2017-08-11T15:12:29-04:00 2016-09-30 990 2015-10-01 020222156 MEMORIAL HOSPITAL MEMO 6033565461 3073 WHITE MOUNTAIN HIGHWAY NORTH CONWAY NH 03860 DIANA MCLAUGHLIN SR DIRECTOR FINANCE 6033565461 2017-08-07 2015 2021-01-29 14:40:06Z SCOTT MCKINNON 3073 WHITE MOUNTAIN HIGHWAY NORTH CONWAY NH 03860 72460865 false X WWW.MEMORIALHOSPITALNH.ORG X 1910 NH CRITICAL ACCESS HOSPITAL 15 9 585 80 0 337595 763484 66513367 68053811 441838 -312727 84008 65041 67376808 68569609 0 0 25068265 34927320 0 144843 40444022 34610499 65512287 69537819 1864521 -968210 77678781 76473057 36733735 36373870 40945046 40099187 MEMORIAL HOSPITAL PROVIDES HEALTHCARE SERVICES TO THE RESIDENTS AND VISITORS OF THE MOUNT WASHINGTON VALLEY AREA OF NEW HAMPSHIRE. false false 62514277 67600067 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, ICF, OBSTETRICS, RADIOLOGY/IMAGING, ONCOLOGY/INFUSION, CARDIAC REHAB, WOUND CARE, SPECIALTY CARE, ED AND PRIMARY CARE. THE HOSPITAL HAD 5,242 ACUTE INPATIENT DAYS, 12,483 ED OUTPATIENT VISITS, AND 578 SWING BED DAYS. 62514277 true true 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 false false false false false false false true true false false false true 109 0 true 585 true false false false false false false false false false false X 15 9 false false false false true true true true true false false true true true true true true true true false NH X DIANA MCLAUGHLIN 6033565461 3073 WHITE MOUNTAIN HIGHWAY NORTH CONWAY NH 03860 X WILLIAM CARON MH CEO 1.00 50.00 X 0 1080292 150277 SCOTT MCKINNON PRESIDENT/CE 50.00 X X 514717 0 24358 MARNI MADNICK MD MEDICAL STAF 50.00 X 329324 0 39294 RAYMOND RABIDEAU MD CMO 50.00 X 313608 0 24343 JAMES GLAZER MD FACSM BOARD MEMBER 50.00 X 288499 0 23447 LEONA CLOUTIER BOARD MEMBER 50.00 X 154880 0 30406 PHIL DAVIES CHAIR 1.00 X X 0 0 0 LAURA JAWITZ 1ST VICE CHA 1.00 X X 0 0 0 DAPHNE WALL PAST 2ND VIC 1.00 X X 0 0 0 BARBARA HOPKINS PAST SECRETA 1.00 X X 0 0 0 THAIRE BRYANT TREASURER 1.00 X X 0 0 0 ED KELLY BOARD MEMBER 1.00 X 0 0 0 JOAN AUBREY BOARD MEMBER 1.00 X 0 0 0 BILL BECK 2ND VICE CHA 1.00 X X 0 0 0 MICHELLE O'DONNELL BOARD MEMBER 1.00 X 0 0 0 MARY DEVEAU BOARD MEMBER 1.00 X 0 0 0 JUSTINO FERNANDES MD SECRETARY 1.00 X X 0 0 0 ETHNEE GARNER VP OF NURSIN 50.00 X 146690 0 21227 DIANA MCLAUGHLIN SR DIRECTOR 0.00 50.00 X 0 124337 21368 DIANE MAHEUX FRMR VP OF F 50.00 X 118434 0 30019 MORICE DENNERY MD SURGEON 50.00 X 479874 0 24370 DOUGLAS TAYLOR MD ORTHOPAEDIC 50.00 X 478122 0 24675 JOHN IDOINE DO ORTHOPAEDIC 50.00 X 443372 0 48547 WILLIAM MARTIN MD PRIMARY CARE 50.00 X 384982 0 54429 BRIAN SPONSELLER MD PRIMARY CARE 50.00 X 373310 0 54929 4025812 1204629 571689 38 false true false MAINE RECOVERY SERVICES 37 DOUGLAS ROAD LIMINGTON ME 04049 BILLING/CODING 517945 LANGFORD & LOW INC PO BOX 662 PORTLAND ME 04104 BLDG CONTRACTOR 443815 DIVERSIFIED CLINICAL SERVICES 4500 SALISBURY RD 300 JACKSONVILLE FL 32216 WOUND CARE 373126 NORDX 301 US RTE 1 SUITE A SCARBOROUGH ME 040744401 LAB SERVICES 301232 WEATHERBY LOCUMS PO BOX 972633 DALLAS TX 753972633 CONT PHYS SVCS 289023 13 X 763484 763484 PATIENT SERVICE REVENUE 621110 66760706 66760706 OTHER PATIENT SERVICE REVENUE 621110 1049160 1049160 CAFETERIA & PHARMACY REVENUE 621110 243945 243945 68053811 206058 206058 181242 116201 65041 65041 65041 3252348 3922 3775055 -522707 3922 -518785 -518785 68569609 67600067 206058 X 1741584 1218631 522953 26276675 24978868 1215264 82543 464403 429760 32462 2181 4691530 4285345 385413 20772 1753128 1639150 108112 5866 39500 39500 72759 72759 8916445 7389359 1527086 249082 2314 246768 2011285 1708338 301917 1030 7625 7625 1614761 1535613 79148 75474 66030 9323 121 998539 998539 4365410 4365410 742568 553765 188803 MEDICAL SUPPLIES 9004354 9004354 MEDICAID TAX 2553230 2553230 MMC INTEGRATED SERVICES 1967696 1967696 EQUIPMENT LEASE 679685 659273 19513 899 1312086 1126298 154357 31431 69537819 62514277 6878699 144843 4159682 5340650 16829110 11947966 9101742 9292542 1533544 1639702 494869 399477 85547238 48324020 35644989 37223218 9198085 9457955 716760 1171547 77678781 76473057 5651911 4541166 156333 208856 17534962 17061350 1352444 1821911 12038085 12740587 36733735 36373870 X 40945046 40099187 40945046 40099187 77678781 76473057 X -968210 1055351 -664000 -269000 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 10668 10668 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. 11560341 713421 12273762 12849408 -1289067 11560341 12735234 114174 12849408 7872190 4466317 396727 12735234 6740032 1132158 7872190 1.00000 false true true 4545066 4545066 53896650 28738729 25157921 26914407 19585291 7329116 191115 191115 37223218 ESTIMATED THIRD PARTY SETTLEMENTS 11558550 PROFESSIONAL INSURANCE PAYABLE 805000 OTHER LIABILITIES 377037 12740587 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 POSTIIONS 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, 2016. THE HOSPITAL'S TAX YEARS FROM 2013 THROUGH 2016 MAY BE SUBJECT TO EXAMINATION. true true true X true X true true false true true 640475 640475 0.00920 14119598 14307001 14760073 14307001 640475 0.00920 396942 396942 0.00570 5737180 3543556 2193624 0.03150 6134122 3543556 2590566 0.03730 20894195 17850557 3231041 0.04650 false 5595063 24792633 24547161 245472 X 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 X 16 true true false true X SEE PART V, SECTION C X SEE PART V, SECTION C X true 16 true SEE PART V, SECTION C false false true X 200.000000000000 300.000000000000 X X true true X X X true X X X X true X true X X X 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 MAINEHEALTH, EASTERN MAINE HEALTHCARE SYSTEMS AND MAINEGENERAL HEALTH. FACILITY 1, MEMORIAL HOSPITAL - PART V, LINE 7D HTTPS://MAINEHEALTH.ORG/ABOUT/HEALTH-INDEX-INITIATIVE/COMMUNITY-HEALTH- NEEDS-ASSESSMENT FACILITY 1, MEMORIAL HOSPITAL - 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 IMPLEMENTATION PLAN UPDATE FOR 2015-2016 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, MEMORIAL HOSPITAL - PART V, LINE 22D UNINSURED INDIVIDUALS RECEIVED A DISCOUNT OF 20% AUTOMATICALLY (THE AVERAGE DISCOUNT ON CHARGES OF THE THREE LARGEST VOLUME COMMERCIAL PAYORS). INDIVIDUALS THAT APPLIED AND RECEIVED ASSISTANCE WERE GRANTED DISCOUNTS BASED UPON INCOME LEVEL AND ASSET LEVEL. 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 5,595,063 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 8 - MEDICARE EXPLANATION MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST TO CHARGE RATIO. MEMORIAL HOSPITAL BELIEVES THAT MEDICARE SHORTFALL SHOULD BE INCLUDED AS A COMMUNITY BENEFIT BECAUSE THE HOSPITAL HAS A CLEAR MISSION TO SERVING ELDERLY PATIENTS AND ADULTS WITH DISABILITIES THROUGH TH EPROVISION OF SPECIFIC SUBSIDIZED PROGRAMS DEVELOPED TO HELP IMPROVE THE HEALTH STATUS OF THESE PATIENTS. IF THESE CRITICAL SUBSIDIZED PROGRAMS WERE NOT PROVIDED BY THE HOSPITAL, THEY WOULD BECOME THE OBLIGATION OF THE FEDERAL GOVERNMENT. 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 MEMORIAL HOSPITAL BOARD IS MADE UP OF A DIVERSE SET OF COMMUNITY MEMBERS. EACH MAINEHEALTH MEMBER BOARD REQUIRES A THOROUGH COMMUNITY NEEDS ASSESSMENT AND DIRECTS ITS ORGANIZATION TO RESPOND TO THE NEEDS IDENTIFIED. 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. 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). SUPPORTED BY MAINEHEALTH AND WORKING WITH OUR COMMUNITY HEALTH COLLABORATIVE AND OTHER NH ORGANIZATION MEMORIAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESEEMENT. COUNTY-LEVEL CHNA REPORT WERE PRODUCED IN 2016 FOR CARROLL COUNTY NH AND WESTERN MAINE AND USED TO INFORM COMMUNITY ENGAGEMENT AND ACTION BY HOSPITALS, STATE/LOCAL GOVERNMENTS AND OTHER PARTNERS. PLANS CALL FOR A CHNA TO BE REPLICATED BY ALL MAINEHEALTH MEMBERS EVERY THREE YEARS. IN 2016, EACH MEMBER AND AFFILIATE HOSPITAL HELD COMMUNITY FORUMS IN PARTNERSHIP WITH LOCAL AND REGIONAL ORGANIZATIONS TO INCREASE UNDERSTANDING AND USE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND TO INFORM ACTION ON LOCAL, COMMUNITY-BASED HEALTH PRIORITIES. CHNA AND IMPLEMENTATION PLAN REPORTS WERE PRODUCED BY EACH MAINEHEALTH MEMBER HOSPITAL, IN COLLABORATION WITH MAINEHEALTH. THESE DETAILED REPORTS COVERED THE TIME PERIOD OF 2016-2018 AND WERE FORMALLY ADOPTED BY EACH MEMBER ORGANIZATION BOARD FOR SUBMISSION WITH THEIR RESPECTIVE FY15 990 FILINGS. 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 PRIMARY SERVICE AREA IS NORTHERN CARROLL COUNTY AND SEVERAL BORDERING TOWNS IN THE OXFORD COUNTY, MAINE AREA. THE MEDIAN AGE OF THE POPULATION IS 47. THE COMMUNITY EXPERIENCED A POPULATION INCREASE OF 9.5% IN CARROLL COUNTY AND 5.6% IN OXFORD COUNTY IN THE YEARS 2000 TO 2010. MORE THAN 20% OF CARROLL COUNTY'S POPULATION AND 17% OF OXFORD COUNTY'S POPULATION ARE AGED 65 YEARS OR OLDER. 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, AS WELL AS EASTERN NEW HAMPSHIRE. 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: LINCOLN HEALTH GROUP (LINCOLN HEALTH), MAINE MEDICAL CENTER, MAINE BEHAVIORAL HEALTHCARE (SPRING HARBOR HOSPITAL), COASTAL HEALTHCARE ALLIANCE (PENOBSCOT BAY MEDICAL CENTER, 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 775547 207000 97745 131363 18914 1230569 SCOTT MCKINNON PRESIDENT/CEO 447251 65000 2466 7950 16408 539075 MARNI MADNICK MD MEDICAL STAFF PRES 267764 61019 541 7950 31344 368618 RAYMOND RABIDEAU MD CMO 278750 28000 6858 7950 16393 337951 JAMES GLAZER MD FACSM BOARD MEMBER 237959 50000 540 7519 15928 311946 LEONA CLOUTIER BOARD MEMBER 144741 10000 139 4352 26054 185286 ETHNEE GARNER VP OF NURSING 145472 1218 4636 16591 167917 MORICE DENNERY MD SURGEON 479064 810 7950 16420 504244 DOUGLAS TAYLOR MD ORTHOPAEDIC SURGEON 475800 2322 7950 16725 502797 JOHN IDOINE DO ORTHOPAEDIC SURGEON 442886 486 5095 43452 491919 WILLIAM MARTIN MD PRIMARY CARE MD 384496 486 7950 46479 439411 BRIAN SPONSELLER MD PRIMARY CARE MD 372824 486 7950 46979 428239 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 2006-06-14 20955000 TO CONSTRUCT AND RENOVATE HOSPITAL FACILITY AND PAY OFF EXISTING DEBT. false false false A 3228296 20955000 2080881 324775 20630225 2009 false false true true A false false false false false false false A false false true false false false false false false A false SCHEDULE K - ADDITIONAL INFORMATION NH HEALTH AND EDUC FACILITIES AUTH PART I, A, (A) - ISSUER NAME: NEW HAMPSHIRE HEALTH AND EDUCATION FACILITIES AUTHORITY. PART I, A, (F) - DESCRIPTION OF PURPOSE: TO CONSTRUCT AND RENOVATE HOSPITAL FACILITY AND PAY OFF EXISTING DEBT. 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 THE 990 IS REVIEWED WITH THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS. THE 990 IS ALSO SENT TO THE FULL BOARD OF DIRECTORS VIA ELECTRONIC MEANS. 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 SEE 990, PART VI, SECTION B, LINE 15A FOR COMPENSATION PROCESS. 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 VII COMPENSATION FOR SCOTT MCKINNON, PRESIDENT & CEO, HAS INCREASED FROM PRIOR YEAR DUE TO A ONE-TIME SERP DISTRIBUTION. FORM 990, PART VIII CONTRIBUTIONS INCLUDE TRANSFERS OF 590,243 FROM MEMORIAL HOSPITAL FOUNDATION. FORM 990, PART IX, LINE 11G PURCHASED SERVICES 1,598,477 1,199,786 0 CONTRACT SERVICES 4,613,384 59,734 0 MAINTENANCE CONTRACTS 554,489 80,571 0 LAB SERVICES 552,677 0 0 CONSULTANTS 7,917 186,995 0 PHYSICIAN RECRUITMENT 56,594 0 0 OTHER 5,821 0 0 FORM 990, PART XI, LINE 9 TRANSFER TO MAINEHEALTH -269,000 TOTAL -269,000 MEMORIAL HOSPITAL FOUNDATION 3073 WHITE MOUNTAIN HIGHWAY NORTH CONWAY NH 03860 462137291 HEALTHCARE NH 501C3 11A 02-0222156 02-0222156 true MAINEHEALTH 110 FREE STREET PORTLAND ME 04101 010431680 HEALTHCARE ME 501C3 11C 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 9 01-0431680 false WALDO COUNTY HEALTHCARE INC PO BOX 287 BELFAST ME 04915 222864961 HEALTHCARE ME 501C3 11B 01-0431680 false LINCOLNHEALTH GROUP 6 ST ANDREWS LANE BOOTHBAY HARBOR ME 04538 261475629 HEALTHCARE ME 501C3 11B 01-0431680 false MAINEHEALTH CARE AT HOME 15 INDUSTRIAL PARK SACO ME 04072 222571902 HOME HLTH ME 501C3 9 01-0431680 false MAINEHEALTH CARDIOLOGY 110 FREE STREET PORTLAND ME 04101 452525629 HEALTHCARE ME 501C3 9 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 11B 01-0431680 false FRANKLIN COMMUNITY HEALTH NETWORK 111 FRANKLIN COMMONS FARMINGTON ME 04938 223209406 HEALTHCARE ME 501C3 11B 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 11B 01-0431680 false MAINEHEALTH ACO 110 FREE STREET PORTLAND ME 04101 452929273 ACO ME 01-0238552 RELATED 46139 276258 false false 0.03460 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 true true false false false false false false false false false false false true true false false false