Form 990 for tax year 2022
Filed by BLUE HILL MEMORIAL HOSPITAL INC.
Totals
- Total revenue
- $44,874,396
- Total expenses
- $42,350,125
- Contributions and grants received
- $1,788,409
- Grants paid
- $0
- Program service revenue
- $42,292,297
- Investment income
- -$1,138,891
- Other revenue
- $1,932,581
- Total assets, end of year
- $78,607,104
- Total liabilities, end of year
- $41,266,953
- Net assets or fund balances, end of year
- $37,340,151
- Program services expenses (Part IX)
- $36,072,338
- Management and general expenses
- $6,277,787
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $36,072,338
Program services were 85.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1d · Related organizations
$1,023,005
-
1e · Government grants (contributions)
$390,320
-
1f · All other contributions, gifts and grants
$375,084
-
1g · Noncash contributions included above
$19,456
-
2a · Program service revenue: Cafeteria
total $137,820 · excluded $137,820
-
2b · Program service revenue: Net Patient Care Service
total $42,154,477 · related or exempt $42,154,477
-
3 · Investment income
total $82,964 · excluded $82,964
-
4 · Income from investment of tax-exempt bond proceeds
total $0
-
5 · Royalties
total $0
-
6a · Gross rents
real property $7,250
-
6b · Less rental expenses
real property $4,244
-
6c · Rental income or loss
real property $3,006
-
6d · Net rental income or loss
total $3,006 · excluded $3,006
-
7a · Gross sales of assets other than inventory
other assets $46,000
-
7b · Less cost or other basis and sales expenses
other assets $1,267,855
-
7c · Gain or loss
other assets -$1,221,855
-
7d · Net gain or loss
total -$1,221,855 · excluded -$1,221,855
-
8c · Net income from fundraising events
total $0
-
9c · Net income from gaming
total $0
-
10c · Net income from sales of inventory
total $0
-
11a · Other revenue: 340B Pharmacy Benefits
total $1,929,575 · related or exempt $1,929,575
-
11e · Other revenue, total
$1,929,575
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $0
-
2 · Grants to domestic individuals
total $0
-
3 · Grants to foreign organizations and individuals
total $0
-
4 · Benefits paid to or for members
total $0
-
5 · Compensation of officers, directors and key employees
total $1,288,314 · program services $747,763 · management and general $540,551
-
6 · Compensation of disqualified persons
total $0
-
7 · Other salaries and wages
total $17,098,676 · program services $15,775,400 · management and general $1,323,276
-
8 · Pension plan contributions
total $905,848 · program services $838,936 · management and general $66,912
-
9 · Other employee benefits
total $2,647,492 · program services $2,444,352 · management and general $203,140
-
10 · Payroll taxes
total $1,014,411 · program services $939,480 · management and general $74,931
-
11a · Fees: management
total $0
-
11b · Fees: legal
total $35 · program services $35
-
11c · Fees: accounting
total $6,773 · management and general $6,773
-
11d · Fees: lobbying
total $0
-
11e · Fees: professional fundraising services
total $0
-
11f · Fees: investment management
total $2,208 · program services $2,045 · management and general $163
-
11g · Fees: other
total $9,566,877 · program services $6,491,367 · management and general $3,075,510
-
12 · Advertising and promotion
total $99,112 · program services $99,112
-
13 · Office expenses
total $891,744 · program services $557,613 · management and general $334,131
-
14 · Information technology
total $1,594,337 · program services $1,475,036 · management and general $119,301
-
15 · Royalties
total $0
-
16 · Occupancy
total $654,833 · program services $500,898 · management and general $153,935
-
17 · Travel
total $24,376 · program services $19,712 · management and general $4,664
-
18 · Travel or entertainment for public officials
total $0
-
19 · Conferences, conventions and meetings
total $21,001 · program services $20,073 · management and general $928
-
20 · Interest
total $105,260 · program services $89,151 · management and general $16,109
-
21 · Payments to affiliates
total $0
-
22 · Depreciation, depletion and amortization
total $854,778 · program services $649,631 · management and general $205,147
-
23 · Insurance
total $522,705 · program services $484,095 · management and general $38,610
-
24a · Other expenses: Medical Supplies
total $3,546,941 · program services $3,546,941
-
24b · Other expenses: Taxes and Licensing
total $994,289 · program services $992,413 · management and general $1,876
-
24c · Other expenses: Repairs & Maintenance
total $448,418 · program services $346,075 · management and general $102,343
-
24d · Other expenses: Dues & Subscriptions
total $37,655 · program services $37,655
-
24e · All other expenses
total $24,042 · program services $14,555 · management and general $9,487
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $29,927,827 · end of year $32,043,755
-
2 · Savings and temporary cash investments
beginning of year $332,024 · end of year $226,516
-
3 · Pledges and grants receivable
end of year $0
-
4 · Accounts receivable
beginning of year $8,438,731 · end of year $7,014,787
-
5 · Loans and receivables from officers and key people
beginning of year $3,205 · end of year $77
-
6 · Loans and receivables from disqualified persons
end of year $0
-
7 · Other notes and loans receivable
end of year $0
-
8 · Inventories for sale or use
beginning of year $249,931 · end of year $228,506
-
9 · Prepaid expenses and deferred charges
beginning of year $8,653 · end of year $8,848
-
10a · Land, buildings and equipment: cost or other basis
$48,175,741
-
10b · Land, buildings and equipment: accumulated depreciation
$22,810,219
-
10c · Land, buildings and equipment, net
beginning of year $10,189,961 · end of year $25,365,522
-
11 · Investments: publicly traded securities
end of year $0
-
12 · Investments: other securities
end of year $0
-
13 · Investments: program-related
end of year $0
-
14 · Intangible assets
end of year $0
-
15 · Other assets
beginning of year $8,670,309 · end of year $13,719,093
-
17 · Accounts payable and accrued expenses
beginning of year $14,155,148 · end of year $13,499,090
-
19 · Deferred revenue
beginning of year $628,364 · end of year $1,231,029
-
20 · Tax-exempt bond liabilities
end of year $18,878,683
-
25 · Other liabilities
beginning of year $8,830,703 · end of year $7,658,151
-
27 · Net assets without donor restrictions
beginning of year $25,948,840 · end of year $31,050,837
-
28 · Net assets with donor restrictions
beginning of year $8,257,586 · end of year $6,289,314
Mission and programs · 2022
Mission
The Blue Hill Memorial Hospital d/b/a Northern Light Blue Hill Hospital is dedicated to improving the health and wellness of our communities by providing primary and specialty health care of outstanding quality and caring for our patients with respect and compassion.
-
See Schedule O
Expenses $33,517,393 · Revenue $44,221,872
-
Medicare shortfalls (at cost)15,527 persons served.
Expenses $2,509,841
-
Charity care provided (at cost) 192 persons served.
Expenses $45,104
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Timothy Dentry NLH PresCEO
Ex-officio
- Total calculated
- $1,571,832
- From this org
- $0
- From related orgs
- $1,509,740
- Other
- $62,092
- Hours/week
- 2 + 50 related
Schedule J breakdown matched by us
- Base
- not reported + $1,180,115 related
- Bonus
- not reported + $308,222 related
- Other
- not reported + $21,403 related
- Deferred
- not reported + $27,450 related
- Nontaxable benefits
- not reported + $34,642 related
- Filer's total
- not reported + $1,571,832 related
-
Anthony Filer
Treasurer
- Total calculated
- $759,472
- From this org
- $0
- From related orgs
- $695,430
- Other
- $64,042
- Hours/week
- 2 + 50 related
Schedule J breakdown matched by us
- Base
- not reported + $597,838 related
- Bonus
- not reported + $82,139 related
- Other
- not reported + $15,453 related
- Deferred
- not reported + $27,450 related
- Nontaxable benefits
- not reported + $36,592 related
- Filer's total
- not reported + $759,472 related
-
Surapaneni Ramanadha Rao
Surgeon
- Total calculated
- $750,059
- From this org
- $712,676
- From related orgs
- $0
- Other
- $37,383
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $649,208
- Bonus
- $52,616
- Other
- $10,852
- Deferred
- $24,400
- Nontaxable benefits
- $12,983
- Filer's total
- $750,059
-
Paul Bolin
Former SVP & CHRO
- Total calculated
- $653,302
- From this org
- $0
- From related orgs
- $543,269
- Other
- $110,033
- Hours/week
- 0 + 50 related
Schedule J breakdown matched by us
- Base
- not reported + $386,106 related
- Bonus
- not reported + $127,480 related
- Other
- not reported + $29,683 related
- Deferred
- not reported + $82,758 related
- Nontaxable benefits
- not reported + $27,275 related
- Filer's total
- not reported + $653,302 related
-
John Ronan
Ex-officio-Pres
- Total calculated
- $626,162
- From this org
- $267,898
- From related orgs
- $267,897
- Other
- $90,367
- Hours/week
- 25 + 25 related
Schedule J breakdown matched by us
- Base
- $170,826 + $170,825 related
- Bonus
- $52,864 + $52,864 related
- Other
- $44,208 + $44,208 related
- Deferred
- $39,115 + $39,115 related
- Nontaxable benefits
- $6,068 + $6,069 related
- Filer's total
- $313,081 + $313,081 related
-
George Eaton Chief Legal Offi
Secretary
- Total calculated
- $495,082
- From this org
- $0
- From related orgs
- $444,533
- Other
- $50,549
- Hours/week
- 2 + 50 related
Schedule J breakdown matched by us
- Base
- not reported + $360,612 related
- Bonus
- not reported + $60,144 related
- Other
- not reported + $23,777 related
- Deferred
- not reported + $26,795 related
- Nontaxable benefits
- not reported + $23,754 related
- Filer's total
- not reported + $495,082 related
-
Glenn Martin
Former SVP-Chief Legal Officer
- Total calculated
- $469,544
- From this org
- $0
- From related orgs
- $363,438
- Other
- $106,106
- Hours/week
- 0 + 50 related
Schedule J breakdown matched by us
- Base
- not reported + $238,691 related
- Bonus
- not reported
- Other
- not reported + $124,747 related
- Deferred
- not reported + $88,673 related
- Nontaxable benefits
- not reported + $17,433 related
- Filer's total
- not reported + $469,544 related
-
Dennis Desilvey
Physician
- Total calculated
- $393,874
- From this org
- $339,036
- From related orgs
- $0
- Other
- $54,838
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $333,671
- Bonus
- not reported
- Other
- $5,365
- Deferred
- $28,410
- Nontaxable benefits
- $26,428
- Filer's total
- $393,874
-
Richard L Littlefield
Physician
- Total calculated
- $370,668
- From this org
- $331,958
- From related orgs
- $0
- Other
- $38,710
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $250,875
- Bonus
- not reported
- Other
- $81,083
- Deferred
- $27,450
- Nontaxable benefits
- $11,260
- Filer's total
- $370,668
-
Mike Murnik MD
VP Senior Phys
- Total calculated
- $339,855
- From this org
- $258,394
- From related orgs
- $28,711
- Other
- $52,750
- Hours/week
- 45 + 5 related
Schedule J breakdown matched by us
- Base
- $254,538 + $28,282 related
- Bonus
- $1,350 + $150 related
- Other
- $2,506 + $279 related
- Deferred
- $19,041 + $2,115 related
- Nontaxable benefits
- $28,434 + $3,160 related
- Filer's total
- $305,869 + $33,986 related
-
Kurt L Judson
Physician
- Total calculated
- $331,315
- From this org
- $280,149
- From related orgs
- $0
- Other
- $51,166
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $112,929
- Bonus
- $164,430
- Other
- $2,790
- Deferred
- $18,722
- Nontaxable benefits
- $32,444
- Filer's total
- $331,315
-
Wendy Merchant
VP, Finance
- Total calculated
- $289,408
- From this org
- $117,484
- From related orgs
- $117,484
- Other
- $54,440
- Hours/week
- 25 + 25 related
Schedule J breakdown matched by us
- Base
- $114,179 + $114,179 related
- Bonus
- not reported
- Other
- $3,305 + $3,305 related
- Deferred
- $9,636 + $9,636 related
- Nontaxable benefits
- $17,584 + $17,584 related
- Filer's total
- $144,704 + $144,704 related
-
Charles J Zelnick
Physician
- Total calculated
- $287,085
- From this org
- $243,224
- From related orgs
- $0
- Other
- $43,861
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $197,830
- Bonus
- $32,452
- Other
- $12,942
- Deferred
- $21,988
- Nontaxable benefits
- $21,873
- Filer's total
- $287,085
-
Nicholas Vachon DPM
Ex-officio
- Total calculated
- $265,411
- From this org
- $0
- From related orgs
- $237,446
- Other
- $27,965
- Hours/week
- 2 + 50 related
Schedule J breakdown matched by us
- Base
- not reported + $174,147 related
- Bonus
- not reported + $56,488 related
- Other
- not reported + $6,811 related
- Deferred
- not reported + $4,851 related
- Nontaxable benefits
- not reported + $23,114 related
- Filer's total
- not reported + $265,411 related
-
Joseph Gaetano
VP, Operations
- Total calculated
- $255,498
- From this org
- $116,924
- From related orgs
- $116,924
- Other
- $21,650
- Hours/week
- 25 + 25 related
Schedule J breakdown matched by us
- Base
- $115,285 + $115,285 related
- Bonus
- not reported
- Other
- $1,639 + $1,639 related
- Deferred
- $9,265 + $9,265 related
- Nontaxable benefits
- $1,560 + $1,560 related
- Filer's total
- $127,749 + $127,749 related
-
Kristin Cyr
VP Patient Care
- Total calculated
- $242,698
- From this org
- $107,919
- From related orgs
- $107,919
- Other
- $26,860
- Hours/week
- 25 + 25 related
Schedule J breakdown matched by us
- Base
- $106,156 + $106,156 related
- Bonus
- not reported
- Other
- $1,763 + $1,763 related
- Deferred
- $7,256 + $7,256 related
- Nontaxable benefits
- $6,174 + $6,174 related
- Filer's total
- $121,349 + $121,349 related
-
Noah Lundy
VP, HR-East Reg
- Total calculated
- $220,709
- From this org
- $73,846
- From related orgs
- $123,075
- Other
- $23,788
- Hours/week
- 20 + 30 related
Schedule J breakdown matched by us
- Base
- $65,141 + $108,568 related
- Bonus
- not reported
- Other
- $8,705 + $14,507 related
- Deferred
- $4,345 + $7,242 related
- Nontaxable benefits
- $4,575 + $7,626 related
- Filer's total
- $82,766 + $137,943 related
-
Jacqueline Carter FNP
Ex-Officio CoS
- Total calculated
- $192,796
- From this org
- $161,908
- From related orgs
- $0
- Other
- $30,888
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $123,001
- Bonus
- $33,351
- Other
- $5,556
- Deferred
- $10,668
- Nontaxable benefits
- $20,220
- Filer's total
- $192,796
-
Sheryl Edgecomb
Trustee
- Total calculated
- $0
- Hours/week
- 2
-
Sally Hutchins
Trustee-Chair
- Total calculated
- $0
- Hours/week
- 2
-
Karen Stanley
Trustee
- Total calculated
- $0
- Hours/week
- 2
-
Kevin Tesseo
Trustee-Vice Ch
- Total calculated
- $0
- Hours/week
- 2
-
Jacob Taylor
Trustee
- Total calculated
- $0
- Hours/week
- 2
-
Tyler Smith
Trustee
- Total calculated
- $0
- Hours/week
- 2
-
Michael Hockenbury
Trustee
- Total calculated
- $0
- Hours/week
- 2
-
Edward Clayton
Trustee/Chairma
- Total calculated
- $0
- Hours/week
- 2
-
Michele Francis
Trustee
- Total calculated
- $0
- Hours/week
- 2
-
D Scott Miller
Trustee
- Total calculated
- $0
- Hours/week
- 2
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 1a · Tax indemnification and gross-up payments
- 1b · Written policy on the line-1a expenses
- 2 · Substantiation required before reimbursing expenses
- 4b · Supplemental nonqualified retirement plan
Answered no
- 4a · Severance or change-of-control payment
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- Part I, Line 1a: Relevant information in regards to selections on 1a.
- The following received a wellness program incentive:Kurt L Judson, highest compensated employee $ 60Noah Lundy, officer 10John Ronan, director/officer 30 Charles Zelnick, highest compensated employee 100 The benefit is available for all employees.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
Eastern Maine Healthcare Real Estate
501(c)(2) · Leases real estate · ME
Directly controlled by EMHS
-
Eastern Maine Healthcare System
501(c)(3) · Supporting organization for healthcare affiliates · ME
Directly controlled by NA
-
501(c)(3) · Provide healthcare services · ME
Directly controlled by EMHS
-
501(c)(3) · Provide healthcare services · ME
Directly controlled by AHC
-
Eastern Maine Medical Center EMMC
501(c)(3) · Provide healthcare services · ME
Directly controlled by EMHS
-
Eastern Maine Medical Center Auxiliary
501(c)(3) · Fund raising for exempt Eastern Maine Medical Center · ME
Directly controlled by EMMC
-
Northern Light Health Foundation
501(c)(3) · Raise and manage funds for exempt organizations · ME
Directly controlled by EMHS
-
501(c)(3) · Provide services to elderly · ME
Directly controlled by EMHS
-
501(c)(3) · Provide healthcare services · ME
Directly controlled by EMHS
-
501(c)(3) · Provide skilled and long-term nursing care · ME
Directly controlled by Inland Hospital
-
501(c)(3) · Provide healthcare services · ME
Directly controlled by EMHS
-
501(c)(3) · Provide healthcare services · ME
Directly controlled by EMHS
-
501(c)(3) · Provide healthcare services · ME
Directly controlled by EMHS
-
501(c)(3) · Provide healthcare services · ME
Directly controlled by EMHS
-
501(c)(3) · Provide home health and hospice services · ME
Directly controlled by EMHS
-
501(c)(3) · Provide healthcare services · ME
Directly controlled by EMHS
-
Maine Coast Regional Health Facilities
501(c)(3) · Provide healthcare services · ME
Directly controlled by EMHS
-
501(c)(3) · Lease medical facilities · ME
Directly controlled by MCMH
-
501(c)(3) · Operation of nursing homes · ME
Directly controlled by EMMC
-
501(c)(3) · Accountable care organization · ME
Directly controlled by EMHS
-
501(c)(3) · Accountable care organization · ME
Directly controlled by EMHS
-
Beacon Health ACO Holdings LLC
501(c)(3) · Accountable care organization · ME
Directly controlled by EMHS
-
Northern Light Medical Transport
501(c)(3) · Ambulance · ME
Directly controlled by EMHS
-
MRH Corp dba Northern Light Mayo Hospit
501(c)(3) · Provide healthcare services · ME
Directly controlled by EMHS
-
501(c)(3) · Pharmacy · ME
Directly controlled by EMMC
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
Affiliated Healthcare Systems AHS
C · Holding co. · ME
Directly controlled by EMHS
-
Affiliated Healthcare Management
C · Hlthcr mgmt · ME
Directly controlled by AHS
-
C · Clinical lab · ME
Directly controlled by AHS
-
C · Healthcare Self-funded TPA · ME
Directly controlled by EMHS
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 1 August 2024
- IRS schema version
- 2022v5.0
- Source object
- 202402149349301140
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