2015-02-12T06:12:50-06:00 2013-05-31 MAINEHEALTH 110 FREE ST PORTLAND ME 041013908 990 2012-06-01 010078060 HENRIETTA D GOODALL HOSPITAL INC HENR 2074907337 25 JUNE STREET SANFORD ME 04073 NORMAN BELAIR 2074907337 2014-04-10 false 2015-02-12 2012 2016-02-25 16:41:14Z PARTICIA APRILE 25 JUNE STREET SANFORD ME 04073 88289204 false X WWW.GOODALLHOSPITAL.ORG X 1927 ME HENRIETTA D. GOODALL HOSPITAL'S, INC.'S MISSION IS TO SERVE AS A LEADER IN IMPROVING THE HEALTH AND WELL-BEING OF ITS COMMUNITY. HENRIETTA D. GOODALL HOSPITAL, INC. OWNS AND OPERATES H. D. GOODALL HOSPITAL, INC. (ACUTE CARE HOSPITAL), GOODALL HEALTH PARTNERS (A MULTI-SPECIALTY PHYSICIAL AND SURGEON GROUP), THE MEDICAL GROUP (A MULT-SPECIALTY PHYSICIAN AND SURGEON GROUP, GOODALL OUTPATIENT CLINIC (A FACILITY WHERE A VARIETY OF OUTPATIENT SERVICES ARE PERFORMED), GOODALL OUTPATIENT SERVICES-WATERBORO AND GOODALL ELDERCARE SERVICES (A LONG TERM CARE FACILITY) IN YORK COUNTY. YORK COUNTY CONSISTS OF 18 TOWNS AND CITIES LOCATED ON THE SOUTHERN MAINE COAST WITH A POPULATION OF OVER 200,000. HENRIETTA D. GOODALL HOSPITAL, INC. FURTHERS ITS MISSION AS A LEADER IN IMPROVING THE HEALTH AND WELL-BEING OF THE COMMUNITY AND PROVIDES ACCESS TO NEEDED HEALTHCARE SERVICES 365 DAYS A YEAR, 24 HOURS A DAY. 19 11 1099 197 222387 -62174 2446041 2300781 87287884 78738132 776194 849234 1177360 1856255 91687479 83744402 0 0 49695968 50155652 0 30873 39812989 33509553 89508957 83665205 2178522 79197 85944028 85817795 36911735 34104463 49032293 51713332 X HENRIETTA D. GOODALL HOSPITAL'S, INC.'S MISSION IS TO SERVE AS A LEADER IN IMPROVING THE HEALTH AND WELL-BEING OF ITS COMMUNITY. HENRIETTA D. GOODALL HOSPITAL, INC. OWNS AND OPERATES H. D. GOODALL HOSPITAL, INC. (ACUTE CARE HOSPITAL), GOODALL HEALTH PARTNERS (A MULTI-SPECIALTY PHYSICIAL AND SURGEON GROUP), THE MEDICAL GROUP (A MULT-SPECIALTY PHYSICIAN AND SURGEON GROUP, GOODALL OUTPATIENT CLINIC (A FACILITY WHERE A VARIETY OF OUTPATIENT SERVICES ARE PERFORMED), GOODALL OUTPATIENT SERVICES-WATERBORO AND GOODALL ELDERCARE SERVICES (A LONG TERM CARE FACILITY) IN YORK COUNTY. YORK COUNTY CONSISTS OF 18 TOWNS AND CITIES LOCATED ON THE SOUTHERN MAINE COAST WITH A POPULATION OF OVER 200,000. HENRIETTA D. GOODALL HOSPITAL, INC. FURTHERS ITS MISSION AS A LEADER IN IMPROVING THE HEALTH AND WELL-BEING OF THE COMMUNITY AND PROVIDES ACCESS TO NEEDED HEALTHCARE SERVICES 365 DAYS A YEAR, 24 HOURS A DAY. false false 49658152 63058668 GOODALL HOSPITAL IS A 58 BED HOSPITAL WHICH STRIVES TO MEET THE HEALTH CARE NEEDS OF INDIVIDUALS AND FAMILIES THROUGHOUT YORK COUNTY. GOODALL HOSPITAL OFFERS A BROAD RANGE OF MEDICAL, SURGICAL, DIAGNOSTIC, CLINICAL AND REHABILITATION SERVICES, WELLNESS EDUCATION, SUPPORT GROUPS AND OTHER COMMUNITY OUTREACH PROGRAMS. GOODALL HOSPITAL HAD 21,394 EMERGENCY ROOMS VISITS, 46,963 RADIOLOGY PROCEDURES, 371,628 LABORATORY PROCEDURES, 149 INFANTS BORN, AND 2,506 SURGERY CASES. GOODALL HOSPITAL PROVIDED 1,729,454 IN CHARITY CARE TO THE COMMUNITY. THIS INCLUDES PATIENTS WHO ARE UNDERINSURED OR THOSE WITHOUT ANY INSURANCE. IN ADDITION TO THE CHARITABLE CARE SERVICES, WE ARE CONTINUALLY ABSORBING ALL THE COSTS (CONTINUED ON SCHEDULE O) ASSOCIATED WITH PROVIDING THE COMMUNITY WITH A VARIETY OF SPECIAL COMPLIMENTARY EDUCATIONAL AND INFORMATIONAL SERVICES. GOODALL PROUDLY SPONSORS COMMUNITY ORGANIZATIONS, SCHOOL GROUPS, CIVIC ORGANIZATIONS AND SPECIAL EVENTS (LIKE THE LOCAL BASEBALL TEAM). GOODALL HOSPITAL SPONSORS TWO TO FOUR FREE EDUCATION EVENTS EACH MONTH OF THE YEAR ALONG WITH DOZENS OF SUPPORT GROUPS. GOODALL HOSPITAL ALSO ROUTINELY PARTICIPATES IN HEALTH FAIRS AND BUSINESS EVENTS, PERFORMING BLOOD PRESSURE CHECKS, CHOLESTEROL SCREENINGS AND CPR TRAINING. GOODALL HOSPITAL'S SENIOR ADVOCATE PROVIDES FREE ADVICE AND SERVICES TO ELDERLY MEMBERS OF THE COMMUNITY. SERVICES INCLUDE HELP WITH INSURANCE AND MEDICAL ISSUES, AS WELL AS PERSONAL ISSUES INCLUDING TAX INFORMATION, FINANCES AND HOME NEEDS. 10005865 8723782 GOODALL HEALTH PARTNERS CONSISTS OF MANY PHYSICIANS WITH MULTI-SPECIALTY SERVICES IN DIFFERENT LOCATIONS THROUGHOUT YORK COUNTY. THESE PHYSICIANS COMPLIMENT THE HOSPITAL IN MAINTAINING ITS MISSIONS TO SERVE AS A LEADER IN IMPROVING THE HEALTH AND WELL-BEING OF OUR COMMUNITY BY SERVING THE POPULOUS. THESE SPECIALTIES INCLUDE (BUT ARE NOT LIMITED TO) CARDIOLOGY, EAR NOSE AND THROAT, FAMILY PRACTICES, WOMEN'S HEALTH, INTERNAL MEDICINE, PEDIATRICS, ORTHO AND GENERAL SURGERY. GOODALL HEALTH PARTNERS PROVIDED 44,569 IN CHARITY CARE TO THE COMMUNITY. THE NUMBER OF PATIENTS SEEN WERE 21,413 FOR A TOTAL NUMBER OF VISITS OF 60,122. 6629612 7821962 GOODALL HOSPITAL ELDERCARE SERVICES PROVIDE LONG-TERM CARE, MEDICAL SERVICES AND DAYCARE TO OUR SENIOR CITIZENS. ELDERCARE HAD A TOTAL OF 39,238 PATIENT DAYS. WE CONTINUE TO GROW AND ADAPT TO THE NEEDS OF OUR COMMUNITY WITH THIS SERVICE. GOODALL HOSPITAL ELDERCARE PRIDES THEMSELVES BY CREATING A HOME-LIKE, COMFORTABLE ENVIRONMENT FOR THE RESIDENTS AND STAFF. THE NEWTON CENTER FOR REHABILITATION AND NURSING CARE PROMOTES HIGH QUALITY CARE; WITH DEDICATED STAFF, FAMILY EDUCATION AND INVOLVEMENT MAKE THIS PROGRAM SPECIAL. GOODALL HOSPITAL ELDERCARE SERVICES PROVIDED 14,456 IN CHARITY CARE TO THE COMMUNITY. 5673646 4139990 THE MEDICAL GROUP CONSISTS OF MANY PHYSICIANS WITH MULTI-SPECIALTY SERVICES THAT EXTEND GOODALL HOSPITAL'S EXISTING SERVICES TO KENNEBUNK, ME. THESE PHYSICIANS COMPLEMENT THE HOSPITAL IN MAINTAINING ITS MISSION TO SERVE AS A LEADER IN IMPROVING THE HEALTH AND WELL-BEING OF OUR COMMUNITY. THESE SERVICES INCLUDE (BUT ARE NOT LIMITED TO) FULL SERVICE PRIMARY CARE, WOMEN'S HEALTH, GASTROENTEROLOGY, PULMONARY MEDICINE, ORTHOPEDICS AND PAIN MANAGEMENT. THE MEDICAL GROUP PROVIDED 12,846 IN CHARITY CARE TO THE COMMUNITY. THE NUMBER OF PATIENTS SEEN WERE 10,855 FOR A TOTAL NUMBER OF 27,633 PATIENT DAYS. 5673646 4139990 71967275 true true false true false false false false false true true true 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 true false true false false false false false true false false false true 531 0 true 1099 true true true false false false false false false false false false false false X 19 11 false false true false false false false true true false true true true true true true true true true true false ME X NORMAN BELAIR CFO 2073244310 1 MEDICAL CENTER DRIVE BIDDEFORD ME 04005 JOHN THOMPSON DO 41.00 1.00 X 492596 0 24340 FRANK GOUDREAU DO 41.00 1.00 X 474462 0 24013 MICHAEL CARROLL MD 1.00 40.00 X 0 459254 25652 GINA QUINN-SKILLINGS MD 1.00 40.00 X 0 303808 25758 MARY O'HARE MD 1.00 40.00 X 0 268489 25895 DONALD BURGESS MD 1.00 40.00 X 0 229602 24610 WILLIAM FRANK MD 5.00 1.00 X 19525 0 0 ROBERT P BAUMAN 1.00 1.00 X 0 0 0 LORI ANN BLACK 1.00 1.00 X 0 0 0 JENNIFER CUTTS MD 1.00 1.00 X 0 0 0 JOAN R FINK 1.00 1.00 X 0 0 0 BERNARD GAINES 1.00 1.00 X X 0 0 0 GEORGE HISSONG JR 1.00 2.00 X X 0 0 0 RICHARD HULL 1.00 1.00 X 0 0 0 MARK MICKERIZ 1.00 1.00 X 0 0 0 BRADFORD C PAIGE 1.00 1.00 X X 0 0 0 MERILEE PERKINS 1.00 2.00 X X 0 0 0 ROBERT C QUENTIN 1.00 1.00 X 0 0 0 ROBERT REINKEN 1.00 1.00 X 0 0 0 PATRICIA APRILE 49.00 1.00 X 396254 0 17311 DANIEL D FORGUES 40.00 0.00 X 215795 0 12141 PETER L CLARK DO 40.00 0.00 X 352468 0 22550 JONATHAN P SHILL MDPHD 40.00 0.00 X 332533 0 6729 NINA SHERVIN MD 40.00 0.00 X 327988 0 8778 STEVEN E JOHNSON MD 40.00 0.00 X 299221 0 23374 ANDREW D POWELL MD 40.00 0.00 X 282559 0 19538 3193401 1261153 260689 53 false true false MAK ANESTHESIA INC 156 COUNTRY CLUB ROAD SANFORD ME 04073 ANESTHESIA 633342 LEONID TEMKIN MD PA 239 ARUNDEL ROAD KENNEBUNK ME 04046 ANESTHESIA 564679 EDWARD BURZON PC 1 SARAH PAUL HILL MADBURY NH 03823 PHYSICIAN 314379 THOMAS MOORE MD 300 SLIGO ROAD ROLLINSFORD NH 03869 PHYSICIAN 300000 DONALD P LYON MD PA PO BOX 549 LIMERICK ME 04048 PHYSICIAN 256060 13 1776927 523854 2300781 NET PATIENT SERVICE REVENUE 900099 77793830 77793830 MEDICARE MEANINGFUL USE 900099 721915 721915 NET PATIENT SERVICE REVENUE 621500 222387 222387 78738132 563752 563752 581477 922107 -340630 -340630 -340630 3902677 5500 3599326 23369 303351 -17869 285482 285482 EQUITY IN SUBSIDIARIES 900099 841980 841980 REBATE REVENUE 900099 419606 419606 CAFETERIA REVENUE 900099 294775 294775 640524 640524 2196885 83744402 80372000 222387 849234 641501 641501 39869149 35237002 4623798 8349 6922888 6021309 900160 1419 2722114 2367517 353958 639 245222 245222 102577 102577 13125 13125 7331537 5175137 2156400 194071 193133 938 82827 35379 47369 79 490750 189205 301545 1442117 559602 882515 14198 12234 1964 122518 94108 26621 1789 817718 760765 56953 3511091 3511091 921617 809578 112039 SUPPLIES 7916788 7831473 84880 435 PHYSICIAN FEES 4286457 4286457 TAXES 2144889 2144889 RENTAL & LEASE 1922525 1816970 105555 1949526 1114559 817742 17225 83665205 71967275 11667057 30873 5277 5277 3957864 2455400 9091776 10344259 851677 851677 1417919 1161471 1529545 1015873 78090023 46076499 32760127 32013524 11664433 12893054 13142291 14032253 11523119 11045007 85944028 85817795 14711137 13061335 9396449 8889806 12148451 10933682 655698 1219640 36911735 34104463 X 38367160 39731324 1506154 1610349 9158979 10371659 49032293 51713332 85944028 85817795 X 79197 1357212 1244630 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false false false true 13125 13125 false SCHEDULE C, PART II-B, LINE 1 HENRIETTA D. GOODALL GOODALL HOSPITAL IS A MEMBER OF THE MAINE HOSPITAL ASSOCIATION (MHA), THE AMERICAN HOSPITAL ASSOCIATION (AHA), AND THE MAINE HEALTHCARE ASSOCIATION (MEHCA). 18.80% OR 6,789 OF THE DUES PAID TO MHA, 23.65% OR 4,020 OF THE DUES PAID TO AHA, AND 31.00% OR 2,315 OF THE DUES PAID TO MEHCA ARE AVAILABLE FOR LOBBYING. 19488835 1714897 2998927 1495981 22706678 21667901 466220 -1610061 1035225 19488835 17085103 1898375 2691423 7000 21667901 14720200 642735 1962857 240689 17085103 0.54000 0.46000 false false 2728106 2728106 47028708 25549697 21479011 4549746 2132075 2417671 20449773 16371635 4078138 3333690 2023092 1310598 32013524 BENEFICIAL INT. IN PERP. TR. 9440011 F ALTERNATIVE INVESTMENTS 2716855 F INVESTMENT IN REAL PROPERTY 1875387 F 14032253 ESTIMATED SETTLEMENTS WITH MAINECARE 7108787 INVESTMENTS IN SUBS & JOINT VENTURES 1940829 TRUSTEE HELD FUNDS (BOND FUNDS) 650595 INSURANCE CAPTIVE 634401 DUE FROM AFFILIATES 393228 DEFEREED FINANCING COSTS 139488 HDG CAPITAL RESERVE CASH 100199 SYNERNET WORKERS' COMP CAPITAL CONTR 39633 CONTRIBUTION REC FROM REMAINDER TR 19955 INTANGIBLE ASSET - ORTHO MED RECORDS 17892 HDG DUE FROM TEMP NET ASSETS 11045007 INSURANCE CAPTIVE LIABILITY 634401 EST. SETTLEMENTS DUE TO 3RD PARTY 585239 PAYORS 1219640 X LIABILITY UNDER FIN 48 FOOTNOTE SCHEDULE D, PAGE 3, PART X THE ORGANIZATION ANNUALLY EVALUATES ITS TAX STATUS AND TAX POSITIONS TAKEN WITH RESPECT TO ITS OPERATIONS AND FINANCIAL STATEMENT POSTION. TAX YEARS FROM 2009 THROUGH THE CURRENT YEAR ARE OPEN FOR EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. SUPPLEMENTAL FINANCIAL INFORMATION SCHEDULE D, PAGE 4, PART XIII PART V, LINE IV: UNDER THE POLICY OF THE ORGANIZATION, THE ENDOWMENT ASSETS ARE INVESTED CONSERVATIVELY WITH THE INTENT OF PROVIDING A PREDICTABLE STREAM OF FUNDING TO THE ORGANIZATION FOR PURCHASES OF CAPITAL, EXPANSION PROJECTS AND TO SUPPLEMENT GENERAL OPERATIONS. true true true X true X true true false false 718749 718749 0.00880 14682383 10295560 4386823 0.05380 15401132 10295560 5105572 0.06260 65518 65518 0.00080 41320 41320 0.00050 5120 5120 0.00010 111958 111958 0.00140 15513090 10295560 5217530 0.06400 1800 1800 1800 1800 true 3290967 23002541 30177600 -7175059 X true true PINE TREE INSURANCE PROVIDE MALPRACTICE INSURANCE FOR A 0.25000 A RECIPROCAL RISK GROUP OF HEALTHCARE PROVIDERS RENTENTION GROUP 1 1 HENRIETTA D GOODALL HOSPITAL INC

25 JUNE STREET SANFORD ME 04073

WWWGOODALLHOSPITALORG X X X HENRIETTA D GOODALL HOSPITAL INC 1 true X X X X X X 11 true false true X X X X X true false true true 200.0 true 250.0 true X X false true X X X X true false true X false false 9 NEWTON CENTER (ELDER CARE)

35 JULY STREET SANFORD ME 04073

NURSING HOME GOODALL HEALTH PARTNERS

25 JUNE STREET SANFORD ME 04073

PHYSICIAN PRACTICES WELLNESS CENTER

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CLINIC GOODALL HEALTH PARTNERS

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PHYSICIAN PRACTICES GOODALL HEALTH PARTNERS

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PHYSICIAN PRACTICES THE MEDICAL GROUP

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PHYSICIAN PRACTICES COMMUNITY SERVICES

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COMMUNITY PROGRAMS OCCUPATIONAL HEALTH SERVICES

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CLINIC GOODALL HEALTH CLINICS

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CLINIC COSTING METHODOLOGY EXPLANATION PART I LINE 7 THE COSTING METHODOLOGY FOR THE AMOUNTS REPORTED IN PART I LINE 7 OF THE SCHEDULE H IS BASED ON A RATIO OF PATIENT CARE COST TO CHARGES THIS COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 RATIO OF PATIENT CARE COSTTO CHARGES PROVIDED IN THE INSTRUCTIONS FOR SCHEDULE H BAD DEBT EXPENSE EXPLANATION PART III LINE 4 HENRIETTA D GOODALL HOSPITAL DOES NOT HAVE A SPECIFIC FOOTNOTE IN THE FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE HENRIETTA D GOODALL HOSPITAL REPORTS ACCOUNTS RECEIVABLE FOR SERVICES RENDERED NET OF ALLOWANCES FOR CONTRACTUAL ADJUSTMENTS THIRD PARTY REIMBURSING AGENCIES FREE CARE AND BAD DEBTS A BAD DEBT ALLOWANCE IS ESTABLISHED FOR ACCOUNTS THE HOSPITAL BELIEVES WILL BECOME UNCOLLECTIBLE THE ALLOWANCE IS ESTABLISHED BY EXAMINING HISTORICAL DATA AGING TRENDS OF COMMERCIAL INSURANCE AND SELFPAY BALANCES AND ECONOMIC TRENDS THE OFFSET TO THE ALLOWANCE ACCOUNT IS TO BAD DEBT EXPENSE ON THE STATEMENT OF OPERATIONS RECOVERIES ON ACCOUNTS PREVIOUSLY WRITTEN OFF ARE ACCOUNTED FOR ON A CASH BASIS AND ARE APPLIED DIRECTLY TO THE PROVISION FOR BAD DEBTS ON THE STATEMENT OF OPERATIONS AMOUNTS WRITTEN OFF OR RECOVERED FROM BAD DEBTS DURING THE YEAR ARE CHARGED AGAINST THE ALLOWANCE ACCOUNT ON THE BALANCE SHEET BAD DEBT EXPENSE REPRESENTS HEALTHCARE SERVICES HENRIETTA D GOODALL HOSPITAL HAS PROVIDED WITHOUT COMPENSATION AS A TAX EXEMPT HOSPITAL HENRIETTA D GOODALL HOSPITAL PROVIDES NECESSARY PATIENT CARE REGARDLESS OF THE PATIENTS ABILITY TO PAY FOR THE SERVICES A PORTION OF HENRIETTA D GOODALL HOSPITALS 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 HENRIETTA D GOODALL 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 HOSPITALS 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 LEVELS THEY DO NOT QUALIFY FOR FREE CARE BY PROVIDING NECESSARY HEALTHCARE SERVICES TO THOSE INDIVIDUALS WHO FAIL TO APPLY FOR FINANCIAL ASSISTANCE OR WHO ARE EXPERIENCING PERSONAL OR ECONOMIC CIRCUMSTANCES HENRIETTA D GOODALL HOSPITAL BELIEVES THAT BAD DEBT EXPENSE SHOULD BE INCLUDED AS A COMMUNITY BENEFIT MEDICARE EXPLANATION PART III LINE 8 MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST TO CHARGE RATIO HENRIETTA D GOODALL HOSPITAL BELIEVES THAT THE MEDICARE SHORTFALL SHOULD BE INCLUDED AS A COMMUNITY BENEFIT BECAUSE GOODALL HOSPITAL HAS A CLEAR MISSION COMMITTMENT 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 H D GOODALL HOSPITAL THEY WOULD BECOME THE OBLIGATION OF THE FEDERAL GOVERNMENT NEEDS ASSESSMENT PART VI GOODALL HOSPITALS BOARD OF TRUSTEES IS MADE UP OF A DIVERSE GROUP OF COMMUNITY MEMBERS THE BOARD OF TRUSTEES REQUIRES A THOROUGH COMMUNITY NEEDS ASSESSMENT ON BEHALF OF THE ORGANIZATION AND DIRECTS THE ORGANIZATION TO ANALYZE AND RESPOND TO THE CURRENT NEEDS ASSESSMENT MAINEHEALTH ALSO PARTICIPATES IN VARIOUS INITIATIVES TO HELP SUPPORT AND PROVIDE UPDATES TO COMMUNITY NEEDS ASSESSMENT PLANNING SOME OF THESE INITIATIVES INCLUDE CLINICAL STARTEGIC PLANNING FINANCIAL 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 THE CURRENT COMMUNITY NEEDS ASSESSMENT WAS OBTAINED THROUGH PARTICIPATING WITH MAINEHEALTH GOODALLSS PARENT COMPANY AND ITS PARTNERS IN THE ONEMAINE HEALTH COLLABORATIVE EASTERN MAINE HEALTH SYSTEM AND MAINEGENERAL HEALTH THE ONEMAINE HEALTH COMMUNTIY NEEDS ASSESSMENT REPORT WAS RELEASED IN MARCH 2011 THE REPORT IS A COMPREHENSIVE COMPILATION AND ANALYSIS CONTAINING PRIMARY AND SECONDARY HEALTH DATA SOURCES THE REPORT CONTAINS A HEALTH STATUS PROFILE FOR THE STATE AS A WHOLE AND FOR EACH OF MAINES 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 PLANS CALL FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT TO BE REPLICATED EVERY THREE YEARS MAINEHEALTH WILL HOLD COMMUNITY FORUMS IN PARTNERSHIP WITH EACH MEMBERAND AFFILIATE HOSPITAL IN ORDER TO INCREASE UNDERSTANDING AND USE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND TO INFORM IDENTIFICATION AND ACTION ON LOCAL COMMUNITYBASED HEALTH PRIORITIES PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI GOODALL HOSPITAL EMPLOYS A FINANCIAL COUNSELOR WHO ASSISTS AND EDUCATES PATIENTS AND THEIR FAMILIES ON FINANCIAL MATTERS CONCERNING THE HOSPITAL CHARITY CARE POLICY AND ELIGIBILITY FOR STATE AND FEDERAL PROGRAMS THIS ASSISTANCE CAN BE AS SPECIFIC AS ASSISTING THE PATIENT ANDOR FAMILIES IN COMPLETING THE VARIOUS FORMS REQUIRED BY MEDICAID AND MEDICARE POSTING OF THE FINANCIAL ASSISTANCE CONTACT INFORMATION IS PRESENT IN ADMISSION AREAS EMERGENCY ROOMS AND OTHER AREAS OF THE ORGANIZATIONS FACILITIES WHERE ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT PATIENT BILLS INCLUDE A SUMMARY OF THE POLICY ALONG WITH FINANCIAL ASSITANCE CONTACT INFORMATION GOODALL HOSPITAL WORKS WITH GOODALLSS SELF PAY PATIENTS ADVANCED PATIENT ADVOCACY PROGRAM THAT SCREEN FOR ALL INPATIENT AND OUTPATIENTS THAT MEET THE APPROPRIATE CRITERIA THIS PROGRAM EFFECTIVELY EDUCATES PATIENTS ABOUT THEIR COVERAGE OPTIONS NAVIGATE COMPLEX PROGRAM CRITERIA AND ENROLL MORE UNINSURED IN PROGRAMS THAT BEST MATCH THEIR NEEDS THE HOSPITALS SENIOR ADVOCATE PROGRAM PROVIDES FREE ADVICES AND SERVICES TO THE ELDERLY MEMBERS OF THE COMMUNITY THIS PROGRAM IS DESIGNED TO BE A CENTRAL POINT OF ACCESS FOR SENIOR CITIZENS TO OBTAIN INFORMATION RESOURCES AND ADVOCACY PROGRAM RESOURCES INCLUDE BUT ARE NOT LIMITED TO MEDICARE RETIREMENT PLANNING HOUSING FINANCIAL ASSISTANCE INSURANCE COUNSELING FRAUD PROTECTION AS WELL AS COMPREHENSIVE ELIGIBLITY SCREENING FROM A HOST OF GOVERNMENT STATE ASSISTANCE PROGRAMS AND OTHER LOCAL FUNDING SOURCES GOODALLS PRESCRIPTION ASSISTANCE PROGRAM IS DESIGNED TO ASSIST THOSE WHO DO NOT QUALIFY FOR OTHER TRADITIONAL ASSISTANCE PROGRAMS SUCH AS MEDICARE PART D OR MAINECARE BUT WHOSE FINANCIAL SITUATION QUALIFIES THEM TO RECEIVE SUPPORT THE COORDINATOR SERVES AS A LIASON BETWEEN THE HEALTHCARE PROVIDER PHARMACEUTICAL COMPANIES AND THE PATIENT THE GOALS OF THIS PROGRAM ARE TO ASSIST INDIVIDUALS WITHOUT PRESCRIPTION DRUG COVERAGE IN NAVIGATING THE SYSTEM OBTAINING THEIR PRESCRIBED MEDICATIONS AND DEVELOPING LONGTERM SOLUTIONS TOWARDS ACQUIRING MEDICATIONS IN THE FUTURE COMMUNITY INFORMATION PART VI GOODALL HOSPITAL SERVICES THE POPULATION OF WESTERN YORK COUNTY MAINE SANFORD IS THE TOWN WITH THE LARGEST POPULATION IN THE HOSPITALS SERVICE AREA WITH A POPULATION OF APPROXIMATELY 21000 WITH AN ELDERLY POPULATION RATE OF 15 AND FAMILIES REPRESENTING 64 OF THIS POPULATION WITH 93 BEING CAUCASIAN THE HOSPITALS MEDICAID VOLUME IS 18 AND IS AMONGST THE HIGHEST IN THE STATE AND REFLECTS THE HIGH PERCENTAGE OF FAMILIES WITH INCOME LESS THAN 100 OF THE FEDERAL POVERTY LEVEL SANFORDS POVERTY RATE IS 17 WHILE THE STATE OF MAINE IS AT 12 72 OF SANFORDS ELEMENTARY SCHOOL CHILDREN ARE ELIGIBLE TO RECEIVE FREE OR SUBSIDIZED MEALS HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE PART VI A MAJORITY OF THE ORGANIZATIONS GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATIONS PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION NOR FAMILY MEMBERS THEREOF OUR DIRECTORSMANAGERSCOORDINATORS AND EMPLOYEES OF GOODALL HOSPITAL ARE ENCOURAGED TO PARTICIPATE IN THE COMMUNITYS ACTIVIES AND SUPPORT GROUPS THAT BENEFIT THE COMMUNITY AT LARGE EXAMPLES OF THESE ACTIVITIES ARE AS FOLLOWS COLLABORATING WITH THE TOWN LIBRARY TO PRESENT EVENTS AROUND HEALTH AND LITERACY OF THE PERSONS SUPPORT INTRODUCE AND COACH FAMILIES TO PROGRAMS IN WHICH THEY CAN UNDERSTAND THEIR OWN HEALTH AND SAFETY WHICH RESULT ON A FOCUS ON REDUCING PREVENTABLE ILLNESSES AND INJURIES THUS REDUCING HEALTHCARE TREATMENT COSTS AND IMPROVING LIVES LINKING FAMILIES WITH OTHER FAMILIES THAT ARE EXPERIENCING SIMILAR LIFE CIRCUMSTANCES THROUGH COMMUNITY EVENTS THAT INCLUDE THE PARENT AND CHILD PARTICIPATION LEAD SCREENING AND PREVENTION EDUCATION TEST KIT MAILERS AND INFORMATION TO ALERT THE COMMUNITIES OF THE IMPORTANCE OF LEASE TESTING AND TREATMENT IF APPROPRIATE AT YOUNG AGES AFFILIATED HEALTH CARE INFORMATION PART VI MAINEHEALTH IS A NOTFORPROFIT FAMILY OF LEADING HIGHQUALITY PROVIDERS AND OTHER HEALTHCARE ORGANIZATIONS WORKING TOGETHER SO THEIR COMMUNITIES ARE THE HEALTHIEST IN AMERICA RANKED AMONG THE NATIONS 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 REGIONAL SERVICE AREAS THE COLLABORATION OF MAINEHEALTH MEMBERS MAKES IT POSSIBLE TO OFFER A EXTENSIVE RANGE OF CLINICAL INTEGRATION AND COMMUNITY HEALTH PROGRAMS MANY AIMED AT IMPROVING ACCESS TO PREVENTATIVE AND PRIMARY CARE SERVICES MAINEHEALTH INCLUDES THE FOLLOWING MEMBER ORGANIZATIONS LINCOLN COUNTY HEALTHCARE MAINE MEDICAL CENTER MAINE MENTAL HEALTH PARTNERS SPRING HARBOR HOSPITAL PEN BAY HEALTHCARE PEN BAY MEDICAL CENTER SOUTHERN MAINE MEDICAL CENTER HENRIETTA D GOODALL HOSPITAL WALDO COUNTY HEALTHCARE WALDO COUNTY GENERAL HOSPITAL WESTERN MAINE HEALTH CARE STEPHENS MEMORIAL HOSPITAL HOMEHEALTH VISITING NURSES OF SOUTHERN MAINE MAINE PHYSICIAN HOSPITAL ORGANIZATION NORDX LABS SYNERNET MAINEHEALTH ACCOUNTABLE CARE ORGANIZATION AND MAINEHEALTH CARDIOLOGY AFFILIATES OF MAINEHEALTH INCLUDE MAINEGENERAL MEDICAL CENTER MID COAST HOSPITAL NEW ENGLAND REHABILITATION HOSPITAL OF PORTLAND AND ST MARYS REGIONAL HOSPITAL LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILED PART VI MAINE HENRIETTA D GOODALL HOSPITAL INC LINE NUMBER 1 PART V LINE 3 PART V LINE 3 OVER 3100 YORK DISTRICT RESIDENTS PARTICIPATED IN THIS PROCESS EITHER BY RESPONDING TO A COUNTYWIDE SURVEY ANDOR PARTICIPATING IN COMMUNITY MEETINGS TO IDENTIFY KEY HEALTH ISSUES AND COMMUNITY CONCERNS THIS INFORMATION WAS COLLECTED TO INFORM THE DEVELOPMENT OF COMMUNITY HEALTH IMPROVEMENT PLAN THAT MAXIMIZES RESOURCES TAKES INTO ACCOUNT UNIQUE CIRCUMSTANCES AND NEEDS AND FORMS EFFECTIVE PARTNERSHIPS FOR STRATEGIC ACTION HENRIETTA D GOODALL HOSPITAL INC LINE NUMBER 1 PART V LINE 5C PART V LINE 5C THE ASSESSMENT WAS ALSO MADE AVAILABLE THROUGH OTHER NONHOSPITAL FACILITIES AND ON THE WEB HTTPWWWCTBHORGDOCUMENTSYORKDISTRICTSTRATEGICPLANAPRIL2011PDF HENRIETTA D GOODALL HOSPITAL INC LINE NUMBER 1 PART V LINE 20D PART V LINE 20D THE HOSPITAL USES COST AS THE BASIS FOR MARKUP THE MARKUP TO CHARGE INCLUDES DIFFERING PERCENTAGES BASED ON A TIER COSTING SYSTEM X X X X X false false false false false false false false false JOHN THOMPSON DO 492596 2500 21840 516936 FRANK GOUDREAU DO 474462 2500 21513 498475 MICHAEL CARROLL MD 365724 92569 961 10000 15652 484906 GINA QUINN-SKILLINGS MD 303071 737 10000 15758 329566 MARY O'HARE MD 267842 647 9548 16347 294384 DONALD BURGESS MD 229293 309 9184 15426 254212 PATRICIA APRILE 357297 38957 2500 14811 413565 DANIEL D FORGUES 195795 20000 2046 10095 227936 PETER L CLARK DO 352468 2500 20050 375018 JONATHAN P SHILL MDPHD 312533 20000 3750 2979 339262 NINA SHERVIN MD 327988 2500 6278 336766 STEVEN E JOHNSON MD 299221 2581 20793 322595 ANDREW D POWELL MD 282559 2581 16957 302097 A MAINE HEALTH AND HIGHER EDUCATIONAL FACILITIES AUTHORITY 010314384 560425D49 2006-09-07 6020317 RENOVATE & EQUIPMENT false false false B MAINE HEALTH AND HIGHER EDUCATIONAL FACILITIES AUTHORITY 010314385 560425H37 2007-07-18 5108908 REFI MHHEFA BD 1996A false false false A 6020317 522453 55514 5836740 293000 2007 false false true true B 5108908 451093 56115 false true true true A false false false false false false false false B false false false false false false false false A true false false false false false B false false false false false false false false false A false ADDITIONAL INFORMATION SCHEDULE K MAINE HEALTH AND HIGHER EDUCATIONAL SCHEDULE K PART I BOND ISSUES A ISSUER NAME MAINE HEALTH AND HIGHER EDUCATIONAL FACILITIES AUTHORITY B DESCRIPTION OF PURPOSE RENOVATE HOSPITAL AND PURCHASE EQUIPMENT MAINE HEALTH AND HIGHER EDUCATIONAL SCHEDULE K PART I BOND ISSUES A ISSUER NAME MAINE HEALTH AND HIGHER EDUCATIONAL FACILITIES AUTHORITY B DESCRIPTION OF PURPOSE REFINANCE MHHEFA BOND 1996A MARK MICKERIZ 3869068 SANFORD INST FOR SAV false WILLIAM FRANK 19525 GOODALL HOSPITAL false ADDITIONAL INFORMATION SCHEDULE L PART V SCHEDULE L PART IV BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS A NAME OF PERSON MARK MICKERIZ B RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION MEMBER OF GOODALL HOSPITALS BOARD AND PRESIDENT OF SANFORD INSTITUTE FOR SAVINGS D DESCRIPTION OF TRANSACTION SANFORD INSTITUTE FOR SAVINGS SIS HAS FOUR OUTSTANDING LOANS WITH HENRIETTA D GOODALL HOSPITAL INC THE ORIGINAL AMOUNT OF THE LOANS WERE 7368000 AND AS OF MAY 31 2013 THE OUTSTANDING BALANCE ON THE LOANS WERE 3869680 A NAME OF PERSON WILLIAM FRANK B RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION MEMBER OF GOODALL HOSPITALS BOARD OF TRUSTEES D DESCRIPTION OF TRANSACTION GOODALL HOSPITAL CONTRACTS WITH DR FRANK TO PERFORM VARIOUS DUTIES AT THE HOSPITAL SUCH AS ON CALL IMPACT COVERAGE AND SOME COMMITTIES ORGANIZATION'S MISSION FORM 990 - ORGANIZATION'S MISSION HENRIETTA D. GOODALL HOSPITAL'S, INC.'S MISSION IS TO SERVE AS A LEADER IN IMPROVING THE HEALTH AND WELL-BEING OF ITS COMMUNITY. HENRIETTA D. GOODALL HOSPITAL, INC. OWNS AND OPERATES H. D. GOODALL HOSPITAL, INC. (ACUTE CARE HOSPITAL), GOODALL HEALTH PARTNERS (A MULTI-SPECIALTY PHYSICIAL AND SURGEON GROUP), THE MEDICAL GROUP (A MULT-SPECIALTY PHYSICIAN AND SURGEON GROUP, GOODALL OUTPATIENT CLINIC (A FACILITY WHERE A VARIETY OF OUTPATIENT SERVICES ARE PERFORMED), GOODALL OUTPATIENT SERVICES-WATERBORO AND GOODALL ELDERCARE SERVICES (A LONG TERM CARE FACILITY) IN YORK COUNTY. YORK COUNTY CONSISTS OF 18 TOWNS AND CITIES LOCATED ON THE SOUTHERN MAINE COAST WITH A POPULATION OF OVER 200,000. HENRIETTA D. GOODALL HOSPITAL, INC. FURTHERS ITS MISSION AS A LEADER IN IMPROVING THE HEALTH AND WELL-BEING OF THE COMMUNITY AND PROVIDES ACCESS TO NEEDED HEALTHCARE SERVICES 365 DAYS A YEAR, 24 HOURS A DAY. FIRST ACCOMPLISHMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4A ASSOCIATED WITH PROVIDING THE COMMUNITY WITH A VARIETY OF SPECIAL COMPLIMENTARY EDUCATIONAL AND INFORMATIONAL SERVICES. GOODALL PROUDLY SPONSORS COMMUNITY ORGANIZATIONS, SCHOOL GROUPS, CIVIC ORGANIZATIONS AND SPECIAL EVENTS (LIKE THE LOCAL BASEBALL TEAM). GOODALL HOSPITAL SPONSORS TWO TO FOUR FREE EDUCATION EVENTS EACH MONTH OF THE YEAR ALONG WITH DOZENS OF SUPPORT GROUPS. GOODALL HOSPITAL ALSO ROUTINELY PARTICIPATES IN HEALTH FAIRS AND BUSINESS EVENTS, PERFORMING BLOOD PRESSURE CHECKS, CHOLESTEROL SCREENINGS AND CPR TRAINING. GOODALL HOSPITAL'S SENIOR ADVOCATE PROVIDES FREE ADVICE AND SERVICES TO ELDERLY MEMBERS OF THE COMMUNITY. SERVICES INCLUDE HELP WITH INSURANCE AND MEDICAL ISSUES, AS WELL AS PERSONAL ISSUES INCLUDING TAX INFORMATION, FINANCES AND HOME NEEDS. ALL OTHER ACCOMPLISHMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4D THE MEDICAL GROUP CONSISTS OF MANY PHYSICIANS WITH MULTI-SPECIALTY SERVICES THAT EXTEND GOODALL HOSPITAL'S EXISTING SERVICES TO KENNEBUNK, ME. THESE PHYSICIANS COMPLEMENT THE HOSPITAL IN MAINTAINING ITS MISSION TO SERVE AS A LEADER IN IMPROVING THE HEALTH AND WELL-BEING OF OUR COMMUNITY. THESE SERVICES INCLUDE (BUT ARE NOT LIMITED TO) FULL SERVICE PRIMARY CARE, WOMEN'S HEALTH, GASTROENTEROLOGY, PULMONARY MEDICINE, ORTHOPEDICS AND PAIN MANAGEMENT. THE MEDICAL GROUP PROVIDED 12,846 IN CHARITY CARE TO THE COMMUNITY. THE NUMBER OF PATIENTS SEEN WERE 10,855 FOR A TOTAL NUMBER OF 27,633 PATIENT DAYS. SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS FORM 990, PAGE 6, PART VI, LINE 4 HENRIETTA D. GOODALL HOSPITAL AMENDED ITS ARTICLES OF INCORPORTATION AND BYLAWS SO THAT SOUTHERN MAINE HEALTH CARE (SMHC) SERVES AS THE PARENT ORGANIZATION AND SOLE CORPORATE MEMBER OF THE HOSPITAL AND SOUTHERN MAINE MEDICAL CENTER. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 WAS MADE AVAILABLE TO THE FULL BOARD OF TRUSTEES. THE CFO OF SOUTHERN MAINE HEALTH CARE REVIEWS THE FORM 990 IN DETAIL BEFORE SIGNING THE RETURN. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C AS INDICATED IN LINE 12B, GOODALL HOSPTIAL REQUIRES CURRENT AND FORMER OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES TO COMPLETE AN ANNUAL QUESTIONAIRE CONCERNING ANY POTENTIAL CONFLICTS OF INTEREST. THE ORGANIZATION REVIEWS THE REPSONSES TO THESE DOCUMENTS AND ADDRESSES ANY ISSUES IMMEDIATELY. IN ADDITION, WE HAVE ADDED ANOTHER QUESTIONAIRE THAT SPECIFICALLY ADDRESSES THE CONCERNS REGARDING TRANSACTIONS INVOLVING CURRENT AND FORMER OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES AND CERTAIN PARTIES THAT ARE RELATED TO THESE INDIVIDUALS. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A THE BOARD OF DIRECTORS APPROVES COMPENSATION FOR THE CEO AFTER CAREFUL REVEIW OF INDUSTRY SALARY INFORMATION (COMPENSATION STUDY) WITH AN OUTSIDE COMPENSATION CONSULTANT. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B UNDER THE GUIDANCE OF PROFESSIONAL COMPENSATION CONSULTANTS, THE HR DIRECTOR REVIEWS THE PAY MODEL WITH THE CEO AND COO TO ENSURE THAT THE ORGANIZATION IS ABLE TO RECRUIT AND RETAIN A HIGH QUALIFIED WORKFORCE, WHILE PROVIDING THE NECESSARY STRUCTURE TO EFFECTIVELY MANAGE THE COMPETETIVE ADVANTAGE OF PRODUCTIVITY, TOTAL QUALITY, CUSTOMER SERVICE AND COSTS. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION ARE MADE AVAILABLE UPON REQUEST. 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