2015-08-14T07:18:13-05:00 2014-09-30 MAINEHEALTH 110 FREE ST PORTLAND ME 041013908 990 2013-10-01 010219904 STEPHENS MEMORIAL HOSPITAL ASSOC STEP 2077435933 181 MAIN STREET NORWAY ME 04268 JOHN COX SENIOR VP - FISCAL 2077435933 2015-08-04 2015-08-14 2013 2016-03-07 17:11:31Z TIMOTHY CHURCHILL 181 MAIN STREET NORWAY ME 04268 57833482 false X WWW.WMHCC.ORG X 1956 ME TO ENSURE A HIGH QUALITY, ACCESSIBLE, AFFORDABLE AND APPROPRIATE INTEGRATED HEALTH CARE SYSTEM TO IMPROVE THE HEALTH AND WELL BEING OF THE COMMUNITY. 17 11 628 79 0 0 54199842 57360104 27541 41504 460592 -212785 54687975 57188823 0 0 30995677 31416735 11798 8881 75070 21070147 21554305 52077622 52979921 2610353 4208902 50529900 53108901 17245167 15181357 33284733 37927544 TO ENSURE A HIGH QUALITY, ACCESSIBLE, AFFORDABLE AND APPROPRIATE INTEGRATED HEALTH CARE SYSTEM TO IMPROVE THE HEALTH AND WELL BEING OF THE COMMUNITY. false false 40577931 45408771 OUTPATIENT SERVICES: STEPHENS MEMORIAL HOSPITAL ASSOCIATION PROVIDED CARE DURING THE COURSE OF 101,990 OUTPATIENT VISITS DURING 2014. SERVICES PROVIDED INCLUDE EMERGENCY SERVICES; DIAGNOSTIC IMAGING AND LAB TESTS; AMBULATORY SURGERY; AND PHYSICAL REHABILITATION. 9814097 10982474 INPATIENT SERVICES: IN 2014 THE HOSPITAL PROVIDED INPATIENT NURSING SERVICES TO 1,443 ADULTS/PEDIATRICS, INTENSIVE CARE, AND NURSERY PATIENTS WITH A TOTAL OF 4,526 PATIENT DAYS. 92 INPATIENTS (6%) WERE UNINSURED, 807 (56%) WERE COVERED BY MEDICARE AND 249 (17%) WERE COVERED BY MEDICAID. 50392028 true false false true false false false false false false true false false true true true true true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 25 0 true 628 true false false false false false false false false false false X 17 11 false false false false true true true true true false false true true true true true true true false false ME X SENIOR VP - FISCAL 2077435933 181 MAIN STREET NORWAY ME 04268 GREGORY HARDY MD TRUSTEE 56.00 4.00 X 340940 0 28128 TIMOTHY CHURCHILL PRESID & CEO 30.00 30.00 X X 0 326717 47586 JAMES ESHLEMAN DO MED STAFF PR 57.00 3.00 X 250905 0 15874 WILLIAM L MEDD MD TRUSTEE 1.00 59.00 X 0 248742 34256 KATHLEEN HERLIHY MD TRUSTEE 56.00 4.00 X 175653 0 25384 LISA MILLER MD TRUSTEE 57.00 3.00 X 166466 0 18277 PETER CHAPMAN SECRETARY/TR 1.00 X X 0 0 0 C BRADLEY CUMMINGS TRUSTEE 1.00 X 0 0 0 TOM MORTON SECRETARY/TR 1.00 X 0 0 0 LARRY FARMER OD TRUSTEE 1.00 X 0 0 0 DAVID HOISINGTON CHAIR 1.00 X X 0 0 0 OLA MELHUS MD TRUSTEE 1.00 X 0 0 0 LYNN HAMPER TRUSTEE 1.00 X 0 0 0 DAVID J PREBLE CHAIR 1.00 X X 0 0 0 TED MOCCIA TRUSTEE 1.00 X 0 0 0 REV ANNE STANLEY TRUSTEE 1.00 X 0 0 0 ROBIN J ZINCHUK TRUSTEE 1.00 X 0 0 0 WENDY PENLEY TRUSTEE 1.00 X 0 0 0 PAT WEIGEL VICE CHAIR 1.00 X X 0 0 0 ALLEN CONNORS TRUSTEE 1.00 X 0 0 0 KEVIN CARLETON TRUSTEE 1.00 X 0 0 0 TODD GUAGER DVM TRUSTEE 1.00 X 0 0 0 JOHN COX SR VP-FISCAL 30.00 20.00 X 0 197953 24882 M PATRICIA COOK SR VP-CLINIC 41.00 4.00 X 0 153532 35281 ALYSSA A PAETAU MD PHYSICIAN 60.00 X 324310 0 9227 ROBERT C NEILSEN MD PHYSICIAN 60.00 X 321138 0 48032 ROBERT C KAHN MD PHYSICIAN 60.00 X 315224 0 37422 MICHAEL M MOHSENI MD PHYSICIAN 60.00 0.00 X 287578 0 9089 THOMAS J HEWSON MD PHYSICIAN 60.00 X 286494 0 18208 2468708 926944 351646 33 false true false MAINE MEDICAL PARTNERS 301C US ROUTE 1 SCARBOROUGH ME 04074 MED BILL & MGT 701690 SPECTRUM MEDICAL GROUP PA 300 PROFESSIONAL DRIVE SCARBOROUGH ME 04074 ANESTHESIA SVCS 603410 MAINE ORTHOPAEDIC CENTER 1601 CONGRESS STREET PORTLAND ME 04102 PHYSICIAN SVCS 410300 NORDX 100 CAMPUS DRIVE SCARBOROUGH ME 04074 LAB PROCESSING 324687 MEDICAL SOLUTIONS 9101 WESTERN AVE SUITE 101 OMAHA NE 68114 NURSE STAFFING 289403 9 NET PATIENT SERVICE REVENUE 623000 56391250 56391250 OTHER REVENUE 621990 968854 968854 57360104 41875 41875 430803 643588 -212785 -212785 -212785 700 1071 -371 -371 -371 57188823 57359733 -170910 X 1054561 1008371 46190 23420203 22395282 976333 48588 961620 919537 42083 4405675 4212873 184372 8430 1574676 1505765 65194 3717 118934 118934 8881 8881 5746220 5683204 63016 80202 76692 3510 1351479 1290652 55945 4882 1002333 958469 43864 1187566 1135595 51971 133831 127974 5857 167596 160262 7334 39445 37719 1726 1723038 1647634 75404 590678 432933 157745 MEDICAL SUPPLIES 4901231 4900923 308 PROVIDER TAX 1279482 1279482 AFFILIATE CHARGES 1220308 1166905 53403 MAINTENANCE CONTRACTS 884148 883564 584 1127814 568192 559050 572 52979921 50392028 2512823 75070 41172 164397 17718356 18185446 5292595 5618001 1168208 1297342 475962 480559 44976091 32653905 13143674 12322186 1495982 1400725 503665 815004 10690286 12825241 50529900 53108901 4803949 4252247 3184845 171044 9256373 10758066 17245167 15181357 X 32065296 36344644 667283 1024489 552154 558411 33284733 37927544 50529900 53108901 X 4208902 165582 268327 X false true X true false X false false false false false false false false true 8989 8989 false SCHEDULE C, PART II-B, LINE 1 DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION OF 16,118 AND TO THE MAINE HOSPITAL ASSOCIATION OF 31,258. THE AMERICAN HOSPITAL ASSOCIATION AND MAINE HOSPITAL ASSOCIATION USED 22.8% AND 17.0% RESPECTIVELY OF THEIR DUES REVENUE FOR LOBBYING ACTIVITY. 1230517 1230517 20521453 13101193 7420260 21356641 18211890 3144751 1867480 1340822 526658 12322186 INTEREST IN NET ASSETS OF SCHC FOUND 6740232 PREPAID CAPITAL COSTS 5457339 INSURANCE RECEIVABLE 286388 OTHER RECEIVABLES 193762 DUE FROM AFFILIATES 127259 CSV-LIFE INSURANCE 20261 12825241 AP UNDER REIMBURSEMENT REGULATIONS 7069781 DUE TO AFFILIATES 2534387 PROFESSIONAL LIABILITY CLAIM ACCRUAL 1077818 ACCRUED ASSET OBLIGATION 76080 10758066 X 57622732 165582 268327 433909 57188823 57188823 52979921 52979921 52979921 SCHEDULE D, PAGE 3, PART X THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS TAX EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION HAS EVALUATED THE POSITION TAKEN ON ITS FILED TAX RETURNS. THE ORGANIZATION HAS CONCLUDED THAT NO UNCERTAIN TAX POSITIONS EXIST AT SEPTEMBER 30, 2014. THE ORGANIZATION'S TAX YEARS FROM 2011 THROUGH 2013 ARE OPEN AND SUBJECT TO EXAMINATION. SCHEDULE D, PAGE 4, PART XI, LINE 2D CHANGE IN INTEREST-STEPHENS COMMUNITY HEALTHCARE FOUND 788,471 EQUITY TRANSFERS TO AFFILIATES -520,144 true true true X 1.750000000000 true X 2.250000000000 true true false true true 1477368 1477368 0.02790 9506192 9309740 196452 0.00370 10983560 9309740 1673820 0.03160 34165 34485 -320 88068 15247 72821 0.00140 9482692 8034850 1447842 0.02730 9604925 8084582 1520343 0.02870 20588485 17394322 3194163 0.06030 25130 25130 0.00050 25130 25130 0.00050 false 2458481 16239065 16078282 160783 X true true 1 1 STEPHENS MEMORIAL HOSPITAL ASSOC 181 MAIN STREET NORWAY ME 04268 X X X STEPHENS MEMORIAL HOSPITAL ASSOC 1 true X X X X X X X X X X 13 true true true X X X X X X X X X false false true true 175.000000000000 true 225.000000000000 false true true X X X X true false X X true X false false FACILITY 1, STEPHENS MEMORIAL HOSPITAL ASSOC. - PART V, LINE 1J 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, STEPHENS MEMORIAL HOSPITAL ASSOC. - PART V, LINE 3 COMMUNITY INPUT WAS TAKEN INTO ACCOUNT WHEN CONDUCTING THE CHNA, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH. THIS INCLUDED INDIVIDUALS FROM THE FOLLOWING ORGANIZATIONS: STEPHENS MEMORIAL HOSPITAL, HEALTHY OXFORD HILLS, WESTERN MAINE PUBLIC HEALTH DISTRICT, BESSEY MOTORS, OXFORD HILLS SCHOOL DISTRICT AND MAINEHEALTH. FACILITY 1, STEPHENS MEMORIAL HOSPITAL ASSOC. - PART V, LINE 4 THE CHNA WAS CONDUCTED THROUGH A PARTNERSHIP BETWEEN MAINEHEALTH, EASTERN MAINE HEALTHCARE SYSTEMS AND MAINEGENERAL HEALTH. FACILITY 1, STEPHENS MEMORIAL HOSPITAL ASSOC. - PART V, LINE 7 THE FOLLOWING IDENTIFIED COMMUNITY HEALTH NEEDS WERE NOT ADDRESSED: DENTAL HEALTH, ED VISITS, HOSPITAL ADMISSIONS, INFECTIOUS DISEASE, RESPIRATORY DISEASE AND YOUTH ISSUES. THESE PRIORITIES WERE NOT ADDRESSED DUE TO LACK OF CONSENSUS FROM COMMUNITY PARTNERS REGARDING THE IMPORTANCE OF THE ISSUE AND/OR LACK OF RESOURCES TO ADDRESS THE ISSUE. PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION SUBSIDIZED HEALTH SERVICES INCLUDE THE NET OPERATING LOSS OF PACE PARAMEDIC SERVICE, A DEPARTMENT OF STEPHENS MEMORIAL HOSPITAL, AND DIRECT SUBSIDIES AND SUPPORT OF LOCAL SCHOOL-BASED HEALTH CLINICS AND OTHER CLINICAL PROGRAMS THAT ARE NOT REVENUE-PRODUCING. IF THESE SERVICES WERE NOT PROVIDED OR SUBSIDIZED BY THE HOSPITAL, THEY WOULD NOT BE AVAILABLE IN THE COMMUNITY. PART II - COMMUNITY BUILDING ACTIVITIES IN ADDITION TO THE SUBSIDIZED HEALTH SERVICES AND COMMUNITY HEALTH SERVICES DESCRIBED ABOVE, WESTERN MAINE HEALTH CARE SPONSORS OR PARTICIPATES IN A VARIETY OF OTHER COMMUNITY ACTIVITIES AND PROGRAMS. THESE COMMUNITY BUILDING ACTIVITIES INCLUDE: -WE ARE THE LEAD AGENCY FOR HEALTHY OXFORD HILLS, A COMMUNITY COALITION TO PROMOTE PARTNERSHIPS, POLICIES AND PROGRAMS TO PROTECT AND ENHANCE THE HEALTH OF RESIDENTS OF OXFORD HILLS -OUR VIAL OF LIFE PROGRAM ALLOWS INDIVIDUALS IN THE COMMUNITY TO RECORD AND SAFELY STORE THEIR CURRENT HEALTH INFORMATION AT HOME, IN CASE THAT INFORMATION NEEDS TO BE RETRIEVED IN AN EMERGENCY SITUATION -SAFE SITTER COURSES, A MEDICALLY-ACCURATE INSTRUCTIONAL PROGRAM DESIGNED FOR YOUNG ADOLESCENTS 11 TO 13 YEARS OF AGE -COMMUNITY-WIDE EMERGENCY PREPAREDNESS PLANNING -REGIONAL HEALTH PLANNING AND PANDEMIC PLANNING -WE PROVIDE A CLINICAL SITE FOR LOCAL REGISTERED NURSES AND CERTIFIED NURSES AIDE PROGRAMS -ANNUAL CONFERENCE - ALCOHOLISM AND DRUG ADDICTION: DISEASE, TREATMENT AND RECOVERY -FREE COMMUNITY BLOOD PRESSURE SCREENINGS AND CLINICS -BLOOD DRIVES -SIBLING CLASSES FOR CHILDREN EXPECTING NEW FAMILY MEMBERS -NUTRITION OPEN HOUSES FOR THE GENERAL PUBLIC -"RELAY FOR LIFE" TO SUPPORT THE AMERICAN CANCER SOCIETY -"BOWL FOR KIDS SAKE" TO BENEFIT THE LOCAL BIG BROTHERS/BIG SISTERS PROGRAM -WE PROVIDE COMMUNITY OUTREACH SERVICES TO EDUCATE FAMILIES ABOUT THE ALFOND SCHOLARSHIP FOR BABIES, AND ASSIST FAMILIES IN PREPARING THE GRANT APPLICATION -WE PROVIDE MEETING SPACE AT NO CHARGE FOR LOCAL NON-PROFIT SUPPORT GROUPS INCLUDING ALCOHOLICS ANONYMOUS, SMOKING CESSATION, GEAR PARENT NETWORK SUPPORT GROUP, TAKE OFF POUNDS SENSIBLY (TOPS), THE SHRINERS ANNUAL HEALTH SCREENING DAY AND SUPPORT GROUPS FOR THOSE AFFECTED BY DEPRESSION/BIPOLAR CONDITIONS, DIABETES, GRIEF, AND PARKINSON'S DISEASE PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY THE HOSPITAL ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. A PATIENT QUALIFIES FOR FREE CARE BASED UPON CERTAIN ESTABLISHED POLICIES OF THE HOSPITAL. THESE POLICIES DEFINE FREE CARE AS THOSE SERVICES FOR WHICH NO PAYMENT IS ANTICIPATED. FREE CARE PROVIDED IS NOT INCLUDED IN NET PATIENT SERVICE REVENUE AND IS MEASURED BASED ON THE HOSPITAL'S CHARGES. COSTS AND EXPENSES INCURRED IN PROVIDING THESE SERVICES ARE INCLUDED IN OPERATING EXPENSES. CHARGES FOR SERVICES RENDERED TO INDIVIDUALS FROM WHOM PAYMENT IS EXPECTED AND ULTIMATELY NOT RECEIVED ARE WRITTEN OFF. BAD DEBT EXPENSE REPRESENTS HEALTHCARE SERVICES THAT THE HOSPITAL HAS PROVIDED WITHOUT COMPENSATION. AS A TAX-EXEMPT HOSPITAL, THE HOSPITAL PROVIDES NECESSARY PATIENT CARE REGARDLESS OF THE PATIENTS 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. THE 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 FREE CARE POLICY. IN ADDITION, BAD DEBT EXPENSE ALSO INCLUDES AMOUNTS FOR SERVICES PROVIDED TO INDIVIDUALS EXPERIENCING DIFFICULT PERSONAL OR ECONOMIC CIRCUMSTANCES RELATED TO A PORTION OF OUR COMMUNITY BASED PATIENT POPULATION. THEIR MEDICAL BILLS OFTEN PLACE THESE INDIVIDUALS IN UNTENABLE POSITIONS WHERE THEY ARE NOT ABLE TO HANDLE THEIR PERSONAL DEBT AND THEN THEIR NEW MEDICAL DEBT. HOWEVER, BECAUSE OF THEIR INCOME LEVEL, THEY DO NOT QUALIFY FOR FREE CARE. BY PROVIDING NECESSARY HEALTHCARE SERVICES TO THOSE INDIVIDUALS EITHER WHO FAIL TO APPLY FOR FINANCIAL ASSISTANCE OR WHO ARE EXPERIENCING DIFFICULT PERSONAL OR ECONOMIC CIRCUMSTANCES, THE HOSPITAL BELIEVES THAT BAD DEBT EXPENSE SHOULD BE INCLUDED AS A COMMUNITY BENEFIT. THE RESERVE FOR UNCOLLECTIBLE ACCOUNTS IS PROVIDED BASED ON AN ANALYSIS BY MANAGEMENT OF THE COLLECTABILITY OF OUTSTANDING BALANCES. MANAGEMENT CONSIDERS THE AGE OF OUTSTANDING BALANCES AND PAST COLLECTION EFFORTS IN DETERMINING THE RESERVE FOR UNCOLLECTIBLE ACCOUNTS. ACCOUNTS DEEMED UNCOLLECTIBLE ARE CHARGED OFF AGAINST THE ESTABLISHED RESERVE. THE 2,458,481 OF BAD DEBT EXPENSE (AT COST) WAS CALCULATED USING THE HOSPITAL'S COST TO CHARGE RATIO. PART III, LINE 8 - MEDICARE EXPLANATION MEDICARE ALLOWABLE COSTS WERE TAKEN FROM THE HOSPITAL'S AS-FILED 2014 MEDICARE COST REPORTS. THE COST REPORT UTILIZES A SOPHISTICATED, DETAILED STEP-DOWN COST ALLOCATION APPROACH. THE COST REPORT EXCLUDES REVENUE, EXPENSES AND REIMBURSEMENT FOR PROFESSIONAL FEES SUCH AS EMERGENCY DEPARTMENT PHYSICIANS. IF THE COST TO PROVIDE THESE SERVICES AND PAYMENTS FOR THE SERVICES WERE INCLUDED IN THE PART III SECTION B ANALYSIS, THERE WOULD BE A MEDICARE SHORTFALL FOR THESE SERVICES. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION PATIENTS WHO APPLY FOR AND QUALIFY FOR CHARITY CARE/ FINANCIAL ASSISTANCE BASED ON THE STATE OF MAINE FREE HOSPITAL CARE GUIDELINES WILL HAVE THE SELF PAY PORTION OF THEIR ACCOUNT BALANCE ADJUSTED AT TIME OF APPROVAL. FUTURE SELF PAY BALANCES WILL BE ADJUSTED DURING THEIR ELIGIBILITY PERIOD AT THE POINT OF BILLING, PRIOR TO SENDING BILLS TO PATIENTS. FOR THOSE WHO APPLY FOR ASSISTANCE BUT WHOSE INCOME EXCEEDS THE LIMIT FOR 100% ASSISTANCE, A 50% REDUCTION WILL BE APPLIED IF THEIR INCOME IS BETWEEN 176% AND 200% OF THE FEDERAL POVERTY LIMITS. PATIENTS WHOSE FAMILY INCOME RANGES FROM 201% TO 225% OF THE FEDERAL POVERTY LIMITS QUALIFY FOR A 25% REDUCTION. IF REQUESTED, A MONTHLY PAYMENT PLAN WILL BE SET UP FOR THE REMAINDER OF THE PATIENT'S BALANCE. PART VI, LINE 2 - NEEDS ASSESSMENT STEPHENS MEMORIAL HOSPITAL'S BOARD OF TRUSTEES IS MADE UP OF A DIVERSE SET OF COMMUNITY MEMBERS. THE BOARD REQUIRES A THOROUGH COMMUNITY NEEDS ASSESSMENT ON BEHALF OF THE ORGANIZATION, AND DIRECTS THE ORGANIZATION TO ANALYZE AND RESPOND TO THE CURRENT NEEDS ASSESSMENT. STEPHENS MEMORIAL HOSPITAL AND ITS PARENT WESTERN MAINE HEALTH CARE ALSO PARTICIPATE IN VARIOUS INITIATIVES TO HELP SUPPORT AND PROVIDE UPDATES TO COMMUNITY NEEDS ASSESSMENT PLANNING. SOME OF THESE INITIATIVES INCLUDE: - CLINICAL STRATEGIC PLANNING - FINANCIAL STRATEGIC PLANNING - FACILITY PLANNING - MANPOWER PLANNING - PHYSICIAN RECRUITMENT STRATEGIC PLANNING - EMERGENCY PREPAREDNESS PLANNING ALONG WITH THE INTERNAL ASSESSMENTS, MOST MEMBER ORGANIZATIONS ALSO REVIEW AND ACT ON MANY OF THE RECOMMENDATIONS PROVIDED BY EXTERNAL GROUPS SUCH AS THE MAINE CENTER FOR DISEASE CONTROL AND PREVENTION AND THE "STATE HEALTH PLAN" CREATED BY THE ADVISORY COMMITTEE FOR HEALTH SYSTEMS DEVELOPMENT. IN ADDITION, MAINEHEALTH AND ITS PARTNERS IN THE ONEMAINE HEALTH COLLABORATIVE, EASTERN MAINE HEALTH SYSTEM AND MAINEGENERAL HEALTH, RELEASED THE ONEMAINE HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT REPORT IN MARCH 2011. THE REPORT WAS A COMPREHENSIVE COMPILATION AND ANALYSIS CONTAINING PRIMARY AND SECONDARY HEALTH DATA SOURCES. THE REPORT CONTAINED A HEALTH STATUS PROFILE FOR THE STATE AS A WHOLE AND FOR EACH OF MAINE'S SIXTEEN COUNTIES. THE PRIMARY DATA SOURCE WAS A RANDOMIZED TELEPHONE SURVEY; THE SAMPLING METHODOLOGY WAS DESIGNED TO PERMIT COMPARISONS AT THE COUNTY LEVEL. SECONDARY DATA SOURCES INCLUDE NUMEROUS STATE AND FEDERAL SOURCES. THIS REPORT PROVIDES BASELINE DATA ON HUNDREDS OF HEALTH INDICATORS THAT ARE RELEVANT TO HOSPITALS AND COMMUNITIES TO INFORM PLANNING AND EVALUATION ACTIVITIES. MAINEHEALTH HOLDS COMMUNITY FORUMS IN PARTNERSHIP WITH EACH MEMBER AND AFFILIATE HOSPITAL IN ORDER TO INCREASE UNDERSTANDING AND USE OF THE COMMUNITY NEEDS HEALTH ASSESSMENT AND TO FORM IDENTIFICATION AND ACTION ON LOCAL, COMMUNITY-BASED HEALTH PRIORITIES. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE STEPHENS MEMORIAL HOSPITAL'S POLICY OF CHARITY CARE AND FINANCIAL ASSISTANCE IS EASILY UNDERSTOOD, PROMINENTLY POSTED, AND PUBLICLY AVAILABLE. FOR PATIENTS WHOSE FAMILY INCOME IS AT OR BELOW 175% OF THE FEDERAL POVERTY LEVEL, CHARITY CARE IS 100% OF THEIR BILLED AMOUNTS. PATIENTS WHOSE FAMILY INCOME RANGES FROM 176% TO 200% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR A 50% CHARITY CARE DISCOUNT. PATIENTS WHOSE FAMILY INCOME RANGES FROM 201% TO 225% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR A 25% CHARITY CARE DISCOUNT. 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. THE ORGANIZATION USES SIMPLE APPLICATION PROCEDURES FOR CHARITY CARE OR FINANCIAL ASSISTANCE THAT DO NOT INTIMIDATE OR CONFUSE APPLICANTS. STEPHENS MEMORIAL HOSPITAL'S EMPLOYEES WHO WORK IN ADMISSIONS, BILLING, ACCOUNTS RECEIVABLE, OR PATIENT FINANCIAL SERVICES ARE FULLY INFORMED AND EDUCATED ABOUT ALL FINANCIAL ASSISTANCE POLICIES. THESE STAFF MEMBERS IDENTIFY UNPAID BILLS WHERE PERSONS ARE UNABLE TO PAY, AND SEPARATES THESE POTENTIAL "CHARITY CARE" BILLS FROM OTHER BAD DEBT ACCOUNTS. PART VI, LINE 4 - COMMUNITY INFORMATION STEPHENS MEMORIAL HOSPITAL PRIMARILY SERVES SOUTHERN OXFORD COUNTY IN WESTERN MAINE. TRADITIONALLY, THE DEMOGRAPHICS OF THIS REGION REFLECT A POPULATION THAT IS OLDER AND POORER THAN THE STATE OF MAINE AVERAGE. RECENT INDEPENDENT STUDIES FOUND OXFORD COUNTY TO BE THE SECOND LEAST HEALTHY COUNTY IN THE STATE. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH IN ORDER TO ENSURE ACCESS TO PRIMARY CARE AND CERTAIN SPECIALTY PHYSICIAN SERVICES, WESTERN MAINE HEALTH CARE OWNS AND OPERATES ITS SUBSIDIARIES STEPHENS MEMORIAL HOSPITAL ASSOCIATION AND WESTERN MAINE MULTI-MEDICAL SPECIALISTS (WMMMS)INCLUDING PHYSICIAN PRACTICES PROVIDING CARDIOLOGY, FAMILY MEDICINE, GENERAL SURGERY, INTERNAL MEDICINE, ONCOLOGY, PEDIATRIC, AND OBSTETRIC AND GYNECOLOGY SERVICES. WMMMS ALSO HAS PARTNERED WITH PHYSICIAN GROUPS TO PROVIDE UROLOGY SERVICES TO THE COMMUNITY. DUE TO THE DEMOGRAPHICS OF THE POPULATION IN OXFORD COUNTY, MOST OF THESE SERVICES WOULD NOT BE AVAILABLE IF THEY WERE NOT PROVIDED BY A SYSTEM SUCH AS OURS. MOST LOCAL PRIVATE PHYSICIANS HAVE CLOSED TO, OR SIGNIFICANTLY LIMITED ACCESS FOR, NEW MEDICAID PATIENTS. OUR PRACTICES CONTINUE TO ACCEPT PATIENTS REGARDLESS OF THEIR INSURANCE COVERAGE OR LACK THEREOF. IN THE AGGREGATE, 23% OF PATIENTS SERVED BY WESTERN MAINE HEALTH CARE'S PHYSICIANS WERE COVERED BY THE STATE OF MAINE MEDICAID PROGRAM. WESTERN MAINE HEALTH CARE OWNED AND OPERATED MARKET SQUARE HEALTH CARE CENTER, A 98-BED LONG-TERM CARE FACILITY COMPRISED OF 76 NURSING HOME/SKILLED NURSING FACILITY BEDS AND 22 RESIDENTIAL CARE BEDS. MARKET SQUARE ACCEPTED PATIENTS AND RESIDENTS WHOSE CLINICAL NEEDS EXCEED THE CAPABILITIES OF OTHER AREA NURSING FACILITIES. MARKET SQUARE ACCEPTED ALL RESIDENTS WHO MET CLINICAL CRITERIA, REGARDLESS OF THE SOURCE OF EXPECTED PAYMENT FOR SERVICES. COMBINED OPERATING LOSSES RELATED TO NON-HOSPITAL PRACTICES AND NURSING FACILITY WAS 1,337,000 IN 2014. THESE LOSSES WERE SUPPORTED BY STEPHENS MEMORIAL HOSPITAL THROUGH NET ASSET TRANSFERS. PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT MAINE X X X X X false false false false false false false false false GREGORY HARDY MD TRUSTEE 282448 58492 11901 16227 369068 TIMOTHY CHURCHILL PRESID & CEO 268000 39000 19717 29195 18391 374303 JAMES ESHLEMAN DO MED STAFF PRESIDENT 180000 70905 15874 266779 WILLIAM L MEDD MD TRUSTEE 225000 23742 30550 3706 282998 KATHLEEN HERLIHY MD TRUSTEE 168877 6776 9700 15684 201037 LISA MILLER MD TRUSTEE 148320 18146 2152 16125 184743 JOHN COX SR VP-FISCAL 179610 18343 9008 15874 222835 M PATRICIA COOK SR VP-CLINICAL 144200 9332 19309 15972 188813 ALYSSA A PAETAU MD PHYSICIAN 309000 15310 9227 333537 ROBERT C NEILSEN MD PHYSICIAN 309000 12138 31676 16356 369170 ROBERT C KAHN MD PHYSICIAN 309580 5644 21066 16356 352646 MICHAEL M MOHSENI MD PHYSICIAN 281894 5684 9089 296667 THOMAS J HEWSON MD PHYSICIAN 262915 23579 2146 16062 304702 FORM 990, PAGE 6, PART VI, LINE 6 WESTERN MAINE HEALTH CARE, CORP. (EIN 01-0411788) IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PAGE 6, PART VI, LINE 7A THE SOLE MEMBER HAS THE RESPONSIBILITY FOR THE ELECTION OF THE MEMBERS OF THE GOVERNING BODY. FORM 990, PAGE 6, PART VI, LINE 7B ALL DECISIONS BY THE STEPHENS MEMORIAL HOSPITAL ASSOCIATION'S GOVERNING BODY ARE APPROVED BY DEFAULT BY THE MEMBER ORGANIZATION'S GOVERNING BODY SINCE THESE TWO ORGANIZATIONS SHARE A COMMON GOVERNING BODY. FORM 990, PAGE 6, PART VI, LINE 11B THE 990 WAS REVIEWED IN DETAIL BY A COMMITTEE OF THE BOARD OF TRUSTEES. THE PRESIDENT AND SENIOR VICE PRESIDENT - FISCAL LED THE DISCUSSION. SUBSEQUENT TO THAT REVIEW, A COPY OF THE ORGANIZATION'S 990 WAS DISTRIBUTED TO ALL TRUSTEES. THE 990 WAS REVIEWED IN SUMMARY AT A BOARD MEETING PRIOR TO FILING. FORM 990, PAGE 6, PART VI, LINE 12C CONFLICT OF INTEREST STATEMENTS ARE OBTAINED ANNUALLY. THE PRESIDENT'S OFFICE COLLECTS AND REVIEWS THE RESPONSES. WHERE ANY REAL OR PERCEIVED CONFLICTS EXIST, OFFICERS AND TRUSTEES ARE EXPECTED TO RECUSE THEMSELVES (1) FROM MEETINGS DURING TIMES WHEN THE TOPICS OF POTENTIAL CONFLICT ARE DISCUSSED AND (2) FROM VOTING ON SUCH MATTERS. KEY EMPLOYEES MAY NOT USE THEIR POSITIONS TO PROFIT PERSONALLY OR TO ASSIST OTHERS IN PROFITING IN ANY WAY AT THE EXPENSE OF STEPHENS MEMORIAL HOSPITAL ASSOCIATION. FORM 990, PAGE 6, PART VI, LINE 15A THE PARENT COMPANY OF STEPHENS MEMORIAL HOSPITAL ASSOCIATION IS WESTERN MAINE HEALTH CARE, CORP. (EIN 01-0411788)WHO THROUGH ITS PARENT COMPANY MAINEHEALTH, HAS A FORMAL WRITTEN COMPENSATION POLICY IN PLACE. IN CONSULTATION WITH SULLIVAN COTTER, THE MAINEHEALTH BOARD COMPENSATION COMMITTEE ESTABLISHES APPROPRIATE COMPENSATION PARAMETERS FOR EACH ORGANIZATION'S CEO AND CERTAIN MEMBERS OF THEIR SENIOR MANAGEMENT TEAM. WORKING WITHIN THESE PARAMETERS, THE WESTERN MAINE HEALTH CARE BOARD DETERMINES THE LEVEL OF COMPENSATION FOR ITS CEO. THE FINDINGS OF THE COMPENSATION COMMITTEE ARE MADE TRANSPARENT TO, AND VOTED ON BY, THE FULL GOVERNING BOARD. THE "TOTAL EXECUTIVE COMPENSATION" IS FILED PUBLICLY BY THE ORGANIZATION, AND INCLUDES "TOTAL CASH COMPENSATION" AND "TOTAL VALUE OF ALL BENEFITS AND PERQUISITES" ASSOCIATED WITH THE POSITION. THE BOARD TAKES NECESSARY ACTION TO PREVENT THE CEO FROM VOTING OR DIRECTLY PARTICIPATING IN THE FINAL COMMITTEE DETERMINATION OF HIS OWN COMPENSATION. THE ORGANIZATION'S EXECUTIVE COMPENSATION PROCEDURES RELY UPON APPROPRIATE DATA FOR COMPARABILITY (E.G. COMPENSATION LEVELS PAID BY BOTH TAXABLE AND TAX-EXEMPT SIMILARLY SITUATED ORGANIZATIONS AND INDEPENDENT SURVEYS BY NATIONALLY RECOGNIZED INDEPENDENT FIRMS). FINALLY, THE ORGANIZATION REFRAINS FROM ALLOWING EXECUTIVE COMPENSATION TO EVER BE BASED SOLELY ON WESTERN MAINE HEALTH CARE, CORP.'S REVENUES OR OTHER SIMILAR PROFIT-SHARING STRATEGIES. FORM 990, PAGE 6, PART VI, LINE 19 DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G PHYSICIAN SERVICES 2,403,510 0 0 LAB/PATHOLOGY SERVICES 611,175 0 0 ANESTHESIA SERVICES 519,996 0 0 OTHER 2,148,523 63,016 0 FORM 990, PART XI, LINE 9 CHANGE IN INTEREST-STEPHENS COMMUNITY HEALTHCARE FOUND 788,471 EQUITY TRANSFERS TO AFFILIATES -520,144 WESTERN MAINE HEALTH CARE CORP 181 MAIN STREET NORWAY ME 04268 010411788 HEALTHCARE ME 501C3 11C MEHEALTH false MAINEHEALTH 110 FREE STREET PORTLAND ME 04101 010431680 HEALTHCARE ME 501C3 11C NA false WESTERN MAINE MULTI-MEDICAL SPECIAL 181 MAIN STREET NORWAY ME 04268 010489824 PHYS PRACT ME 501C3 9 WMHCC false WESTERN MAINE NURSING HOME INC 3 MARKET SQUARE SOUTH PARIS ME 04281 222842655 NURSING HO ME 501C3 9 WMHCC false STEPHENS COMMUNITY HEALTHCARE FOUND 181 MAIN STREET NORWAY ME 04268 311644144 SUPP ORG ME 501C3 11A WMHCC false CHAPEL VALLEY BOARDING HOME CORP 181 MAIN STREET NORWAY ME 04268 010433206 HEALTHCARE ME 501C3 7 WMHCC false false false false false false false false false false true false true true false false true true true true