME501(c)(3)3SVH
Sebasticook Valley Family Practice Assoc
447 North Main StreetPittsfieldME04967010357854Provide patient careME501(c)(3)9SVH
Sebasticook Valley Hospital Assoc SVH
447 North Main StreetPittsfieldME04967010263628Critical care hospitalME501(c)(3)3EMHS
Eastern Maine HomeCare
PO Box 688CaribouME04736010328442Provide home health & hospice svcsME501(c)(3)9EMHS
Blue Hill Memorial Hospital Foundation
65 Water StreetBlue HillME046145231010388639Raise funds for exempt organizationsME501(c)(3)11 Type IBlue Hill Memorial Hospital
CA Dean Memorial Hospital & Nursing Home
Pritham Ave PO Box 1129GreenvilleME044411129043341666Provide healthcare servicesME501(c)(3)3EMHS
Inland Family Practice Associates LLC
200 Kennedy Memorial DriveWatervilleME04901272942245Provide patient careME501(c)(3)3Inland Hospital
Inland Foundation
200 Kennedy Memorial DriveWatervilleME04901010542905Raise funds for exempt organizationsME501(c)(3)11 Type IIInland Hospital
Lakewood A Continuing Care Center
220 Kennedy Memorial DriveWatervilleME04901010421234Provide skilled and long-term nursing careME501(c)(3)3Inland Hospital
Inland Hospital
200 Kennedy Memorial DriveWatervilleME04901010217211Provide healthcare servicesME501(c)(3)3EMHS
Rosscare Nursing Home Inc
43 Whiting Hill Road Ste 400BrewerME04412010430751Operation of nursing homesME501(c)(3)9Rosscare
Rosscare
43 Whiting Hill Road Ste 400BrewerME04412010391038Provide treatment and housing to elderlyME501(c)(3)PFEMHS
ME Institute for Human Genetics & Health
43 Whiting Hill RoadBrewerME04412550894346Biomedical research and developmentME501(c)(3)9EMHS
Healthcare Charities
43 Whiting Hill Road Ste 400BrewerME04412222514163Raise and manage funds for exempt organizationsME501(c)(3)11 Type IIEMHS
Norumbega Medical Specialists LTD
43 Whiting Hill Road Ste 400BrewerME04412010465231Provide patient care & educationME501(c)(3)9EMMC
Eastern Maine Medical Center Auxiliary
43 Whiting Hill RoadBrewerME04412010377901Fund raising for exempt Eastern Maine Medical CenterME501(c)(3)9EMMC
Eastern Maine Medical Center EMMC
PO Box 404 489 State StreetBangorME044020404010211501Provide healthcare servicesME501(c)(3)3EMHS
Meadow Wood LLC
43 Whiting Hill RoadBrewerME04412272935243Provide patient careME501(c)(3)9AHI
Acadia Healthcare Inc AHI
43 Whiting Hill RoadBrewerME04412223183888Provide healthcare servicesME501(c)(3)9AHC
Acadia Hospital Corp AHC
43 Whiting Hill RoadBrewerME04412010459837Provide healthcare servicesME501(c)(3)3EMHS
Eastern Maine Healthcare Systems EMHS
43 Whiting Hill RoadBrewerME04412010527066Supporting organization for healthcare affiliatesME501(c)(3)11 Type IINA
Eastern Maine Healthcare Real Estate
43 Whiting Hill RoadBrewerME04412010391036Leases real estateME501(c)(2)EMHS

Form990 Schedule R Part IV Form990ScheduleRPartIV (12 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
Dirigo Pines Development Company LLC
9 Alumni DriveOronoME04473010537924RetCottagMEAHSC
Dirigo Funding LLC
9 Alumni DriveOronoME04473010599968prov financeMEAHSC
Dirigo Pines Inn LLC
9 Alumni DriveOronoME04473020547749contin careMERosscareC
Dirigo Pines Retirement Community LLC
9 Alumni DriveOronoME04473010537924Holding co.MEAHSC
Maine Network for Health
80 Exchange Street 6th Floor Ste 3BangorME04401010496352Support srvMEEMHSC
Meridian Mobile Health LLC
931 Union Street PO Box 940BangorME044020940010512673AmbulanceMEAHSC
DE Collections DBA Affiliated Collection
PO Box 2759BangorME044022759010366209CollectionsMEAHSC
Affiliated Pharmacy Services
917 Union Street Ste 7BangorME04401010587230PharmacyMEAHSC
Affiliated Materiel Services
PO Box 1300BangorME044021300010381189PurchasingMEAHSC
Affiliated Laboratory Inc
PO Box 638BangorME044020638010381283Clinical labMEAHSC
Affiliated Healthcare Management
PO Box 811BangorME044020811010349339Hlthcr mgmtMEAHSC
Affiliated Healthcare Systems AHS
PO Box 940BangorME044020940010385322Holding co.MEEMHSC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (15 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
DE Collections DBA Affiliated Collection
l78354
Affiliated Materiel Services
o273981
Affiliated Laboratory Inc
l291816
Affiliated Healthcare Management
l211314
Eastern Maine HomeCare
a27816
Blue Hill Memorial Hospital Foundation
e223026
Blue Hill Memorial Hospital Foundation
d1000000
Healthcare Charities
l56111
Eastern Maine Medical Center EMMC
o127413
Eastern Maine Medical Center EMMC
l287651
Acadia Hospital Corp AHC
a6000
Eastern Maine Healthcare Systems EMHS
q229946
Eastern Maine Healthcare Systems EMHS
o3180863
Eastern Maine Healthcare Systems EMHS
l1252402
Eastern Maine Healthcare Systems EMHS
d2300000

Comments

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