2018-08-13T10:03:49-04:00 2017-09-30 990 2016-10-01 010219904 STEPHENS MEMORIAL HOSPITAL ASSOC STEP 2077435933 181 MAIN STREET NORWAY ME 04268 JOHN COX REGIONAL CFO 2077435933 2018-08-02 2016 2022-09-23 18:48:47Z TIMOTHY CHURCHILL 181 MAIN STREET NORWAY ME 04268 67959346 false X WWW.WMHCC.ORG X 1956 ME TO ENSURE A HIGH QUALITY, ACCESSIBLE, AFFORDABLE AND APPROPRIATE INTEGRATED HEALTH CARE SYSTEM TO IMPROVE THE HEALTH AND WELL BEING OF THE COMMUNITY. 17 13 668 60 0 0 63657039 67579696 84225 92042 -219410 -341747 63521854 67329991 0 0 32382594 34369517 9863 9107 34647 27989830 29788811 60382287 64167435 3139567 3162556 63914826 65173000 21119566 19795296 42795260 45377704 TO ENSURE A HIGH QUALITY, ACCESSIBLE, AFFORDABLE AND APPROPRIATE INTEGRATED HEALTH CARE SYSTEM TO IMPROVE THE HEALTH AND WELL BEING OF THE COMMUNITY. false false 48571064 52517214 OUTPATIENT SERVICES: STEPHENS MEMORIAL HOSPITAL ASSOCIATION PROVIDED CARE DURING THE COURSE OF 102,288 OUTPATIENT VISITS DURING 2017. SERVICES PROVIDED INCLUDE EMERGENCY SERVICES; DIAGNOSTIC IMAGING AND LAB TESTS; AMBULATORY SURGERY; AND PHYSICAL REHABILITATION. 12153497 13140907 INPATIENT SERVICES: IN 2017 THE HOSPITAL PROVIDED INPATIENT NURSING SERVICES TO 1,431 ADULTS/PEDIATRICS, SPECIAL CARE, AND NURSERY PATIENTS WITH A TOTAL OF 4,606 PATIENT DAYS. 122 INPATIENTS (9%) WERE UNINSURED, 811 (57%) WERE COVERED BY MEDICARE AND 163 (11%) WERE COVERED BY MEDICAID. 1914675 OTHER REVENUE CONSISTS PRIMARILY OF MEANINGFUL USE PAYMENTS, 340B CONTRACT PHARMACY REVENUE, PHYSICIAN INCENTIVE PAYMENTS, VHA-PURCHASE REBATES AND OTHER OPERATING REVENUE. 60724561 true false false true false false false false false false true false false true true true true 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 false false false true 21 0 true 668 true false false false false false false false false false false X 17 13 false false false false true true true true true false false true true true true true true true true false ME X JOHN COX 2077435933 181 MAIN STREET NORWAY ME 04268 TIMOTHY CHURCHILL PRESID & CEO 1.00 50.00 X X 0 421945 51756 BRIAN M NOLAN MD MED STAFF PR 1.00 50.00 X 0 255055 26323 KATHLEEN A HERLIHY MD MED STAFF PR 50.00 0.00 X 198870 0 31524 LISA W MILLER MD TRUSTEE 50.00 0.00 X 183084 0 19455 TOM MORTON VICE CHAIR 1.00 0.00 X X 0 0 0 LYNN HAMPER TRUSTEE 1.00 0.00 X 0 0 0 DAVID J PREBLE TRUSTEE 1.00 0.00 X 0 0 0 TED MOCCIA TRUSTEE 1.00 0.00 X 0 0 0 ROBIN J ZINCHUK TRUSTEE 1.00 0.00 X 0 0 0 PAT WEIGEL CHAIR 1.00 0.00 X X 0 0 0 KEVIN CARLETON TRUSTEE 1.00 0.00 X 0 0 0 TODD GAUGER DVM TRUSTEE 1.00 0.00 X 0 0 0 HOLLY BANCROFT BROWN TRUSTEE 1.00 0.00 X 0 0 0 SAWIN MILLETT SECRETARY/TR 1.00 0.00 X X 0 0 0 LANCE BEAN TRUSTEE 1.00 0.00 X 0 0 0 GENE BENNER TRUSTEE 1.00 0.00 X 0 0 0 MARC WEST TRUSTEE 1.00 0.00 X 0 0 0 JOHN COX REGIONAL CFO 0.00 50.00 X 0 228890 29783 MARGARET M BURNS SR VP-CLINIC 0.00 50.00 X 0 163159 2599 BRADY C MULLIN MD PHYSICIAN 50.00 0.00 X 385940 0 17855 GREGORY J HARDY MD PHYSICIAN 50.00 0.00 X 365464 0 32104 ERIC K OSBORNE DO PHYSICIAN 50.00 0.00 X 340728 0 16489 THOMAS J HEWSON MD PHYSICIAN 50.00 0.00 X 298316 0 18945 MATTHEW S KERR MD PHYSICIAN 50.00 0.00 X 291359 0 20266 2063761 1069049 267099 39 false true false NORDX 102 CAMPUS DRIVE SCARBOROUGH ME 04074 LAB PROCESSING 2854433 LANDRYFRENCH CONSTRUCTION CO 160 PLEASANT HILL RD SCARBOROUGH ME 04074 CONSTRUCT. SVCS 1972107 MAINE MEDICAL PARTNERS 301C US ROUTE 1 SCARBOROUGH ME 04074 MED BILL & MGT 1486192 SPECTRUM MEDICAL GROUP PA 300 PROFESSIONAL DRIVE SCARBOROUGH ME 04074 ANESTHESIA SVCS 583200 MAINE ORTHOPAEDIC CENTER 1601 CONGRESS STREET PORTLAND ME 04102 PHYSICIAN SVCS 442300 13 NET PATIENT SERVICE REVENUE 623000 65658121 65658121 OTHER REVENUE 621990 1921575 1921575 67579696 98942 98942 278808 620555 -341747 -341747 -341747 1900 8800 -6900 -6900 -6900 67329991 67572796 -242805 X 502010 484088 17922 26354521 25412779 926463 15279 988807 953473 35334 4716459 4547925 165278 3256 1807720 1743125 63426 1169 134486 134486 10215 10215 9107 9107 8649270 8606316 42954 62899 60651 2248 1244317 1199796 43282 1239 988106 952798 35308 108913 104386 4527 195655 184072 6986 4597 270617 260947 9670 2841214 2739689 101525 763232 532879 230353 MEDICAL SUPPLIES 6938889 6938682 207 AFFILIATE CHARGES 4868350 3330271 1538079 PROVIDER TAX 1298947 1298947 MAINTENANCE CONTRACTS 778566 777839 727 635135 595898 39237 64167435 60724561 3408227 34647 373743 621547 17402671 15861366 6417310 5834722 1253915 1386743 525311 509905 57343408 35953611 20206112 21389797 2840483 3465712 1170331 1222941 13724950 14880267 63914826 65173000 5018747 4531473 5561967 5245749 10538852 10018074 21119566 19795296 X 41462693 43863760 774156 955533 558411 558411 42795260 45377704 63914826 65173000 3162556 519454 -1099566 X false true X true false X false false false false false false false false true 10215 10215 false SCHEDULE C, PART II-B, LINE 1 DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION OF 16,979 AND TO THE MAINE HOSPITAL ASSOCIATION OF 31,883. THE AMERICAN HOSPITAL ASSOCIATION AND MAINE HOSPITAL ASSOCIATION USED 22.98% AND 19.80% RESPECTIVELY OF THEIR DUES REVENUE FOR LOBBYING ACTIVITY. 1230517 1230517 28847798 15991482 12856316 23803713 18393828 5409885 3461380 1568301 1893079 21389797 INTEREST IN NET ASSETS OF SCHC FOUND 7262222 SEHR AND SYSTEMWIDE ASSETS 6871980 DUE FROM AFFILIATES 597917 SEHR DEBT SERVICE RESERVE FUND 94280 ESTIMATED INSURANCE RECOVERIES 27096 CSV-LIFE INSURANCE 20261 OTHER RECEIVABLES 6511 14880267 DUE TO AFFILIATES 5391085 AP UNDER REIMBURSEMENT REGULATIONS 3774424 PROFESSIONAL LIABILITY CLAIM ACCRUAL 770518 ACCRUED ASSET OBLIGATION 76080 OTHER DEFERRED LIABILITY 5967 10018074 X 66749879 519454 -1099566 -580112 67329991 67329991 64167435 64167435 64167435 SCHEDULE D, PAGE 3, PART X THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AND HAS 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, 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 TO NOT 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. SCHEDULE D, PAGE 4, PART XI, LINE 2D EQUITY TRANSFERS TO AFFILIATES -1,925,000 CHANGE IN INTEREST-STEPHENS COMMUNITY HEALTHCARE FOUND 825,434 true true true X 1.750000000000 false true true true false true true 1261294 1261294 0.01970 9378082 7802026 1576056 0.02460 10639376 7802026 2837350 0.04420 3427 3219 208 89187 22500 66687 0.00100 11616634 10056590 1560044 0.02430 11709248 10082309 1626939 0.02540 22348624 17884335 4464289 0.06960 22359 22359 0.00030 22359 22359 0.00030 false 3159376 17672024 17497053 174971 X true true 1 1 STEPHENS MEMORIAL HOSPITAL ASSOC 181 MAIN STREET NORWAY ME 04268 WWW.WMHCC.ORG 38843 X X X STEPHENS MEMORIAL HOSPITAL ASSOC 1 false false true X X X X X X X X X 16 true true false true X SEE PART V, SECTION C true 16 true SEE PART V, SECTION C false false true X 175.000000000000 X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X true X false X X X X true X false false FACILITY 1, STEPHENS MEMORIAL HOSPITAL ASSOC. - PART V, LINE 5 COMMUNITY INPUT WAS TAKEN INTO ACCOUNT WHEN CONDUCTING THE CHNA, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH. THIS INCLUDED INDIVIDUALS FROM THE FOLLOWING ORGANIZATIONS: COMMUNITY CONCEPTS, STEPHENS MEMORIAL HOSPITAL, WESTERN MAINE HEALTHCARE, RIVER VALLEY HEALTHY COMMUNITIES COALITION, RUMFORD HOSPITAL, MAINEHEALTH, MAINE CDC, UNITED WAY OF OXFORD HILLS, BRIDGTON HOSPITAL, TUFTS UNIVERSITY SCHOOL OF MEDICINE AND OXFORD COUNTY WELLNESS COLLABORATIVE. FACILITY 1, STEPHENS MEMORIAL HOSPITAL ASSOC. - PART V, LINE 6A THE CHNA WAS CONDUCTED THROUGH A PARTNERSHIP BETWEEN MAINEHEALTH, CENTRAL MAINE HEALTHCARE, EASTERN MAINE HEALTHCARE SYSTEMS, MAINEGENERAL HEALTH AND THE MAINE DEPARTMENT OF HEALTH AND HUMAN SERVICES. FACILITY 1, STEPHENS MEMORIAL HOSPITAL ASSOC. - 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, STEPHENS MEMORIAL HOSPITAL ASSOC. - 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, STEPHENS MEMORIAL HOSPITAL ASSOC. - PART V, LINE 16J THE FINANCIAL ASSISTANCE POLICY (FAP)/FREE CARE POLICY, FAP/FREE CARE APPLICATION AND THE PLAIN LANGUAGE SUMMARY ARE AVAILABLE ON THE FOLLOWING WEBSITE: HTTPS://MAINEHEALTH.ORG/PATIENTS-VISITORS/BILLING- INSURANCE/FINANCIAL-ASSISTANCE/FREE-CARE FACILITY 1, STEPHENS MEMORIAL HOSPITAL ASSOC. - PART V, LINE 16I THE FAP, FAP APPLICATION AND PLAIN LANGUAGE SUMMARY WERE TRANSLATED INTO THE PRIMARY LANGUAGES SPOKEN BY LIMITED ENGLISH PROFICIENCY POPULATIONS AND MADE AVAILABLE AS OF JULY, 2018. PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION SUBSIDIZED HEALTH SERVICES INCLUDE THE NET OPERATING LOSS OF PACE PARAMEDIC SERVICE, A DEPARTMENT OF STEPHENS MEMORIAL HOSPITAL, AND DIRECT SUBSIDIES AND SUPPORT OF LOCAL SCHOOL-BASED HEALTH CLINICS AND OTHER CLINICAL PROGRAMS THAT ARE NOT REVENUE-PRODUCING. IF THESE SERVICES WERE NOT PROVIDED OR SUBSIDIZED BY THE HOSPITAL, THEY WOULD NOT BE AVAILABLE IN THE COMMUNITY. PART II - COMMUNITY BUILDING ACTIVITIES IN ADDITION TO THE SUBSIDIZED HEALTH SERVICES AND COMMUNITY HEALTH SERVICES DESCRIBED ABOVE, WESTERN MAINE HEALTH CARE SPONSORS OR PARTICIPATES IN A VARIETY OF OTHER COMMUNITY ACTIVITIES AND PROGRAMS. THESE COMMUNITY BUILDING ACTIVITIES INCLUDE: -WE ARE THE LEAD AGENCY FOR HEALTHY OXFORD HILLS, A COMMUNITY COALITION TO PROMOTE PARTNERSHIPS, POLICIES AND PROGRAMS TO PROTECT AND ENHANCE THE HEALTH OF RESIDENTS OF OXFORD HILLS -OUR VIAL OF LIFE PROGRAM ALLOWS INDIVIDUALS IN THE COMMUNITY TO RECORD AND SAFELY STORE THEIR CURRENT HEALTH INFORMATION AT HOME, IN CASE THAT INFORMATION NEEDS TO BE RETRIEVED IN AN EMERGENCY SITUATION -SAFE SITTER COURSES, A MEDICALLY-ACCURATE INSTRUCTIONAL PROGRAM DESIGNED FOR YOUNG ADOLESCENTS 11 TO 13 YEARS OF AGE -COMMUNITY-WIDE EMERGENCY PREPAREDNESS PLANNING -REGIONAL HEALTH PLANNING AND PANDEMIC PLANNING -WE PROVIDE A CLINICAL SITE FOR LOCAL REGISTERED NURSES AND CERTIFIED NURSES AIDE PROGRAMS -ANNUAL CONFERENCE - ALCOHOLISM AND DRUG ADDICTION: DISEASE, TREATMENT AND RECOVERY -FREE COMMUNITY BLOOD PRESSURE SCREENINGS AND CLINICS -BLOOD DRIVES -SIBLING CLASSES FOR CHILDREN EXPECTING NEW FAMILY MEMBERS -NUTRITION OPEN HOUSES FOR THE GENERAL PUBLIC -"RELAY FOR LIFE" TO SUPPORT THE AMERICAN CANCER SOCIETY -"BOWL FOR KIDS SAKE" TO BENEFIT THE LOCAL BIG BROTHERS/BIG SISTERS PROGRAM -WE PROVIDE COMMUNITY OUTREACH SERVICES TO EDUCATE FAMILIES ABOUT THE ALFOND SCHOLARSHIP FOR BABIES, AND ASSIST FAMILIES IN PREPARING THE GRANT APPLICATION -WE PROVIDE MEETING SPACE AT NO CHARGE FOR LOCAL NON-PROFIT SUPPORT GROUPS INCLUDING ALCOHOLICS ANONYMOUS, SMOKING CESSATION, GEAR PARENT NETWORK SUPPORT GROUP, TAKE OFF POUNDS SENSIBLY (TOPS), THE SHRINERS ANNUAL HEALTH SCREENING DAY AND SUPPORT GROUPS FOR THOSE AFFECTED BY DEPRESSION/BIPOLAR CONDITIONS, DIABETES, GRIEF, AND PARKINSON'S DISEASE 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 STEPHENS MEMORIAL HOSPITAL ASSOCIATION (SMH) 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: "FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, THE HOSPITAL RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE BASED ON ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE RESERVE FOR UNCOLLECTIBLE ACCOUNTS." THE AMOUNT OF EXPENSE ASSOCIATED WITH THE PROVISION OF SERVICES, ULTIMATELY WRITTEN OFF AS BAD DEBT AT SMH, HAS BEEN CALCULATED AT 3,159,376 FOR THE CURRENT FISCAL YEAR. THIS AMOUNT WAS CALCULATED USING A COST TO CHARGE RATIO. BAD DEBT EXPENSE REPRESENTS HEALTHCARE SERVICES SMH HAS PROVIDED WITHOUT COMPENSATION. AS A TAX-EXEMPT ORGANIZATION, SMH PROVIDES NECESSARY PATIENT CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THE SERVICES. SMH CANNOT DETERMINE THE AMOUNT OF BAD DEBT EXPENSE THAT COULD BE REASONABLY ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALITY FOR FINANCIAL ASSISTANCE UNDER THE SMH 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, SMH BELIEVES THAT BAD DEBT EXPENSE SHOULD BE INCLUDED AS A COMMUNITY BENEFIT. PART III, LINE 8 - MEDICARE EXPLANATION MEDICARE ALLOWABLE COSTS WERE TAKEN FROM THE HOSPITAL'S AS-FILED 2017 MEDICARE COST REPORTS. THE COST REPORT UTILIZES A SOPHISTICATED, DETAILED STEP-DOWN COST ALLOCATION APPROACH. THE COST REPORT EXCLUDES REVENUE, EXPENSES AND REIMBURSEMENT FOR PROFESSIONAL FEES SUCH AS EMERGENCY DEPARTMENT PHYSICIANS. IF THE COST TO PROVIDE THESE SERVICES AND PAYMENTS FOR THE SERVICES WERE INCLUDED IN THE PART III SECTION B ANALYSIS, THERE WOULD BE A MEDICARE SHORTFALL FOR THESE SERVICES. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE HAVE THEIR ACCOUNT BALANCE ADJUSTED ACCORDINGLY ONCE FINANCIAL ASSISTANCE HAS BEEN APPROVED. MONTHLY PAYMENTARRANGEMENTS CAN BE ESTABLISHED BY THE RESPONSIBLE PARTY BY CONTACTING THE PATIENT FINANCIAL SERVICES CUSTOMER SERVICE DEPARTMENT. AS A TAX-EXEMPT HOSPITAL, STEPHENS MEMORIAL HOSPITAL PROVIDES NECESSARY PATIENT CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THE SERVICES. PART VI, LINE 2 - NEEDS ASSESSMENT STEPHENS MEMORIAL HOSPITAL'S BOARD OF TRUSTEES IS MADE UP OF A DIVERSE SET OF COMMUNITY MEMBERS. THE BOARD REQUIRES A THOROUGH COMMUNITY NEEDS ASSESSMENT ON BEHALF OF THE ORGANIZATION, AND DIRECTS THE ORGANIZATION TO ANALYZE AND RESPOND TO THE CURRENT NEEDS ASSESSMENT. STEPHENS MEMORIAL HOSPITAL AND ITS PARENT WESTERN MAINE HEALTH CARE ALSO PARTICIPATE IN VARIOUS INITIATIVES TO HELP SUPPORT AND PROVIDE UPDATES TO COMMUNITY NEEDS ASSESSMENT PLANNING. SOME OF THESE INITIATIVES INCLUDE: - CLINICAL STRATEGIC PLANNING - FINANCIAL STRATEGIC PLANNING - FACILITY PLANNING - MANPOWER PLANNING - PHYSICIAN RECRUITMENT STRATEGIC PLANNING - EMERGENCY PREPAREDNESS PLANNING ALONG WITH THE INTERNAL ASSESSMENTS, MOST MEMBER ORGANIZATIONS ALSO REVIEW AND ACT ON MANY OF THE RECOMMENDATIONS PROVIDED BY EXTERNAL GROUPS SUCH AS THE MAINE CENTER FOR DISEASE CONTROL AND PREVENTION AND THE "STATE HEALTH PLAN" CREATED BY THE ADVISORY COMMITTEE FOR HEALTH SYSTEMS DEVELOPMENT. IN ADDITION, MAINEHEALTH AND ITS PARTNERS IN THE ONEMAINE HEALTH COLLABORATIVE, EASTERN MAINE HEALTH SYSTEM AND MAINEGENERAL HEALTH, RELEASED THE ONEMAINE HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT REPORT IN MARCH 2011. THE REPORT WAS A COMPREHENSIVE COMPILATION AND ANALYSIS CONTAINING PRIMARY AND SECONDARY HEALTH DATA SOURCES. THE REPORT CONTAINED A HEALTH STATUS PROFILE FOR THE STATE AS A WHOLE AND FOR EACH OF MAINE'S SIXTEEN COUNTIES. THE PRIMARY DATA SOURCE WAS A RANDOMIZED TELEPHONE SURVEY; THE SAMPLING METHODOLOGY WAS DESIGNED TO PERMIT COMPARISONS AT THE COUNTY LEVEL. SECONDARY DATA SOURCES INCLUDE NUMEROUS STATE AND FEDERAL SOURCES. THIS REPORT PROVIDES BASELINE DATA ON HUNDREDS OF HEALTH INDICATORS THAT ARE RELEVANT TO HOSPITALS AND COMMUNITIES TO INFORM PLANNING AND EVALUATION ACTIVITIES. MAINEHEALTH HOLDS COMMUNITY FORUMS IN PARTNERSHIP WITH EACH MEMBER AND AFFILIATE HOSPITAL IN ORDER TO INCREASE UNDERSTANDING AND USE OF THE COMMUNITY NEEDS HEALTH ASSESSMENT AND TO FORM IDENTIFICATION AND ACTION ON LOCAL, COMMUNITY-BASED HEALTH PRIORITIES. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE FINANCIAL ASSISTANCE INFORMATION IS PROVIDED IN THE ADMITTING AND EMERGENCY REGISTRATION LOCATIONS IN THE FOLLOWING MANNER: - POSTINGS INCLUDING FREE CARE AND MONTHLY PAYMENT PLAN - HANDOUTS - INTERVIEWS PATIENTS RECEIVE MAINEHEALTH'S FREE CARE GUIDELINES AND FINANCIAL POLICIES BROCHURE EXPLAINING OUR BILLING POLICIES AND CONTACT INFORMATION UPON REQUEST. IF THE PATIENT IS SELF-PAY, UNDER INSURED OR CAN'T AFFORD TO PAY THEIR HOSPITAL BILL, THEY MAY RECEIVE A FINANCIAL COUNSELING PACKET AND/OR REFERRED TO FINANCIAL COUNSELING FROM THE REGISTRATION STAFF OR CHANGE HEALTHCARE, AN OUTSIDE VENDOR WHO HELPS MANAGE THE SELF- PAY ACCOUNTS. THE PACKET INCLUDES: - INFORMATION ON MAINEHEALTH'S FINANCIAL POLICIES - FINANCIAL ASSISTANCE INFORMATION INCLUDING FREE CARE PROGRAM, MONTHLY PAYMENT PLAN PROGRAM, AND CARE PARTNERS, MEDACCESS AND OTHER COMMUNITY RESOURCE NEEDS. - PROGRAM APPLICATIONS AND INSTRUCTIONS FOR MAINEHEALTH'S FREE CARE PROGRAM, AND MONTHLY PAYMENT PLAN APPLICATION - CONTACT INFORMATION FOR ASSISTANCE WITH APPLICATIONS, BILLS OR FINANCIAL CONCERNS SELF-PAY OR UNDERINSURED PATIENTS REGISTERING IN PERSON OR VIA A PHONE INTERVIEW RECEIVE FINANCIAL COUNSELING INCLUDING INFORMATION ON OUR FINANCIAL ASSISTANCE PROGRAMS. REGISTRATION STAFF OR CHANGE HEALTHCARE PROVIDE FORMS AND ASSIST WITH COMPLETING FINANCIAL ASSISTANCE APPLICATIONS AND PROVIDING FOLLOW UP CONTACT INFORMATION. MAINEHEALTH'S WEB SITE INCLUDES ON LINE REGISTRATION AND PATIENT BILLING INFORMATION: - BILLING PROCESS - FREE CARE - MONTHLY PAYMENT PLAN - PATIENT STATEMENT - PRICE INFORMATION - CONTACT US AND QUESTIONS PRIMARY LANGUAGE, DEAF AND HARD OF HEARING AND INTERPRETER NEEDS ARE ASSESSED DURING THE REGISTRATION INTERVIEW AND SERVICES ARE PROVIDED AS NEEDED. IF A PATIENT DOES NOT RESPOND AT PRE-REGISTRATION, REGISTRATION, OR WHILE RECEIVING CARE, ALL OF THESE PROGRAMS ARE EXPLAINED AGAIN BY THE SINGLE BILLING OFFICE STAFF. THE INTENT OF THESE EFFORTS IS TO ENSURE THAT THE PATIENT IS FULLY INFORMED OF AND ABLE TO TAKE ADVANTAGE OF THESE ASSISTANCE PROGRAMS. 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 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 IS 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 MAINE false false false false false false false false false TIMOTHY CHURCHILL PRESID & CEO 279588 98000 44357 33262 18494 473701 BRIAN M NOLAN MD MED STAFF PRESIDENT 228059 8780 18216 10409 15914 281378 KATHLEEN A HERLIHY MD MED STAFF PRESIDENT 175643 23227 14848 16676 230394 LISA W MILLER MD TRUSTEE 153100 6555 23429 2999 16456 202539 JOHN COX REGIONAL CFO 197868 31022 13490 16293 258673 MARGARET M BURNS SR VP-CLINICAL 160940 2219 2599 165758 BRADY C MULLIN MD PHYSICIAN 319533 66407 873 16982 403795 GREGORY J HARDY MD PHYSICIAN 304117 61347 15962 16142 397568 ERIC K OSBORNE DO PHYSICIAN 308356 32372 16489 357217 THOMAS J HEWSON MD PHYSICIAN 263834 34482 2878 16067 317261 MATTHEW S KERR MD PHYSICIAN 258322 33037 4099 16167 311625 SCHEDULE J, PAGE 1, PART I, LINE 3 TOP MANAGEMENT OFFICIALS ARE COMPENSATED BY RELATED ORGANIZATIONS. THESE ORGANIZATIONS USED ONE OR MORE OF THE METHODS SHOWN AT PART 1, LINE 3 TO ESTABLISH THE COMPENSATION OF TOP MANAGEMENT. SEE DESCRIPTION OF PROCESS IN SCHEDULE O - FORM 990, PART VI, LINE 15A - COMPENSATION FOR TOP OFFICIAL A MAINEHEALTH & HIGHER ED FACILITIES 010314384 560427Y75 2015-01-07 6079722 SEE PART VI false false false A 730000 6079683 130312 78890 6000793 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 MAINEHEALTH & HIGHER ED. FACILITIES PART I (F) DESCRIPTION OF PURPOSE - CONSTRUCTION, RENOVATION, AND EQUIPPING OF MEDICAL OFFICE BUILDING. WITH RESPECT TO PART I COLUMNS (E) AND (F), PART II LINES 1-12, AND PART III, THE INSTITUTION IS REPORTING ITS ALLOCABLE PORTION OF THIS BOND ISSUE, THE REMAINDER OF WHICH IS ALLOCABLE TO AFFILIATED ENTITIES. FOR PURPOSES OF PART I COLUMN (I), THE INSTITUTION HAS ASSUMED THAT THIS ARRANGEMENT DOES NOT CONSTITUTE A "POOLED FINANCING." PART II LINE 14 HAS BEEN ANSWERED WITH RESPECT TO THE ISSUE AS A WHOLE, RATHER THAN THE INSTITUTION'S ALLOCABLE PORTION; THE INSTITUTION'S ALLOCABLE PORTION OF THE BONDS DID NOT INCLUDE ANY REFUNDING COMPONENT. THE DIFFERENCE BETWEEN THE ISSUE PRICE (PART I) AND TOTAL PROCEEDS (PART II, LINE 3) IN COLUMN A IS DUE TO INVESTMENT EARNINGS (INCREASE IN PROCEEDS) AND A SMALL PORTION OF WHAT WOULD HAVE BEEN INVESTMENT PROCEEDS THAT WAS USED TO RETIRE PRINCIPAL OF THE BONDS (REDUCTION IN PROCEEDS). PART II, LINE 4 - THE AMOUNT SHOWN HERE CONSISTS OF DEBT SERVICE FUND DEPOSITS. PART III, LINE 2 - THE INSTITUTION LEASES CERTAIN SPACE IN THE FINANCED SPACE TO AN AFFILIATED 501(C)(3) ORGANIZATION. FOR PURPOSES OF THIS LINE, THE INSTITUTION HAS ASSUMED THAT THIS DOES NOT CONSTITUTE A LEASE THAT MAY RESULT IN PRIVATE BUSINESS USE. PART III, LINE 3A - THE INSTITUTION HAS ENTERED INTO A MANAGEMENT CONTRACT WITH AN AFFILIATED 501(C)(3) ORGANIZATION. FOR PURPOSES OF THIS LINE, THE INSTITUTION HAS ASSUMED THAT THIS DOES NOT CONSTITUTE A MANAGEMENT OR SERVICE CONTRACT THAT MAY RESULT IN PRIVATE BUSINESS USE. 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. JEWEL NOLAN FAMILY MEMBER 57535 EMPLOYMENT false SCHEDULE L, PART V JEWEL NOLAN IS EMPLOYED BY STEPHENS MEMORIAL HOSPITAL ASSOCIATION. HER HUSBAND, BRIAN NOLAN, IS A BOARD MEMBER. FORM 990, PAGE 6, PART VI, LINE 6 WESTERN MAINE HEALTH CARE, CORP. (EIN 01-0411788) IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PAGE 6, PART VI, LINE 7A THE SOLE MEMBER HAS THE RESPONSIBILITY FOR THE ELECTION OF THE MEMBERS OF THE GOVERNING BODY. FORM 990, PAGE 6, PART VI, LINE 7B ALL DECISIONS BY THE STEPHENS MEMORIAL HOSPITAL ASSOCIATION'S GOVERNING BODY ARE APPROVED BY DEFAULT BY THE MEMBER ORGANIZATION'S GOVERNING BODY SINCE THESE TWO ORGANIZATIONS SHARE A COMMON GOVERNING BODY. FORM 990, PAGE 6, PART VI, LINE 11B THE PRESIDENT AND THE REGIONAL CHIEF FINANCIAL OFFICER REVIEWED KEY COMPONENTS WITH THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES. A DETAILED REVIEW OF THE FORM 990 WAS PERFORMED BY THE REGIONAL CHIEF FINANCIAL OFFICER PRIOR TO SIGNING THE RETURN. THE FORM 990 WAS THEN MADE AVAILABLE TO THE FULL BOARD PRIOR TO FILING. FORM 990, PAGE 6, PART VI, LINE 12C CONFLICT OF INTEREST STATEMENTS ARE OBTAINED ANNUALLY. THE PRESIDENT'S OFFICE COLLECTS AND REVIEWS THE RESPONSES. WHERE ANY REAL OR PERCEIVED CONFLICTS EXIST, OFFICERS AND TRUSTEES ARE EXPECTED TO RECUSE THEMSELVES (1) FROM MEETINGS DURING TIMES WHEN THE TOPICS OF POTENTIAL CONFLICT ARE DISCUSSED AND (2) FROM VOTING ON SUCH MATTERS. KEY EMPLOYEES MAY NOT USE THEIR POSITIONS TO PROFIT PERSONALLY OR TO ASSIST OTHERS IN PROFITING IN ANY WAY AT THE EXPENSE OF STEPHENS MEMORIAL HOSPITAL ASSOCIATION. FORM 990, PAGE 6, PART VI, LINE 15A THE PARENT COMPANY OF STEPHENS MEMORIAL HOSPITAL ASSOCIATION IS WESTERN MAINE HEALTH CARE, CORP. (EIN 01-0411788) WHO THROUGH ITS PARENT COMPANY MAINEHEALTH, HAS A FORMAL WRITTEN COMPENSATION POLICY IN PLACE. IN CONSULTATION WITH SULLIVAN COTTER, THE MAINEHEALTH BOARD COMPENSATION COMMITTEE ESTABLISHES APPROPRIATE COMPENSATION PARAMETERS FOR EACH ORGANIZATION'S CEO AND CERTAIN MEMBERS OF THEIR SENIOR MANAGEMENT TEAM. WORKING WITHIN THESE PARAMETERS, THE WESTERN MAINE HEALTH CARE BOARD DETERMINES THE LEVEL OF COMPENSATION FOR ITS CEO. THE FINDINGS OF THE COMPENSATION COMMITTEE ARE MADE TRANSPARENT TO, AND VOTED ON BY, THE FULL GOVERNING BOARD. THE "TOTAL EXECUTIVE COMPENSATION" IS FILED PUBLICLY BY THE ORGANIZATION, AND INCLUDES "TOTAL CASH COMPENSATION- AND "TOTAL VALUE OF ALL BENEFITS AND PERQUISITES" ASSOCIATED WITH THE POSITION. THE BOARD TAKES NECESSARY ACTION TO PREVENT THE CEO FROM VOTING OR DIRECTLY PARTICIPATING IN THE FINAL COMMITTEE DETERMINATION OF HIS OWN COMPENSATION. THE ORGANIZATION'S EXECUTIVE COMPENSATION PROCEDURES RELY UPON APPROPRIATE DATA FOR COMPARABILITY (E.G. COMPENSATION LEVELS PAID BY BOTH TAXABLE AND TAX-EXEMPT SIMILARLY SITUATED ORGANIZATIONS AND INDEPENDENT SURVEYS BY NATIONALLY RECOGNIZED INDEPENDENT FIRMS). FINALLY, THE ORGANIZATION REFRAINS FROM ALLOWING EXECUTIVE COMPENSATION TO EVER BE BASED SOLELY ON WESTERN MAINE HEALTH CARE, CORP.'S REVENUES OR OTHER SIMILAR PROFIT-SHARING STRATEGIES. 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 LAB/PATHOLOGY SERVICES 2,754,623 0 0 OTHER 1,888,872 42,954 0 PHYSICIAN SERVICES 2,561,800 0 0 NURSING SERVICES 433,774 0 0 ANESTHESIA SERVICES 611,727 0 0 IMAGING 355,520 0 0 TOTAL 8,606,316 42,954 0 FORM 990, PART XI, LINE 9 EQUITY TRANSFERS TO AFFILIATES -1,925,000 CHANGE IN INTEREST-STEPHENS COMM. HEALTHCARE FOUND 825,434 TOTAL -1,099,566 WESTERN MAINE HEALTH CARE CORP 181 MAIN STREET NORWAY ME 04268 010411788 HEALTHCARE ME 501C3 12B 01-0431680 false MAINEHEALTH 110 FREE STREET PORTLAND ME 04101 010431680 HEALTHCARE ME 501C3 12C NA false WESTERN MAINE MULTI-MEDICAL SPECIAL 181 MAIN STREET NORWAY ME 04268 010489824 PHYS PRACT ME 501C3 10 01-0411788 false WESTERN MAINE NURSING HOME INC 181 MAIN STREET NORWAY ME 04268 222842655 NURSING HO ME 501C3 10 01-0411788 false STEPHENS COMMUNITY HEALTHCARE FOUND 181 MAIN STREET NORWAY ME 04268 311644144 HEALTHCARE ME 501C3 12A 01-0411788 false CHAPEL VALLEY BOARDING HOME CORP 181 MAIN STREET NORWAY ME 04268 010433206 HEALTHCARE ME 501C3 7 01-0411788 false false false false false false false false false false true false true true false false true true true true