2016-08-10T12:35:20-05:00 2015-09-30 990 2014-10-01 010177170 WALDO COUNTY GENERAL HOSPITAL WALD 2073382500 118 NORTHPORT AVENUE BELFAST ME 04915 LINDA B DRINKWATER REGIONAL CFO 2073382500 2016-08-03 2014 2016-12-15 16:53:06Z LINDA B DRINKWATER PO BOX 287 BELFAST ME 04915 99956020 false X WWW.WCGH.ORG X 1901 ME WALDO COUNTY GENERAL HOSPITAL'S MISSION IS TO BE THE BEST - BETTER, EMPATHY, SERVICE AND TEAMWORK. OUR GOAL IS TO ENSURE QUALITY, ACCESSIBLE AND AFFORDABLE HEALTH CARE SERVICES AND TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY. PLEASE SEE ATTACHED COMMUNITY BENEFITS REPORT. 15 13 768 48 0 587594 605422 72144216 81615641 2754323 3476990 1828365 2437618 77314498 88135671 82500 78208 0 45138439 46996528 0 0 29510038 30572804 74730977 77647540 2583521 10488131 121584679 131382834 27274970 31786459 94309709 99596375 X WALDO COUNTY GENERAL HOSPITAL'S MISSION IS TO BE THE BEST - BETTER, EMPATHY, SERVICE AND TEAMWORK. OUR GOAL IS TO ENSURE QUALITY, ACCESSIBLE AND AFFORDABLE HEALTH CARE SERVICES AND TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY. PLEASE SEE ATTACHED COMMUNITY BENEFITS REPORT. false false 58805913 78208 76592250 WALDO COUNTY GENERAL HOSPITAL PROVIDES QUALITY AND AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH AND WELL BEING OF THE COMMUNITIES IT SERVES, REGARDLESS OF THE PATIENT'S ABILITY TO PAY. A BROAD SPECTRUM OF SERVICES ARE PROVIDED INCLUDING HOSPITAL ACUTE INPATIENT CARE; ANCILLARY OUTPATIENT DIAGNOSTIC SERVICES INCLUDING PHYSICAL THERAPY, SPEECH, AUDIOLOGY, SLEEP AND RESPIRATORY THERAPY, ONCOLOGY CLINICS, EMERGENCY SERVICES, INPATIENT AND OUTPATIENT CARE, INPATIENT HOSPICE, AND SURGICAL INPATIENT AND OUTPATIENT SERVICES. THE HOSPITAL PROVIDED 5,894 DAYS OF ADULT, NEWBORN, SWING BED, AND HOSPICE INPATIENT CARE, AND 72,972 OUTPATIENT VISITS INCLUDING 178,878 OUTPATIENT PROCEDURES AND EXAMS. SEE ATTACHED COMMUNITY BENEFITS REPORT. 9524701 7681007 WALDO COUNTY GENERAL HOSPITAL EMPLOYS MANY HOSPITAL-BASED PHYSICIANS AND PROVIDES THE FOLLOWING SPECTRUM OF PHYSICIAN PATIENT CARE SERVICES: CARDIOLOGY, FAMILY MEDICINE, GENERAL SURGERY, INTERNAL MEDICINE, NEPHROLOGY, NEUROLOGY, OB/GYN, ORTHOPEDICS, OTOLARYNGOLOGY, PODIATRY, PULMONOLOGY, UROLOGY, RHEUMATOLOGY AND PRIMARY CARE CLINICS. OUR PHYSICIANS PROVIDED CARE TO PATIENTS DURING 42,056 PHYSICIAN-OFFICE PATIENT VISITS. 2553079 1720033 WALDO COUNTY GENERAL HOSPITAL OFFERS THE COMMUNITY IT SERVES FIVE HEALTH CENTERS: ARTHUR JEWELL COMMUNITY HEALTH CENTER, STOCKTON SPRINGS REGIONAL HEALTH CENTER, DONALD S. WALKER HEALTH CENTER, LINCOLNVILLE REGIONAL HEALTH CENTER AND SEARSPORT HEALTH CENTER. WE PROVIDED HEALTHCARE SERVICES TO PATIENTS DURING 17,646 HEALTH CENTER VISITS. 70883693 true true false true false false false false false true true false false true true true true true false false false false false false false false true true true true true true false false false false false false false false false false false false false false false true false false false true 148 0 true 768 true false false false false false false false false false false X 15 13 false false false false true true true true true false false true true true true true true true true false ME X LINDA B DRINKWATER 2073382500 125 NORTHPORT AVENUE BELFAST ME 04915 D KENT CLARK MD DIRECTOR/EMP 46.00 4.00 X 383948 0 23687 ANN HOOPER DIRECTOR/EMP 46.00 4.00 X 124973 0 18826 JENNESS ROBBINS DIRECTOR 1.00 4.00 X 0 0 0 PETER D HADDOCK DIRECTOR 1.00 4.00 X 0 0 0 JOHN D WORTH III DIRECTOR 1.00 4.00 X 0 0 0 JB TURNER DIRECTOR 1.00 4.00 X 0 0 0 DALE KUHNERT VICE PRESIDE 1.00 4.00 X X 0 0 0 GREGOR DAVENS DIRECTOR 1.00 4.00 X 0 0 0 WAYNE HAMILTON DIRECTOR 1.00 4.00 X 0 0 0 LEE WOODWARD JR PRESIDENT 1.00 4.00 X X 0 0 0 JAMES PATTERSON PHD SECRETARY 1.00 4.00 X X 0 0 0 JAMES C DELEHANTY MD DIRECTOR 1.00 4.00 X 0 0 0 CATHERINE REYNOLDS TREASURER 1.00 4.00 X X 0 0 0 SYRENA GATEWOOD DIRECTOR 1.00 4.00 X 0 0 0 DAVID FLANAGAN DIRECTOR 1.00 4.00 X 0 0 0 MARK BISCONE CEO 16.00 34.00 X 384267 85504 31050 LINDA DRINKWATER REGIONAL CFO 30.00 20.00 X 221285 0 9081 OWEN NELSON MD ORTHOPEDIC M 50.00 0.00 X 449762 0 17264 KAREN MILLER MD OTOLARYNGOLO 50.00 0.00 X 448064 0 16885 MICHAEL GOWESKY ANESTHESIOLO 50.00 0.00 X 389865 0 11508 ELIZABETH CONNELLY MD ONCOLOGIST 50.00 0.00 X 385224 0 14714 DAVID FERGUSON MD CARDIOLOGIST 50.00 0.00 X 377117 0 23733 RICHARD BOWER MD ORTHOPEDIC M 50.00 0.00 X 110864 0 0 3275369 85504 166748 62 true true false NORDX 301A US ROUTE 1 SCARBOROUGH ME 04074 LAB SERVICES 2232043 NEHE- MRI 100 BAYVIEW CIRCLE 400 NEWPORT BEACH CA 92660 MEDICAL SERVICE 778628 HCTEC 7105 S SPRINGS DR 208 FRANKLIN TN 37067 CONSULTING 380819 HAYES MANAGEMENT CONSULTANTS 1320 CENTRE STR SUITE 402 NEWTON CENTER MA 02459 CONSULTING 360718 VISTA STAFFING SOLUTIONS FILE 50834 LOS ANGELES CA 900740834 CONTRACT LABOR 343058 10 59062 291628 254732 605422 NET PATIENT SERVICE REVENUE 623000 81340605 81340605 CAFETERIA REVENUE 722210 275036 275036 81615641 1536959 1536959 190679 190679 190679 190679 13728102 32278 11768864 51485 1959238 -19207 1940031 1940031 MISCELLANEOUS REVENUE 900099 1203145 1203145 AFFILIATE REVENUE 561000 590381 590381 MEANINGFUL USE REVENUE 900099 453413 453413 2246939 88135671 85993290 1536959 65118 65118 13090 13090 1220219 252586 967633 37164440 36138389 1026051 987650 956996 30654 5129222 4923076 206146 2494997 2369416 125581 749204 749204 8833 8833 142807 142807 6986 6986 4614916 4394342 220574 29819 28318 1501 7973368 7531529 441839 850341 827289 23052 1358399 1290027 68372 107098 102162 4936 232415 224453 7962 237398 225449 11949 4181834 3971350 210484 712428 357081 355347 INTEGRATED SERVICES 5061792 2927146 2134646 MEDICAL SUPPLIES 2196259 2196259 STATE OF ME HOSPITAL TAX 1611760 1611760 MISCELLANEOUS EXPENSES 463871 447604 16267 33276 30253 3023 77647540 70883693 6763847 0 3665 3216 6509516 13806434 71357 87456 7749753 7696777 2594674 2982447 142864 133535 70636717 45542868 25935888 25093849 47815565 51331463 30761397 30247657 121584679 131382834 7761638 6952461 94036 6488881 5826139 214422 13024451 18699401 27274970 31786459 X 73397334 80074877 1730569 1702855 19181806 17818643 94309709 99596375 121584679 131382834 X 10488131 -3064492 -2136973 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 6986 6986 false SCHEDULE C, PART II-B, LINE 1 PERCENTAGE OF ANNUAL MAINE HOSPITAL ASSOCIATION DUES ALLOCATED TOWARDS LOBBYING EXPENSES: 6,986. 832332 12526 -12867 831991 773048 13032 46252 832332 723570 14464 45014 10000 773048 652523 13921 57126 723570 646826 15070 -9373 652523 1.00000 true false 245009 245009 33484751 16924931 16559820 34361746 27549848 6811898 2545211 1068089 1477122 25093849 BENEFICIAL INTEREST-PERPETUAL TRUST 17406092 PREPAID CAPITAL COSTS 7049064 OTHER RECEIVABLES 2496262 INSURANCE RECEIVABLES 2230266 BENEFICIAL INTEREST-CHARITABLE TRUST 1012788 INVESTMENT IN MAINEHEALTH ACO 31110 ESCROW FOR DEBT SERVICE - SEHR LOAN 19620 INVESTMENT IN MMC - PHO 2455 30247657 DUE TO THIRD PARTIES 9893090 DUE TO RELATED PARTIES 5719311 INSURANCE RESERVE PAYABLE 3087000 18699401 X 82934206 -3064492 -2136973 -5201465 88135671 88135671 77647540 77647540 77647540 SCHEDULE D, PAGE 2, PART V, LINE 4 TWO OF THE ENDOWMENT FUNDS ARE INTENDED FOR THE EARNINGS TO BE USED IN THE GENERAL OPERATIONS OF THE HOSPITAL. OTHERS ARE INTENDED FOR THE EMERGENCY DEPARTMENT, INPATIENT HOSPICE, CANCER PATIENTS, CRIPPLED CHILDREN AND NEEDY RESIDENTS. SCHEDULE D, PAGE 3, PART X THE HOSPITAL IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, THERE IS NO PROVISION FOR INCOME TAXES WITHIN THE FINANCIAL STATEMENTS. TAX-EXEMPT ORGANIZATIONS COULD BE REQUIRED TO RECORD AN OBLIGATION FOR INCOME TAXES AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS INCLUDING UNRELATED BUSINESS INCOME OR TAX STATUS. UNDER GUIDANCE ISSUED BY THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB), ASSETS AND LIABILITIES ARE ESTABLISHED FOR UNCERTAIN TAX POSITIONS TAKEN OR POSITIONS EXPECTED TO BE TAKEN IN INCOME TAX RETURNS WHEN SUCH POSITIONS ARE JUDGED 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 POSITIONS TAKEN ON ITS FILED TAX RETURNS AND HAS CONCLUDED NO UNCERTAIN INCOME TAX POSITIONS EXIST AT SEPTEMBER 30, 2015. THE HOSPITAL'S TAX YEARS FROM 2012 THROUGH 2015 MAY BE SUBJECT TO EXAMINATION. SCHEDULE D, PAGE 4, PART XI, LINE 2D CHANGE IN CHARITABLE REMAINDER TRUST -128,755 CHANGE IN FAIR VALUE OF PERPETUAL TRUST -1,363,163 NET ASSET TRANSFERS TO RELATED PARTIES -645,055 true true true X 1.750000000000 true X 2.250000000000 true true false true true 2852208 2852208 0.03670 12566947 12706833 -139886 15419155 12706833 2712322 0.03670 237943 49576 188367 0.00240 311002 311002 0.00400 16386582 10634829 5751753 0.07420 37658 37658 0.00050 16973185 10684405 6288780 0.08110 32392340 23391238 9001102 0.11780 false 3151759 26339847 26743140 -403293 X true true 1 1 WALDO COUNTY GENERAL HOSPITAL 118 NORTHPORT AVENUE BELFAST ME 04915 WWW.WCHI.COM 38466 X X X X WALDO COUNTY GENERAL HOSPITAL 1 false false true X X X X X X X X X X 13 true true false true X WWW.MAINEHEALTH.ORG/CHNA X true 13 true WWW.MAINEHEALTH.ORG/CHNA false false true X 175.000000000000 225.000000000000 true true X X X true X WWWWCGHORG X WWWWCGHORG X WWWWCGHORG X X X X true X true X X X X true X false false FACILITY 1, WALDO COUNTY GENERAL HOSPITAL - PART V, LINE 5 THE ORGANIZATION CONVENED A PLANNING GROUP MADE UP OF PEOPLE REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY PRIOR TO HOLDING THE FORUMS. THE OBJECTIVES OF THE MEETINGS (OVER A PERIOD OF SEVERAL MONTHS) INCLUDED THE FOLLOWING: -REVIEW OF THE DATA IN COMMUNITY HEALTH NEEDS ASSESSMENT REPORT -DISCUSSION OF PRIORITY AREAS AMONG THE ORGANIZATIONS REPRESENTED IN THE PLANNING GROUP -DEFINE AN APPROACH TO THE COMMUNITY FORUM TO MAXIMIZE PARTICIPATING BY A CROSS SECTION OF THE COMMUNITY -DEVELOP THE FORUM AGENDA -RELATIONSHIP AND NETWORK BUILDING FOR FUTURE COLLABORATION (IF NOT ALREADY IN EXISTENCE) -SUCCESSFUL EXECUTION OF THE FORUMS -FORUM DEBRIEF AND DISCUSSION OF THE NEXT STEPS FACILITY 1, WALDO COUNTY GENERAL HOSPITAL - PART V, LINE 6A THE CHNA WAS FACILITATED BY ONEMAINE HEALTH, A COLLABORATION BETWEEN EASTERN MAINE HEALTHCARE SYSTEMS, MAINEGENERAL HEALTH AND MAINEHEALTH. THE THREE HEALTH SYSTEMS WORKED WITH MAINE HOSPITALS AND HEALTHY MAINE PARTNERSHIPS TO HOST LOCAL FORUMS TO SHARE THE INFORMATION, BEGIN DISCUSSIONS AND DEVELOP HEALTHY ACTION PLANS BASED ON THE REPORT'S FINDINGS. FACILITY 1, WALDO COUNTY GENERAL HOSPITAL - PART V, LINE 11 THE ORGANIZATION HAS CONTINUED TO WORK ON ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENT CHNA AND IMPLEMENTATION PLAN. PLEASE SEE THE ATTACHED IMPLEMENTATION PLAN UPDATE FOR DETAILS OF THE ACTIVITIES UNDERTAKEN BY THE ORGANIZATION TO MEETS THE IDENTIFIED NEEDS OF ITS COMMUNITY. REPRODUCTIVE HEALTH NEEDS WERE NOT ADDRESSED DUE TO LACK OF CONSENSUS FROM COMMUNITY PARTNERS REGARDING THE IMPORTANCE OF THE ISSUE AND/OR A LACK OF RESOURCES TO ADDRESS THE ISSUE. FACILITY 1, WALDO COUNTY GENERAL HOSPITAL - PART V, LINE 22D ALL PATIENTS REGARDLESS OF PAYOR CLASS ARE BILLED THE SAME. 5 ARTHUR JEWELL COMMUNITY HEALTH CTR 55 REYNOLDS ROAD BROOKS ME 04921 GENERAL MEDICAL DONALD S WALKER HEALTH CENTER 43 WEST MAIN STREET LIBERTY ME 04949 GENERAL MEDICAL LINCOLNVILLE HEALTH CENTER 2399 ATLANTIC HIGHWAY LINCOLNVILLE ME 04849 GENERAL MEDICAL SEARSPORT HEALTH CENTER 37 MORTLAND ROAD SEARSPORT ME 04974 GENERAL MEDICAL STOCKTON SPRING REG HEALTH CENTER 11 CAPE JELLISON ROAD STOCKTON SPRINGS ME 04981 GENERAL MEDICAL PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION PHYSICIAN CLINIC COSTS WERE INCLUDED AS SUBSIDIZED HEALTH SERVICES IN THE AMOUNT OF 16,386,582. PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE WORKSHEETS PROVIDED IN THE SCHEDULE H INSTRUCTIONS. THE COST-TO-CHARGE RATIO WAS USED AS THE COSTING METHODOLOGY AND WAS ALSO CALCULATED USING WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY THE ORGANIZATION USES A COST-TO-CHARGE RATIO METHODOLOGY. THE AMOUNT REPORTED ON PART III, LINE 2 WAS DETERMINED USING THE COST-TO-CHARGE RATIO METHODOLOGY. DISCOUNTS PROVIDED TO PATIENTS ARE NOT INCLUDED IN BAD DEBT EXPENSE. AN AMOUNT THAT COULD BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY, IF SUFFICIENT INFORMATION HAD BEEN AVAILABLE TO MAKE A DETERMINATION OF THEIR ELIGIBILITY COULD NOT BE REASONABLY DETERMINED. PART III, LINE 4 - BAD DEBT FOOTNOTE IN THE ORGANIZATION'S FINANCIAL STATEMENTS CHARGES FOR SERVICES RENDERED TO INDIVIDUALS FROM WHOM PAYMENT IS EXPECTED AND ULTIMATELY NOT RECEIVED ARE WRITTEN OFF AND INCLUDED IN EXPENSES AS PART OF THE PROVISION FOR BAD DEBTS. BAD DEBT EXPENSE REPRESENTS HEALTHCARE SERVICES WALDO COUNTY GENERAL HOSPITAL HAS PROVIDED WITHOUT COMPENSATION. AS A TAX-EXEMPT HOSPITAL, WALDO COUNTY GENERAL HOSPITAL PROVIDES NECESSARY PATIENT CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THE SERVICES. A PORTION OF THE HOSPITAL'S BAD DEBT EXPENSE IS ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE THAT, FOR A VARIETY OF REASONS, DO NOT COMPLETE THE FINANCIAL ASSISTANCE APPLICATION PROCESS. WALDO COUNTY GENERAL HOSPITAL CANNOT DETERMINE THE AMOUNT OF BAD DEBT EXPENSE THAT COULD BE REASONABLY ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S 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 WHO EITHER FAIL TO APPLY FOR FINANCIAL ASSISTANCE OR WHO ARE EXPERIENCING DIFFICULT PERSONAL OR ECONOMIC CIRCUMSTANCES, WALDO COUNTY GENERAL HOSPITAL BELIEVES THAT BAD DEBT EXPENSE SHOULD BE INCLUDED AS A COMMUNITY BENEFIT. PART III, LINE 8 - MEDICARE EXPLANATION THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE HOSPITAL'S MEDICARE COST REPORT IS THE MEDICARE COST-TO-CHARGE RATIO, WHICH INCORPORATES MEDICARE ALLOWABLE COST. MEDICARE DID NOT REIMBURSE 403,293 OF THE ALLOWED COSTS. THE HOSPITAL HAS MADE A CLEAR MISSION COMMITMENT TO SERVING ELDERLY PATIENTS: THEREFORE THIS AMOUNT SHOULD BE CONSIDERED AS A COMMUNITY BENEFIT. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION ONCE A PATIENT HAS BEEN DETERMINED TO QUALIFY FOR FREE CARE, THE PATIENT IS NOT BILLED FOR SERVICES PROVIDED, NOR IS THE PATIENT BILLED FOR AMOUNTS NOT PAID BY AN INSURER. PART VI, LINE 2 - NEEDS ASSESSMENT SEE ATTACHED COMMUNITY BENEFITS REPORT PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SEE ATTACHED COMMUNITY BENEFITS REPORT PART VI, LINE 4 - COMMUNITY INFORMATION SEE ATTACHED COMMUNITY BENEFITS REPORT PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH SEE ATTACHED COMMUNITY BENEFITS REPORT PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM SEE ATTACHED COMMUNITY BENEFITS REPORT PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT MAINE true BROADREACH FAMILY & COMMUNITY SERVICES 5 STEPHENSON LANE BELFAST ME 04915 010471985 501C3 51024 SUBSTANCE ABUSE UNITY BARN RAISERS 32 SCHOOL STREET UNITY ME 04988 010511656 501C3 14094 COMMUNITY HEALTH 2 SCHOLARSHIPS TO STUDENTS 18 13090 SCHEDULE I, PAGE 1, PART I, LINE 2 THE MANAGERS IN THE WALDO COMMUNITY HEALTH DEPT. WORK WITH THE GRANT SUBRECIPIENTS, BROADREACH AND UNITY BARN RAISERS, REGARDING THE USE OF THEIR SUBCONTRACTOR GRANT FUNDS. BROADREACH'S FINANCE DIRECTOR PROVIDES QUARTERLY REPORTS USING THE MAINE DHHS FORM "QUARTERLY REPORT OF REVENUE AND EXPENSES" WHICH COMPARES ACTUAL EXPENDITURES TO APPROVED GRANT BUDGET EXPENSES. THERE IS A MEMORANDUM OF UNDERSTANDING THAT OUTLINES THE SUBCONTRACTOR AGREEMENT WITH WALDO. UNITY BARN RAISERS SUBMITS INVOICES TO WALDO'S COMMUNITY HEALTH DEPT. WHICH ARE APPROVED AND SUBMITTED TO THE ACCOUNTS PAYABLE DEPARTMENT FOR PROCESSING. THERE IS A MEMORANDUM OF UNDERSTANDING THAT OUTLINES THE SUBCONTRACTOR AGREEMENT WITH WALDO. REPORTING IS DONE BY WALDO TO EASTERN MAINE HEALTHCARE SYSTEMS ("EMHS") SINCE WALDO IS A SUBCONTRACTOR FOR EMHS. THE REPORTING CONSISTS OF MONTHLY INVOICES SUBMITTED BY WALDO'S COMMUNITY HEALTH DEPT. TO EMHS, WHICH INCLUDE PAYMENTS MADE BY WALDO TO UNITY BARN RAISERS. SCHEDULE I, PAGE 4, PART IV SCHOLARSHIPS ARE AWARDED TO STUDENTS RESIDING IN WALDO COUNTY AND PURSUING A CAREER IN A HEALTHCARE RELATED PROGRAM. THERE IS A SCHOLARSHIP APPLICATION PROCESS OVERSEEN BY THE SCHOLARSHIP COMMITTEE. RECIPIENTS MUST HAVE COMPLETED ONE SEMESTER OF SCHOOLING WITH A PREDETERMINED MINIMUM GPA, BE ENROLLED IN THE SECOND SEMESTER, AND HAVE A FINANCIAL NEED. PAYMENTS ARE MADE DIRECTLY TO THE SCHOOL OR AS REIMBURSEMENT TO THE RECIPIENT WHEN APPROPRIATE DOCUMENTATION IS PROVIDED. false false false false false false false false false D KENT CLARK MD DIRECTOR/EMPLOYEE 378948 5000 7800 15887 407635 MARK BISCONE CEO 274091 85504 93000 17176 7800 23250 415317 85504 LINDA DRINKWATER REGIONAL CFO 216285 5000 6664 2417 230366 OWEN NELSON MD ORTHOPEDIC MD 449762 7800 9464 467026 KAREN MILLER MD OTOLARYNGOLOGIST 428064 20000 7800 9085 464949 MICHAEL GOWESKY ANESTHESIOLOGIST 389865 7800 3708 401373 ELIZABETH CONNELLY MD ONCOLOGIST 385224 14714 399938 DAVID FERGUSON MD CARDIOLOGIST 375077 2040 7800 15933 400850 RICHARD BOWER MD ORTHOPEDIC MD 110864 110864 SCHEDULE J, PAGE 1, PART I, LINE 3 SEE DESCRIPTION OF PROCESS IN SCHEDULE O - FORM 990, PART VI, LINE 15A - COMPENSATION FOR TOP OFFICIAL A MHHEFA 2014 REFUNDING BONDS 010314384 560427W77 2014-07-24 6774309 REFINANCE 1998C MHHEFA REVENUE BONDS false false true A 300000 6774309 612600 80234 6694075 2014 true false true true A false false false false false false false A false true false false false false false false false A false FORM 990 - ORGANIZATION'S MISSION WALDO COUNTY GENERAL HOSPITAL'S MISSION IS TO BE THE BEST - BETTER, EMPATHY, SERVICE AND TEAMWORK. OUR GOAL IS TO ENSURE QUALITY, ACCESSIBLE AND AFFORDABLE HEALTH CARE SERVICES AND TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY. PLEASE SEE ATTACHED COMMUNITY BENEFITS REPORT. FORM 990, PAGE 6, PART VI, LINE 6 WALDO COUNTY HEALTHCARE, INC. (WCHI)- (EIN 22-2864961) IS THE SOLE MEMBER OF WALDO COUNTY GENERAL HOSPITAL. MAINEHEALTH (EIN 01-0431680), IS THE SOLE MEMBER OF WCHI. AS THE SOLE MEMBER OF WCHI, MAINEHEALTH HAS THE RIGHT TO APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BODY OF WCHI AND ITS SUBSIDIARIES. FORM 990, PAGE 6, PART VI, LINE 7A MAINEHEALTH (EIN 01-0431680) MAY ELECT MEMBERS OF THE BOARD OF DIRECTORS FROM A SLATE OF NOMINEES SUBMITTED BY THE CORPORATION. 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 APPROVAL BY MAINEHEALTH (EIN 01-0431680). FORM 990, PAGE 6, PART VI, LINE 11B THE FINANCE COMMITTEE PERFORMS A DETAILED REVIEW OF THE FORM 990. THE FORM 990 IS THEN PROVIDED TO THE FULL BOARD. THE CONTROLLER AND CFO PERFORM A DETAILED REVIEW OF THE FORM 990 AND ITS SCHEDULES AND ATTACHMENTS BEFORE FILING. FORM 990, PAGE 6, PART VI, LINE 12C WALDO COUNTY GENERAL HOSPITAL'S CONFLICT OF INTEREST POLICY IS INCORPORATED AS PART OF THE BY-LAWS OF THIS CORPORATION. THE ORGANIZATION CONSISTENTLY REVIEWS ALL TRANSACTIONS TO ASSURE COMPLIANCE IN ACCORDANCE WITH THE BY-LAWS. FORM 990, PAGE 6, PART VI, LINE 15A THE PROCESS FOLLOWED FOR DETERMINING COMPENSATION OF THE CEO AND OTHER KEY ADMINISTRATIVE EMPLOYEES OF THE 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 WALDO, 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 EXPLANATION ABOVE UNDER FORM 990, PART VI, LINE 15A - COMPENSATION 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 XI, LINE 9 CHANGE IN CHARITABLE REMAINDER TRUST -128,755 CHANGE IN FAIR VALUE OF PERPETUAL TRUST -1,363,163 NET ASSET TRANSFERS TO RELATED PARTIES -645,055 WALDO COUNTY HEALTHCARE INC PO BOX 287 BELFAST ME 04915 222864961 COMM. EDUC ME 501C3 11B MEHLTH false COASTAL MEDICAL CARE PO BOX 287 BELFAST ME 04915 010487091 MED. SERV. ME 501C3 9 WCHI false BELFAST PUBLIC HEALTH NURSING PO BOX 287 BELFAST ME 04915 043359810 PUB. HLTH. ME 501C3 9 WCHI false WALDO COUNTY HOME HEALTHCARE SERV PO BOX 287 BELFAST ME 04915 222864960 HHLTH&HOSP ME 501C3 9 WCHI false MAINEHEALTH 110 FREE STREET PORTLAND ME 04101 010431680 HEALTHCARE ME 501C3 11C NA false WALDO COUNTY HEALTHCARE MGMT CO PO BOX 287 BELFAST ME 04915 010485133 MGMT SVCS ME N/A false false false false false false false false false false true true true true false true true true true true