2013-05-15T07:34:23-07:00 2012-06-30 Macpage LLC 30 Long Creek Dr South Portland ME 04106 990 2011-07-01 010284446 REDINGTON-FAIRVIEW GENERAL HOSPITAL REDI 2074745121 PO BOX 468 SKOWHEGAN ME 04976 DANA C KEMPTON 2013-05-15 true George Rafuse 2077745701 X 2011 2016-02-24 21:20:13Z 73602550 false false X N/A X 1969 ME REDINGTON-FAIRVIEW GENERAL HOSPITAL'S MISSION IS TO DEVELOP, PROVIDE AND FACILITATE HIGH QUALITY, COMPREHENSIVE, COST EFFECTIVE HEALTH SERVICES FOR THE PEOPLE WE SERVE. WE AFFIRM A COMMITMENT TO MAINTAIN OUR UNIQUE COMMUNITY HOSPITAL IDENTITY, OFFERING PERSONALIZED SERVICES. 9 6 711 35 0 771822 1699975 70301571 70592055 1053727 1063037 287672 247483 72414792 73602550 0 0 43120877 43418582 0 0 28817017 28986705 71937894 72405287 476898 1197263 98203505 98454205 39435255 39078365 58768250 59375840 X REDINGTON-FAIRVIEW GENERAL HOSPITAL WILL PROVIDE A LEADERSHIP ROLE TO DEVELOP, PROVIDE AND/OR FACILITATE HEALTH CARE SERVICES THAT ARE CONSISTENT, EFFECTIVE, ACCESSIBLE, SAFE, PATIENT CENTERED, TIMELY, AND EFFICIENTLY PROVIDED.RFGH AND ITS HOSPITAL STAFF WILL ADHERE TO THE HOSPITALS' MISSION, VISION AND STRATEGIC PLAN IN PROVIDING EXCEPTIONAL HEALTHCARE TO THE COMMUNITY IT SERVES. false false 26165449 15893013 REDINGTON-FAIRVIEW GENERAL HOSPITAL (RFGH) IS LICENSED AS A CRITICAL ACCESS HOSPITAL OPERATING 25 BEDS. RFGH EMPLOYS HOSPITALISTS WHO ARE PHYSICIANS DEDICATED TO THE TREATMENT OF INPATIENTS. INPATIENTS SERVICES INCLUDES MEDICAL AND SURGICAL, SPECIAL CARE, OBSTETRICS AND PEDIATRICS. DURING FISCAL 2012, RFGH PROVIDED INPATIENT SERVICES TO 1,543 PATIENTS WHO STAYED 4,925 PATIENT DAYS. MEDICARE AND MEDICAID PATIENTS REPRESENTED 77% OF RFGH'S INPATIENTS. 20510275 47003810 RFGH PROVIDES 24 HOUR SEVEN DAY A WEEK EMERGENCY SERVICES. THESE SERVICES INCLUDE AN EMERGENCY DEPARTMENT STAFFED WITH PHYSICIANS 24 HOURS A DAY AS WELL AS AN AMBULANCE SERVICE WHICH OPERATES 24 HOURS A DAY. DURING FISCAL 2012, RFGH HAD 24,823 EMERGENCY DEPARTMENT VISITS AND 3,821 AMBULANCE RUNS. IN ADDITION TO EMERGENCY SERVICES, THE HOSPITAL PROVIDES A FULL RANGE OF SERVICES, RADIOLOGY, C.T., ULTRASOUND, NUCLEAR MEDICINE, BLOOD BANK, PATHOLOGY, CARDIOLOGY AND LABORATORY SERVICES. IN TOTAL, THESE SERVICES TREATED APPROXIMATELY 51,000 PATIENTS. 12580803 7740356 RFGH OPERATES A NUMBER OF PHYSICIAN OFFICES IN ORDER TO BETTER SERVE THE RESIDENTS OF SOMERSET COUNTY. DURING FISCAL 2011, THESE PHYSICIAN SPECIALTIES INCLUDED INTERNAL MEDICINE, GENERAL SURGERY, ORTHOPEDICS, PEDIATRICS,FAMILY MEDICINE AND NEUROLOGY. DURING FISCAL 2012, THESE PHYSICIAN SPECIALTIES SERVED 10,705 PATIENTS WHO TOTALLED 39,007 VISITS AT THESE OFFICES. 987015 940415 60243542 true true false true false false false false false false true false false true true true true false false false false false false false false false true true false false true true false true false false false false false false false false false false false false true true false false false false true 68 0 true 711 true false false false false false false false false false false false 0 false false false false false false false false false false false X 9 6 false false false false false false false true true false false false false true true true true true true false false false X RICHARD D WILLETT 2078582315 46 FAIRVIEW AVE SKOWHEGAN ME 049760468 GINA GOMEZ MD 50.00 X 235280 0 0 JOHN WITHERSPOON 2.00 X 0 0 0 MICHAEL LAMBKE MD 2.00 X 98321 0 0 WILLIAM LANEY 2.00 X X 0 0 0 MICHAEL CURRAN MD 50.00 X 450426 0 0 DONNA FINLEY 2.00 X 0 0 0 JEFFREY LLOYD 2.00 X 0 0 0 L JOSEPH CLARK 2.00 X X 0 0 0 CHRISTOPHER PERKINS 2.00 X X 0 0 0 DANA C KEMPTON 50.00 X 244778 0 459052 RICHARD D WILLETT 50.00 X 344427 0 183092 TIRUNELLAI R SHANKAR 50.00 X 349848 0 0 AMIR BAIG MD 50.00 X 333146 0 0 JOHN COMIS MD 50.00 X 333713 0 0 DEEP ACHARYA 50.00 X 272881 0 0 CARMEN CROFOOT MD 50.00 X 398901 0 0 3061721 642144 9 false true false VISTA STAFFING SOLUTIONS 275 EAST 200 SOUTH SALT LAKE CITY UT 84111 CLINICAL STAFFING 638043 SYSTEM ENGINEERING 120 EXCHANGE STREET PORTLAND ME 04101 INFORMATION TECH SRV 220285 SECURITAS SECURITY PO BOX 403412 ATLANTA GA 303843412 SECURITY PERSONNEL 221376 QUEST DIAGNOSTIC INC 5763 COLLECTION CENTER DR CHICAGO IL 60693 LAB TESTING 333482 DAHL-CHASE DIAGNOSTIC SERVICES 417 STATE STREET BANGOR ME 04401 LAB TESTING 241274 12 657302 1042673 1699975 NET PATIENT REVENUE 70592055 70592055 70592055 1063037 1063037 0 0 0 0 0 0 0 OTHER MISCELLANEOUS 25887 25887 CAFETERIA 221596 221596 247483 73602550 70617942 1284633 0 0 0 0 2015376 784027 1231349 0 31553001 27305315 4247686 1746305 1410665 335640 5892106 4759643 1132463 2211794 1786687 425107 0 100524 100524 57014 57014 9178 9178 0 179986 179986 2799710 2508975 290735 98121 98121 4227222 3719984 507238 2463799 603926 1859873 0 1229121 1023941 205180 93740 86386 7354 0 224597 182368 42229 1146362 942539 203823 0 4002691 3197609 805082 692516 569958 122558 MEDICAID PROVIDER TAX 1293170 1293170 Equipment & Maintenance 1959407 1815406 144001 PHARMACEUTICALS 2896278 2896278 Bad Debt Expense 4290901 4290901 1222368 1065764 156604 72405287 60243542 12161745 0 6869798 3249915 3303905 4121807 0 8568460 10639363 0 0 459206 417904 1325087 1309026 93356 100294 65595907 37357611 29512074 28238296 39869998 40439720 0 0 0 8201621 9937880 98203505 98454205 8767701 9107676 24620010 23891500 6047544 6079189 39435255 39078365 X 57989639 58497358 778611 878482 58768250 59375840 98203505 98454205 X 1197263 -589673 X false true true X false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false 9178 9178 9178 9178 9178 9178 1836 1836 459 459 7342 7342 false 1000000 1000000 1000000 1000000 4000000 6000000 9378 9734 8973 9178 37263 250000 250000 250000 250000 1000000 1500000 300981 300981 38145414 16635057 21510357 27149512 20722554 6426958 28238296 SOMERSET FITNESS CENTER 138302 ESTIMATED THIRD PARTY SETTLEMENTS 9063649 DISCOUNT ON BONDS PAYABLE 60230 DEFERRED FINANCING CHARGES 675699 9937880 LIABILITY FOR PENSION BENEFITS 6079189 6079189 73602550 72405287 1197263 173650 -763323 -589673 607590 73776200 173650 173650 73602550 73602550 72405287 72405287 72405287 Part X Part X : FIN48 Footnote SCHEDULE D - PART X:THE HOSPITAL IS EXEMPT FROM TAXES UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE.MANAGEMENT EVALUATED THE HOSPITAL'S TAX POSITIONS AND CONCLUDED THAT THE HOSPITAL HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRED ADJUSTMENTS TO THE FINANCIAL STATEMENTS. WHEN NECESSARY, THE HOSPITAL ACCOUNTS FOR INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS AS PART OF ITS PROVISION FOR FEDERAL AND STATE INCOME TAXES.THE HOSPITAL DOES NOT EXPECT THAT UNRECOGNIZED TAX BENEFITS OR LIABILITIES ARISING FROM TAX POSITIONS WILL CHANGE SIGNIFICANTLY WITHIN THE NEXT TWELVE MONTHS. THE HOSPITAL IS SUBJECT TO U.S FEDERAL AND STATE EXAMINATIONS BY TAX AUTHORITIES FOR YEARS ENDING JUNE 30,2009 THROUGH 2012. Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances increase in temporarily restricted assets $99871 ADOPTION OF FASB 158 $ -863194 true true true X true X true true true false false false 1418192 1418192 0.01960 1418192 1418192 0.01960 1047557 1047557 0.01450 13918328 7223523 6694805 0.09250 14965885 7223523 7742362 0.10700 16384077 7223523 9160554 0.12660 true 2386642 238664 24422478 24660940 -238462 X true true 1 0 REDINGTON-FAIRVIEW GENERAL HOS

46 FAIRVIEW AVENUE PO BOX 468 SKOWHEGAN ME 04976

X X REDINGTON-FAIRVIEW GENERAL HOS 1 true X X X X X X true false true X X X X X X X true true true 150.0000 true 170.0000 true X true true X X X X X false true X X X X X true X false false Part VI - Additional Information PART VI RE: PART III QUESTIONS 4BAD DEBTS: IN FULFILLING ITS CHARITABLE MISSION, THE HOSPITAL GRANTS CREDIT WITHOUT COLLATERAL TO THEIR PATIENTS, MANY OF WHOM ARE INSURED UNDER THIRD-PARTY PAYOR AGREEMENTS. AT JUNE 30, 2011 AND 2010, NET ACCOUNTS RECEIVABLE RELATING TO PATIENTS WITHOUT INSURANCE WAS 2.9% AND 8.5%, RESPECTIVELY.ACCOUNTS RECEIVABLE ARE STATED AT THE AMOUNT THAT MANAGEMENT EXPECTS TO COLLECT. MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS THROUGH A CHARGE TO THE STATMENT OF CHANGES IN NET ASSETS AND A CREDIT TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON ITS ASSESSMENT OF THE CURRENT STATUS OF INDIVIDUAL ACCOUNTS. BALANCES THAT ARE STILL OUTSTANDING AFTER MANAGEMENT HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE ALLOWANCE ACCOUNT AND A CREDIT TO ACCOUNTS RECEIVABLE. Part VI - Affilated Health Care System Roles and Promotion REDINGTON-FAIRVIEW GENERAL HOSPITAL IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. Part VI - Explanation Of How Organization Furthers Its Exempt Purpose SEE ATTACHED STATEMENT Part VI - Community Building Activities SEE ATTACHED STATEMENT Part VI - Patient Education of Eligibility for Assistance SEE ATTACHED STATEMENT Part VI - Needs Assessment SEE ATTACHED STATEMENT Number of Hospital Faciltiy - 0 Part V, Line 5c - Description of Making Needs Assessment Widely Available SEE ATTACHED STATEMENT Number of Hospital Faciltiy - 0 Part V, Line 3 - Account Input from Person Who Represent the Community SEE ATTACHED STATEMENT X X X X false false false false false false false false false false TIRUNELLAI R SHANKAR 250623 83952 15273 349848 RICHARD D WILLETT 322165 22262 183092 527519 MICHAEL CURRAN MD 347684 87218 15524 450426 JOHN COMIS MD 318006 15707 333713 GINA GOMEZ MD 211201 5770 18309 235280 DEEP ACHARYA 258749 14132 272881 DANA C KEMPTON 225069 19709 459052 703830 CARMEN CROFOOT MD 346796 37500 14605 398901 AMIR BAIG MD 316331 16815 333146 MAINE HEALTH & HIGHER EDUCATION FACILITY 010314384 560427JA5 2010-06-24 108030000 BOND REFINANCING true false MAINE HEALTH & HIGHER EDUCATION FACILITY AUTHORITY 010314384 560425V80 2007-11-01 72040461 REPLACEMENT OF TWO BOILERS, PURCHASE OF A BACK-UP GENERATOR false false 3561924 4867784 389000 4187686 38937 2010 false true true true 23882032 1513579 304303 23577729 2009 false false true true false false false false true false false false false true false false false false false false false false false false false false X Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available REDINGTON FAIRVIEW GENERAL MAKE ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts ANNUALLY THE CONFLICT OF INTERESTS DISCLOSURE IS REVIEWED WITH THE MEMBERS OF THE BOARD AND DIRECTORS, WHO THEN SIGN THE DISCLOSURE Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: Form 990 Review Process PRIOR TO THE FILING THE FORM 990, THE HOSPITAL'S CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER REVIEWED THE FILING IN DETAIL WITH THE EXECUTIVE COMMITTEE OF THE HOSPITAL BOARD, WHICH IS COMPOSED OF THE PRESIDENT, THE VICE PRESIDENT, AND THE TREASURER OF THE HOSPITAL. THE OFFICERS FOUND THE FILING TO BE COMPREHENSIVE AND COMPLETE. THE OTHER SIX HOSPITAL BOARD MEMBERS HAVE BEEN NOTIFIED THAT THE FORM 990 IS AVAILABLE FOR THE DETAILED REVIEW IF THEY SHOULD SO DESIRE. Form 990, Part III, Line 4d Form 990, Part III, Line 4d : Other Program Services Description OTHER PROGRAM SERVICES 4: FORM 990, PART III, LINE 4D: OTHER PROGRAM SERVICES DESCRIPTIONSee attached statement SOMERSET FITNESS CENTER INC PO BOX 3158 SKOWHEGAN ME 04976 010524417 FITNESS ACTIVITIES FOR MEMBERS ME REDINGTON FAIRVIEW GENERAL HOSPITAL FAIRVIEW HOSPITAL INC PO BOX 468 SKOWHEGAN ME 04976 010222130 SOLE SUPPORTING ORGANIZATION OF RFGH ME 501 c (3) 11 (d) NA false REDINGTON MEMORIAL HOSPITAL ASSN PO BOX 468 SKOWHEGAN ME 04976 010211154 SOLE SUPPORTING ORGANIZATION OF RFGH ME 501 c (3) 11 (d) NA false SOMERSET SPORTS & FITNESS CENTER 6 COMMERCE DRIVE SKOWHEGAN ME 04976 010524417 FITNESS CENTER ME RFGH 1.00000 false false false false false false false false false false false false false false false false false false