Waldo County General Hospital: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- Waldo County General Hospital (EIN 01-0177170)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-08-02
- IRS object ID
- 201122149349300212
- Schema version
- 2009v1.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-08-02T09:34:56-05:00 | 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 | 010177170 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WALDO COUNTY GENERAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | WALD | NameControl |
| Phone | 2073382500 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 118 NORTHPORT AVENUE | AddressLine1 |
| City | BELFAST | City |
| State | ME | State |
| ZIP Code | 04915 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LINDA B DRINKWATER | Name |
| Title | CFO | Title |
| Phone | 2073382500 | Phone |
| Date Signed | 2011-07-27 | DateSigned |
| Authorize Third Party | false | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Date Prepared | 2011-08-02 | 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 | LINDA B DRINKWATER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 287 | AddressLine1 |
| City | BELFAST | City |
| State | ME | State |
| ZIP Code | 04915 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 73243856 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.WCHI.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1901 | YearFormation |
| State Legal Domicile | ME | StateLegalDomicile |
| Activity Or Mission Description | WALDO COUNTY GENERAL HOSPITAL'S MISSION IS TO BE THE BEST - BETTER, EMPATHY, SERVICE AND TEAMWORK. OUR GOAL IS TO ENSURE QUALITY, ACCESSIBLE AND AFFORDABLE HEALTH CARE SERVICES AND TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 639 | TotalNbrEmployees |
| Total Nbr Volunteers | 191 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 230786 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 517278 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 61722276 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 64606145 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 130755 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1140541 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1431046 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1277559 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 63514863 | TotalRevenuePriorYear |
| Total Revenue Current Year | 67541523 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 15088 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 20615 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 35584048 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 37281642 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 25367547 | OtherExpensePriorYear |
| Other Expenses Current Year | 25483388 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 60966683 | TotalExpensesPriorYear |
| Total Expenses Current Year | 62785645 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2548180 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 4755878 | RevenuesLessExpensesCY |
| Total Assets BOY | 71013550 | TotalAssetsBOY |
| Total Assets EOY | 82473154 | TotalAssetsEOY |
| Total Liabilities BOY | 14999222 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 20633231 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 56014328 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 61839923 | NetAssetsOrFundBalancesEOY |
| Mission Description | WALDO COUNTY GENERAL HOSPITAL'S MISSION IS TO BE THE BEST - BETTER, EMPATHY, SERVICE AND TEAMWORK. OUR GOAL IS TO ENSURE QUALITY, ACCESSIBLE AND AFFORDABLE HEALTH CARE SERVICES AND TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 45737278 | Expense |
| Grants | 20615 | Grants |
| Revenue | 58082249 | Revenue |
| Description | WALDO COUNTY GENERAL HOSPITAL PROVIDES QUALITY AND AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH AND WELL BEING OF THE COMMUNITIES IT SERVES, REGARDLESS OF THE PATIENT'S ABILITY TO PAY. A BROAD SPECTRUM OF SERVICES ARE PROVIDED INCLUDING HOSPITAL ACUTE INPATIENT CARE; ANCILLARY OUTPATIENT DIAGNOSTIC SERVICES INCLUDING LABORATORY AND RADIOLOGY; THERAPEUTIC SERVICES INCLUDING PHYSICAL THERAPY, SPEECH, AUDIOLOGY, SLEEP, AND RESPIRATORY THERAPY; ONCOLOGY CLINICS; EMERGENCY SERVICES; INPATIENT HOSPITALIST CARE, INPATIENT HOSPICE; AND SURGICAL INPATIENT AND OUTPATIENT SERVICES. THE HOSPITAL PROVIDED 4,940 DAYS OF ADULT AND NEWBORN INPATIENT CARE, AND 69,661 OUTPATIENT VISITS INCLUDING 506,399 OUTPATIENT PROCEDURES AND EXAMS. (CONTINUED ON SCHEDULE O) CONTINUED FROM FORM 990, PART I, LINE 1 AND PART III, LINE 1 OUR MISSION IS TO BE THE BEST - BETTER, EMPATHY, SERVICE AND TEAMWORK - PRINCIPLES THAT GUIDE STAFF MEMBERS IN THEIR INTERACTIONS WITH PATIENTS, PATIENT FAMILIES AND COWORKERS. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF WALDO COUNTY GENERAL HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. WE PROVIDE QUALITY CARE TO ALL PATIENTS, REGARDLESS OF THE INABILITY TO PAY. WALDO COUNTY GENERAL HOSPITAL OFFERS MANY FREE OR LOW COST HEALTH SERVICES, INCLUDING: CASE MANAGEMENT OF CHRONIC DISEASES, FAMILY WELLNESS FAIRS, EXERCISE AND FITNESS CLASSES, BLOOD PRESSURE CLINICS, IMMUNIZATIONS, HEALTH INFORMATION LIBRARY, WOMEN HEALTHCARE CONFERENCES, MAMMOGRAMS, HEALTH INFORMATION LIBRARY, ONCOLOGY PATIENT ASSISTANCE FUNDING AND SUPPORT GROUPS. MANY OF THE COMMUNITY-BUILDING ACTIVITIES WE OFFER INCLUDE: COMMUNITY-WIDE EMERGENCY PREPAREDNESS PLANNING AND DRILLS, BOOKS FOR BABES AND RAISING READERS PROGRAMS, HOSPITAL TOURS FOR SECOND GRADERS, COMMUNITY NEWSLETTERS, BABY FAIRS, AMERICAN RED CROSS BLOOD DRIVE SPONSORSHIPS, ETC. OUR CHARITABLE GIVING HAS REACHED TO THE FOLLOWING COMMUNITY ORGANIZATIONS: ACTIVE OLDER ADULTS, BELFAST AREA CHAMBER OF COMMERCE, BELFAST ROTARY, BOY SCOUTS OF AMERICA, HABITAT FOR HUMANITY, SPURWINK HUMANITARIAN EVENT, STOCK THE SHELVES FOOD CHALLENGE, TOYS FOR TOTS, WALDO COUNTY ONCOLOGY WALK AND YMCA HEALTHY KIDS DAY. PLEASE SEE THE ATTACHED COMMUNITY BENEFITS STATEMENT. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 5124142 | Expense |
| Revenue | 4743075 | Revenue |
| Description | WALDO COUNTY GENERAL HOSPITAL EMPLOYS MANY HOSPITAL-BASED PHYSICIANS AND PROVIDES THE FOLLOWING SPECTRUM OF PHYSICIAN PATIENT CARE SERVICES: FAMILY MEDICINE, GENERAL SURGERY, INTERNAL MEDICINE, ORTHOPEDICS, NEUROLOGY, OB/GYN, PODIATRY, CARDIOLOGY, UROLOGY, PULMONOLOGY, OTOLARYNGOLOGY AND ONCOLOGY. OUR PHYSICIANS PROVIDED CARE TO PATIENTS DURING 25,171 PHYSICIAN-OFFICE PATIENT VISITS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2048578 | Expense |
| Revenue | 1780821 | Revenue |
| Description | WALDO COUNTY GENERAL HOSPITAL OFFERS THE COMMUNITY IT SERVES FIVE HEALTH CENTERS: ARTHUR JEWELL COMMUNITY HEALTH CENTER, STOCKTON SPRINGS REGIONAL HEALTH CENTER, DONALD S. WALKER HEALTH CENTER, LINCOLNVILLE REGIONAL HEALTH CENTER AND SEARSPORT HEALTH CENTER. WE PROVIDED HEALTHCARE SERVICES TO PATIENTS DURING 19,759 HEALTH CENTER VISITS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 52909998 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | 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 | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | true | 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 | 113 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 639 | 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 |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | 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 | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | ME | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | LINDA B DRINKWATER | NamePerson |
| Telephone Number | 2073382500 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 118 NORTHPORT AVENUE | AddressLine1 |
| City | BELFAST | City |
| State | ME | State |
| ZIP Code | 04915 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (23 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| D KENT CLARK MD | ||||||||
| DIRECTOR/EMP | 40.00 | X | 324224 | 0 | 23196 | |||
| ANN HOOPER | ||||||||
| DIRECTOR/EMP | 40.00 | X | 127274 | 0 | 14620 | |||
| JENNESS ROBBINS | ||||||||
| PRESIDENT | 1.00 | X | 0 | 0 | 0 | X | ||
| PETER D HADDOCK | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| JOHN D WORTH III | ||||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | X | ||
| FRANK MORONG | ||||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | X | ||
| DALE KUHNERT | ||||||||
| VICE PRES. | 1.00 | X | 0 | 0 | 0 | X | ||
| GREGOR DAVENS | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| WAYNE HAMILTON | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| LEE WOODWARD JR | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| REP JANE CROSBY GILES | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| SENATOR CAROL WESTON | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| JAMES PATTERSON EDD | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| JAMES C DELEHANTY MD | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| DAVID TASSONI | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| MARK BISCONE | ||||||||
| CEO | 40.00 | 262675 | 81061 | 25764 | X | |||
| LINDA DRINKWATER | ||||||||
| CFO | 40.00 | 186585 | 0 | 8639 | X | |||
| RICHARD BOWER MD | ||||||||
| OTHOPEDIC MD | 40.00 | 398253 | 0 | 17042 | X | |||
| DENNIS DESILVEY MD | ||||||||
| CARDIO. MD | 32.00 | 378970 | 0 | 24301 | X | |||
| TERRANCE SMITH MD | ||||||||
| ANESTH. MD | 40.00 | 347451 | 0 | 31223 | X | |||
| OWEN NELSON MD | ||||||||
| ORTHOPEDIC. | 32.00 | 343483 | 0 | 5292 | X | |||
| JOHN GAGE MD | ||||||||
| ER MD | 40.00 | 341746 | 0 | 29718 | X | |||
| GORDON TIBBETTS | ||||||||
| FORMER CFO | 40.00 | 201212 | 0 | 13919 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2911873 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 81061 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 193714 | TotalOtherCompensation |
| Number Individuals GT100 K | 43 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation | Address Line2AddressOfContractor/AddressUS/AddressLine2 |
|---|---|---|---|---|---|---|
| SHERIDAN CORPORATION | ||||||
| PO BOX 359 | FAIRFIELD | ME | 04937 | CONSTRUCTION | 322634 | |
| VISTA STAFFING SOLUTIONS | ||||||
| FILE 50834 | LOS ANGELES | CA | 900740834 | MED. STAFFING | 271548 | |
| WEATHERBY LOCUMS | ||||||
| PO BOX 972633 | DALLAS | TX | 75397 | MED. STAFFING | 246351 | |
| BAKER NEWMAN NOYES | ||||||
| 280 FORE STREET | PORTLAND | ME | 04112 | AUDITING | 187244 | PO BOX 507 |
| MAINE GROUP | ||||||
| PO BOX 569 | BELFAST | ME | 04915 | ARCHITECTURE | 151739 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Related Organizations | 2100 | RelatedOrganizations |
| Government Grants | 357909 | GovernmentGrants |
| All Other Contributions | 157269 | AllOtherContributions |
| Total Contributions | 517278 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT SERVICE REVENUE | Description |
| Business Code | 623000 | BusinessCode |
| Total Revenue Column | 64606145 | TotalRevenueColumn |
| Related Or Exempt Function Income | 64606145 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 64606145 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1120118 | TotalRevenueColumn |
| Exclusion | $1,120,118 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 183817 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 183817 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 183817 | TotalRevenueColumn |
| Related Or Exempt Function Income | 183817 | RelatedOrExemptFunctionIncome |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 5704756 | Securities |
| Other | 18000 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 5696779 | Securities |
| Other | 5554 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 7977 | Securities |
| Other | 12446 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 20423 | TotalRevenueColumn |
| Exclusion | $20,423 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|
| MISCELLANEOUS REVENUE | 606238 | 606238 |
| CAFETERIA REVENUE | 247216 | 247216 |
| MANAGEMENT FEE REVENUE | 240288 | 240288 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1093742 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 67541523 | TotalRevenueColumn |
| Related Or Exempt Function Income | 65883704 | RelatedOrExemptFunctionIncome |
| Exclusion | $1,140,541 | ExclusionAmount |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20615 | Total |
| Program Services | 20615 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 972977 | Total |
| Program Services | 256543 | ProgramServices |
| Management And General | 716434 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 215131 | Total |
| Management And General | 215131 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29294057 | Total |
| Program Services | 25396213 | ProgramServices |
| Management And General | 3897844 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 640558 | Total |
| Program Services | 538640 | ProgramServices |
| Management And General | 101918 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4188264 | Total |
| Program Services | 3527106 | ProgramServices |
| Management And General | 661158 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1970655 | Total |
| Program Services | 1657108 | ProgramServices |
| Management And General | 313547 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 397107 | Total |
| Management And General | 397107 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2987 | Total |
| Management And General | 2987 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 204271 | Total |
| Management And General | 204271 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4073887 | Total |
| Program Services | 3586558 | ProgramServices |
| Management And General | 487329 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 728 | Total |
| Management And General | 728 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8731336 | Total |
| Program Services | 8387860 | ProgramServices |
| Management And General | 343476 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 969397 | Total |
| Program Services | 389256 | ProgramServices |
| Management And General | 580141 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1337990 | Total |
| Program Services | 1125105 | ProgramServices |
| Management And General | 212885 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24619 | Total |
| Program Services | 24619 | ProgramServices |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 150697 | Total |
| Program Services | 116202 | ProgramServices |
| Management And General | 34495 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 364265 | Total |
| Program Services | 306347 | ProgramServices |
| Management And General | 57918 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3068924 | Total |
| Program Services | 2580965 | ProgramServices |
| Management And General | 487959 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 879936 | Total |
| Program Services | 360100 | ProgramServices |
| Management And General | 519836 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PROVISION FOR BAD DEBTS | 3245250 | 3245250 | |
| STATE OF ME HOSPITAL TAX | 1019239 | 1019239 | |
| MISCELLANEOUS EXPENSES | 1012755 | 372272 | 640483 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 62785645 | Total |
| Program Services | 52909998 | ProgramServices |
| Management And General | 9875647 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3515 | BOY |
| EOY | 3685 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6185646 | BOY |
| EOY | 3095209 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4741366 | BOY |
| EOY | 4811411 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1779735 | BOY |
| EOY | 1876650 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 616905 | BOY |
| EOY | 623333 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 54765521 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 31394566 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22104062 | BOY |
| EOY | 23370955 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20109997 | BOY |
| EOY | 28355005 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 155634 | BOY |
| EOY | 152653 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15316690 | BOY |
| EOY | 20184253 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 71013550 | BOY |
| EOY | 82473154 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6865835 | BOY |
| EOY | 7089585 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7257367 | BOY |
| EOY | 7018289 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 876020 | BOY |
| EOY | 6525357 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14999222 | BOY |
| EOY | 20633231 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43186589 | BOY |
| EOY | 48545647 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1418917 | BOY |
| EOY | 1546298 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11408822 | BOY |
| EOY | 11747978 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 56014328 | BOY |
| EOY | 61839923 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 71013550 | BOY |
| EOY | 82473154 | 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 Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed4955 Tax | false | Form4720Filed4955Tax |
| Correction Made | false | CorrectionMade |
| 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 | $5,043 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 5043 | 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 | PERCENTAGE OF ANNUAL MAINE HOSPITAL ASSOCIATION DUES ALLOCATED TOWARDS LOBBYING EXPENSES: 5,043. | 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 | 697111 | BeginningOfYearBalance |
| Contributions | 14173 | Contributions |
| Investment Earnings Or Losses | -64458 | InvestmentEarningsOrLosses |
| End Of Year Balance | 646826 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 606116 | BeginningOfYearBalance |
| Contributions | 106512 | Contributions |
| Investment Earnings Or Losses | -15517 | InvestmentEarningsOrLosses |
| End Of Year Balance | 697111 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | true | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 230009 | OtherCostOrOtherBasis |
| Book Value | 230009 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 27201819 | OtherCostOrOtherBasis |
| Depreciation | 10920393 | Depreciation |
| Book Value | 16281426 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 25636168 | OtherCostOrOtherBasis |
| Depreciation | 19663424 | Depreciation |
| Book Value | 5972744 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1697525 | OtherCostOrOtherBasis |
| Depreciation | 810749 | Depreciation |
| Book Value | 886776 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 23370955 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (7 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| BENEFICIAL INTERESTS IN PERP TRUST | 11335427 |
| ASSETS LIMITED TO USE - INVEST DEPR | 3634078 |
| THIRD PARTY SETTLEMENTS | 2900000 |
| BENEFICIAL INTERESTS IN CHARIT TRUST | 1085466 |
| SUNDRY RECEIVABLES | 1052776 |
| OTHER CURRENT ASSETS | 91837 |
| DEFERRED FINANCING FEES | 84669 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 20184253 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO THIRD PARTIES | $5,285,103 |
| OTHER L/T LIABILITES | $630,000 |
| CAPITALIZED LEASE | $610,254 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 6525357 | TotalOfAmounts |
| Total Revenue | 67541523 | TotalRevenue |
| Total Expenses | 62785645 | TotalExpenses |
| Excess Or Deficit For Year | 4755878 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 1119287 | NetUnrealizedGLOnInvestments |
| Other | -$49,570 | OtherAmount |
| Total Adjustments | 1069717 | TotalAdjustments |
| Excess Or Deficit Per FS | 5825595 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 68251231 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 1119287 | NetUnrealizedGainsInvestments |
| Other Revenues | -49570 | OtherRevenues |
| Revenue Not Rptd F990 | 1069717 | RevenueNotRptdF990 |
| Revenue Subtotal | 67181514 | RevenueSubtotal |
| Other Revenues Not Included | 360009 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 360009 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 67541523 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 62425636 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 62425636 | ExpensesSubtotal |
| Other Expenses Not Included | 360009 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 360009 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 62785645 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| INTENDED USES FOR ENDOWMENT FUNDS | SCHEDULE D, PAGE 2, PART V, LINE 4 | TWO OF THE ENDOWMENT FUNDS ARE INTENDED FOR THE EARNINGS TO BE USED IN THE GENERAL OPERATIONS OF THE HOSPITAL. OTHERS ARE INTENDED FOR THE EMERGENCY DEPARTMENT, INPATIENT HOSPICE, CANCER PATIENTS, CRIPPLED CHILDREN, AND NEEDY RESIDENTS. |
| RECONCILIATION OF CHANGES - OTHER | SCHEDULE D, PAGE 4, PART XI, LINE 8 | GAIN ON PERPETUAL AND CHARITABLE TRUSTS 486,121 EQUITY TRANSFERS TO AFFILIATES -535,691 GRANT REVENUE -360,009 GRANT EXPENSES 360,009 |
| REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER | SCHEDULE D, PAGE 4, PART XII, LINE 2D | GAIN ON PERPETUAL AND CHARITABLE TRUSTS 486,121 EQUITY TRANSFERS TO AFFILIATES -535,691 |
| REVENUE AMOUNTS INCLUDED ON RETURN - OTHER | SCHEDULE D, PAGE 4, PART XII, LINE 4B | GRANT REVENUE 360,009 |
| EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER | SCHEDULE D, PAGE 4, PART XIII, LINE 4B | GRANT EXPENSES 360,009 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1781100 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1781100 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02990 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11717717 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10414539 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1303178 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02190 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 13498817 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10414539 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3084278 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05180 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 194553 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 23728 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 170825 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00290 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10210 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 10210 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9062733 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6191104 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2871629 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04820 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9267496 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6214832 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3052664 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05130 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 22766313 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 16629371 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6136942 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10310 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $2,077,609 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 18361437 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 18505571 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -144134 | MedicareSurplusOrShortfall |
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV (6 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Childrens HospitalChildrensHospital | Critical Access HospitalCriticalAccessHospital |
|---|---|---|---|---|---|
| WALDO COUNTY GENERAL HOSPITAL | |||||
| 118 NORTHPORT AVENUE | BELFAST | ME | 04915 | X | X |
| ARTHUR JEWELL COMMUNITY HEALTH CTR | |||||
| 55 REYNOLDS ROAD | BROOKS | ME | 04921 | ||
| DONALD S WALKER HEALTH CENTER | |||||
| 43 WEST MAIN STREET | LIBERTY | ME | 04949 | ||
| LINCOLNVILLE HEALTH CENTER | |||||
| 2399 ATLANTIC HIGHWAY | LINCONVILLE | ME | 04849 | ||
| SEARSPORT HEALTH CENTER | |||||
| 37 MORTLAND ROAD | SEARSPORT | ME | 04974 | ||
| STOCKTON SPRINGS REG HEALTH CENTER | |||||
| 11 CAPE JELLISON ROAD | STOCKTON SPRINGS | ME | 04981 | ||
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Costing Method Used | THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE WORKSHEETS PROVIDED IN THE SCHEDULE H INSTRUCTIONS. THE COST-TO-CHARGE RATIO WAS USED AS THE COSTING METHODOLOGY AND WAS ALSO CALCULATED USING WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS. | CostingMethodUsed |
| Subsidized Health Services Expln | PHYSICIAN CLINIC COSTS WERE INCLUDED AS SUBSIDIZED HEALTH SERVICES IN THE AMOUNT OF 9,420,868. | SubsidizedHealthServicesExpln |
| Percent Of Total Expense Expln | THE AMOUNT OF BAD DEBTS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) IS 3,245,250. | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | THE ORGANIZATION USES A COST-TO-CHARGE RATIO METHODOLOGY. THE AMOUNT REPORTED ON PART III, LINE 2 WAS DETERMINED USING WORKSHEET A, PROVIDED IN THE SCHEDULE H INSTRUCTIONS. DISCOUNTS PROVIDED TO PATIENTS ARE NOT INCLUDED IN BAD DEBT EXPENSE. AN AMOUNT THAT COULD BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY, IF SUFFICIENT INFORMATION HAD BEEN AVAILABLE TO MAKE A DETERMINATION OF THEIR ELIGIBILITY COULD NOT BE REASONABLE DETERMINED. PART III, LINE 4 - BAD DEBT FOOTNOTE IN THE ORGANIZATION'S FINANCIAL STATEMENTS CHARGES FOR SERVICES RENDERED TO INDIVIDUALS FROM WHOM PAYMENT IS EXPECTED AND ULTIMATELY NOT RECEIVED ARE WRITTEN OFF AND INCLUDED IN EXPENSES AS PART OF THE PROVISION FOR BAD DEBTS. BAD DEBT EXPENSE REPRESENTS HEALTHCARE SERVICES WALDO COUNTY GENERAL HOSPITAL HAS PROVIDED WITHOUT COMPENSATION. AS A TAX-EXEMPT HOSPITAL, WALDO COUNTY GENERAL HOSPITAL PROVIDES NECESSARY PATIENT CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THE SERVICES. A PORTION OF THE HOSPITAL'S BAD DEBT EXPENSE IS ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE THAT, FOR A VARIETY OF REASONS, DO NOT COMPLETE THE FINANCIAL ASSISTANCE APPLICATION PROCESS. WALDO COUNTY GENERAL HOSPITAL CANNOT DETERMINE THE AMOUNT OF BAD DEBT EXPENSE THAT COULD BE REASONABLY ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FREE CARE POLICY. IN ADDITION, BAD DEBT EXPENSE ALSO INCLUDES AMOUNTS FOR SERVICES PROVIDED TO INDIVIDUALS EXPERIENCING DIFFICULT PERSONAL OR ECONOMIC CIRCUMSTANCES RELATED TO A PORTION OF OUR COMMUNITY BASED PATIENT POPULATION. THEIR MEDICAL BILLS OFTEN PLACE THESE INDIVIDUALS IN UNTENABLE POSITIONS WHERE THEY ARE NOT ABLE TO HANDLE THEIR PERSONAL DEBT AND THEN THEIR NEW MEDICAL DEBT. HOWEVER, BECAUSE OF THEIR INCOME LEVEL, THEY DO NOT QUALIFY FOR FREE CARE. BY PROVIDING NECESSARY HEALTHCARE SERVICES TO THOSE INDIVIDUALS EITHER WHO FAIL TO APPLY FOR FINANCIAL ASSISTANCE OR WHO ARE EXPERIENCING DIFFICULT PERSONAL OR ECONOMIC CIRCUMSTANCES, WALDO COUNTY GENERAL HOSPITAL BELIEVES THAT BAD DEBT EXPENSE SHOULD BE INCLUDED AS A COMMUNITY BENEFIT. | BadDebtFootnote |
| Shortfall As Community Benefit | THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE HOSPITAL'S MEDICARE COST REPORT IS THE MEDICARE COST-TO-CHARGE RATIO, WHICH INCORPORATES MEDICARE ALLOWABLE COSTS. THE TOTAL AMOUNT OF 144,134 REPORTED ON PART III, LINE 7 SHOULD BE TREATED AS COMMUNITY BENEFIT BECAUSE THE LOSSES ARE INCURRED IN PERFORMING AN IMPORTANT PUBLIC SERVICE. THE HOSPITAL HAS MADE A CLEAR MISSION COMMITMENT TO SERVING ELDERLY PATIENTS. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | ONCE A PATIENT HAS BEEN DETERMINED TO QUALIFY FOR FREE CARE, THE PATIENT IS NOT BILLED FOR SERVICES PROVIDED, NOR IS THE PATIENT BILLED FOR AMOUNTS NOT PAID BY AN INSURER. | DebtCollectionPolicy |
| Needs Assessment | SEE ATTACHED COMMUNITY BENEFITS STATEMENT | NeedsAssessment |
| Patient Education Assistance | SEE ATTACHED COMMUNITY BENEFITS STATEMENT | PatientEducationAssistance |
| Community Information | SEE ATTACHED COMMUNITY BENEFITS STATEMENT | CommunityInformation |
| Community Building Activities | SEE ATTACHED COMMUNITY BENEFITS STATEMENT | CommunityBuildingActivities |
| Other Information | SEE ATTACHED COMMUNITY BENEFITS STATEMENT | OtherInformation |
| Affiliated Health Care System | SEE ATTACHED COMMUNITY BENEFITS STATEMENT | AffiliatedHealthCareSystem |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | SCHOLARSHIPS TO STUDENTS | TypeOfGrant |
| Number Of Recipients | 15 | NumberOfRecipients |
| Amount Of Cash Grant | 20615 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ADDITIONAL INFORMATION | Identifier |
| Return Reference | SCHEDULE I, PAGE 4, PART IV | ReturnReference |
| Explanation | SCHOLARSHIPS ARE AWARDED TO STUDENTS RESIDING IN WALDO COUNTY AND PURSUING A CAREER IN A HEALTHCARE RELATED PROGRAM. THERE IS A SCHOLARSHIP APPLICATION PROCESS OVERSEEN BY THE SCHOLARSHIP COMMITTEE. RECIPIENTS MUST HAVE COMPLETED ONE SEMESTER OF SCHOOLING WITH A PREDETERMINED MINIMUM GPA, BE ENROLLED IN THE SECOND SEMESTER, AND HAVE A FINANCIAL NEED. PAYMENTS ARE MADE DIRECTLY TO THE SCHOOL OR AS REIMBURSEMENT TO THE RECIPIENT WHEN APPROPRIATE DOCUMENTATION IS PROVIDED. | 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 (9 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs |
|---|---|---|---|---|---|---|
| D KENT CLARK MD | ||||||
| 307306 | 16918 | 6900 | 16296 | 347420 | ||
| MARK BISCONE | ||||||
| 240103 | 22572 | 6900 | 18864 | 288439 | 81061 | 81061 |
| LINDA DRINKWATER | ||||||
| 176671 | 9914 | 5652 | 2987 | 195224 | ||
| RICHARD BOWER MD | ||||||
| 369395 | 28858 | 17042 | 415295 | |||
| DENNIS DESILVEY MD | ||||||
| 358612 | 20358 | 6900 | 17401 | 403271 | ||
| TERRANCE SMITH MD | ||||||
| 343887 | 3564 | 6900 | 24323 | 378674 | ||
| OWEN NELSON MD | ||||||
| 343483 | 5292 | 348775 | ||||
| JOHN GAGE MD | ||||||
| 324437 | 17309 | 6900 | 22818 | 371464 | ||
| GORDON TIBBETTS | ||||||
| 178446 | 22766 | 6184 | 7735 | 215131 | ||
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION | FORM 990 - ORGANIZATION'S MISSION | WALDO COUNTY GENERAL HOSPITAL'S MISSION IS TO BE THE BEST - BETTER, EMPATHY, SERVICE AND TEAMWORK. OUR GOAL IS TO ENSURE QUALITY, ACCESSIBLE AND AFFORDABLE HEALTH CARE SERVICES AND TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY. |
| FIRST ACHIEVEMENT DESCRIPTION | FORM 990, PAGE 2, PART III, LINE 4A | CONTINUED FROM FORM 990, PART I, LINE 1 AND PART III, LINE 1 OUR MISSION IS TO BE THE BEST - BETTER, EMPATHY, SERVICE AND TEAMWORK - PRINCIPLES THAT GUIDE STAFF MEMBERS IN THEIR INTERACTIONS WITH PATIENTS, PATIENT FAMILIES AND COWORKERS. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF WALDO COUNTY GENERAL HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. WE PROVIDE QUALITY CARE TO ALL PATIENTS, REGARDLESS OF THE INABILITY TO PAY. WALDO COUNTY GENERAL HOSPITAL OFFERS MANY FREE OR LOW COST HEALTH SERVICES, INCLUDING: CASE MANAGEMENT OF CHRONIC DISEASES, FAMILY WELLNESS FAIRS, EXERCISE AND FITNESS CLASSES, BLOOD PRESSURE CLINICS, IMMUNIZATIONS, HEALTH INFORMATION LIBRARY, WOMEN HEALTHCARE CONFERENCES, MAMMOGRAMS, HEALTH INFORMATION LIBRARY, ONCOLOGY PATIENT ASSISTANCE FUNDING AND SUPPORT GROUPS. MANY OF THE COMMUNITY-BUILDING ACTIVITIES WE OFFER INCLUDE: COMMUNITY-WIDE EMERGENCY PREPAREDNESS PLANNING AND DRILLS, BOOKS FOR BABES AND RAISING READERS PROGRAMS, HOSPITAL TOURS FOR SECOND GRADERS, COMMUNITY NEWSLETTERS, BABY FAIRS, AMERICAN RED CROSS BLOOD DRIVE SPONSORSHIPS, ETC. OUR CHARITABLE GIVING HAS REACHED TO THE FOLLOWING COMMUNITY ORGANIZATIONS: ACTIVE OLDER ADULTS, BELFAST AREA CHAMBER OF COMMERCE, BELFAST ROTARY, BOY SCOUTS OF AMERICA, HABITAT FOR HUMANITY, SPURWINK HUMANITARIAN EVENT, STOCK THE SHELVES FOOD CHALLENGE, TOYS FOR TOTS, WALDO COUNTY ONCOLOGY WALK AND YMCA HEALTHY KIDS DAY. PLEASE SEE THE ATTACHED COMMUNITY BENEFITS STATEMENT. |
| CLASSES OF MEMBERS OR STOCKHOLDERS | FORM 990, PAGE 6, PART VI, LINE 6 | WALDO COUNTY HEALTHCARE, INC. (WCHI)-(EIN 22-2864961) IS THE SOLE MEMBER OF WALDO COUNTY GENERAL HOSPITAL. MAINEHEALTH (EIN 01-0431680), IS THE SOLE MEMBER OF WCHI. AS SOLE MEMBER OF WCHI, MAINEHEALTH HAS THE RIGHT TO APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BODY OF WCHI AND ITS SUBSIDIARIES. |
| ELECTION OF MEMBERS AND THEIR RIGHTS | FORM 990, PAGE 6, PART VI, LINE 7A | MAINEHEALTH MAY ELECT MEMBERS OF THE BOARD OF DIRECTORS FROM A SLATE OF NOMINEES SUBMITTED BY THE CORPORATION. |
| DECISIONS SUBJECT TO APPROVAL OF MEMBERS | FORM 990, PAGE 6, PART VI, LINE 7B | DECISIONS OF THE GOVERNING BODY SUCH AS BUDGETS, BUSINESS STRATEGIES, SIGNIFICANT FINANCIAL COMMITMENTS, AMENDMENTS TO THE ARTICLES OF INCORPORATION, AND ELECTION OF THE PRESIDENT/CEO AMONG OTHER DECISIONS, ARE SUBJECT TO APPROVAL BY MAINEHEALTH. |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11 | THE FINANCE COMMITTEE PERFORMS A DETAILED REVIEW OF THE FORM 990. THE FORM 990 IS THEN PRESENTED TO THE FULL BOARD. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | WALDO COUNTY GENERAL HOSPITAL'S CONFLICT OF INTEREST POLICY IS INCORPORATED AS PART OF THE BY-LAWS OF THESE CORPORATIONS. THE ORGANIZATION CONSISTENTLY REVIEWS ALL TRANSACTIONS TO ASSURE COMPLIANCE IN ACCORDANCE WITH THE BY-LAWS. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | FORM 990, PAGE 6, PART VI, LINE 15A | THE PROCESS FOLLOWED FOR DETERMINING COMPENSATION OF THE EXECUTIVE DIRECTOR IS A FORMAL PROCESS PERFORMED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THIS COMMITTEE USES THE TOWERS-PERRIN ANNUAL EXECUTIVE COMPENSATION ANALYSIS TO COMPARE MARKET ANALYSIS IN SETTING THE COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER AS WELL AS THE OTHER KEY ADMINISTRATIVE EMPLOYEES OF THE ORGANIZATION. |
| COMPENSATION PROCESS FOR OFFICERS | FORM 990, PAGE 6, PART VI, LINE 15B | THE PROCESS FOLLOWED FOR DETERMINING COMPENSATION OF THE EXECUTIVE DIRECTOR IS A FORMAL PROCESS PERFORMED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THIS COMMITTEE USES THE TOWERS-PERRIN ANNUAL EXECUTIVE COMPENSATION ANALYSIS TO COMPARE MARKET ANALYSIS IN SETTING THE COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER AS WELL AS THE OTHER KEY ADMINISTRATIVE EMPLOYEES OF THE ORGANIZATION. |
| 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 (5 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 |
|---|---|---|---|---|---|---|---|---|---|
| WALDO COUNTY HEALTHCARE INC | |||||||||
| PO BOX 287 | BELFAST | ME | 04915 | 222864961 | COMM. EDUC | ME | 501 | 11B | NA |
| COASTAL MEDICAL CARE | |||||||||
| PO BOX 287 | BELFAST | ME | 04915 | 010487091 | MED. SERV. | ME | 501 | 9 | NA |
| BELFAST PUBLIC HEALTH NURSING | |||||||||
| PO BOX 287 | BELFAST | ME | 04915 | 043359810 | PUB. HLTH. | ME | 501 | 9 | NA |
| WALDO COUNTY HOME HEALTHCARE SERV | |||||||||
| PO BOX 287 | BELFAST | ME | 04915 | 222864960 | HOSPICE | ME | 501 | 9 | NA |
| MAINEHEALTH | |||||||||
| 110 FREE STREET | PORTLAND | ME | 04101 | 010431680 | HEALTHCARE | ME | 501 | 11C | NA |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WALDO COUNTY HEALTHCARE MGMT CO | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 287 | AddressLine1 |
| City | BELFAST | City |
| State | ME | State |
| ZIP Code | 04915 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010485133 | EIN |
| Primary Activity | MGMT SVCS | PrimaryActivity |
| Legal Domicile State | ME | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | 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 | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
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