2014-08-13T13:32:17-05:00 2013-09-30 MAINEHEALTH 110 FREE ST PORTLAND ME 041013908 990 2012-10-01 010177170 WALDO COUNTY GENERAL HOSPITAL WALD 2073382500 118 NORTHPORT AVENUE BELFAST ME 04915 LINDA B DRINKWATER 2073382500 2014-07-28 false 2014-08-13 2012 2015-11-30 17:44:51Z LINDA B DRINKWATER PO BOX 287 BELFAST ME 04915 85032807 false X WWW.WCHI.COM 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 12 726 51 0 2086956 739863 72276223 70800502 1786613 2086928 1203113 1500925 77352905 75128218 77856 36637 0 41764649 42693198 0 0 28845041 27359594 70687546 70089429 6665359 5038789 104978257 118380385 24145111 29548845 80833146 88831540 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 51216898 16637 64222457 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 5,961 DAYS OF ADULT, NEWBORN, SWING BED, AND HOSPICE INPATIENT CARE, AND 69,446 OUTPATIENT VISITS INCLUDING 496,426 OUTPATIENT PROCEDURES AND EXAMS. SEE ATTACHED COMMUNITY BENEFITS REPORT. 8198801 7066197 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 AND UROLOGY. OUR PHYSICIANS PROVIDED CARE TO PATIENTS DURING 38,628 PHYSICIAN-OFFICE PATIENT VISITS. 2262815 1765265 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 18,875 HEALTH CENTER VISITS. 61678514 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 false false false false false false false false false true false false false true false false false true 123 0 true 726 true false false false false false false false false false false X 15 12 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 WILLIAM CARON 1.00 50.00 X 0 1193562 75811 D KENT CLARK MD 35.00 5.00 X 296147 0 28088 ANN HOOPER 35.00 5.00 X 126021 0 20060 JAMES C DELEHANTY MD 1.00 X 6280 0 0 JENNESS ROBBINS 1.00 X 0 0 0 PETER D HADDOCK 1.00 X 0 0 0 JOHN D WORTH III 1.00 X 0 0 0 FRANK MORONG 1.00 X 0 0 0 DALE KUHNERT 1.00 X X 0 0 0 GREGOR DAVENS 1.00 X 0 0 0 WAYNE HAMILTON 1.00 X 0 0 0 LEE WOODWARD JR 1.00 X X 0 0 0 JAMES PATTERSON PHD 1.00 X X 0 0 0 CATHERINE REYNOLDS 1.00 X X 0 0 0 DAVID TASSONI 1.00 X 0 0 0 MARK BISCONE 30.00 10.00 X 301274 84512 38990 LINDA DRINKWATER 35.00 5.00 X 188410 0 8448 OWEN NELSON MD 32.00 X 463910 0 20958 JAMES DORSCH MD 40.00 X 435248 0 27766 RICHARD BOWER MD 40.00 X 417386 0 19869 DAVID FERGUSON MD 40.00 X 391671 0 18953 TERRANCE SMITH MD 40.00 X 374531 0 28366 3000878 1278074 287309 53 false true false SHERIDAN CORPORATION PO BOX 359 FAIRFIELD ME 04937 CONSTRUCTION 1913055 FREY'S CARPENTRY 661 SWAN LAKE AVENUE SWANVILLE ME 04915 CONSTRUCTION 641723 MAINE CENTER FOR CANCER MEDICINE 100 CAMPUS DRIVE UNIT 308 SCARBOROUGH ME 04074 MED. STAFFING 392925 ROOF SYSTEMS OF MAINE PO BOX 1134 BANGOR ME 04402 CONSTRUCTION 320997 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 MED. STAFFING 242962 9 268686 471177 739863 NET PATIENT SERVICE REVENUE 623000 70800502 70800502 70800502 1334436 1334436 205419 205419 205419 205419 10635981 21100 9844618 59971 791363 -38871 752492 752492 MISCELLANEOUS REVENUE 900099 765874 765874 MANAGEMENT FEE REVENUE 561000 296063 296063 CAFETERIA REVENUE 722210 233569 233569 1295506 75128218 73053919 1334436 X 20000 20000 16637 16637 1193070 247217 945853 33984108 31206080 2778028 789899 726942 62957 4501549 4081810 419739 2224572 1992499 232073 498142 498142 38945 38945 136345 136345 7999027 6599709 1399318 8441858 8162171 279687 1999782 1787113 212669 1438206 1288169 150037 100475 82345 18130 214651 190720 23931 333494 298703 34791 3081428 2759965 321463 732805 408411 324394 STATE OF ME HOSPITAL TAX 1449081 1449081 MISCELLANEOUS EXPENSES 446519 347355 99164 AFFILIATE ASSESSMENTS 435249 435249 DUES 13587 13587 70089429 61678514 8410915 0 3615 3615 7561067 10275853 65322 20004 5639738 6489783 2380723 2578577 609959 205615 65298741 39424571 24737906 25874170 40741683 45573430 23238244 27359338 104978257 118380385 6884089 8016934 6505133 6231055 402688 371174 10353201 14929682 24145111 29548845 X 64646717 70415447 1599224 1654134 14587205 16761959 80833146 88831540 104978257 118380385 5038789 2367359 592246 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 5970 5970 false SCHEDULE C, PART II-B, LINE 1 PERCENTAGE OF ANNUAL MAINE HOSPITAL ASSOCIATION DUES ALLOCATED TOWARDS LOBBYING EXPENSES: 5,970. 723570 14464 45014 10000 773048 652523 13921 57126 723570 646826 15070 -9373 652523 697111 14173 -64458 646826 606116 106512 -15517 697111 1.00000 true false 230009 230009 32637322 14268684 18368638 30840884 24191554 6649330 1590526 964333 626193 25874170 BENEFICIAL INTEREST-PERPETUAL TRUST 16349408 PREPAID CAPITAL COSTS 4998836 INSURANCE RECEIVABLES 4492282 BENEFICIAL INTEREST-CHARITABLE TRUST 1072120 OTHER CURRENT ASSETS 196856 INVESTMENT IN MAINEHEALTH ACO 180000 DEFERRED FINANCING FEES 69836 THIRD PARTY SETTLEMENTS 27359338 DUE TO THIRD PARTIES 9435717 INSURANCE RESERVE PAYABLE 3710559 DUE TO RELATED PARTIES 1783406 14929682 X 78087823 2367359 592246 2959605 75128218 75128218 70089429 70089429 70089429 INTENDED USES FOR ENDOWMENT FUNDS 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. LIABILITY UNDER FIN 48 FOOTNOTE SCHEDULE D, PAGE 3, PART X THE ORGANIZATION 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. THE ORGANIZATION HAS EVALUATED THE POSITIONS TAKEN ON ITS FILED TAX RETURNS AND HAS CONCLUDED THAT NO UNCERTAIN INCOME TAX POSITIONS EXIST AT SEPTEMBER 30, 2013. THE ORGANIZATION'S TAX YEARS 2011 THROUGH 2013 ARE OPEN AND SUBJECT TO EXAMINATION. REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 2D CHANGE IN VALUE OF PERPETUAL AND CHARITABLE TRUSTS 2,193,090 EQUITY TRANSFER TO AFFILIATES -1,600,844 true true true X 1.75000 true X 2.25000 true true true false true true 2904886 2904886 0.04140 13319645 12727879 591766 0.00840 16224531 12727879 3496652 0.04980 219061 50840 168221 0.00240 247368 247368 0.00350 12898990 8398678 4500312 0.06420 18837 685 18152 0.00030 13384256 8450203 4934053 0.07040 29608787 21178082 8430705 0.12020 false 3065595 23873448 23873448 X true true 1 1 WALDO COUNTY GENERAL HOSPITAL

118 NORTHPORT AVENUE BELFAST ME 04915

X X X X WALDO COUNTY GENERAL HOSPITAL 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 X false false true true 175.0 true 225.0 true X true true X X X X X X true X false X X X X true X false false 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 SUBSIDIZED HEALTH SERVICES EXPLANATION PART I LINE 7G PHYSICIAN CLINIC COSTS WERE INCLUDED AS SUBSIDIZED HEALTH SERVICES IN THE AMOUNT OF 12899000 COSTING METHODOLOGY EXPLANATION PART I LINE 7 THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE WORKSHEETS PROVIDED IN THE SCHEDULE H INSTRUCTIONS THE COSTTOCHARGE RATIO WAS USED AS THE COSTING METHODOLOGY AND WAS ALSO CALCULATED USING WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS BAD DEBT EXPENSE EXPLANATION PART III LINE 4 THE ORGANIZATION USES A COSTTOCHARGE RATIO METHODOLOGY THE AMOUNT REPORTED ON PART III LINE 2 WAS DETERMINED USING THE COSTTOCHARGE 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 HOSPITALS CHARITY CARE POLICY IF SUFFICIENT INFORMATION HAD BEEN AVAILABLE TO MAKE A DETERMINATION OF THEIR ELIGIBILITY COULD NOT BE REASONABLE DETERMINED PART III LINE 4 BAD DEBT FOOTNOTE IN THE ORGANIZATIONS 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 TAXEXEMPT HOSPITAL WALDO COUNTY GENERAL HOSPITAL PROVIDES NECESSARY PATIENT CARE REGARDLESS OF THE PATIENTS ABILITY TO PAY FOR THE SERVICES A PORTION OF THE 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 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 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 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 MEDICARE EXPLANATION PART III LINE 8 THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE HOSPITALS MEDICARE COST REPORT IS THE MEDICARE COSTTOCHARGE RATIO WHICH INCORPORATES MEDICARE ALLOWABLE COST THE HOSPITAL HAS MADE A CLEAR MISSION COMMITMENT TO SERVING ELDERLY PATIENTS COLLECTION PRACTICES EXPLANATION PART III LINE 9B 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 NEEDS ASSESSMENT PART VI SEE ATTACHED COMMUNITY BENEFITS REPORT PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI SEE ATTACHED COMMUNITY BENEFITS REPORT COMMUNITY INFORMATION PART VI SEE ATTACHED COMMUNITY BENEFITS REPORT HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE PART VI SEE ATTACHED COMMUNITY BENEFITS REPORT AFFILIATED HEALTH CARE INFORMATION PART VI SEE ATTACHED COMMUNITY BENEFITS REPORT LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILED PART VI MAINE ADDITIONAL INFORMATION PART VI PARTV SECTION B LINE 5A URL FOR COMMUNITY HEALTH NEEDS ASSESSMENT HTTPWWWMAINEHEALTHORGWORKFILESMHCOMMUNITYWALDOCHNAANDIMPLEMENTA TIONPLANFY2013FY2015PDF WALDO COUNTY GENERAL HOSPITAL LINE NUMBER 1 PART V LINE 3 PART V LINE 3 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 SEE COMMUNITY NEEDS ASSESSMENT IMPLEMENTATION PLAN HTTPWWWMAINEHEALTHORGWORKFILESMHCOMMUNITYWALDOCHNAANDIMPLEMENTA TIONPLANFY2013FY2015PDF WALDO COUNTY GENERAL HOSPITAL LINE NUMBER 1 PART V LINE 4 PART V LINE 4 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 REPORTS FINDINGS WALDO COUNTY GENERAL HOSPITAL LINE NUMBER 1 PART V LINE 7 PART V LINE 7 REPRODUCTIVE HEALTH NEEDS WERE NOT ADDRESSED DUE TO LACK OF CONCENSUS FROM COMMUNITY PARTNERS REGARDING THE IMPORTANCE OF THE ISSUE ANDOR A LACK OF RESOURCES TO ADDRESS THE ISSUE WALDO COUNTY GENERAL HOSPITAL LINE NUMBER 1 PART V LINE 20D PART V LINE 20D ALL PATIENTS REGARDLESS OF PAYOR CLASS ARE BILLED THE SAME true HOSPICE VOLUNTEERS OF WALDO COUNTY PO BOX 772 BELFAST ME 04915 222668307 501C3 20000 SUPPORT HOSPICE 1 SCHOLARSHIPS TO STUDENTS 18 16637 ADDITIONAL INFORMATION 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. X X X X X false true false false false false false false false WILLIAM CARON 693849 165000 334713 55175 20636 1269373 D KENT CLARK MD 295947 200 7500 20588 324235 MARK BISCONE 252442 84512 32000 16832 7500 31490 340264 84512 LINDA DRINKWATER 170802 17608 5691 2757 196858 OWEN NELSON MD 420175 43735 7500 13458 484868 JAMES DORSCH MD 334250 100998 7500 20266 463014 RICHARD BOWER MD 414527 2859 7500 12369 437255 DAVID FERGUSON MD 329171 18200 44300 7500 11453 410624 TERRANCE SMITH MD 347137 27394 7500 20866 402897 SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SCHEDULE J, PAGE 1, PART I, LINE 4 WILLIAM CARON 0 322,266 0 X 3 X false false false SUPPLEMENTAL INFORMATION SCHEDULE M, PAGE 2, PART II THE ORGANIZATION RECEIVED THREE PIECES OF ART. ORGANIZATION'S MISSION 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. CLASSES OF MEMBERS OR STOCKHOLDERS 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. ELECTION OF MEMBERS AND THEIR RIGHTS 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. DECISIONS SUBJECT TO APPROVAL OF MEMBERS 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). ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 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. ENFORCEMENT OF CONFLICTS POLICY 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. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A THE PROCESS FOLLOWED FOR DETERMINING COMPENSATION OF THE EXECUTIVE DIRECTOR IS A FORMAL PROCESS PERFORMED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THIS COMMITTEE USES THE SULLIVAN COTTER ANNUAL EXECUTIVE COMPENSATION ANALYSIS TO COMPARE MARKET ANALYSIS IN SETTING THE COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER AS WELL AS THE OTHER KEY ADMINISTRATIVE EMPLOYEES OF THE ORGANIZATION. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B THE PROCESS FOLLOWED FOR DETERMINING COMPENSATION OF THE EXECUTIVE DIRECTOR IS A FORMAL PROCESS PERFORMED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THIS COMMITTEE USES THE SULLIVAN COTTER ANNUAL EXECUTIVE COMPENSATION ANALYSIS TO COMPARE MARKET ANALYSIS IN SETTING THE COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER AS WELL AS THE OTHER KEY ADMINISTRATIVE EMPLOYEES OF THE ORGANIZATION. 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. OTHER FEES FOR SERVICES FORM 990, PART IX, LINE 11G CONRACT LABOR 4,246,870 0 0 PURCHASED SERVICES 2,304,079 1,240,758 0 PHYSICIAN RECRUITMENT 0 158,560 0 OTHER 48,760 0 0 RECONCILIATION OF CHANGES - OTHER FORM 990, PART XI, LINE 9 CHANGE IN VALUE OF PERPETUAL AND CHARITABLE TRUSTS 2,193,090 EQUITY TRANSFER TO AFFILIATES -1,600,844 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 true true true true true false true true true true true