Civic Intelligence

Franklin Community Health Network

990 • Fiscal year 2016 • EIN 22-3209406

Oct 01, 2015 to Sep 30, 2016 • Filed on Aug 03, 2017

111 Franklin Health CommonsFarmington, ME 04938

(207) 779-2500

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

11th percentile

0.01x

Higher debt load relative to assets than 11% of similar nonprofits.

2016 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2016

Liabilities / Revenue

64th percentile

0.57x

Higher debt load relative to revenue than 64% of similar nonprofits.

2016 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2016

Net Margin

89th percentile

35%

Higher net margin than 89% of similar nonprofits.

2016 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2016

Top Officer Pay

75th percentile

$387,937

Higher top officer pay than 75% of similar nonprofits.

Top officer pay equals 78.8% of source-year revenue.

2016 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2016

Asset Growth

31st percentile

-1.4%

Faster asset growth than 31% of similar nonprofits.

2016 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2015 to 2016

Revenue Growth

3rd percentile

-66%

Faster revenue growth than 3% of similar nonprofits.

2016 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2015 to 2016

Assets

Down

$25,686,712

Down $371,676 (-1.4%) from 2015

Net Assets

Down

$25,406,597

Down $500,154 (-1.9%) from 2015

Liabilities

Up

$280,115

Up $128,478 (+85%) from 2015

Revenue

Down

$492,201

Down $961,227 (-66%) from 2015

Expenses

Down

$318,687

Down $219,776 (-41%) from 2015

Net Income

Down

$173,514

Down $741,451 (-81%) from 2015

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$30M$20M$10M$0Assets 2010: $14,367,397Liabilities 2010: $537,618Net Assets 2010: $13,829,7792010Assets 2011: $16,194,613Liabilities 2011: $178,067Net Assets 2011: $16,016,5462011Assets 2012: $15,364,515Liabilities 2012: $14,166Net Assets 2012: $15,350,3492012Assets 2013: $15,193,533Liabilities 2013: $14,106Net Assets 2013: $15,179,4272013Assets 2014: $27,089,763Liabilities 2014: $494Net Assets 2014: $27,089,2692014Assets 2015: $26,058,388Liabilities 2015: $151,637Net Assets 2015: $25,906,7512015Assets 2016: $25,686,712Liabilities 2016: $280,115Net Assets 2016: $25,406,5972016Assets 2017: $23,546,979Liabilities 2017: $319,088Net Assets 2017: $23,227,8912017Assets 2018: $16,208,145Liabilities 2018: $1,282,276Net Assets 2018: $14,925,8692018Assets 2019: $0Liabilities 2019: $0Net Assets 2019: $02019

Highlighted filing

2016

Assets$25,686,712
Liabilities$280,115
Net Assets$25,406,597

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$15M$10M$5.0M$0Expenses 2010: $4,556,7282010Expenses 2011: $3,580,2622011Expenses 2012: $965,8422012Expenses 2013: $1,893,1312013Revenue 2014: $10,686,630Expenses 2014: $321,681Net Income 2014: $10,364,9492014Revenue 2015: $1,453,428Expenses 2015: $538,463Net Income 2015: $914,9652015Revenue 2016: $492,201Expenses 2016: $318,687Net Income 2016: $173,5142016Revenue 2017: $1,045,273Expenses 2017: $302,991Net Income 2017: $742,2822017Revenue 2018: $1,096,728Expenses 2018: $1,047,886Net Income 2018: $48,8422018Revenue 2019: $70,482Expenses 2019: $20,497Net Income 2019: $49,9852019

Highlighted filing

2016

Revenue$492,201
Expenses$318,687
Net Income$173,514
Jump To
Filing Snapshot
Filing Period
Oct 1, 2015 to Sep 30, 2016
Signed
Aug 3, 2017
Return Version
2015v3.0
Gross Receipts
$565,772
Mission and Program Overview

Mission

To work cooperatively with other concerned individuals and organizations to achieve the highest level of health and wellness possible for the people of west central maine.

Supporting organization for a community hospital and related affiliates.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$20,816,596$22,037,449▲ $1,220,853
Savings and Temporary Cash Investments$5,176,402$3,648,873▼ $1,527,529
Land, Buildings, and Equipment, Net$65,000--
Cash and Non-Interest-Bearing Accounts$390$390→ $0
Total Assets$26,058,388$25,686,712▼ $371,676
Liabilities
Other Liabilities$151,637$278,002▲ $126,365
Accounts Payable and Accrued Expenses-$2,113-
Total Liabilities$151,637$280,115▲ $128,478
Net Assets / Fund Balance
Unrestricted Net Assets$23,495,354$22,863,517▼ $631,837
Temporarily Rstr Net Assets$1,455,014$1,586,697▲ $131,683
Permanently Rstr Net Assets$956,383$956,383→ $0
Total Net Assets Fund Balance$25,906,751$25,406,597▼ $500,154
Total Liabilities and Net Assets / Fund Balance$26,058,388$25,686,712▼ $371,676

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2015$2,691,932$112,164▲ $182,291$-160,443$2,826,394
2014$2,799,451$408,226▼ $187,776$-327,969$2,691,932
2013$2,874,474$53,718▼ $71,709$-57,032$2,799,451
2012$2,604,155$11,967▲ $316,743$58,391$2,874,474
2011$2,325,015$126,671▲ $166,297$13,828$2,604,155
Compensation and Service Providers

Employees

NameTitleOtherTotal
Timothy ChurchillInterim Pres$387,937$387,937
Rebecca ArsenaultPresident/ce$378,362$378,362
Jay Naliboff MdVP Medical a$255,013$255,013
Gerald CayerEvp Ancil &$225,922$225,922
Heidi Decker MdMedical Staf$219,683$219,683
Connie Adler MdSecretary$102,510$102,510

Board Members and Trustees

NameTitle
Clint BoothbyChairman
Rebecca ArsenaultPresident/CEO
Gilly HitchcockVice Chair
Christine TropeanoDirector
Connie CogginsDirector
Darryl WoodDirector
David Dixon MdDirector
Joseph BujoldDirector
Meredith TiptonDirector
Michael CormierDirector
Michele MccormickDirector
Peter JudkinsDirector
Ronald AseltineDirector
Sheena BunnellDirector
Wayne BennettCFO
Gerald CayerEvp Ancil & Comm Svc
Timothy ChurchillInterim Pres/CEO
Heidi Decker MdMedical Staff Pres.
John BogarTreasurer
Jay Naliboff MdVP Medical Affairs
Revenue and Support

Revenue Composition

Contributions and Grants
$159,893
Program Service Revenue
$76,495
Investment Income
$234,161
Other Revenue
$21,652
All Other Contributions
$133,193
Change in Net Assets
$173,514
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$277,945
Total Fundraising Expense$47,678
Salaries, Compensation, and Employee Benefits$40,742
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Expenses$212,705--$212,705
Fees for Service Investment Mgmnt Fees$58,304--$58,304
Other Salaries and Wages--$32,856$32,856
Other Employee Benefits--$7,886$7,886
Fees for Services Other--$5,750$5,750
Office Expenses--$889$889
Conferences and Meetings--$272$272
Travel--$25$25
Total Functional Expenses$271,009$0$47,678$318,687
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$30,223
Fundraising Direct Expenses$8,571
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Sugarloaf Golf$29,590$17,090$200$16,890
Field Hockey$23,666$9,466$176$9,290
Total Events$53,256$26,556$8,571$17,985
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$278,002
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 6

Mainehealth (ein: 01-0431680), is the sole member of franklin community health network (fchn) (ein: 22-3209406) and its subsidiaries.

Form 990, Page 6, Part VI, Line 7A

The sole member and franklin community health network have the responsibility for the election of the members of the governing body.

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 the approval of the sole member.

Form 990, Page 6, Part VI, Line 11B

A complete copy of the form 990 was distributed to each member of the board prior to filing with the irs. In addition, the 990 was reviewed with the executive committee of the board of directors prior to filing the tax return in a form of a presentation and a q&a session to address any questions or concerns.

Form 990, Page 6, Part VI, Line 12C

On an annual basis board members and officers are required to submit a conflict of interest statement which is then reviewed by the compliance committee. The compliance committee is responsible for regularly and consistently monitoring and enforcing compliance with the conflict of interest policy.

Form 990, Page 6, Part VI, Line 15A

The member is responsible for an annual evaluation of the president/ceo and the other key administrative employees of the organization. Compensation is evaluated by the compensation committee appointed by the member, and the organization's board of trustees must approve of the compensation. In addition, the organization utilizes the services of an independent compensation consulting firm and industry survey.

Form 990, Page 6, Part VI, Line 15B

See information above for part vi, line 15a.

Form 990, Page 6, Part VI, Line 19

Documents that are required to be open for public inspection are made available upon request.

Filing and Contact Details

Filer

Filer Name
Franklin Community Health Network
EIN
22-3209406
Phone
2077792500
Address
111 FRANKLIN HEALTH COMMONS, FARMINGTON, ME 04938

Signing Officer

Name
John Cox
Title
Interim CFO
Phone
2077792500
Signed
2017-08-03

Organization Details

Principal Officer
Timothy Churchill
Formed
1991
Legal Domicile
Me
Voting Board Members
17
Independent Board Members
11
Employees
1
Volunteers
11
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

Transfer to affiliates -2,007,795 income on temp restricted net assets 28,206 temp rest. Released for pp&e -30,311 total -2,009,900

Financial Statement Notes

Schedule D, Page 2, Part V, Line 4

The organization's endowment funds are intended to support operations of various programs offered by the franklin community health network, such as charity programs, community outreach, education, medical library, martha b. Webber breast care center and others.

Schedule D, Page 3, Part X

The company is exempt from federal income taxes under section 501(c)(3) of the internal revenue code.

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IRS990/Form990PartVIISectionAGrp/TitleTxt0INTERIM PRES
IRS990/Form990PartVIISectionAGrp/TitleTxt1MEDICAL STAF
IRS990/Form990PartVIISectionAGrp/TitleTxt2SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt3CHAIRMAN
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5VICE CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt11DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt12DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt13DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt14DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt15DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt16DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt17PRESIDENT/CE
IRS990/Form990PartVIISectionAGrp/TitleTxt18VP MEDICAL A
IRS990/Form990PartVIISectionAGrp/TitleTxt19CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt20EVP ANCIL &
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IRS990/MissionDesc0TO WORK COOPERATIVELY WITH OTHER CONCERNED INDIVIDUALS AND ORGANIZATIONS TO ACHIEVE THE HIGHEST LEVEL OF HEALTH AND WELLNESS POSSIBLE FOR THE PEOPLE OF WEST CENTRAL MAINE.
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IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt021652
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IRS990/OtherExpensesGrp/Desc0FOUNDATION COMM. SUPPORT
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IRS990/PrincipalOfficerNm0TIMOTHY CHURCHILL
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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0THE SUPPORTED ORGANIZATIONS OF FRANKLIN COMMUNITY HEALTH NETWORK (FCHN) HAVE CONTINUING AND HISTORIC RELATIONSHIPS WITH FCHN. FCHN HAS HISTORICALLY PROVIDED SUPPORT SERVICES INCLUDING ADMINISTRATIVE, DEVELOPMENT, MARKETING, INFORMATION TECHNOLOGY, HUMAN RESOURCES AND MATERIALS MANAGEMENT TO THE LISTED ORGANIZATIONS.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt1ALTHOUGH THE MAJORITY OF DIRECTORS OF FRANKLIN COMMUNITY HEALTH NETWORK ARE NOT THE SAME AS THE DIRECTORS OF ITS SUPPORTED ORGANIZATIONS, THE ORGANIZATIONS DO SHARE COMMON MANAGEMENT OFFICIALS INCLUDING THE PRESIDENT/CEO AND THE CFO.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt2SUPPORT SERVICES PROVIDED BY FRANKLIN COMMUNITY HEALTH NETWORK INCLUDE DEVELOPMENT AND FUND-RAISING.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0PART IV, SECTION A, LINE 1
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc1PART IV, SECTION C, LINE 1
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc2SUPPLEMENTAL INFORMATION
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IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt0165145
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IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt20
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt30
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0FRANKLIN MEMORIAL HOSPITAL
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt1HEALTHY COMMUNITY COALITION
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt2PINE TREE MEDICAL ASSOCIATION
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt3EVERGREEN BEHAVIORAL SERVICES
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IRS990ScheduleA/SupportSumAmt0179943
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IRS990ScheduleD/CYEndwmtFundGrp/BeginningYearBalanceAmt02691932
IRS990ScheduleD/CYEndwmtFundGrp/ContributionsAmt0112164

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