2017-08-14T08:32:43-04:00 2016-09-30 990 2015-10-01 010153960 LINCOLNHEALTH LINC 2076338402 35 MILES STREET DAMARISCOTTA ME 04543 WAYNE PRINTY CFO - LHG 2076338402 2017-08-08 2015 2021-01-29 14:40:06Z JAMES DONOVAN 6 ST ANDREWS LANE BOOTHBAY HARBOR ME 04538 87115658 false X WWW.LCHCARE.ORG X 1955 ME LINCOLNHEALTH IS DEDICATED TO MAINTAINING AND IMPROVING THE HEALTH OF OUR COMMUNITIES BY ASSURING: THE VERY BEST, HIGHEST QUALITY, AND COMPASSIONATE HEALTH CARE SERVICES FROM HIGHLY TRAINED PROFESSIONALS; OUR SERVICES ARE COST-EFFECTIVE AND ACCESSIBLE TO ALL REGARDLESS OF THEIR ABILITY TO PAY; AS A NOT-FOR-PROFIT, CHARITABLE ORGANIZATIONS, WE WILL BE TRUSTWORTHY STEWARDS OF OUR RESOURCES; OUR ACTIVE PARTICIPATION AND SUPPORT OF THE MAINEHEALTH FAMILY. 21 14 687 235 186390 -86425 1748605 1014198 73370948 72904731 1204555 675596 1132495 3764141 77456603 78358666 0 0 28770775 30494916 0 253297 42866725 44590907 71637500 75085823 5819103 3272843 73562345 70312422 22731213 19875220 50831132 50437202 X LINCOLNHEALTH IS DEDICATED TO MAINTAINING AND IMPROVING THE HEALTH OF OUR COMMUNITIES BY ASSURING: THE VERY BEST, HIGHEST QUALITY, AND COMPASSIONATE HEALTH CARE SERVICES FROM HIGHLY TRAINED PROFESSIONALS; OUR SERVICES ARE COST-EFFECTIVE AND ACCESSIBLE TO ALL REGARDLESS OF THEIR ABILITY TO PAY; AS A NOT-FOR-PROFIT, CHARITABLE ORGANIZATIONS, WE WILL BE TRUSTWORTHY STEWARDS OF OUR RESOURCES; OUR ACTIVE PARTICIPATION AND SUPPORT OF THE MAINEHEALTH FAMILY. false false 40346267 53483837 LINCOLNHEALTH IS A 25 BED CRITICAL ACCESS HOSPITAL. THE HOSPITAL OPERATIONS PROVIDE BOTH ACUTE, REHABILITATIVE, OBSTETRICS AND INTENSIVE CARE IN ITS INPATIENT SETTING. OUTPATIENT SERVICES INCLUDE EMERGENCY CARE, URGENT CARE, GENERAL AND ORTHOPAEDIC SURGERY, WOUND CARE, OPHTHALMOLOGY, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, CARDIOPULMONARY SERVICES, DIAGNOSTIC IMAGING, LABORATORY, AND PHARMACY SERVICES. PLEASE REFER TO THE ATTACHED COMMUNITY BENEFITS STATEMENT FOR A MORE DETAILED DESCRIPTION OF ITS PROGRAMS. 22242015 13945036 LINCOLNHEALTH, DBA LINCOLN MEDICAL PARTNERS (LMP), IS A MULTI-SPECIALTY PHYSICIAN PRACTICE WITH OFFICES IN BOOTHBAY HARBOR, DAMARISCOTTA, WALDOBORO AND WISCASSET. LMP SPECIALTIES INCLUDE ANESTHESIOLOGY, EMERGENCY MEDICINE, FAMILY MEDICINE, INTERNAL MEDICINE, GENERAL SURGERY, OPHTHALMOLOGY, ORTHOPAEDICS, OBSTETRICS AND GYNECOLOGY, AND PEDIATRICS. 6956868 5475858 LINCOLNHEALTH OFFERS LONG TERM CARE SERVICES AT ST. ANDREWS VILLAGE COMMUNITY. IT INCLUDES 13 ASSISTED LIVING UNITS, 28 INDEPENDENT LIVING APARTMENTS, 11 DEMENTIA CARE BEDS, ADULT DAY SERVICES, AND 42 LONG-TERM NURSING CARE BEDS. STATISTICS FOR THE YEAR: ASSISTED LIVING 3,063 DAYS, INDEPENDENT LIVING 6,082 DAYS, AND DEMENTIA CARE 2,981 DAYS. 69545150 true true false true false false false false false true true false false true 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 false false false false false false false true false false false true 0 0 687 true true true false false false false false false false false false X 21 14 false false false false true true true true true false false true true true true true true true true false ME X WAYNE PRINTY 2076338402 6 ST ANDREWS LANE BOOTHBAY HARBOR ME 04538 GARTH MILLER MD TRUSTEE 0.40 50.00 X 0 395449 26742 MARK FOURRE MD TRUSTEE 0.40 50.00 X 0 290330 33027 TIMOTHY FOX MD TRUSTEE 0.40 50.00 X 0 272885 25142 ANDREW RUSS MD TRUSTEE 0.40 50.00 X 0 240393 25193 CATHARINE CADIGAN MD TRUSTEE 0.40 50.00 X 0 202715 21032 AQUILINO ALAMO MD TRUSTEE 0.40 50.00 X 0 179740 25037 JEFFREY CURTIS CHAIRMAN 0.40 X X 0 0 0 WILLIAM LOGAN VICE-CHAIRMA 0.40 0.00 X X 0 0 0 DAVID LAWRENCE SECRETARY 0.40 0.00 X X 0 0 0 PATRICK LYDON TREASURER 0.40 0.00 X X 0 0 0 JAMES COSGROVE TRUSTEE 0.40 X 0 0 0 LESLIE FOSSEL TRUSTEE 0.40 0.00 X 0 0 0 JACK T FULMER MD TRUSTEE 0.40 0.00 X 0 0 0 BRUCE P GARREN TRUSTEE 0.40 0.00 X 0 0 0 RUSSELL MACK MD TRUSTEE 0.40 0.00 X 0 0 0 WAYNE MOORE TRUSTEE 0.40 0.00 X 0 0 0 SUSAN PORTER TRUSTEE 0.40 0.00 X 0 0 0 JANE G SMITH TRUSTEE 0.40 0.00 X 0 0 0 DENISE SOUCY MD TRUSTEE 0.40 0.00 X 0 0 0 HOLLY B STOVER TRUSTEE 0.40 0.00 X 0 0 0 PETER W WOOD TRUSTEE 0.40 0.00 X 0 0 0 JAMES DONOVAN CEO - LHG 3.00 50.00 X 0 343071 32765 WAYNE PRINTY CFO - LHG 3.00 50.00 X 0 215146 23775 STACEY MILLER VP PHYS. SER 50.00 0.00 X 149107 0 23575 KAREN PHILBRICK DIRECTOR OF 50.00 0.00 X 137213 0 27772 BRENT PETERS STAFF PHARMA 50.00 0.00 X 131028 0 20593 CHRISTINE ANDERSON VP PATIENT S 50.00 0.00 X 118413 0 21661 KARI LONDON STAFF PHARMA 50.00 0.00 X 118332 0 19576 654093 2139729 325890 6 false true false 1014198 1014198 NET PATIENT REVENUE 623000 72805680 72805680 RENTAL INCOME 531390 99051 99051 72904731 213859 213859 17050 17050 17050 17050 9119909 98820 8743591 13401 376318 85419 461737 461737 MISCELLANEOUS INCOME 900099 3577751 3577751 COTTAGE SERVICES 531310 127297 127297 MANAGEMENT FEES 531310 26085 26085 15958 15958 3747091 78358666 76944219 186390 213859 X 23359293 22558335 800958 604975 580539 24436 4818587 4671788 146799 1712061 1642907 69154 150 150 9144789 8562730 581993 66 68137 66902 1235 2219189 1928375 290814 1791665 734583 1057082 1639735 1638273 1462 121522 98553 22969 681406 681406 3444395 3436822 7573 181219 40584 140635 INTEGRATED SERVICES 19472850 17082574 2137045 253231 MEDICAL SUPPLIES 4711864 4711864 HOSPITAL & PROVIDER TAXES 609839 609839 MISCELLANEOUS 358075 357435 640 146072 141641 4431 75085823 69545150 5287376 253297 60743 680639 5305502 3091089 800000 802442 9434425 9522685 106771 189338 1850275 1966127 336087 438985 83878873 49154038 32417420 34724835 11377728 10333161 3580262 8293132 8563121 73562345 70312422 3150123 2861436 2717 2079889 9688006 8983469 3837331 4861827 6053036 1088599 22731213 19875220 X 44353743 43568742 1408755 1609291 5068634 5259169 50831132 50437202 73562345 70312422 X 3272843 78613 -3745386 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 15797 15797 false SCHEDULE C, PART II-B, LINE 1 PORTION OF MEMBERSHIP DUES ATTRIBUTABLE TO LOBBYING ACTIVITIES: LOBBYING PORTION OF MAINE HOSPITAL ASSOCIATION DUES: 7,384 LOBBYING PORTION OF AMERICAN HOSPITAL ASSOCIATION DUES: 5,310 LOBBYING PORTION OF MAINE HEALTH CARE ASSOCIATION: 1,382 LOBBYING PORTION OF AMERICAN HEALTH CARE ASSOCIATION: 420 LOBBYING PORTION OF STRATEGIC HEALTH CARE: 1,200 LOBBYING PORTION OF NATIONAL RURAL HEALTH ASSOCIATION: 101 13266695 163951 760811 -1780280 -39529 12371648 14325848 178090 -144251 -1045069 -47923 13266695 6121367 6498668 2395986 -643800 -46373 14325848 5210719 375829 562818 -6340 -21659 6121367 4545019 900 720113 -36580 -18733 5210719 0.59000 0.41000 true false 2480754 2480754 50217011 26157502 24059509 609779 486772 123007 25313260 19172923 6140337 5258069 3336841 1921228 34724835 BENEFICIAL INT. IN PERPETUAL TRUST 3690828 DUE FROM THIRD PARTY 2103915 INVESTMENT IN LHG & LHMP 1872000 OTHER ASSETS 639750 DUE FROM AFFILIATE 132735 PATIENT AND OTHER DEPOSITS 123893 DEFERRED COSTS 8563121 DUE TO AFFILIATE 672869 MALPRATICE INSURANCE RESERVE 182880 DEPOSITS PAYABLE 123840 ASSET RETIREMENT OBLIGATIONS 109010 OTHER LIABILITIES 1088599 X SCHEDULE D, PAGE 2, PART V, LINE 4 BENEFICIAL INTEREST IN PERPETUAL TRUSTS HELD BY OTHER UNRELATED ORGANIZATIONS HAVE PERIODIC DISTRIBUTIONS THAT ARE MADE AS UNRESTRICTED CONTRIBUTIONS TO HOSPITAL OPERATIONS. - INCOME (INTEREST AND DIVIDENDS NET OF FEES PLUS REALIZED GAINS) GENERATED FROM THE PERMANENTLY RESTRICTED FUNDS IS AVAILABLE AND IS TRANSFERRED TO OPERATIONS, EITHER FOR GENERAL OPERATIONS OR SPECIFIC USES WHICH FALL UNDER NORMAL OPERATIONS. THERE ARE THREE PERMANENTLY RESTRICTED FUNDS THAT HAVE EXCEPTIONS: - INCOME TRANSFERS ARE MADE TO THE VAN WINKLE TEMPORARILY RESTRICTED FUNDS FROM WHICH AN ANNUAL EXCELLENCE IN HEALTHCARE AWARD IS PRESENTED TO AN EMPLOYEE OF LHG OR ONE OF ITS SUBSIDIARIES. THE NET TRANSFER FROM THE PERMANENTLY RESTRICTED FUND TO THE TEMPORARILY RESTRICTED FUND IS EQUAL TO 3% OF THE AVERAGE MARKET VALUE OF THE VAN WINKLE FUND OVER THE PAST 12 QUARTERS. - INCOME GENERATED FROM THE THOMPSON FUND IS TRANSFERRED TO TEMPORARILY RESTRICTED FUNDS TO BE UTILIZED AS CHARITY CARE FOR INDIGENT SOUTH BRISTOL RESIDENTS. - THE VINAL FUND HAS ACCUMULATED TO 10,000 AND IS TO REMAIN AT THAT BALANCE. ALL INCOME GENERATED FROM THIS FUND WILL BE TRANSFERRED OUT ON AN ANNUAL BASIS AND USED TO ASSIST IN MANAGING THE NON-COVERED COSTS OF A LONG-TERM ILLNESS. UTILIZATION OF THE ANNUAL INCOME WILL BE RECOMMENDED BY THE MEDICAL STAFF AND APPROVED BY THE VINAL FAMILY. SCHEDULE D, PAGE 3, PART X LINCOLNHEALTH GROUP, LINCOLNHEALTH, LINCOLNHEALTH COVE'S EDGE AND LINCOLNHEALTH MEDICAL PARTNERS, INC. ARE NOT-FOR-PROFIT CORPORATIONS RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. true true true X 1.750000000000 true X 2.250000000000 true true true false true true 2573037 2573037 0.03430 8383259 7200687 1182572 0.01570 10956296 7200687 3755609 0.05000 119081 71026 48055 0.00060 169008 70986 98022 0.00130 17573534 12386965 5186569 0.06910 16066 16066 0.00020 17877689 12528977 5348712 0.07120 28833985 19729664 9104321 0.12130 25432 18550 6882 0.00010 25432 18550 6882 0.00010 false 2765116 21265574 20787197 478377 X true true 1 1 LINCOLNHEALTH (LH) 35 MILES STREET DAMARISCOTTA ME 04543 WWW.LCHCARE.ORG 38376 X X X LINCOLNHEALTH (LH) 1 false false true X X X X X X X X X X 16 true true false true X SEE PART V, SECTION C X SEE PART V, SECTION C true 16 true SEE PART V, SECTION C false false true X 175.000000000000 225.000000000000 X 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 true X X X true X false false FACILITY 1, LINCOLNHEALTH (LH) - PART V, LINE 3J ALSO INCLUDED IN THE CHNA WAS A PRIORITIZED LIST OF HEALTH NEEDS IDENTIFIED, AS WELL AS THE IMPLEMENTATION PLANS RELATED TO THESE NEEDS. FACILITY 1, LINCOLNHEALTH (LH) - PART V, LINE 5 COMMUNITY INPUT WAS TAKEN INTO ACCOUNT WHEN CONDUCTING THE CHNA, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. THIS INCLUDED INDIVIDUALS FROM THE FOLLOWING FACILITIES: HEALTHY LINCOLN COUNTY, MAINEHEALTH, MIDCOAST MAINE CENTER FOR DISEASE CONTROL, MAINE PRIMARY CARE ASSOCIATION AND LINCOLNHEALTH GROUP. FACILITY 1, LINCOLNHEALTH (LH) - PART V, LINE 6A THE CHNA WAS CONDUCTED THROUGH A PARTNERSHIP WITH MAINEHEALTH, EASTERN MAINE HEALTHCARE SYSTEMS, AND MAINEGENERAL HEALTH. FACILITY 1, LINCOLNHEALTH (LH) - PART V, LINE 7D THE CHNA AND IMPLEMENTATION STRATEGY ARE POSTED ON THE FOLLOWING WEBSITE: HTTPS://MAINEHEALTH.ORG/ABOUT/HEALTH-INDEX-INITIATIVE/COMMUNITY-HEALTH- NEEDS-ASSESSMENT FACILITY 1, LINCOLNHEALTH (LH) - PART V, LINE 11 THE ORGANIZATION HAS COMPLETED ITS WORK ON ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS 2013-2015 CHNA AND IMPLEMENTATION PLAN. PLEASE SEE THE ATTACHED 2013-2015 IMPLEMENTATION PLAN UPDATE FOR DETAILS OF THE ACTIVITIES UNDERTAKEN BY THE ORGANIZATION TO MEET THE IDENTIFIED NEEDS OF ITS COMMUNITY. 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. SEE HTTPS://MAINEHEALTH.ORG/ABOUT/HEALTH-INDEX- INITIATIVE/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR DETAILS. FACILITY 1, LINCOLNHEALTH (LH) - PART V, LINE 13H PRESUMPTIVE ELIGIBILITY - INTENDED FOR THOSE PATIENTS WHO NEVER COMPLETED A FREE CARE APPLICATION, BUT THE PATIENT ACCOUNTS DEPARTMENT HAS SUFFICIENT INFORMATION TO DETERMINE THAT THE PATIENT WOULD QUALIFY FOR FREE CARE IF THEY APPLIED. EXAMPLES INCLUDE THE FOLLOWING: PATIENT IS HOMELESS, AND DID NOT COMPLETE AN APPLICATION PATIENT IS COVERED BY AN OUT OF STATE MEDICAID PLAN WITH WHICH THE PROVIDER IS NOT CREDENTIALED, AND THE PATIENT'S BALANCE DOES NOT JUSTIFY COMPLETION OF THE BURDENSOME PAPERWORK ASSOCIATED WITH CREDENTIALING PATIENT HAS BEEN IN THE HOSPITAL WITHOUT INCOME FOR MORE THAN 3 MONTHS, AND EXPIRES BEFORE AN APPLICATION CAN BE COMPLETED PATIENT IS INCARCERATED CONSISTENT WITH THE SECTION ON MEDICAL INDIGENCE, PRESUMPTIVE ELIGIBILITY PATIENTS WILL BE APPROVED FOR ADJUSTMENT BY SUPERVISORY OR MANAGEMENT STAFF IN THE PATIENT ACCOUNTS DEPARTMENT, UPON RECOMMENDATION BY COLLECTION OR CUSTOMER SERVICE STAFF. FACILITY 1, LINCOLNHEALTH (LH) - PART V, LINE 16I THE FAP AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE ON THE FOLLOWING WEBSITE: HTTPS://MAINEHEALTH.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL- ASSISTANCE THE FAP APPLICATION FORM IS AVAILABLE ON THE FOLLOWING WEBSITE: HTTPS://MAINEHEALTH.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL- ASSISTANCE/FREE-MEDICAL-CARE-APPLICATION FACILITY 1, LINCOLNHEALTH (LH) - PART V, LINE 16I FINANCIAL ASSISTANCE POLICY INFORMATION PROVIDED AS A FOOTNOTE ON PATIENT STATEMENTS. FACILITY 1, LINCOLNHEALTH (LH) - PART V, LINE 22D THE HOSPITAL FACILITY USED GROSS CHARGES TO CALCULATE DISCOUNTS. ITEMS 22A-C ARE BEING EVALUATED FOR WHICH IS MOST PRACTICABLE FOR FUTURE IMPLEMENTATION. 12 LH DBA ST ANDREWS VILLAGE 145 EMERY LANE BOOTHBAY HARBOR ME 04538 LONG-TERM CARE FACILITY LH DBA LMP GENERAL SURGERY 5 MILES CENTER WAY DAMARISCOTTA ME 04543 OUTPATIENT CLINIC LH DBA LMP ORTHOPEDICS 5 MILES CENTER WAY DAMARISCOTTA ME 04543 OUTPATIENT CLINIC LH DBA THE FAMILY CARE CENTER 14 ST ANDREWS LANE BOOTHBAY HARBOR ME 04538 OUTPATIENT CLINIC LH DBA LMP FAMILY MEDICINE 230 KALERS CORNER WALDOBORO ME 04572 OUTPATIENT CLINIC LH DBA LMP FAMILY MEDICINE VAN WINKLE MEDICAL BUILDING 79 SCHOONER ST DAMARISCOTTA ME 04543 OUTPATIENT CLINIC LH DBA LMP INTERNAL MEDICINE VAN WINKLE MEDICAL BUILDING 79 SCHOONER ST DAMARISCOTTA ME 04543 OUTPATIENT CLINIC LH DBA LMP PEDIATRICS 79 SCHOONER ST DAMARISCOTTA ME 04543 OUTPATIENT CLINIC LH DBA LMP FAMILY MEDICINE 49 HOOPER STREET WISCASSET ME 04578 OUTPATIENT CLINIC LH DBA THE WOMEN'S CENTER 5 MILES CENTER WAY DAMARISCOTTA ME 04543 OUTPATIENT CLINIC LH DBA LMP OPHTHALMOLOGY 71 MAIN STREET NEWCASTLE ME 04553 OUTPATIENT CLINIC LH DBA LINCOLN MEDICAL PARTNERS 42 BELVEDERE ROAD NEWCASTLE ME 04553 ADMINISTRATION PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION SUBSIDIZED HEALTH SERVICES INCLUDE SCHOOL BASED HEALTH CENTERS WHERE LINCOLNHEALTH GROUP (LHG) AND ITS SUBSIDIARY LINCOLNHEALTH (LH) PROVIDE PHYSICIANS OR NURSE PRACTITIONERS TO CONSULT AND PROVIDE SERVICES WITHIN THE SCHOOL. CLINICS ARE ALSO OFFERED THROUGHOUT THE YEAR TO PROVIDE SUBSIDIZED SERVICES SUCH AS MAMMOGRAPHY, BLOOD PRESSURE SCREENINGS, ETC. TO ENCOURAGE ITS RESIDENTS TO OBTAIN THESE HEALTH SERVICES. PHYSICIAN PRACTICES OFFERING SERVICES SUCH AS FAMILY MEDICINE, INTERNAL MEDICINE AND PEDIATRICS OPERATE AT A LOSS IN ORDER TO ENSURE HEALTHCARE FOR ITS COMMUNITY MEMBERS REGARDLESS OF THEIR ABILITY TO PAY. 5,186,569 (IN 2015, 8,002,991) OF EXPENSES RELATED TO OUTPATIENT CLINICS ARE INCLUDED IN THE SUBSIDIZED HEALTH SERVICES TOTAL IN PART I, LINE 7G. PART I, LINE 7, COLUMN (F) - EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE BAD DEBT IS A DEDUCTION FROM REVENUE AND IS NOT INCLUDED IN TOTAL EXPENSES. PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS UTILIZE A COST TO CHARGE RATIO IN DETERMINING THE COST OF THE ACTUAL CHARITY CARE WRITE-OFF. THE COST TO CHARGE RATIO IS CALCULATED USING WORKSHEET 2: RATIO OF PATIENT CARE COST TO CHARGES, LOCATED IN THE SCHEDULE H INSTRUCTIONS. PART II - COMMUNITY BUILDING ACTIVITIES LINCOLNHEALTH GROUP AND ITS SUBSIDIARY HOSPITAL ORGANIZATION, LINCOLNHEALTH, PARTNER WITH VARIOUS COMMUNITY GROUPS SUCH AS HEALTHY LINCOLN COUNTY AND HEALTHY MAINE PARTNERSHIP TO IMPROVE AND PROTECT THE HEALTH OF ITS COMMUNITY MEMBERS. MEALS ARE PREPARED BY ITS STAFF AS PART OF THE LOCAL MEALS ON WHEELS PROGRAMS WHICH DELIVERS MEALS TO THE ELDERLY POPULATION TO ASSIST WITH THEIR NUTRITIONAL NEEDS. LHG PARTICIPATES IN THE COMMUNITY DISASTER TRAINING HELD ON A REGULAR BASIS THROUGHOUT THE COUNTY. 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 FROM THE LHG AUDITED FINANCIAL STATEMENTS: CHARITY CARE: LH (THE HOSPITAL) ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. A PATIENT IS CLASSIFIED AS A CHARITY PATIENT BY REFERENCE TO CERTAIN ESTABLISHED POLICIES. ESSENTIALLY, THESE POLICIES DEFINE CHARITY CARE AS THOSE SERVICES FOR WHICH LIMITED OR NO PAYMENT IS ANTICIPATED. IN ASSESSING A PATIENT'S ABILITY TO PAY, THE HOSPITAL UTILIZES GENERALLY RECOGNIZED POVERTY INCOME LEVELS. CHARITY CARE IS MEASURED BASED ON THE HOSPITAL'S ESTABLISHED RATES. THE HOSPITAL UTILIZES ANNUAL FEDERAL GUIDELINES AND ADJUSTS ACCOUNTS FOR THOSE WHOSE INCOME IS 225% OF THE POVERTY LEVEL, TAKING FAMILY SIZE INTO CONSIDERATION. THE COSTS AND EXPENSES INCURRED IN PROVIDING THESE SERVICES ARE INCLUDED IN OPERATING EXPENSES. REVENUE FOR SERVICES RENDERED TO INDIVIDUALS FROM WHO PAYMENT IS EXPECTED AND ULTIMATELY NOT RECEIVED IS WRITTEN OFF AND INCLUDED AS PART OF THE ALLOWANCE FOR BAD DEBTS. THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON PART III, LINE 2 AND 3 FOLLOW THE WORKSHEETS PROVIDED IN THE SCHEDULE H INSTRUCTIONS AND UTILIZES COSTS TO CHARGE INFORMATION DERIVED DIRECTLY OFF THE ANNUAL COST REPORTS. LINCOLNHEALTH DOES NOT HAVE A SPECIFIC FOOTNOTE IN THE FINANCIAL STATEMENTS THAT DESCRIBES "BAD DEBT EXPENSE". LH REPORTS ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, LHG ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, LHG ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, LHG RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF 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 ALLOWANCE FOR DOUBTFUL ACCOUNTS. LH BELIEVES THAT BAD DEBT EXPENSE SHOULD BE INCLUDED AS A COMMUNITY BENEFIT. PART III, LINE 8 - MEDICARE EXPLANATION MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST TO CHARGE RATIO. LH BELIEVES THAT THE MEDICARE SHORTFALL SHOULD BE INCLUDED AS A COMMUNITY BENEFIT BECAUSE LH HAS A CLEAR MISSION COMMITMENT TO SERVING ELDERLY PATIENTS AND ADULTS WITH DISABILITIES THROUGH THE PROVISION OF SPECIFIC SUBSIDIZED PROGRAMS DEVELOPED TO HELP IMPROVE THE HEALTH STATUS OF THESE PATIENTS. IF THESE CRITICAL SUBSIDIZED PROGRAMS WERE NOT PROVIDED BY LH, THEY WOULD BECOME THE OBLIGATION OF THE FEDERAL GOVERNMENT. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION PATIENTS WHO QUALIFY FOR FINANCIALS ASSISTANCE HAVE THEIR ACCOUNT BALANCE ADJUSTED ACCORDINGLY. ONCE FINANCIAL ASSISTANCE HAS BEEN APPROVED FOR PATIENTS THAT DO NOT QUALIFY FOR 100% FINANCIAL ASSISTANCE, THE APPROPRIATE DISCOUNT PERCENTAGE IS APPLIED AND THE REMAINING BALANCE IS BILLED TO THE RESPONSIBLE PARTY. MONTHLY PAYMENT ARRANGEMENTS CAN BE ESTABLISHED BY THE RESPONSIBLE PARTY BY CONTACTING THE PATIENT FINANCIAL SERVICES CUSTOMER SERVICE DEPARTMENT. AS A TAX-EXEMPT HOSPITAL, LH PROVIDES NECESSARY PATIENT CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THE SERVICES. PART VI, LINE 2 - NEEDS ASSESSMENT SEE THE ATTACHED COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLAN FOR A DESCRIPTION OF HOW THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. THE HEALTH NEEDS OF THE COMMUNITY ARE ASSESSED BY: UTILIZING THE MAINE STATE HEALTH PLAN AND ASSESSMENT, COMMUNITY FORUMS, INVOLVEMENT IN COMMUNITY BASED HEALTH STATUS IMPROVEMENT PROGRAMS AND IN CONJUNCTION WITH MAINEHEALTH (OUR HEALTH CARE SYSTEM.) MAINEHEALTH ALSO PARTICIPATES 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, MEMBER ORGANIZATIONS ALSO REVIEW AND ACT ON RECOMMENDATIONS PROVIDED BY LOCAL AND STATE PARTNERS, SUCH AS THE MAINE CENTER FOR DISEASE CONTROL AND PREVENTION (MCDC). ALL HOSPITALS WITHIN THE MAINEHEALTH SYSTEM HAVE CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) TO MEET FEDERAL REGULATIONS THAT WERE CREATED AS PART OF THE AFFORDABLE CARE ACT. IN LATE 2013, CHNA AND IMPLEMENTATION PLAN REPORTS WERE PRODUCED BY EACH MAINEHEALTH MEMBER HOSPITAL, IN COLLABORATION WITH MAINEHEALTH. THESE DETAILED REPORTS COVERED THE TIME PERIOD OF 2013-2015 AND WERE FORMALLY ADOPTED BY EACH MEMBER ORGANIZATION BOARD FOR SUBMISSION WITH THEIR RESPECTIVE FY13 990 FILINGS. IN 2015, A COLLABORATIVE CALLED THE MAINE SHARED HEALTH NEEDS ASSESSMENT PLANNING PROCESS (SHNAPP) WAS LAUNCHED TO CREATE A FRAMEWORK AND APPROACH FOR A SHARED CHNA THAT CAN: I) ADDRESS COMMUNITY BENEFIT REPORTING NEEDS OF HOSPITALS, II) SUPPORT STATE AND LOCAL PUBLIC HEALTH ACCREDITATION EFFORTS, AND III) PROVIDE VALUABLE POPULATION HEALTH ASSESSMENT DATA FOR VARIOUS ORGANIZATIONS CONCERNED WITH THE HEALTH OF MAINE'S COMMUNITIES AND CITIZENS. MAINEHEALTH, EASTERN MAINE HEALTHCARE SYSTEM, CENTRAL MAINE HEALTHCARE AND THE MAINE CENTER FOR DISEASE CONTROL AND PREVENTION ARE CONTRIBUTING FINANCIALS SUPPORT TO THE STUDY AND REPORTS. IN 2016, MAINE SHNAPP PRODUCED COUNTY-LEVEL CHNA REPORTS AND HELPED COORDINATE COMMUNITY ENGAGEMENT PROCESSES THAT ULTIMATELY RESULTED IN THE PRIORITIZATION OF THE HEALTH ISSUES BY HOSPITALS, STATE/LOCAL GOVERNMENTS AND OTHER PARTNERS. IN COLLABORATION WITH MAINEHEALTH, EACH MEMBER HOSPITAL PRODUCED A DETAILED CHNA REPORT AND IMPLEMENTATION PLAN COVERING THE TIME PERIOD OF 2016-2018. THESE REPORTS WERE FORMALLY ADOPTED BY EACH MEMBER ORGANIZATION BOARD FOR SUBMISSION WITH THEIR RESPECTIVE FY16 990 FILINGS. IMPORTANTLY, AS OF FY16, THE THREE-YEAR CYCLE OF THE CHNA PROCESS IS ALIGNED WITH MAINEHEALTH MEMBER ORGANIZATIONS' STRATEGIC PLANNING PROCESSES (ALSO THREE-YEAR CYCLES). WE EXPECT THIS ALIGNMENT TO STRENGTHEN THE COORDINATION AND RESOURCE ALLOCATION FOR COMMUNITY HEALTH IMPROVEMENT EFFORTS ACROSS THE MAINEHEALTH ORGANIZATIONS. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PATIENTS AND OTHER PERSONS WHO ARE BILLED FOR PATIENT CARE ARE INFORMED ABOUT ELIGIBILITY CRITERIA FOR FREE CARE, GOVERNMENTAL ASSISTANCE (I.E. MEDICAID) AND OTHER ASSISTANCE PROGRAMS. SUCH NOTIFICATION IS ACCOMPLISHED IN THE FOLLOWING WAYS: ALL SELF-PAY PATIENTS ARE PROVIDED A PACKET THAT DESCRIBES AVAILABLE PROGRAMS, ELIGIBILITY AND THE APPLICATION PROCESS. NOTIFICATIONS ARE POSTED AT NUMEROUS LOCATIONS THROUGHOUT THE HOSPITAL IN PATIENT CARE AREAS, AS WELL AS THE HOSPITAL ENTRANCE. INPATIENTS WITHOUT INSURANCE RECEIVE FINANCIAL COUNSELING AT WHICH TIME FINANCIAL ASSISTANCE OPPORTUNITIES ARE DISCUSSED. HOSPITAL STAFF WILL ASSIST PATIENTS IN THE APPLICATION PROCESS. PATIENT BILLS AND STATEMENTS PROVIDE A TELEPHONE NUMBER TO CALL FOR INFORMATION ABOUT FINANCIAL ASSISTANCE PROGRAMS AND HELP IN QUALIFYING FOR THEM. PART VI, LINE 4 - COMMUNITY INFORMATION OUR SERVICE AREA IS LINCOLN COUNTY, MAINE, WHICH WAS INCORPORATED JUNE 19, 1760. LINCOLN COUNTY CONTAINS 457 SQUARE MILES OF LAND, 451 MILES OF COASTLINE, AND SIX RIVERS. MARINE INTERESTS SUCH AS COMMERCIAL FISHING, LOBSTERING, CLAMMING, EELING, BOAT BUILDING ALONG WITH FORESTRY AND AGRICULTURE CONSTITUTED THE MAJORITY OF OUR EARLY ECONOMIC BASE. IN MORE RECENT TIMES, SERVICE INDUSTRIES AND TOURISM ALSO SERVE AS OUR ECONOMIC BASE. ACCORDING TO 2011-2015 AMERICAN COMMUNITY SURVEY OF THE U.S. CENSUS BUREAU, LINCOLN COUNTY HAS A TOTAL POPULATION OF 34,457. THIS POPULATION ALMOST DOUBLES IN THE SUMMER, AS WE ARE A VERY BUSY TOURIST DESTINATION ON THE COAST. TEN PERCENT OF OUR RESIDENTS ARE BELOW THE POVERTY LEVEL. MAINE'S PERCENTAGE OF RESIDENTS OVER 65 IS 17.6% VERSUS 14.9% NATIONALLY. WITHIN MAINE, LINCOLN COUNTY'S PERCENTAGE OF RESIDENTS OVER 65 IS 24.3%. LINCOLN COUNTY ALSO HAS A HIGHER MEDIAN AGE (49.8 VS. 37.6) THAN IN THE UNITED STATES. AS COMPARED TO THE UNITED STATES (63.5%), A SMALLER PERCENT OF RESIDENTS AT LEAST 16 YEARS OF AGE ARE IN THE LABOR FORCE (59.6%). LINCOLN COUNTY IS AN ECONOMICALLY POOR COUNTY. THESE POPULATION AND ECONOMIC DATA POINT OUT THE DEPENDENCE OF LINCOLNHEALTH ON MEDICARE AND MEDICAID AND EXPLAIN THE LARGE AMOUNT OF UNCOMPENSATED CARE PROVIDED. LINCOLNHEALTH IS A CRITICAL ACCESS HOSPITAL LOCATED IN DAMARISCOTTA, WITH AN OUTPATIENT CAMPUS IN BOOTHBAY HARBOR. IT IS THE ONLY HOSPITAL IN LINCOLN COUNTY. PORTIONS OF LINCOLN COUNTY HAVE BEEN DESIGNATED AS MEDICALLY UNDERSERVED. 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 HOSPITALS, LONG-TERM CARE, HOME HEALTH, HOSPICE 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 THE HOSPITAL IS PART OF LINCOLNHEALTH GROUP WHICH INCLUDES THE FOLLOWING SERVICES PROVIDED IN LINCOLN COUNTY: A CRITICAL ACCESS HOSPITAL, TWO NURSING FACILITIES, TWO ASSISTED LIVING FACILITIES, TWO DEMENTIA CARE FACILITIES, RURAL HEALTH CLINICS AT SEVERAL SITES, GENERAL SURGERY PRACTICE, ORTHOPEDIC SURGERY PRACTICE, OPHTHALMOLOGY, OB/GYN PHYSICIAN PRACTICE, PEDIATRICS, HOME HEALTH CARE AND HOSPICE. LINCOLNHEALTH GROUP (LHG), IN TURN, IS PART OF THE MAINEHEALTH SYSTEM. THE ABILITY TO IMPROVE HEALTH CARE AND THE HEALTH STATUS IN LINCOLN COUNTY IS ENHANCED BY THE COMMON GOVERNANCE, MANAGEMENT AND ADMINISTRATION OF THESE DIVERSE HEALTH CARE SERVICES. THE SYSTEM'S COORDINATED APPROACH TO THE FOLLOWING, ENHANCES THE RESOURCES THAT CAN BE ALLOCATED TO DIRECT PATIENT CARE AND HEALTH STATUS IMPROVEMENT: ACCOUNTING, ANALYSIS AND BUDGETING; PATIENT BILLING; MEDICAL RECORDS; SUPPLY CHAIN MANAGEMENT/PURCHASING; HUMAN RESOURCES; INFORMATION SERVICES; MEDICAL STAFF; EDUCATION (COMMUNITY & STAFF); SHARED CLINICAL DEPARTMENT MANAGEMENT. THE SYSTEM APPROACH PROVIDES A MORE "HOLISTIC" APPROACH TO COMMUNITY NEEDS ASSESSMENT AND TO THE IMPLEMENTATION OF PROGRAMS TO IMPROVE COMMUNITY HEALTH. STRATEGIC PLANNING AND BUDGETING CAN BETTER ALLOCATE RESOURCES ACROSS THE SPECTRUM OF CARE TO ACHIEVE BETTER OVERALL OUTCOMES. 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 AREA. 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 (LINCOLNHEALTH), MAINE MEDICAL CENTER, MAINE BEHAVIORAL HEALTHCARE, COASTAL HEALTHCARE ALLIANCE(PEN BAY MEDICAL CENTER AND WALDO COUNTY GENERAL HOSPITAL), SOUTHERN MAINE HEALTH CARE, WESTERN MAINE HEALTH CARE (STEPHENS MEMORIAL HOSPITAL), MAINEHEALTH CARE AT HOME, MAINE PHYSICIAN HOSPITAL ORGANIZATION, MAINEHEALTH ACCOUNTABLE CARE ORGANIZATION, MAINEHEALTH CARDIOLOGY, NORDX, SYNERNET, THE MEMORIAL HOSPITAL AT NORTH CONWAY, N.H., FRANKLIN COMMUNITY HEALTH NETWORK, AND GERIATRIC RESOURCE NETWORK OR PARTNERSHIP FOR HEALTHY AGING. AFFILIATES OF MAINEHEALTH INCLUDE MAINEGENERAL MEDICAL CENTER, MID COAST HOSPITAL, NEW ENGLAND REHABILITATION HOSPITAL, AND ST. MARY'S REGIONAL MEDICAL CENTER. PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT MAINE ADDITIONAL INFORMATION THE COMMUNITY BENEFIT REPORT IS CONTAINED WITHIN THE REPORT PREPARED BY LINCOLNHEALTH GROUP. SEE SCHEDULE O. PART I, LINE 3B ELIGIBILITY FOR FREE OR DISCOUNTED CARE IS BASED ON INCOME CRITERIA AS OUTLINED BELOW: 175% FPL - 100% WRITE-OFF 200% FPL - 50% WRITE-OFF 225% FPL - 25% WRITE-OFF % FEDERAL POVERTY LEVELS (FPL) TAKE INTO ACCOUNT FAMILY SIZE. NO ASSET TEST, OR OTHER CRITERIA IS EVALUATED FOR ELIGIBILITY. THESE LEVELS SURPASS THE MINIMUM STATE REQUIREMENTS FOR FREE CARE ELIGIBILITY AT 150% OF FPL. false false false false false false false false false GARTH MILLER MD TRUSTEE 385399 10050 8613 18129 422191 MARK FOURRE MD TRUSTEE 290330 8613 24414 323357 TIMOTHY FOX MD TRUSTEE 272885 8613 16529 298027 ANDREW RUSS MD TRUSTEE 202590 37803 7204 17989 265586 CATHARINE CADIGAN MD TRUSTEE 187926 4764 10025 6810 14222 223747 AQUILINO ALAMO MD TRUSTEE 148649 31091 6114 18923 204777 JAMES DONOVAN CEO - LHG 259506 43000 40565 8613 24152 375836 WAYNE PRINTY CFO - LHG 192068 23078 6501 17274 238921 STACEY MILLER VP PHYS. SERVICES 149057 50 5032 18543 172682 KAREN PHILBRICK DIRECTOR OF PHARMACY 137203 10 4810 22962 164985 BRENT PETERS STAFF PHARMACIST 125984 5044 4181 16412 151621 SCHEDULE J, PAGE 1, PART I, LINE 3 TOP MANAGEMENT OFFICIALS ARE COMPENSATED BY THIS OR OTHER 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 MHHEFA REVENUE BOND SERIES 2011A 010314384 560427LW4 2011-08-31 8469460 REFINANCE BONDS false false false B MHHEFA REVENUE BOND SERIES 2011A 010314384 560427LW4 2011-08-31 5616753 REFINANCE BONDS false false false A 1695000 8469460 835359 88736 8380724 true false true true B 1605000 5616753 655131 64425 5552328 true false true true A false true false false false false false B false true false false false false false A false false false true false false false false false B false false false true false false false false false A false B false SCHEDULE K - DATE REBATE COMPUTATION PERFORMED MHHEFA REVENUE BOND SERIES 2011A 09/30/16 MHHEFA REVENUE BOND SERIES 2011A 09/30/16 SCHEDULE K - ADDITIONAL INFORMATION MHHEFA REVENUE BOND SERIES 2011A WITH RESPECT TO PART I, COLUMN (E), AND PART II, LINES 1-12, 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". FORM 990 - ORGANIZATION'S MISSION LINCOLNHEALTH IS DEDICATED TO MAINTAINING AND IMPROVING THE HEALTH OF OUR COMMUNITIES BY ASSURING: THE VERY BEST, HIGHEST QUALITY, AND COMPASSIONATE HEALTH CARE SERVICES FROM HIGHLY TRAINED PROFESSIONALS; OUR SERVICES ARE COST-EFFECTIVE AND ACCESSIBLE TO ALL REGARDLESS OF THEIR ABILITY TO PAY; AS A NOT-FOR-PROFIT, CHARITABLE ORGANIZATIONS, WE WILL BE TRUSTWORTHY STEWARDS OF OUR RESOURCES; OUR ACTIVE PARTICIPATION AND SUPPORT OF THE MAINEHEALTH FAMILY. FORM 990, PAGE 6, PART VI, LINE 6 LINCOLNHEALTH GROUP (LHG) (FORMERLY LINCOLN COUNTY HEALTH CARE, INC.) (EIN 26-1475629), IS THE SOLE CORPORATE MEMBER OF LINCOLNHEALTH (LH). MAINEHEALTH (EIN 01-0431680), AS THE SOLE MEMBER OF LHG, HAS THE RIGHT TO APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BOARD OF LHG AND ITS SUBSIDIARIES. FORM 990, PAGE 6, PART VI, LINE 7A THE MEMBER ELECTS THE BOARD OF TRUSTEES. ALL OFFICERS OF THE BOARD OF TRUSTEES ARE ELECTED BY THE BOARD, AND EACH MUST BE A TRUSTEE. OFFICERS OF THE CORPORATION ARE ELECTED ANNUALLY BY THE BOARD. 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 THE CHIEF FINANCIAL OFFICER PERFORMS A DETAILED REVIEW OF THE ENTIRE FORM 990 BEFORE SIGNING. THE FORM 990 IS THEN MADE AVAILABLE TO THE FULL BOARD PRIOR TO FILING. FORM 990, PAGE 6, PART VI, LINE 12C ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON THE PART OF A TRUSTEE, PHYSICIAN, OFFICER OR MANAGER (E.G., A MEMBER OF LINCOLNHEALTH GROUP LEADERSHIP TEAM, DIRECTOR, MANAGER OR PERSON RESPONSIBLE FOR PURCHASING) MUST BE DISCLOSED TO THE APPLICABLE BOARD, BOARD COMMITTEE OR, IN THE CASE OF AN ADMINISTRATIVE DECISION THAT IS NOT SUBJECT TO BOARD OR COMMITTEE APPROVAL, TO THE MANAGER'S IMMEDIATE SUPERVISOR. SUCH DISCLOSURES SHALL BE MADE A MATTER OF RECORD. DISCLOSURE WILL BE MADE AT THE TIME OF INITIAL AFFILIATION WITH LINCOLNHEALTH GROUP ANNUALLY AND WHEN THE INTEREST BECOMES A MATTER FOR BOARD OR COMMITTEE ACTION OR ADMINISTRATIVE DECISION. DISCLOSURE FORMS SHALL BE COMPLETED ANNUALLY BY TRUSTEES AND OFFICERS AT THE TIME OF THE ANNUAL MEETING, AND ANNUALLY BY VICE PRESIDENTS, DIRECTORS, AND MANAGERS IN CONJUNCTION WITH THEIR ANNUAL PERFORMANCE REVIEW. FORM 990, PAGE 6, PART VI, LINE 15A IN CONSULTATION WITH SULLIVAN COTTER, THE MAINEHEALTH BOARD COMPENSATION COMMITTEE ESTABLISHES APPROPRIATE COMPENSATION PARAMETERS FOR EACH MEMBER ORGANIZATION'S CEO AND CERTAIN MEMBERS OF THEIR SENIOR MANAGEMENT TEAM. WORKING WITHIN THOSE PARAMETERS, THE LINCOLNHEALTH GROUP (LHG) 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. THIS "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 (SUCH AS HOUSING ALLOWANCES, SOCIAL CLUB MEMBERSHIPS, SIGNING BONUSES,ETC.)". THE BOARD TAKES NECESSARY ACTION TO PREVENT THE CEO FROM VOTING OR DIRECTLY PARTICIPATING IN THE FINAL COMMITTEE DETERMINATION OF (HER/HIS)OWN COMPENSATION. THE ORGANIZATION'S EXECUTIVE COMPENSATION PROCEDURE RELIES UPON APPROPRIATE DATA FOR COMPARABILITY (E.G. COMPENSATION LEVELS PAID BY BOTH TAXABLE AND TAX-EXEMPT SIMILARLY SITUATED ORGANIZATIONS AND INDEPENDENT COMPENSATION SURVEYS BY NATIONALLY RECOGNIZED INDEPENDENT FIRMS). FINALLY, THE ORGANIZATION REFRAINS FROM ALLOWING EXECUTIVE COMPENSATION TO EVER BE BASED SOLELY ON LHG'S REVENUES OR OTHER SIMILAR PROFIT-SHARING STRATEGIES. FORM 990, PAGE 6, PART VI, LINE 15B SEE PROCESS ABOVE UNDER "COMPENSATION PROCESS FOR TOP OFFICIAL". 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 7,302,978 411,650 66 AMBULANCE 22,266 0 0 CONTRACT SERVICES - I/S 165,276 0 0 CONTRACT SERVICES - PHARM. 90,152 0 0 FEES - COLLECTION 28,469 170,343 0 INSPECTION SERVICES 3,038 0 0 MEDICAL SERVICES 72,326 0 0 SECURITY SERVICES 2,288 0 0 TEMP PERSONNEL 875,624 0 0 TRANSCRIPTION SERVICES 313 0 0 FORM 990, PART XI THE FINANCIAL RESULTS OF THE ORGANIZATION WERE PART OF A CONSOLIDATED FINANCIAL STATEMENT AUDIT PREPARED FOR LINCOLNHEALTH GROUP (EIN 26- 1475629) AND ITS SUBSIDIARIES. FORM 990, PART XI, LINE 9 EQUITY TRANSFERS TO AFFILIATES -3,855,952 CHANGE IN PERPETUAL TRUSTS 110,566 TOTAL -3,745,386 LINCOLNHEALTH MEDICAL PARTNERS INC 35 MILES STREET DAMARISCOTTA ME 04543 263878235 PHYS PRACT ME 501C3 7 LHG false LINCOLNHEALTH GROUP (LHG) 6 ST ANDREWS LANE BOOTHBAY HARBOR ME 04538 261475629 HEALTHCARE ME 501C3 11B MH false LINCOLNHEALTH COVE'S EDGE 35 MILES STREET DAMARISCOTTA ME 04543 010382340 HEALTHCARE ME 501C3 3 LHG false MAINEHEALTH (MH) 110 FREE STREET PORTLAND ME 04101 010431680 HEALTHCARE ME 501C3 11C NA false false false false false false false false false false true false false true true true true true true true