2018-08-15T16:32:42-07:00 2017-09-30 CYNTHIA M THOMPSON CPA 1723 US HWY 1 CARY PLT ME 044713010 990 2016-10-01 237134386 HOULTON REGIONAL HOSPITAL HOUL 2075322900 20 HARTFORD ST HOULTON ME 04730 THOMAS MOAKLER CEO 2018-08-15 true Non-paid Preparer P00707659 2075324523 2016 2022-09-23 18:48:47Z THOMAS MOAKLER 20 HARTFORD ST HOULTON ME 04730 48563504 false false X houltonregional.org X 1973 ME HOULTON REGIONAL HOSPITAL'S PURPOSE IS TO PROVIDE SAFE, COMPASSIONATE, QUALITY, COST EFFECTIVE CARE TO THE COMMUNITIES WE SERVE. WE ARE DEDICATED TO IMPROVING THE HEALTH STATUS OF THOSE WE SUPPORT THROUGH EDUCATION, TREATMENT AND REHABILITATION. 10 7 447 50 12009 -11429 174749 52031 45778596 47376453 236283 224542 0 46189628 47653026 42500 0 28523137 29410760 0 0 18435042 18455326 46958179 47908586 -768551 -255560 23211201 23202872 20119665 19967617 3091536 3235255 HOULTON REGIONAL HOSPITAL'S PURPOSE IS TO PROVIDE SAFE, COMPASSIONATE, QUALITY, COST EFFECTIVE CARE TO THE COMMUNITIES WE SERVE. WE ARE DEDICATED TO IMPROVING THE HEALTH STATUS OF THOSE WE SUPPORT THROUGH EDUCATION, TREATMENT AND REHABILITATION. false false 37815118 47376453 PROVISION OF HEALTH CARE SERVICES IN RURAL MAINE. DURING THE FISCAL YEAR ENDED 9/30/17, 1,464 PEOPLE HAD AN INPATIENT STAY (INCLUDING SWING BEDS); 87,413 OUTPATIENT SERVICES WERE RENDERED; 10,482 PEOPLE WERE SERVED IN THE EMERGENCY ROOM. OF THESE SERVICES, 981 ACCOUNTS (REPRESENTING 261 PEOPLE AND $1,006,068) WERE WRITTEN OFF AS CHARITY CARE. HOULTON REGIONAL HOSPITAL (HRH) ALSO ASSISTS ELDERLY CITIZENS WITH THEIR WISH TO REMAIN INDEPENDENT AS LONG AS POSSIBLE. TO ACCOMPLISH THIS GOAL, HRH ASSISTS WITH THE RENTAL OF LIFELINE EMERGENCY RESPONSE UNITS. DURING FISCAL YEAR 9/30/17, A DAILY AVERAGE OF 25 LIFELINE UNITS WERE RENTED. 37815118 true true false true false false false false false true true false false false true false true false false false false false false false false false true true true false true true false false false false false false false false true true false false false false false false false false false false true 60 0 true 447 true true true false false false false false false 0 false false false false false false false false false false X 10 7 false false false false false false false true true false false true true true true true true true true false X CYNTHIA M THOMPSON 2075322900 20 HARTFORD ST HOULTON ME 04730 X KARL WOODS DMD Director 1.00 0.00 X 0 0 0 SOLOMON OLABIYI MD Director 40.00 0.00 X 197602 0 22482 LYNETTE MCLAUGHLIN President 1.00 0.00 X X 0 0 0 REV JESSIE DRYSDALE Director 1.00 0.00 X 0 0 0 STEPHEN NELSON Treasurer 1.00 0.00 X X 0 0 0 DOUG HAZLETT Director 1.00 0.00 X 0 0 0 PHILIP MCFARLANE MD Director 40.00 0.00 X 243228 0 18149 GARY BOSSIE Director 1.00 0.00 X 0 0 0 HASSAN E ABOULEISH MD Vice President 40.00 0.00 X X 237477 0 0 MAX LYNDS Director 1.00 0.00 X 0 0 0 NANCY KETCH Secretary 1.00 0.00 X X 0 0 0 THOMAS MOAKLER CEO 40.00 0.00 X 247810 0 14657 CYNTHIA THOMPSON CFO 40.00 0.00 X 122980 0 25095 SANTIAGO DUY GEN SURGEON 40.00 0.00 X 321371 0 25095 MIGUEL S WEST GENERAL SURGEON 40.00 0.00 X 290603 0 15124 BRIAN GRIFFIN ED PHYSICIAN 40.00 0.00 X 287177 0 25095 KIMBERLY MAYS DE PEREZ OB/GYN PHYSICIAN 40.00 0.00 X 276567 0 9702 ROBERT MOSENFELDER OB/GYN PHYSICIAN 40.00 0.00 X 256878 0 18149 2481693 173548 30 false true false HOULTON INTERNAL MEDICINE PA 22 HARTFORD ST HOULTON ME 04730 INTERNAL MEDICINE 1046068 ARUNDEL INTERNAL MEDICINE PC 5 ELM ST HOULTON ME 04730 HOSPITALIST SVCS 509345 AROOSTOOK RADIOLOGY SERVICES 20 HARTFORD STREET HOULTON ME 04730 RADIOLOGIST 496154 VISTA STAFFING SOLUTIONS 675 EAST 2100 SOUTH SUITE 390 SALT LAKE CITY UT 841069813 LOCUM SVCS 472138 ALLIANCE HEALTHCARE SERVICES 100 BAYVIEW CIRCLE SUITE 400 NEWPORT BEACH CA 92660 MRI IMAGING 434091 23 52031 52031 CHARITY CARE -1006068 -1006068 CONFERENCE ROOM RENTAL 722320 12009 12009 MEDICARE & MEDICAID PYMTS 21106370 21106370 PATIENT FEES 64578660 64578660 VENDING, CAFETERIA, MISC. 2311506 2206331 105175 -39626024 -39626024 47376453 134574 134574 0 0 0 998846 1600 907491 2987 91355 -1387 89968 89968 0 0 0 0 47653026 47259269 12009 329717 X 42500 42500 0 0 0 1129480 718938 410542 0 20737731 19044366 1693365 0 6116726 6116726 1426823 1333223 93600 0 41722 41722 48931 48931 10316 10316 0 17820 17820 6118691 5927864 190827 13916 13916 135054 21897 113157 270649 270649 0 251731 251731 131347 111593 19754 0 0 563792 445565 118227 0 1252089 989526 262563 456323 219827 236496 SUPPLIES 6046773 6043554 3219 MEDICAID TAX - STATE OF MAINE 777046 777046 UTILITIES 713709 713709 MAINTENANCE/SERVICE CONTRACTS 570784 570784 1034633 602995 431638 47908586 37815118 10093468 0 9414 13827 163812 587335 52673 0 6017490 6271498 0 0 0 836048 854091 770790 834343 42229284 32587525 10116550 9641759 4373767 4073447 0 0 40555 45022 830102 881550 23211201 23202872 6202114 7385764 7895071 7199211 157967 21727 5864513 5360915 20119665 19967617 X 3024699 3170290 15173 13301 51664 51664 3091536 3235255 23211201 23202872 X -255560 399283 -4 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 10316 10316 false false Part II-B, Line 1i - Other Activities Description OTHER LOBBYING AMOUNTS REPRESENT AN ALLOCABLE PORTION OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION AND THE MAINE HOSPITAL ASSOCIATION. 131722 22843 500 154065 120543 11679 500 131722 127495 -6452 500 120543 114339 13656 500 127495 103490 11075 226 114339 1.00000 false false false 193107 193107 23731192 16696776 7034416 11507113 10523674 983439 6797872 5367075 1430797 9641759 457 PLAN ASSETS 592611 DUE TO THIRD PARTY PAYORS 3147620 LINE OF CREDIT 1620684 5360915 48034489 399283 399283 47635206 17820 17820 47653026 47890766 47890766 17820 17820 47908586 Part V, Line 4: Intended uses of the endowment fund. THE CORPUS OF THE ENDOWMENT IS PERMANENTLY RESTRICTED, WITH ANY EARNINGS AVAILABLE TO PROMOTE THE HOSPITAL'S EXEMPT PURPOSE. true true true X true X 150.000000000 false true false false false false 981 307 552130 552130 0.01150 8441284 6511569 1929715 0.04030 981 307 8993414 6511569 2481845 0.05180 239 13131 13131 0.00030 1 96 1610 1610 21781 14785 6996 0.00010 155 1899 156793 7560 149233 0.00310 156 2234 193315 22345 170970 0.00350 1137 2541 9186729 6533914 2652815 0.05530 false 1861965 303500 18343623 18460874 -117251 X true true 1 1 HOULTON REGIONAL HOSPITAL 20 HARTFORD STREET HOULTON ME 04730 www.houltonregional.org 38580 X X X SWING BED PROGRAM & 2 RHCS HOULTON REGIONAL HOSPITAL 1 false false true X X X X X X 15 true true false true X http://www2.houltonregional.org/communit X http://www.maine.gov/dhhs/mecdc/phdata/S X true 15 true http://www2.houltonregional.org/wp-content/uploads/Board-cop false false true X 150.0000 150.0000 X X true true X X X true X http://www2.houltonregional.org/wp-conte X http://www2.houltonregional.org/wp-conte X http://www2.houltonregional.org/wp-conte X X X X true X false X X X true X false false Part V, Line 5 - Account Input from Persons Who Represent the Community THE RESULTS FROM THE SURVEY WERE DISTRIBUTED TO ALL INVOLVED AGENCIES. STAFF FROM HOULTON REGIONAL ARE PART OF THE AROOSTOOK DISTRICT COORDINATING COUNCIL FOR PUBLIC HEALTH THAT IS TAKING THE LEAD TO ADDRESS THE NEEDS FOR OUR COUNTY. WE ALSO RELY ON FEEDBACK FROM OUR PATIENTS, EMPLOYEES, MEDICAL STAFF, AND BOARD MEMBERS REGARDING SERVICE NEEDS. Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs Assessment THE HOSPITAL PARTICIPATED IN THE MAINE SHARED HEALTH NEEDS ASSESSMENT SURVEY THAT INCLUDED EMHS MEMBER HOSPITALS; CENTRAL MAINE HEALTHCARE; MAINEGENERAL HEALTH; MAINE HEALTH; STATE OF MAINE CENTERS FOR DISEASE CONTROL; UNIVERSITY OF SOUTHERN MAINE, MUSKIE SCHOOL OF PUBLIC SERVICE, EPIDEMIOLOGIST TEAM; 10 MAINE COLLABORATING ORGANIZATIONS; AND 10 DISTRICT PUBLIC HEALTH LIASONS. SIGRID E TOMPKINS RURAL HEALTH CENTER 22 HARTFORD STREET HOULTON ME 04730 RURAL HEALTH CENTER HOULTON FAMILY PRACTICE 22 HARTFORD STREET HOULTON ME 04730 RURAL HEALTH CENTER Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used) DISCOUNTED CARE PROVIDED IN THE RHC SETTING, BEGINNING AT 150% OF FPG. Part I, Line 7 - Explanation of Costing Methodology COST-TO-CHARGE RATIO WAS USED TO DERIVE CHARITY CARE AT COST IN THE TABLE. COST-TO-CHARGE RATIO WAS ALSO USED TO DERIVE THE COST OF MEDICAID SERVICES, WHICH IS INCLUDED AS A PORTION OF THE UNREIMBURSED MEDICAID COMMUNITY BENEFIT EXPENSE. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARECOST-TO-CHARGES. Part I, Line 7g - Costs Associated With Physicans Clinics SUBSIDIZED HEALTH SERVICES CONSISTS OF CARDIAC & RESPIRATORY REHABILITATION CLASSES.CARDIAC REHAB PHASE III AND RESPIRATORY REHAB PHASE III CLASSES ARE OFFERED TO THE HRH PATIENT BASE, BUT ARE NOT ELIGIBLE FOR REIMBURSEMENT FROM THIRD PARTY INSURANCES. PATIENTS PAY UP FRONT TO ATTEND THESE SESSIONS, THEREFORE CHARITY CARE AND BAD DEBT DO NOT APPLY. COSTS FOR THESE SESSIONS HAS BEEN DETERMINED BY USING ACTUAL STAFF TIME LOGGED TO TEACH THE SESSIONS. FACILITY COSTS HAVE BEEN INCLUDED BASED ON THE TIME USAGE OF THE CLASSES COMPARED TO THE AVAILABLE SQUARE FOOTAGE. THIS PERCENTAGE WAS THEN MULTIPLIED AGAINST THE FACILITY COSTS DRAWN DOWN BY THE CARDIAC DEPARTMENT ON THE MEDICARE COST REPORT.DIRECT STAFFING & BENEFIT COSTS $ 4,667FACILITY COSTS $ 7,948CLASS REVENUES COLLECTED ($ 5,761)NET COMMUNITY BENEFIT $ 6,854HRH RENTS LIFELINE EMERGENCY RESPONSE UNITS TO INDIVIDUALS IN OUR SERVICE AREA. THIS PROGRAM IS OPERATED TO ASSIST THE ELDERLY WITH THEIR DESIRE TO REMAIN INDEPENDENT AND LIVING IN THEIR OWN HOME. HRH PAYS A FEE FOR THE UNIT AND A RELATED CONNECTION COST. HRH ALSO INCURS STAFFING COSTS FOR INSTALLATION AND DISCONNECTION OF THE UNITS. A LOG OF THESE COSTS IS KEPT FROM THE RELATED INVOICES AND TIMECARDS:STAFFING, UNIT RENTAL & CONNECTION COSTS $9,165UNIT RENTAL FEES COLLECTED ($9,134)NET COMMUNITY BENEFIT $ 32 Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense We used Worksheet A to estimate bad debt expense (at cost), which is a cost-to-charge methodology. Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit This amount is based on the organization's bad debt expense at cost (calculated at Line 2) multiplied by the percentage of persons in Aroostook County below the poverty level (16.3%). The hospital uses the Federal Poverty Guidelines to determine eligibility for providing free care to low income individuals. The family income limit for eligibility for free care is 150% of poverty level. We assume that the demographics of the patients comprising our bad debt expense are similar to the demographics of Aroostook County (the County we are located in). Per the US Census Bureau QuickFacts for Aroostook County, Maine, 16.3% of persons in 2017 are below poverty level. Since our eligibility criteria for our hospital is 150% poverty level and we used the percentage below 100% to estimate the potential charity care written off as bad debt, we believe our calculation is reasonable and conservative. Part III, Line 4 - Bad Debt Expense PATIENT ACCOUNTS RECEIVABLE ARE STATED AT THE AMOUNT MANAGEMENT EXPECTS TO COLLECT FROM OUTSTANDING BALANCES. MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS THROUGH A CHARGE TO EARNINGS AND A CREDIT TO A VALUATION ALLOWANCE BASED ON ITS ASSESSMENT OF THE CURRENT STATUS OF INDIVIDUAL ACCOUNTS. BALANCES THAT ARE STILL OUTSTANDING AFTER MANAGEMENT HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE VALUATION ALLOWANCE AND A CREDIT TO PATIENT ACCOUNTS RECEIVABLE. Part III, Line 8 - Explanation Of Shortfall As Community Benefit ADDITIONAL MEDICARE SHORTFALL - REVENUES AND COSTS NOT INCLUDED IN THE MEDICARE COST REPORT: COST PROFESSIONAL REPORT FEES TOTALREIMBURSEMENT 18,343,623 1,649,876 19,993,498COSTS 18,460,874 2,595,697 21,056,571SHORTFALL (117,251) (945,822) (1,063,073)THE HOSPITAL BILLS FOR VARIOUS PHYSICIAN SERVICES THROUGHOUT THE YEAR. THE CHARGES AND COSTS RELATED TO THOSE PROFESSIONAL SERVICES ARE NOT REPORTED IN THE HOSPITAL'S COST REPORT.PROFESSIONAL FEE REIMBURSEMENT: WHEN PREPARING THE COST REPORT TOTAL CHARGES BY DEPARTMENT ARE TAKEN FROM THE GENERAL LEDGER, DETAIL REPORTS BY PROCEDURE FOR INPATIENT/OUTPATIENT ARE GENERATED FOR THOSE DEPARTMENTS THAT INCLUDE PROFESSIONAL SERVICE REVENUE, AND PROFESSIONAL SERVICE REVENUE IS THEN SUBTRACTED FROM TOTAL REVENUE TO ARRIVE AT REVENUE TO REPORT ON WORKSHEET C ON THE COST REPORT. THE SAME REPORTS WERE RUN FOR ONLY MEDICARE PROFESSIONAL SERVICE REVENUE BY INPATIENT AND OUTPATIENT. INPATIENT MEDICARE PROFESSIONAL FEE REVENUE WAS THEN REDUCED BY THE INPATIENT MEDICARE PROFESSIONAL FEE DEDUCTIONS FROM REVENUE ON THE GENERAL LEDGER TO ARRIVE AT INPATIENT PROFESSIONAL FEE REIMBURSEMENT. OUTPATIENT MEDICARE PROFESSIONAL FEE REIMBURSEMENT WAS DERIVED BY MULTIPLYING THE GROSS REIMBURSEMENT ON THE CAH-FEE REIMBURSED PROVIDER SUMMARY REPORT (REPORT TYPE 855) BY THE PERCENTAGE OF PROFESSIONAL CHARGES INCLUDED IN THE SAME REPORT.PROFESSIONAL FEE COSTS: MEDICARE PROFESSIONAL FEE COSTS WERE DERIVED BY DETERMINING THE PERCENTAGE OF PROFESSIONAL FEE REVENUE BY SPECIALTY SERVICE RELATED TO MEDICARE AND MULTIPLYING THE SPECIFIC PROFESSIONAL COSTS SUMMARIZED BY SPECIALTY SERVICE (A-8-2 SUPPORT) BY THE MEDICARE PERCENTAGE.SHORTFALL: THE PROFESSIONAL FEE REIMBURSEMENT IS $946,000 LESS THAN THE PROFESSIONAL FEE COSTS. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients THE HOSPITAL HAS MANY INDIVIDUAL POLICIES THAT RELATE TO COLLECTIONS. THE HOSPITAL HAS A FREE CARE DISCOUNT POLICY WHICH SPECIFIES THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE. WHEN AN APPLICATION IS RECEIVED THAT MEETS THE INCOME ELIGIBILITY REQUIREMENTS, A SEARCH OF THE BILLING/ACCOUNTS RECEIVABLE IS PERFORMED TO LOCATE ALL ACCOUNTS FOR MEMBERS OF THE HOUSEHOLD. THE ACCOUNTS FOR HOUSEHOLD MEMBERS ARE THEN FLAGGED AS "FREE", BALANCES ARE WRITTEN OFF, AND AN APPROVAL LETTER IS MAILED TO THE APPLICANT. A COPY OF THE APPLICATION IS PLACED IN THE FREE CARE BINDER AND RETAINED THERE FOR THREE MONTHS, WHICH IS THE LENGTH OF TIME AN APPLICATION IS VALID AND IN EFFECT. SELF-PAY ACCOUNTS ARE REVIEWED FOR OPEN/ACTIVE FREE CARE APPLICATIONS BEFORE BILLING THE PATIENT. IF THE PATIENT HAS AN OPEN/ACTIVE FREE CARE APPLICATION, THE BALANCE IS WRITTEN-OFF AS CHARITY CARE AND THE PATIENT IS NOT BILLED. A SIMILAR PROCESS IS IN PLACE FOR THE SLIDING FEE DISCOUNTS THAT ARE AVAILABLE TO PATIENTS OF THE HOSPITAL-BASED RURAL HEALTH CLINICS. Part VI - Needs Assessment THE HOSPITAL PARTICIPATED IN THE 2015 MAINE SHARED HEALTH NEEDS ASSESSMENT SURVEY. THE RESULTS WERE DISTRIBUTED TO ALL PARTICIPATING AGENCIES, HAVE BEEN REVIEWED BY HOSPITAL LEADERSHIP AND AN IMPLEMENTATION PLAN APPROVED. A TAB OF OUR WEBSITE HAS BEEN DEVOTED TO THIS CHNA AND MANY REPORTS ARE LINKED FOR REFERENCE. THE HOSPITAL CONTINUES TO SEEK IMPROVEMENT IN MANY AREAS. A MORE COMPLETE EXPLANATION IS INCLUDED WITH OUR RESPONSE TO PART V, SECTION B, QUESTION 11. Part VI - Patient Education of Eligibility for Assistance PATIENTS ARE MADE AWARE OF THE CHARITY CARE POLICY THROUGH SIGNAGE IN WAITING ROOMS, DIRECT NOTIFICATION BY STAFF, INFORMATIONAL BROCHURES, NOTICES PRINTED ON THE BACK OF PATIENT BILLS, AND POSTINGS ON OUR WEBSITE. IN ORDER TO QUALIFY FOR CHARITY CARE, THE PATIENT IS ASKED TO PROVIDE A MEDICAID DENIAL LETTER. IF THE PATIENT DOES NOT KNOW HOW TO APPLY FOR STATE ASSISTANCE PROGRAMS, THEY ARE REFERRED TO THE LOCAL HEALTH AND HUMAN SERVICES OFFICE. IF THE PATIENT IS AN INPATIENT, THE HOSPITAL'S SOCIAL SERVICES DEPARTMENT WILL ASSIST THE PATIENT IN FILING STATE AND FEDERAL ASSISTANCE APPLICATIONS.IN ADDITION, THE HOSPITAL HAS A STAFF PERSON AVAILABLE TO ASSIST INDIVIDUALS IN SELECTING WHICH MEDICARE PART D PLAN WOULD BE BEST FOR THE PATIENT'S SPECIFIC MEDICATION NEEDS. THAT SAME STAFF PERSON ADMINISTERS THE HOSPITAL'S PRESCRIPTION ASSISTANCE PROGRAM. Part VI - Community Information HRH SERVES THE COMMUNITIES LOCATED IN SOUTHERN AROOSTOOK COUNTY AS WELL AS A FEW COMMUNITIES IN BORDERING COUNTIES. THE SERVICE AREA IS GEOGRAPHICALLY ISOLATED FROM THE LARGER POPULATION CENTER OF BANGOR, ME. TRAVEL WITHIN THE SERVICE AREA AND TO OUT-OF-AREA DESTINATIONS IS FURTHER COMPLICATED BY THE HARSH MAINE WINTERS.THE POPULATION IN AROOSTOOK COUNTY IS OLDER THAN THE STATEWIDE AVERAGE. BASED ON 2017 CENSUS BUREAU STATISTICS, 23.3% OF THE SERVICE AREA POPULATION IS ELDERLY (65+ YEARS), WHICH IS HIGHER THAN THE STATE % OF ELDERLY. THIS HIGHER CONCENTRATION OF ELDERLY COULD CONTRIBUTE TO A DISPROPORTIONATE UTILIZATION OF HEALTH CARE SERVICES. HRH SERVICE AREA RESIDENTS ARE POORER AND CONFRONTED BY A SIGNIFICANTLY HIGHER UNEMPLOYMENT RATE THAN MAINERS AS A WHOLE. MOST INCOME MEASURES FOR AROOSTOOK COUNTY ARE LOWER AND POVERTY IS HIGHER THAN STATEWIDE AVERAGES. 32.6% OF THE SERVICE AREA RESIDENTS ARE CONSIDERED TO BE LOW-INCOME (LESS THAN 200% OF THE FEDERAL POVERTY LEVEL) ACCORDING TO 2017 STATISTICS FROM THE CENSUS BUREAU COMPARED TO 25.4% IN THE UNITED STATES AS A WHOLE. AVERAGE UNEMPLOYMENT IN AROOSTOOK COUNTY FOR 2017 WAS 4.8% COMPARED TO 3.8% FOR MAINE AS A WHOLE.WITH RESPECT TO INSURANCE STATUS IN COMPARISON TO THE STATE, MORE SERVICE AREA RESIDENTS ARE COVERED BY MEDICAID AND MEDICARE OR ARE UNINSURED. Part VI - Explanation Of How Organization Furthers Its Exempt Purpose AT HRH, ALL QUALIFIED PHYSICIANS IN THE COMMUNITY ARE ELIGIBLE FOR MEDICAL STAFF PRIVILEGES AT THE HOSPITAL. NO QUALIFIED PHYSICIANS HAVE BEEN DENIED PRIVILEGES.THE HOSPITAL IS GOVERNED BY A COMMUNITY BOARD WITH BOARD MEMBERS RESIDING IN THE HOSPITAL'S SERVICE AREA. BOARD MEMBERS COME FROM VARIOUS PROFESSIONAL BACKGROUNDS. THE BOARD MEETS A MINIMUM OF TEN TIMES PER YEAR. EACH MEETING STARTS OFF WITH A BOARD EDUCATION SESSION ON TOPICS SUCH AS QUALITY IMPROVEMENT, REIMBURSEMENT METHODOLOGIES, AND REGULATORY REPORTING OR CHANGES.THE HOSPITAL COORDINATES CONTINUING MEDICAL EDUCATION (CME) FOR ITS MEDICAL STAFF. MANY OF THE SESSIONS ARE PERFORMED IN CONJUNCTION WITH THE MONTHLY MEDICAL STAFF MEETINGS AND ARE TOPICS THAT THE MEDICAL STAFF HAS EXPRESSED AN INTEREST IN. THE MAJORITY OF THE SESSIONS ARE SPONSORED BY THE HOSPITAL, HELD IN THE HOSPITAL CONFERENCE ROOMS, AND THE SPEAKERS DONATE THEIR TIME.THE HOSPITAL PROVIDES VARIOUS MEDICAL SCREENING PROGRAMS TO THE COMMUNITY, WITH A FOCUS ON OFFERING ADDITIONAL SERVICES FOR OUR PEDIATRIC PATIENTS. THESE INCLUDE NUTRITIONAL ADVICE, VISION SCREENINGS, AND DENTAL FLUORIDE VARNISH. THE HOSPITAL ALSO HOLDS VARIOUS HEALTH EDUCATION PROGRAMS AND HOSTS SUPPORT GROUPS IN ITS CENTER FOR COMMUNITY HEALTH EDUCATION. HRH DONATES OFFICE SPACE TO THE VA ON A WEEKLY BASIS TO ALLOW THEM TO HOLD A CLINIC IN OUR LOCAL AREA, PROVIDING EASIER ACCESS TO CARE FOR OUR VETERANS. LASTLY, HRH HAS ALLOWED NORTHERN MAINE COMMUNITY COLLEGE TO USE SPACE IN OUR CENTER FOR COMMUNITY HEALTH EDUCATION TO HOUSE A NURSING CLASS FOR THEM. THIS HAS ALLOWED MORE STUDENTS TO PURSUE THEIR DEGREE, AS THEY DO NOT HAVE TO TRAVEL SO FAR TO ATTEND CLASSES. true NORTHERN MAINE COMM COLLEGE 33 EDGEMONT DRIVE PRESQUE ISLE ME 04769 010416015 GOVERNMENT 42500 0 COST ASSISTANCE WITH NURSING PROGRAM 1 0 X X X false false false false false false false false false false BRIAN GRIFFIN ED PHYSICIAN 286564 613 25095 312272 HASSAN E ABOULEISH MD Vice President 237477 237477 KIMBERLY MAYS DE PEREZ OB/GYN PHYSICIAN 275987 580 9702 286269 MIGUEL S WEST GENERAL SURGEON 289118 1485 15124 305727 PHILIP MCFARLANE MD Director 242054 1174 18149 261377 ROBERT MOSENFELDER OB/GYN PHYSICIAN 255659 1219 18149 275027 SANTIAGO DUY GEN SURGEON 318914 2457 25095 346466 SOLOMON OLABIYI MD Director 197440 162 22482 220084 THOMAS MOAKLER CEO 238773 9037 14657 262467 A MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTHORITY 010314384 56042RLG5 2017-06-27 1215000 REFINANCE EXISTING DEBT false false true B MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTHORITY 010314384 5604253L2 2008-11-01 3600000 CONSTRUCTION false false true C MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTHORITY 2010B 010314384 560427JA5 2010-06-24 2965000 REFINANCE EXISTING DEBT false false true D MAINE HEALTH & HIGHER EDU 010314384 560427WV4 2013-05-23 2380000 REFINANCE EXISTING DEBT false false true A 1708444 27420 1681024 2017 true false true true B 500000 3572529 65821 577759 2928949 2010 false false true true C 1265000 3171803 44927 3126876 2010 true false true true D 960000 2653988 34370 2619618 2013 true false true true B false false false false false A false true false false false B false true false false false false false C false true false false false false false D false true false false false false A false B false C false D false Part VI SCHEDULE K, PART III, LINE 7 AND SCHEDULE K, PART VTHE HOSPITAL HAS CURRENTLY ESTABLISHED SOME OF THE PRACTICES AND PROCEDURES NECESSARY FOR POST-ISSUANCE COMPLIANCE. THE HOSPITAL CURRENTLY MONITORS COMPLIANCE WITH BOND DOCUMENTS THROUGH OUR INTERNAL COMPLIANCE COMMITTEE. WE ARE ALSO REQUIRED BY THE ISSUER TO SUBMIT QUARTERLY DOCUMENTS AS PART OF OUR BOND AGREEMENTS. WE ARE WORKING WITH OUR AUDITORS AND ATTORNEY TO DEVELOP WRITTEN POLICIES. A MAINE HEALTH & HIGHER EDU 010314384 5604274R4 2015-07-30 820000 REFINANCE EXISTING DEBT false true A 145000 1044989 23767 1021222 2015 true false true true A false false false false false 0.00060 0.00060 false A false true false false false A false HASSAN E ABOULEISH INC DIR 100% OWNER 237477 PHYSICIAN SERVICES false SARAH LYNDS DIR DAUGH-LAW 53522 WAGES/EMPLOYMENT false Form 990, Part VI, Line 11b: Form 990 Review Process COPY PROVIDED TO EACH BOARD MEMBER FOR REVIEW, BEFORE RETURN WAS FILED. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts ANNUALLY, DIRECTORS, OFFICERS, AND KEY EMPLOYEES SHALL COMPLETE A CONFLICT OF INTEREST STATEMENT, IN ACCORDANCE WITH THE HOSPITAL'S CONFLICT OF INTEREST POLICY, DISCLOSING ANY POTENTIAL BUSINESS AND PROFESSIONAL CONFLICTS WHICH MAY ARISE. POTENTIAL CONFLICTS WILL BE REVIEWED ON AN ANNUAL BASIS BY THE BOARD OF DIRECTORS. SHOULD A DIRECTOR ENCOUNTER A SPECIFIC CONFLICT OF INTEREST IN ANY MEETING OF THE BOARD OR A BOARD COMMITTEE, THAT DIRECTOR WILL EXCUSE THEMSELVES FROM THE MEETING, WILL NOT PARTICIPATE IN DISCUSSION OF THE ISSUE AND WILL NOT VOTE. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management WAGES FOR THE CEO AND CFO ARE COMPARED AGAINST THE MHA EXECUTIVE COMPENSATION SURVEY ON A BI-ANNUAL BASIS BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees PHYSICIAN SALARIES ARE COMPARED AGAINST TWO DIFFERENT SETS OF COMPARATIVE DATA - THE MGMA PHYSICIAN COMPENSATION SURVEY AND THE MAINE RECRUITMENT CENTER SURVEY. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available THE BY-LAWS OF HOULTON REGIONAL HOSPITAL ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. Other Changes In Net Assets Or Fund Balances - Other Decreases ROUNDING = -$4