efile Public Visual Render
ObjectId: 201731289349301693 - Submission: 2017-05-08
TIN: 01-0356077
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Information about Schedule R (Form 990) and its instructions is at
www.irs.gov/form990
.
OMB No. 1545-0047
20
15
Open to Public Inspection
Name of the organization
MAINE COLLEGE OF HEALTH PROFESSIONS
Employer identification number
01-0356077
Part I
Identification of Disregarded Entities
Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Total income
(e)
End-of-year assets
(f)
Direct controlling
entity
Part II
Identification of Related Tax-Exempt Organizations
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))
(f)
Direct controlling
entity
(g)
Section 512(b)(13) controlled entity?
Yes
No
(1)
CENTRAL MAINE HEALTHCARE CORPORATION
PO BOX 4500
LEWISTON
,
ME
04243
01-0386913
HEALTHCARE
ME
501(C)(3)
7
NA
No
(2)
CENTRAL MAINE MEDICAL CENTER
PO BOX 4500
LEWISTON
,
ME
04243
01-0211494
HEALTHCARE
ME
501(C)(3)
3
CMHC
No
(3)
CENTRAL MAINE COMMUNITY HEALTH CORPORATI
PO BOX 4500
LEWISTON
,
ME
04243
01-0386912
PUBLIC ED
ME
501(C)(3)
7
CMHC
No
(4)
CENTRAL MAINE REAL ESTATE MGMT CORP
PO BOX 4500
LEWISTON
,
ME
04243
01-0387674
REAL ESTATE
ME
501(C)(2)
CMHC
No
(5)
BRIDGTON HOSPITAL
10 HOSPITAL DRIVE
BRIDGTON
,
ME
04009
01-0130427
HEALTHCARE
ME
501(C)(3)
3
CMHC
No
(6)
BRIDGTON HOSPITAL PHYSICIANS GROUP
SOUTH HIGH STREET
BRIDGTON
,
ME
04009
01-0493083
HEALTHCARE
ME
501(C)(3)
9
CMHC
No
(7)
RUMFORD HOSPITAL
420 FRANKLIN STREET
RUMFORD
,
ME
04276
01-0215227
HEALTHCARE
ME
501(C)(3)
3
CMHC
No
(8)
RUMFORD COMMUNITY FAMILY HEALTH CENTER
430 FRANKLIN STREET
RUMFORD
,
ME
04276
01-0481000
HEALTHCARE
ME
501(C)(3)
3
CMHC
No
(9)
RUMFORD COMMUNITY HOME CORPORATION
11 JOHN F KENNEDY LANE
RUMFORD
,
ME
04276
22-2844951
NURSING HOME
ME
501(C)(3)
9
CMHC
No
(10)
GARD W TWADDLE NURSES ENDOWMENT
C/O CMMC 300 MAIN STREET
LEWISTON
,
ME
04240
01-6019477
NURSING ED
ME
501(C)(3)
11 A I
CMHC
No
(11)
ELIAS E TUCKER TRUST FUND
C/O CMMC 300 MAIN STREET
LEWISTON
,
ME
04240
01-6042343
NURSING ED
ME
501(C)(3)
11 A I
CMMC
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2015
Page 2
Schedule R (Form 990) 2015
Page
2
Part III
Identification of Related Organizations Taxable as a Partnership
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes
No
(1)
CENTRAL MAINE HEALTH VENTURES INC
300 MAIN STREET
LEWISTON
,
ME
04240
01-0430016
HEALTHCARE
ME
CMHC
C CORP
No
(2)
CWM INSURANCE LTD
GENESIS BUILDING PO BOX 1363
GRAND CAYMAN
,
B.W.I.
CJ
98-0220891
INSURANCE
CJ
CMHC
C CORP
No
(3)
CENTRAL MAINE ACO
300 MAIN STREET
LEWISTON
,
ME
04240
27-4604314
ACCOUNTABLE CARE
ME
CMHC
C CORP
No
Schedule R (Form 990) 2015
Page 3
Schedule R (Form 990) 2015
Page
3
Part V
Transactions With Related Organizations
Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note.
Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1
During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a
Receipt of
(i)
interest,
(ii)
annuities,
(iii)
royalties, or
(iv)
rent from a controlled entity
.....................
1a
No
b
Gift, grant, or capital contribution to related organization(s)
............................
1b
No
c
Gift, grant, or capital contribution from related organization(s)
............................
1c
Yes
d
Loans or loan guarantees to or for related organization(s)
............................
1d
No
e
Loans or loan guarantees by related organization(s)
............................
1e
No
f
Dividends from related organization(s)
............................
1f
No
g
Sale of assets to related organization(s)
............................
1g
No
h
Purchase of assets from related organization(s)
............................
1h
No
i
Exchange of assets with related organization(s)
............................
1i
No
j
Lease of facilities, equipment, or other assets to related organization(s)
.......................
1j
No
k
Lease of facilities, equipment, or other assets from related organization(s)
......................
1k
Yes
l
Performance of services or membership or fundraising solicitations for related organization(s)
.....................
1l
No
m
Performance of services or membership or fundraising solicitations by related organization(s)
.................
1m
Yes
n
Sharing of facilities, equipment, mailing lists, or other assets with related organization(s)
...................
1n
No
o
Sharing of paid employees with related organization(s)
............................
1o
Yes
p
Reimbursement paid to related organization(s) for expenses
............................
1p
Yes
q
Reimbursement paid by related organization(s) for expenses
............................
1q
No
r
Other transfer of cash or property to related organization(s)
............................
1r
No
s
Other transfer of cash or property from related organization(s)
............................
1s
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
Schedule R (Form 990) 2015
Page 4
Schedule R (Form 990) 2015
Page
4
Part VI
Unrelated Organizations Taxable as a Partnership
Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)
(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income
(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
Yes
No
Schedule R (Form 990) 2015
Page 5
Schedule R (Form 990) 2015
Page
5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference
Explanation
Schedule R (Form 990) 2015
Additional Data
Software ID:
Software Version: