2018-08-13T10:00:02-04:00 2017-09-30 990 2016-10-01 020222156 MEMORIAL HOSPITAL MEMO 6033565461 3073 WHITE MOUNTAIN HIGHWAY NORTH CONWAY NH 03860 JOHN COX REGIONAL CFO 6033565461 2018-08-02 2016 2022-09-23 18:48:47Z SCOTT MCKINNON 3073 WHITE MOUNTAIN HIGHWAY NORTH CONWAY NH 03860 87448299 false X WWW.MEMORIALHOSPITALNH.ORG X 1910 NH CRITICAL ACCESS HOSPITAL 14 8 610 82 0 763484 62843 68053811 71923328 -312727 1165224 65041 -140199 68569609 73011196 0 0 34927320 36983732 0 121282 34610499 33923953 69537819 70907685 -968210 2103511 76473057 79780514 36373870 36788620 40099187 42991894 MEMORIAL HOSPITAL PROVIDES HEALTHCARE SERVICES TO THE RESIDENTS AND VISITORS OF THE MOUNT WASHINGTON VALLEY AREA OF NEW HAMPSHIRE AS WELL AS WESTERN MAINE. false false 64781063 73029917 MEMORIAL HOSPITAL PROVIDES HEALTHCARE SERVICES TO THE RESIDENTS AND VISITORS OF THE MOUNT WASHINGTON VALLEY AREA OF NEW HAMPSHIRE. MEMORIAL HOSPITAL IS A 25 BED CRITICAL ACCESS HOSPITAL AND A 45 BED INTERMEDIATE CARE FACILITY (MERRIMAN HOUSE). THE HOSPITAL PROVIDES MED/SURG, ICU, SURGICAL SERVICES, ICF, OBSTETRICS, RADIOLOGY/IMAGING, LAB DIABETES, ONCOLOGY/INFUSION, CARDIAC REHAB, WOUND CARE, SPECIALTY CARE, ED AND PRIMARY CARE SERVICES. THE HOSPITAL HAD 4,796 ACUTE INPATIENT DAYS, 12,735 ED OUTPATIENT VISITS, AND 458 SWING BED DAYS. 64781063 true false false true false false false false false true true false false false true true false true false false false false false false false false true true false false true true false false false false false false false false true false false false false false false true true false false false true 79 0 true 610 true false false false false false false false false false false X 14 8 false false false false true true true true true false false true true true true true true true true false NH X JOHN COX 6033565461 3073 WHITE MOUNTAIN HIGHWAY NORTH CONWAY NH 03860 WILLIAM CARON MH CEO 1.00 50.00 X 0 1174972 160862 SCOTT MCKINNON PRESIDENT/CE 50.00 X X 350223 0 24923 JAMES GLAZER MD FACSM BOARD MEMBER 50.00 X 349860 0 24532 MARNI MADNICK MD MEDICAL STAF 50.00 X 337094 0 45172 RAYMOND RABIDEAU MD CMO 50.00 X 306146 0 24857 MARY VIGEANT NURSE PRACTI 50.00 X 203164 0 14604 PHIL DAVIES PAST BOARD C 1.00 X X 0 0 0 LAURA JAWITZ BOARD CHAIR 1.00 X X 0 0 0 BARBARA HOPKINS BOARD MEMBER 1.00 X 0 0 0 THAIRE BRYANT PAST TREASUR 1.00 X X 0 0 0 ED KELLY TREASURER 1.00 X 0 0 0 JOAN AUBREY PAST BOARD M 1.00 X 0 0 0 BILL BECK SECRETARY 1.00 X X 0 0 0 MICHELLE O'DONNELL BOARD MEMBER 1.00 X 0 0 0 MARY DEVEAU 2ND VICE CHA 1.00 X X 0 0 0 JUSTINO FERNANDES MD 1ST VICE CHA 1.00 X X 0 0 0 BOB IRWIN BOARD MEMBER 1.00 X 0 0 0 JOHN COX REGIONAL CFO 0.00 50.00 X 0 228890 29783 ETHNEE GARNER VP OF NURSIN 50.00 X 162425 0 21695 DOUGLAS TAYLOR MD ORTHOPAEDIC 50.00 X 555222 0 25199 JOHN IDOINE DO ORTHOPAEDIC 50.00 X 518225 0 43414 MORICE DENNERY MD SURGEON 50.00 X 468127 0 23936 WILLIAM MARTIN MD PRIMARY CARE 50.00 X 398432 0 46881 BRIAN SPONSELLER MD PRIMARY CARE 50.00 X 373740 0 40999 4022658 1403862 526857 44 false true false LANGFORD & LOW INC PO BOX 662 PORTLAND ME 04104 BLDG CONTRACTOR 2610488 MAINE RECOVERY SERVICES 37 DOUGLAS ROAD LIMINGTON ME 04049 BILLING/CODING 757396 INSIGHT HEALTH CORP PO BOX 847689 DALLAS TX 752847689 RADIOLOGY 533610 WEATHERBY LOCUMS PO BOX 972633 DALLAS TX 753972633 CONT PHYS SVCS 530587 COMPHEALTH PO BOX 972651 DALLAS TX 75397 CONTRACT PHYS 448507 15 62843 62843 PATIENT SERVICE REVENUE 621110 70368378 70368378 OTHER PATIENT SERVICE REVENUE 621110 1324385 1324385 CAFETERIA & PHARMACY REVENUE 621110 230565 230565 71923328 141094 141094 179617 97158 82459 82459 82459 15364075 14339945 1024130 1024130 1024130 LOSS ON REFINANCE OF DEBT 900099 -222658 -222658 -222658 73011196 73029917 -81564 X 1948898 1548108 400790 27782518 25980530 1718407 83581 5385327 5051228 334099 1866989 1745646 115461 5882 99607 99607 74415 74415 8584135 8087142 496993 260089 229053 15150 15886 1548889 1441597 95350 11942 1270361 1191549 78812 123334 115411 7633 290 861769 808306 53463 4392197 4392197 750861 704279 46582 MEDICAL SUPPLIES 9072508 9072508 MEDICAID TAX 2721099 2552285 168814 MMC INTEGRATED SERVICES 2176658 2176658 OTHER 1988031 1861224 123106 3701 70907685 64781063 6005340 121282 5340650 11241472 11947966 6801081 9292542 11250506 1639702 2106130 399477 526890 86739649 52635730 37223218 34103919 9457955 11752954 1171547 1997562 76473057 79780514 4541166 4357350 208856 282725 17061350 14868811 1821911 1711498 12740587 15568236 36373870 36788620 X 40099187 42991894 40099187 42991894 76473057 79780514 X 2103511 654657 134539 X false true X true false X false false false false false false false false true 13536 13536 false SCHEDULE C, PART II-B, LINE 1 THE ORGANIZATION PAYS DUES TO THE NEW HAMPSHIRE HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION, A PORTION OF WHICH IS ATTRIBUTABLE TO LOBBYING EXPENSES. 12273762 -329178 11944584 11560341 713421 12273762 12849408 -1289067 11560341 12735234 114174 12849408 7872190 4466317 396727 12735234 1.00000 false true true 4545066 4545066 53918298 31035903 22882395 27965937 21599827 6366110 310348 310348 34103919 ESTIMATED THIRD PARTY SETTLEMENTS 13277525 DUE TO AFFILIATES 1467866 PROFESSIONAL INSURANCE PAYABLE 804353 OTHER LIABILITIES 18492 15568236 X SCHEDULE D, PAGE 2, PART V, LINE 4 THE ENDOWED FUNDS SUPPORT COMMUNITY HEALTH INITIATIVES FOR THE MEMORIAL HOSPITAL SERVICE AREA AND PATIENTS, AND PROVIDE SUPPORT FOR PROGRAMS SUCH AS DIABETES TREATMENT, BED REPLACEMENT FOR THE MERRIMAN HOUSE AND THE MEDICAL/SURGICAL WING, AND TO PURCHASE NEW WHEELCHAIRS. OTHER FUNDS ARE DEDICATED TO THE GENERAL OPERATIONS OF THE HOSPITAL SUCH AS ONCOLOGY AND CARDIAC REHABILITATION. SCHEDULE D, PAGE 3, PART X THE HOSPITAL AND ITS SUBSIDIARY ARE NOT-FOR-PROFIT CORPORATIONS AND HAVE BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. TAX-EXEMPT ORGANIZATIONS COULD BE REQUIRED TO RECORD AN OBLIGATION FOR INCOME TAXES AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS INCLUDING UNRELATED BUSINESS INCOME OR TAX STATUS. UNDER GUIDANCE ISSUED BY THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB), ASSETS AND LIABILITIES ARE ESTABLISHED FOR UNCERTAIN TAX POSITIONS TAKEN OR POSITIONS EXPECTED TO BE TAKEN IN INCOME TAX RETURNS WHEN SUCH POSITIONS ARE JUDGED NOT TO MEET THE "MORE-LIKELY-THAN-NOT" THRESHOLD, BASED UPON THE TECHNICAL MERITS OF THE POSITION. ESTIMATED INTEREST AND PENALTIES, IF APPLICABLE, RELATED TO UNCERTAIN TAX POSITIONS ARE INCLUDED AS A COMPONENT OF INCOME TAX EXPENSE. THE HOSPITAL HAS EVALUATED THE POSITION TAKEN ON ITS FILED TAX RETURNS. THE HOSPITAL HAS CONCLUDED NO UNCERTAIN INCOME TAX POSITIONS EXIST AT SEPTEMBER 30, 2017. THE HOSPITAL'S TAX YEARS FROM 2014 THROUGH 2017 MAY BE SUBJECT TO EXAMINATION. true true true X true X true true false true true 663284 663284 0.00940 13814427 14093699 14477711 14093699 663284 0.00940 387698 387698 0.00550 4398092 759792 3638300 0.05130 4785790 759792 4025998 0.05680 19263501 14853491 4689282 0.06610 false 3109503 25031912 24784071 247841 true true 1 1 MEMORIAL HOSPITAL 3073 WHITE MOUNTAIN HIGHWAY NORTH CONWAY NH 03860 WWW.MEMORIALHOSPITALNH.ORG 00009 X X X X MEMORIAL HOSPITAL 1 false false true X X X X X X X X X 16 true true false true X SEE PART V, SECTION C X true 16 true SEE PART V, SECTION C false true X 200.000000000000 300.000000000000 X X true true X X X true X REFER TO SECTION C X X X X true X false true X false false FACILITY 1, MEMORIAL HOSPITAL - PART V, LINE 5 THE PLANNING COMMITTEE INCLUDED TWO REPRESENTATIVES FROM POPULATION HEALTH AT MEMORIAL HOSPITAL AND ONE REPRESENTATIVE FROM MAINEHEALTH. ADDITIONAL UNRELATED MEMBERS OF THE COMMITTEE INCLUDED REPRESENTATIVES FROM THE FOLLOWING ENGAGED ORGANIZATIONS: -WHITE MOUNTAIN COMMUNITY HEALTH CENTER: PRIMARY CARE SERVICES AND HEALTH EDUCATION REGARDLESS OF ABILITY TO PAY -NORTHERN HUMAN SERVICES: MENTAL HEALTH CARE AND INDIVIDUALIZED SERVICES FOR DEVELOPMENTALLY DISABLED OR SUBSTANCE ABUSE COUNSELING -T MURRAY WELLNESS CENTER: DIET, EXERCISE, NUTRITION, AND TREATMENT SERVICES -CARROLL COUNTY COALITION FOR PUBLIC HEALTH -VISITING NURSE HOME CARE & HOSPICE OF CARROLL COUNTY & WESTERN MAINE: PERSONAL CARE, SKILLED NURSING, REHABILITATION, AND PALLIATIVE CARE AND HOSPICE SERVICES. -MINERAL SPRINGS: LONG-TERM CARE, ASSISTED LIVING, AND REHABILITATION CENTER THE PLANNING COMMITTEE HELD A FORUM REPRESENTING THE FOLLOWING SECTORS: PUBLIC HEALTH, HEALTHCARE PROVIDERS, LOCAL/STATE GOVERNMENT, MEDICALLY UNDERSERVED, COMMUNITY HEALTH COALITION, NON-PROFIT AGENCIES, LOW INCOME, BUSINESS/CIVIC LEADERSHIP, COLLEGE/UNIVERSITY, PROFESSIONAL MEMBER ORGS, MINORITIES (RACIAL/ETHNIC), AND PUBLIC SCHOOLS. A NUMBER OF ADDITIONAL ENGAGEMENT ACTIVITIES WERE HELD IN SMALLER GROUPS. IN ADDITION TO THE ABOVE, AN ONLINE STAKEHOLDER SURVEY WAS DISSEMINATED TO CAPTURE OPINIONS OF HEALTH PROFESSIONALS AND COMMUNITY STAKEHOLDERS ON HEALTH ISSUES AND NEEDS OF COMMUNITIES ACROSS THE STATE. FACILITY 1, MEMORIAL HOSPITAL - PART V, LINE 6A THE CHNA WAS CONDUCTED THROUGH A PARTNERSHIP BETWEEN MEMORIAL HOSPITAL, MAINEHEALTH AND MEMBERS OF COMMUNITY HEALTH COLLABORATIVE. FACILITY 1, MEMORIAL HOSPITAL - PART V, LINE 7D THE CHNA AND IMPLEMENTATION STRATEGY ARE POSTED ON THE FOLLOWING WEBSITE: HTTPS://MAINEHEALTH.ORG/HEALTHY-COMMUNITIES/COMMUNITY-HEALTH-NEEDS- ASSESSMENT FACILITY 1, MEMORIAL HOSPITAL - PART V, LINE 11 FOR THE 2016-2018 CHNA, THE ORGANIZATION HAS IDENTIFIED PRIORITIES AND DEVELOPED STRATEGIES TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA AND PROVIDED REASONS IF IDENTIFIED NEEDS ARE NOT BEING ADDRESSED. PLEASE SEE THE 2016-2018 COMMUNITY HEALTH NEEDS ASSESSMENT AND ANNUAL IMPLEMENTATION REPORT UPDATE FY17 AT HTTPS://MAINEHEALTH.ORG/HEALTHY-COMMUNITIES/COMMUNITY-HEALTH-NEEDS- ASSESSMENT FOR DETAILS OF THE ACTIVITIES UNDERTAKEN BY THE ORGANIZATION. FACILITY 1, MEMORIAL HOSPITAL - PART V, LINE 16J A PLAIN LANGUAGE SUMMARY IS PROVIDED AT THE FOLLOWING LOCATION: HTTP://MAINEHEALTH.ORG/MEMORIAL-HOSPITAL/PATIENTS-VISITORS/FINANCIAL- ASSISTANCE PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION A COST REPORTING SYSTEM WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE. THE COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT SEGMENTS. A COST-TO-CHARGE RATIO WAS USED. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY SEE PART III, LINE 4 - BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS MEMORIAL HOSPITAL DOES NOT HAVE A SPECIFIC FOOTNOTE IN THE FINANCIAL STATEMENTS THAT DESCRIBES "BAD DEBT EXPENSE." HOWEVER, REFERENCE IS MADE WITHIN THE FOOTNOTES TO A BAD DEBT POLICY IN A COUPLE OF INSTANCES. WITHIN THE FOOTNOTE DESCRIBING "NET PATIENT SERVICE REVENUE", THE FOLLOWING EXPLAINS THE PROVISION FOR BAD DEBTS: "IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH MAJOR PAYOR SOURCE OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE BASED ON PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY AMOUNTS FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR ELIGIBLE) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE EFFORTS HAVE BEEN EXHAUSTED IS CHARGED AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS." THE AMOUNT OF EXPENSE ASSOCIATED WITH THE PROVISION OF SERVICES, ULTIMATELY WRITTEN OFF AS BAD DEBT AT MEMORIAL, HAS BEEN CALCULATED AT 5,546,467 FOR THE CURRENT FISCAL YEAR. THIS AMOUNT WAS CALCULATED USING A COST TO CHARGE RATIO. BAD DEBT EXPENSE REPRESENTS HEALTHCARE SERVICES MEMORIAL HAS PROVIDED WITHOUT COMPENSATION. AS A TAX-EXEMPT ORGANIZATION, MEMORIAL PROVIDES NECESSARY PATIENT CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THE SERVICES. MEMORIAL CANNOT DETERMINE THE AMOUNT OF BAD DEBT EXPENSE THAT COULD BE REASONABLY ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR 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, MEMORIAL BELIEVES THAT BAD DEBT EXPENSE SHOULD BE INCLUDED AS A COMMUNITY BENEFIT. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION WITH THE EXCEPTION OF INSURANCE COVERAGE THE COLLECTION ACTIVITY SHALL NOT BE INITIATED OR PURSUED FOR ANY AMOUNT APPROVED UNDER THE MEMORIAL HOSPITAL HEALTHCARE ASSISTANCE PROGRAM. PART VI, LINE 2 - NEEDS ASSESSMENT THE ORGANIZATION PREPARES A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS. SEE HTTPS://MAINEHEALTH.ORG/HEALTHY-COMMUNITIES/COMMUNITY- HEALTH-NEEDS-ASSESSMENT FOR THE COMPLETED CHNA. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE MEMORIAL HOSPITAL'S POLICY OF CHARITY CARE AND FINANCIAL ASSISTANCE IS EASILY UNDERSTOOD, PROMINENTLY POSTED, AND PUBLICLY AVAILABLE. A PROCESS EXISTS FOR OFFERING CHARITY CARE OR FINANCIAL ASSISTANCE TO PATIENTS WHO ARE UNABLE TO PAY AFTER THEY HAVE ALREADY BEEN BILLED. IN ADDITION TO MONITORING COLLECTION PRACTICES, COPIES OF THE CHARITY CARE POLICY ARE MADE AVAILABLE TO PATIENTS AT ALL ENTRY POINTS (REGISTRATION, ED, ETC.) AND WITH BILL/COLLECTION NOTICES. MEMORIAL HOSPITAL USES SIMPLE APPLICATION PROCEDURES FOR CHARITY CARE OR FINANCIAL ASSISTANCE THAT DO NOT INTIMIDATE OR CONFUSE APPLICANTS. MEMORIAL HOSPITAL'S EMPLOYEES WHO WORK IN ADMISSIONS, BILLING, ACCOUNTS RECEIVABLE, OR PATIENT SERVICES ARE FULLY INFORMED AND EDUCATED ABOUT ALL FINANCIAL ASSISTANCE POLICIES. THESE STAFF MEMBERS IDENTIFY UNPAID BILLS WHERE PERSONS ARE UNABLE TO PAY, AND SEPARATE THESE POTENTIAL "CHARITY CARE" BILLS FROM OTHER BAD DEBT ACCOUNTS. MEMORIAL HOSPITAL PROVIDES ASSISTANCE, ON A SLIDING PERCENTAGE BASIS, FOR THOSE INDIVIDUALS THAT QUALIFY WITH AN INCOME UP TO 300% OF THE FEDERAL POVERTY GUIDELINES. ON A CASE-BY-CASE BASIS, WE HAVE ALSO GRANTED ASSISTANCE TO INDIVIDUALS THAT MAY EARN ABOVE THE 175% OF THE FEDERAL POVERTY GUIDELINES BUT HAVE MET THE CATASTROPHIC ILLNESS PARAMETERS. PART VI, LINE 4 - COMMUNITY INFORMATION THE COMMUNITY HEALTH NEEDS ASSESSMENT DESCRIBES THE GEOGRAPHIC AREA AND DEMOGRAPHIC CONSTITUENTS IT SERVICES. SEE HTTPS://MAINEHEALTH.ORG/HEALTHY-COMMUNITIES/COMMUNITY-HEALTH-NEEDS- ASSESSMENT FOR THE COMPLETED CHNA. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH THE TAX EXEMPT PURPOSE OF THE ORGANIZATION TO IMPROVE THE HEALTH OF THE COMMUNITY IS PROMOTED AND ENHANCED IN THE FOLLOWING WAYS: -THE MAJORITY OF THE GOVERNING BODY IS COMPOSED OF PERSONS LIVING WITHIN THE HOSPITAL SERVICE AREA THAT ARE NEITHER EMPLOYED BY, NOR HAVE CONTRACTUAL RELATIONSHIPS WITH, THE HOSPITAL OR ITS AFFILIATES. -MEDICAL STAFF PRIVILEGES ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. -SOLICITATION OF COMMUNITY INPUT IN THE STRATEGIC PLANNING PROCESS. -COMMON GOVERNANCE OF THE HOSPITAL, LONG-TERM CARE AND PHYSICIAN SERVICES PROVIDED IN THE COUNTY TO PROMOTE COMMON HEALTH CARE AND IMPROVEMENT PLANNING AND CONTROL COSTS. -VOLUNTARY CAP ON INCOME FROM OPERATIONS TO RESTRAIN PRICES AND TO FUND HEALTH CARE AND HEALTH IMPROVEMENT ACTIVITIES. -SURPLUS FUNDS ARE REINVESTED IN CAPITAL EQUIPMENT AND IMPROVEMENTS TO ENSURE HIGH QUALITY CARE. -EACH YEAR A PORTION OF RETAINED EARNINGS ARE DISTRIBUTED TO OUR PARENT, MAINEHEALTH, FOR THE SPECIFIC PURPOSE OF HEALTH STATUS IMPROVEMENT PROGRAMS THROUGHOUT THE MAINEHEALTH SERVICE AREA. PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM MAINEHEALTH IS A NOT-FOR-PROFIT FAMILY OF LEADING HIGH-QUALITY PROVIDERS AND OTHER HEALTHCARE ORGANIZATIONS WORKING TOGETHER SO THEIR COMMUNITIES ARE THE HEALTHIEST IN AMERICA. RANKED AMONG THE NATION'S TOP 100 INTEGRATED HEALTHCARE DELIVERY NETWORKS, MAINEHEALTH IS GOVERNED BY A BOARD OF TRUSTEES CONSISTING OF COMMUNITY AND BUSINESS LEADERS FROM ITS SOUTHERN, CENTRAL AND WESTERN MAINE REGIONAL SERVICE AREAS. THE COLLABORATION OF MAINEHEALTH MEMBERS MAKES IT POSSIBLE TO OFFER AN EXTENSIVE RANGE OF CLINICAL INTEGRATION AND COMMUNITY HEALTH PROGRAMS, MANY AIMED AT IMPROVING ACCESS TO PREVENTIVE AND PRIMARY CARE SERVICES. MAINEHEALTH INCLUDES THE FOLLOWING MEMBER ORGANIZATIONS: LINCOLNHEALTH GROUP, MAINE MEDICAL CENTER, MAINE BEHAVIORAL HEALTHCARE (SPRING HARBOR HOSPITAL), COASTAL HEALTHCARE ALLIANCE (PEN BAY MEDICAL CENTER AND WALDO COUNTY GENERAL HOSPITAL), SOUTHERN MAINE HEALTH CARE (SOUTHERN MAINE MEDICAL CENTER AND GOODALL CAMPUSES), WESTERN MAINE HEALTH CARE (STEPHENS MEMORIAL HOSPITAL), THE MEMORIAL HOSPITAL AT NORTH CONWAY, N.H., MAINEHEALTH CARE AT HOME, MAINE PHYSICIAN HOSPITAL ORGANIZATION, NORDX, SYNERNET AND MAINEHEALTH ACCOUNTABLE CARE ORGANIZATION. THE STRATEGIC AFFILIATES OF MAINEHEALTH ARE MAINEGENERAL MEDICAL CENTER, MID COAST HOSPITAL AND ST. MARYS REGIONAL MEDICAL CENTER. PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT NEW HAMPSHIRE ADDITIONAL INFORMATION PART I, LINE 3C - CHARITY CARE LEVELS ARE DETERMINED BY A THREE PRONG TEST FOR ELIGIBILITY. INCOME LEVEL, CASH IN BANK, AND ASSETS ARE ALL EXAMINED TO DETERMINE LEVEL OF ELIGIBILITY. false false false false false false false false false WILLIAM CARON MH CEO 841603 228000 105369 141114 19748 1335834 SCOTT MCKINNON PRESIDENT/CEO 299223 51000 7950 16973 375146 JAMES GLAZER MD FACSM BOARD MEMBER 349860 7950 16582 374392 MARNI MADNICK MD MEDICAL STAFF PRES 337094 7950 37222 382266 RAYMOND RABIDEAU MD CMO 280871 25275 7950 16907 331003 MARY VIGEANT NURSE PRACTITIONER 203164 5538 9066 217768 JOHN COX REGIONAL CFO 197868 31022 13490 16293 258673 ETHNEE GARNER VP OF NURSING 162425 5133 16562 184120 DOUGLAS TAYLOR MD ORTHOPAEDIC SURGEON 555222 7950 17249 580421 JOHN IDOINE DO ORTHOPAEDIC SURGEON 518225 7950 35464 561639 MORICE DENNERY MD SURGEON 301901 166226 7950 15986 492063 WILLIAM MARTIN MD PRIMARY CARE MD 388363 10069 7950 38931 445313 BRIAN SPONSELLER MD PRIMARY CARE MD 373740 7950 33049 414739 SCHEDULE J, PAGE 1, PART I, LINE 3 SEE DESCRIPTION OF PROCESS IN SCHEDULE O - FORM 990, PART VI, LINE 15A - COMPENSATION OF TOP OFFICIAL. A NH HEALTH AND EDUC FACILITIES AUTH 020279866 644614QC6 2016-12-22 14875000 REFUNDING ISSUE false false false A 430000 14875000 479284 920685 15316401 2016 true false true true A false false false false false false false A false true false false false false false false false A false SCHEDULE K - ADDITIONAL INFORMATION NH HEALTH AND EDUC FACILITIES AUTH A TAX EXEMPT BOND POLICY WAS ENDORSED BY THE MAINEHEALTH FINANCE COUNCIL IN JULY 2018. THIS POLICY IS EXPECTED TO BE ADOPTED BY ALL INDIVIDUAL MEMBER ORGANIZATIONS BEFORE 9/30/18. PAMELA RABIDEAU SPOUSE 13299 PAYROLL COMPENSATION false FORM 990, PAGE 6, PART VI, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS MAINEHEALTH (EIN 01-0431680). FORM 990, PAGE 6, PART VI, LINE 7A THE SOLE MEMBER OF THE ORGANIZATION ELECTS THE TRUSTEES OF THE ORGANIZATION FORM 990, PAGE 6, PART VI, LINE 7B DECISIONS OF THE GOVENING BODY SUCH AS BUDGETS, BUSINESS AND MARKETING STRATEGIC PLANS, SIGNIFICANT FINANCIAL COMMITMENTS, AMENDMENTS TO THE ARTICLES OF INCORPORATION , AND ELECTION OF THE PRESIDENT/CEO AMONG OTHER DECISIONS, ARE SUBJECT TO APPROVAL BY MAINEHEALTH (EIN 01-0431680). FORM 990, PAGE 6, PART VI, LINE 11B HIGHLIGHTS OF THE 990 ARE REVIEWED WITH THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS. THE 990 IS REVIEWED IN DETAIL BY THE SENIOR DIRECTOR OF FINANCE AND MADE AVAILABLE TO THE FULL BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PAGE 6, PART VI, LINE 12C CONFLICT OF INTEREST DECLARATION FORMS ARE SUBMITTED IN JANUARY BY MEMBERS OF THE BOARD OF TRUSTEES AND ARE SHARED WITH THE FULL BOARD FOR INFORMATION PURPOSES AND REVIEWED IN DEPTH BY THE GOVERNANCE COMMITTEE. IT IS THE MEMBER'S RESPONSIBILITY TO NOTIFY THE BOARD OF ANY CONFLICTS THAT THEY BECOME AWARE OF AND TO RECUSE THEMSELVES FROM DISCUSSIONS AND VOTES ON THE ISSUE. FORM 990, PAGE 6, PART VI, LINE 15A THE PROCESS FOLLOWED FOR DETERMINING COMPENSATION OF THE CEO AND OTHER KEY ADMINISTRATIVE EMPLOYEES COMPENSATED BY THIS OR OTHER RELATED ORGANIZATION IS A FORMAL PROCESS PERFORMED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. A RELATED ORGANIZATION USES AN OUTSIDE FIRM, SULLIVAN COTTER, TO PERFORM AN INDEPENDENT BENCHMARK ANALYSIS FOR THE CEO OF MEMORIAL HOSPITAL, ALONG WITH OTHER EXECUTIVES IN THE MAINEHEALTH SYSTEM. THE FIRM MEETS WITH THE EXECUTIVE COMMITTEE TO REVIEW EACH EXECUTIVE'S BENCHMARK REPORT. THE COMMITTEE THEN DELIBERATES ON MAINEHEALTH'S WRITTEN SALARY AND INCENTIVE PLAN PHILOSOPHY BEFORE MAKING A FINAL DECISION. ALL DECISIONS AND MEETINGS ARE CAPTURED IN MINUTES AND THERE ARE APPROPRIATE APPROVALS AT ALL LEVELS. FORM 990, PAGE 6, PART VI, LINE 15B AT THE TIME OF HIRE THE COMPENSATION DEPARTMENT UTILIZES MARKET DATA TO PROVIDE AN ACCURATE, COMPETITIVE AND APPROPRIATE OFFER. ANNUAL MERIT INCREASES ARE DETERMINED BY THE CEO, SUBJECT TO GUIDELINES ESTABLISHED ON A SYSTEM WIDE BASIS. FORM 990, PAGE 6, PART VI, LINE 19 DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G PURCHASED SERVICES 3,460,132 228,860 0 CONTRACT SERVICES 3,949,923 261,256 0 LAB SERVICES 529,136 0 0 CONSULTANTS 103,968 6,877 0 PHYSICIAN RECRUITMENT 43,983 0 0 TOTAL 8,087,142 496,993 0 FORM 990, PART XI, LINE 9 TRANSFER FROM MAINEHEALTH 134,539 MEMORIAL HOSPITAL FOUNDATION 3073 WHITE MOUNTAIN HIGHWAY NORTH CONWAY NH 03860 462137291 FUNDRAISIN NH 501C3 12A 02-0222156 02-0222156 true MAINEHEALTH 110 FREE STREET PORTLAND ME 04101 010431680 HEALTHCARE ME 501C3 12C NA false MAINE MEDICAL CENTER 22 BRAMHALL STREET PORTLAND ME 04102 010238552 HOSPITAL ME 501C3 3 01-0431680 false NORDX 301A US ROUTE ONE SCARBOROUGH ME 04074 010511356 LAB ME 501C3 10 01-0431680 false LINCOLNHEALTH GROUP 6 ST ANDREWS LANE BOOTHBAY HARBOR ME 04538 261475629 HEALTHCARE ME 501C3 12B 01-0431680 false MAINEHEALTH CARE AT HOME 15 INDUSTRIAL PARK SACO ME 04072 222571902 HOME HLTH ME 501C3 10 01-0431680 false MAINEHEALTH CARDIOLOGY 110 FREE STREET PORTLAND ME 04101 452525629 HEALTHCARE ME 501C3 10 01-0431680 false MAINE BEHAVIORAL HEALTHCARE 78 ATLANTIC PLACE SOUTH PORTLAND ME 04106 010524834 HOSPITAL ME 501C3 3 01-0431680 false SOUTHERN MAINE HEALTH CARE PO BOX 626 BIDDEFORD ME 04005 010179500 HOSPITAL ME 501C3 3 01-0431680 false WESTERN MAINE HEALTH CARE CORP 181 MAIN ST NORWAY ME 04268 010411788 HEALTHCARE ME 501C3 12B 01-0431680 false FRANKLIN COMMUNITY HEALTH NETWORK 111 FRANKLIN COMMONS FARMINGTON ME 04938 223209406 HEALTHCARE ME 501C3 12B 01-0431680 false GERIATRIC RESOURCE NETWORK 110 FREE STREET PORTLAND ME 04101 010542842 HEALTHCARE ME 501C3 7 01-0431680 false COASTAL HEALTHCARE ALLIANCE 4 WHITE STREET ROCKLAND ME 04841 222494475 HEALTHCARE ME 501C3 12B 01-0431680 false MAINEHEALTH ACO 110 FREE STREET PORTLAND ME 04101 452929273 ACO ME 01-0238552 RELATED 10815 275068 false false SYNERNET INC 110 FREE STREET PORTLAND ME 04101 010539789 ADMIN SVCS ME N/A false MAINE PHYSICIAN HOSPITAL ORG 110 FREE STREET PORTLAND ME 04101 010527540 HEALTHCARE ME N/A false false false true false false false false false false false false false false false false false false false false