2013-03-27T14:48:40-05:00 2012-05-31 042684828 FEELEY & DRISCOLL PC 200 PORTLAND STREET BOSTON MA 02114 990 2011-06-01 010078060 HENRIETTA D GOODALL HOSPITAL INC HENR 2074907337 25 JUNE STREET SANFORD ME 04073 PATRICIA APRILE 2074907337 2013-02-12 1 JEFFREY T ROGERS P01074284 6177427788 2013-02-12 2011 2016-02-25 16:41:14Z PATRICIA APRILE 25 JUNE STREET SANFORD ME 04073 96523476 0 X WWW.GOODALLHOSPITAL.ORG X 1927 ME HENRIETTA D. GOODALL HOSPITAL, INC.'S MISSION IS TO SERVE AS A LEADER IN IMPROVING THE HEALTH AND WELL-BEING OF ITS COMMUNITY. 11 8 1090 242 355583 57162 886119 2446041 84756137 87287884 392370 776194 480981 1177360 86515607 91687479 0 0 0 0 48293479 49695968 0 0 0 38067590 39812989 86361069 89508957 154538 2178522 87795787 85944028 37442858 36911735 50352929 49032293 X HENRIETTA D. GOODALL HOSPITAL, INC. OWNS AND OPERATES H. D. GOODALL HOSPITAL, INC. (ACUTE CARE HOSPITAL), GOODALL HEALTH PARTNERS (A MULTI-SPECIALTY PHYSICIAN AND SURGEON GROUP), THE MEDICAL GROUP (A MULTI-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 HEALTH CARE SERVICES 365 DAYS A YEAR, 24 HOURS A DAY. 0 0 55568114 65885612 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 HAS HAD 21,904 EMERGENCY ROOM VISITS, 49,777 RADIOLOGY PROCEDURES, 386,848 LABORATORY PROCEDURES, 70,115 THERAPY PROCEDURES, 190 INFANTS BORN AND 2,696 SURGERY CASES. GOODALL HOSPITAL PROVIDED $2,004,448 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 ASSOCIATED WITH PROVIDING THE COMMUNITY 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. 8791177 8859838 GOODALL HEALTH PARTNERS CONSIST OF MANY PHYSICIANS WITH MULTI-SPECIALTY SERVICES IN DIFFERENT LOCATIONS THROUGHOUT YORK COUNTY. THESE PHYSICIANS COMPLIMENT THE HOSPITAL IN MAINTAINING ITS MISSION 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, ENT, FAMILY PRACTICES, WOMEN' HEALTH, INTERNAL MEDICINE, PEDIATRICS, ORTHO AND GENERAL SURGERY. GOODALL HEALTH PARTNERS PROVIDED $44,692 IN CHARITY CARE TO THE COMMUNITY. THE NUMBER OF PATIENTS SEEN WERE 15,365 FOR A TOTAL NUMBER OF VISITS OF 54,374. 6800747 8119533 GOODALL HOSPITAL ELDERCARE SERVICES PROVIDE LONG-TERM CARE, MEDICAL SERVICES AND DAYCARE TO OUR SENIOR CITIZENS. ELDERCARE HAD ADMITTED 296 RESIDENTS FOR A TOTAL OF 39,001 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 EDUCATIONAL AND INVOLVEMENT MAKE THIS PROGRAM SPECIAL. 6462671 5244678 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, WOMENS'S HEALTH, GASTROENTEROLGY, PULMONARY MEDICINE, ORTHOPEDICS AND PAIN MANAGEMENT. THE MEDICAL GROUP PROVIDED $12,629 IN CHARITY CARE TO THE COMMUNITY. THE NUMBER OF PATIENTS SEEN WERE 9,442 FOR A TOTAL NUMBER OF VISITS OF 33,306. 6462671 5244678 77622709 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 74 0 1 1090 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 11 8 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 ME X DANIEL FORGUES CFO 2074907327 25 JUNE STREET SANFORD ME 04073 LORI ANN BLACK 2.00 X 0 0 0 ANN M BROOKS MD 2.00 X 0 0 0 GEORGE E HISSONG JR 2.00 X 0 0 0 MARK MICKERIZ 2.00 X X 0 0 0 DAVID C NICKERSON 2.00 X 0 0 0 MERILEE MAPES PERKINS 2.00 X 0 0 0 ROBERT REINKEN 2.00 X 0 0 0 SUSAN T ROBERTS 2.00 X 0 0 0 WILLIAM FRANK 2.00 X X 20800 0 0 PATRICIA APRILE 40.00 X X 273843 0 17773 DAVID EAGLESON 2.00 X 0 0 0 CHARLES CARUSO 40.00 X 170137 0 22932 DANIEL FORGUES 40.00 X 195941 0 15806 KATHLEEN MORRIS MD 40.00 X 204901 0 16884 MUKESH BHARGAVA MD 16.00 X 176154 0 0 FRANK GOUDREAU 40.00 X 485699 0 27637 JOHNATHAN SHILL 40.00 X 340988 0 8096 NINA SHERVIN 40.00 X 363216 0 22725 JOHN THOMPSON 40.00 X 467968 0 27606 PETER CLARK 40.00 X 363726 0 26919 DARLENE STROMSTAD 40.00 X 215316 0 6913 3278689 0 193291 57 1 1 0 MAK ANESTHESIA INC 156 COUNTRY CLUB ROAD SANFORD ME 04073 ANESTHESIA SERVICES PROVIDED TO HENRIETT 613805 LEONID TEMKIN MD PA 239 ARUNDEL ROAD KENNEBUNK ME 04046 ANESTHESIA SERVICES PROVIDED TO HENRIETT 577003 EDWARD BURZON PC 1 SARAH PAUL HILL MADBURY NH 03823 PHYSICIAN SERVICES PROVIDED TO HENRIETTA 316680 THOMAS MOORE MD 17 MERRILL BROOK DR SCARBOROUGH ME 04074 PHYSICIAN SERVICES PROVIDED TO HENRIETTA 300000 DONALD P LYON MD PA PO BOX 459 LIMERICK ME 04048 PHYSICIAN SERVICES PROVIDED TO HENRIETTA 268157 12 2241659 204382 2446041 NET PATIENT SERVICE RE 900099 87287884 86935105 352779 87287884 622426 622426 713872 1199201 -485329 -485329 -485329 3769740 20824 3622503 14293 147237 6531 153768 153768 REBATE REVENUE 900099 658985 658985 EQUITY IN EARNINGS OF 900099 644427 644427 CAFETERIA REVENUE 900099 276348 276348 82929 80125 2804 1662689 91687479 88109661 355583 776194 801014 801014 39603621 34455150 5148471 6566432 5712796 853636 2724901 2370664 354237 272598 272598 110257 110257 85388 85388 6002729 4664685 1338044 217933 217933 113861 53503 60358 509023 164480 344543 1438823 551873 886950 17652 14695 2957 141035 102275 38760 827095 761053 66042 3698096 3328286 369810 1025638 927418 98220 GENERAL HOSPITAL SUPPLI 8560504 8451171 109333 PROVISION FOR DOUBTFUL 7325314 7325314 MISCELLANEOUS 3858883 3131186 727697 PHYSICIAN FEES 3693113 3693113 1915047 1915047 89508957 77622709 11886248 0 5575 5277 3451617 3957864 9577350 9091776 851677 851677 1481101 1417919 1548569 1529545 75725206 42965079 33827426 32760127 12582059 11664433 14607527 13142291 9862886 11523119 87795787 85944028 13116998 14711137 10610766 9396449 12924027 12148451 791067 655698 37442858 36911735 X 38397945 38367160 1572577 1506154 10382407 9158979 50352929 49032293 87795787 85944028 X 2178522 -3499158 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 0 1 85388 85388 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: HENRIETTA D. GOODALL HOSPITAL, INC. HAD A CONTRACT FOR GOVERNMENT RELATIONS SERVICES WITH THE GRINNELL ASSOCIATES TO IDENTIFY, RESEARCH AND CHAMPION EFFORTS FOR APPROPRIATION FUNDING OPPORTUNITIES TO MEET THE HOSPITAL'S GOALS AND OBJECTIVES, INCLUDING FACILITY DEVELOPMENT, SYSTEM TECHNOLOGY ENHANCEMENTS, EQUIPMENT ACQUISITION, WELLNESS AND COMMUNITY HEALTH AND EMERGENCY PREPAREDNESS. CONTRACT EXPIRED IN DECEMBER 2011. INCLUDED IS AMOUNTS PAID AS PART OF DUES TO MHA/AHA/MEHCA FOR LOBBYIST ACTIVITIES. 21667901 466220 -1610061 1035225 19488835 17085103 1898375 2691423 7000 21667901 14720200 642735 1962857 240689 17085103 0.53000 0.47000 1 0 2728106 2728106 45507046 23679076 21827970 4500636 1889154 2611482 19690977 15821243 3869734 3298441 1575606 1722835 32760127 ALTERNATIVE INVESTMENTS 2916269 F BENEFICIAL INTEREST IN PERPETUAL TRUSTS 8228007 F INVESTMENT IN REAL PROPERTY 1998015 F 13142291 INVESTMENTS IN SUBSIDIARIES & JOINT VENTURES 853598 DEFERRED FINANCING COSTS 150554 DUE FROM AFFILIATES 1837232 TRUSTEE HELD FUNDS (BOND FUNDS) 668839 SYNERNET WORKERS' COMPENSATION CAPITAL CONTRIBUTION 39633 CONTRIBUTION RECEIVABLE FROM REMAINDER TRUST 32753 ESTIMATED SETTLEMENTS WITH MAINECARE 7725950 INTANGIBLE ASSET - ORTHO MEDICAL RECORDS 17892 HDG DUE FROM TEMP NET ASSETS -250 HDG CAPITAL RESERVE CASH 86490 INSURANCE CAPTIVE 110428 11523119 ESTIMATED SETTLEMENTS DUE TO THIRD-PARTY PAYORS 545270 INSURANCE CAPTIVE LIABILITY 110428 655698 91687479 89508957 2178522 -659600 -2839558 -3499158 -1320636 89478172 -659600 -1525706 -2185306 91663478 24001 24001 91687479 89508957 0 89508957 0 89508957 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: 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. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES FOOTNOTE PER THE HENRIETTA D. GOODALL HOSPITAL, INC. AND SUBSIDIARIES CONSOLIDATED FINANCIAL STATEMENTS: IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, THE ORGANIZATION ANNUALLY EVALUATES ITS TAX STATUS AND TAX POSITIONS TAKEN WITH RESPECT TO ITS OPERATIONS AND FINANCIAL POSITION. PART XI, LINE 8 - OTHER ADJUSTMENTS: DECREASE IN BENEFICIAL INTEREST IN PERPETUAL TRUSTS -1,240,838. UNREALIZED INVESTMENT LOSS ON TEMPORARY NET ASSETS -20,578. LOSS ON EXTINGUISHMENT OF DEBT -230,184. IMPAIRMENT OF GOODWILL -1,347,958. TOTAL TO SCHEDULE D, PART XI, LINE 8: -2,839,558. PART XII, LINE 2D - OTHER ADJUSTMENTS: IMPAIRMENT OF GOODWILL -1,347,958. LOSS ON EXTINGUISHMENT OF DEBT -230,184. NET ASSETS RELEASED - USED FOR OPERATIONS 22,412. NET ASSETS RELEASED - USED FOR ACQUISITION OF PPE 30,024. PART XII, LINE 4B - OTHER ADJUSTMENTS: TEMPORARY AND PERMANENT CONTRIBUTIONS 24,001. 1 1 X 1 X 1 X 0 1 1 0 0 974496 29332 945164 0.01060 21523873 11106871 10417002 0.11640 22498369 11136203 11362166 0.12700 957625 726848 230777 0.00260 957625 726848 230777 0.00260 23455994 11863051 11592943 0.12960 91219 82871 8348 0.00010 37058 33666 3392 0.00000 31357 28487 2870 0.00000 122576 111358 11218 0.00010 282210 256382 25828 0.00020 1 3038020 579202 12637149 14464546 -1827397 X 1 1 1 CANCER CARE CENTER OF YORK COUNTY SUPPORT AND PERFORM MEDICAL PROCEDURES FOR CANCER PATIENTS 0.33330 0.00000 0.00000 2 GSM REALTOR INC REAL ESTATE HOLDING COMPANY 0.33330 0.00000 0.00000 3 GOODALL HOSPITAL REAL ESTATE HOLDING CO LLC REAL ESTATE HOLDING COMPANY 1.00000 0.00000 0.00000 4 WATERBORO MEDICAL OFFICE BUILDING LLC REAL ESTATE HOLDING COMPANY 1.00000 0.00000 0.00000 5 GOODALL HOSPITAL MEDICAL OFFICE BUILDING LLC REAL ESTATE HOLDING COMPANY 1.00000 0.00000 0.00000 6 PINE TREE INSURANCE A RECIPROCAL RISK RETENTION GROUP PROVIDE MALPRACTICE INSURANCE FOR A GROUP OF HEALTH CARE PROVIDERS 0.25410 0.00000 0.00000 1 1 HENRIETTA D GOODALL HOSPITAL INC

25 JUNE STREET SANFORD ME 04073

X X X HENRIETTA D GOODALL HOSPITAL INC 1 1 X X X X X X 11 0 0 1 X X X X X 1 1 1 200.000000000000 1 250.000000000000 1 X X 1 1 X X X X 1 0 1 X 0 0 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

13 JULY STREET SANFORD ME 04073

CLINIC GOODALL HEALTH PARTNERS

10 GOODALL DRIVE EAST WATERBORO ME 04070

PHYSICIAN PRACTICES GOODALL HEALTH PARTNERS

272 COTTAGE STREET SANFORD ME 04073

PHYSICIAN PRACTICES THE MEDICAL GROUP

2 LIVEWELL DRIVE KENNEBUNK ME 04043

PHYSICIAN PRACTICES COMMUNITY SERVICES

15 DAIGLE STREET SANFORD ME 04073

COMMUNITY PROGRAMS OCCUPATIONAL HEALTH SERVICES

2 LIVEWELL DRIVE KENNEBUNK ME 04043

CLINIC GOODALL HEALTH CLINICS

2 LIVEWELL DRIVE KENNEBUNK ME 04043

CLINIC PART I, LINE 7: 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 AND/OR FAMILIES IN COMPLETING THE VARIOUS FORMS REQUIRED BY MEDICAID AND MEDICARE. THE HOSPITAL'S SENIOR ADVOCATE PROGRAM PROVIDES FREE ADVICE AND SERVICES TO ELDERLY MEMBERS OF THE COMMUNITY. THESE SERVICES INCLUDE ASSISTANCE WITH INSURANCE AND MEDICAL ISSUES, TAX INFORMATION, PERSONAL FINANCES AND HOME NEEDS. THE SENIOR ADVOCATE HAS EXTENSIVE KNOWLEDGE OF THE ISSUES FACING SENIORS AND CAN HELP WITH ASSESSMENT OF CURRENT NEEDS AND PROVIDE REFERRALS TO EXISTING SERVICES.GOODALL HOSPITAL ALSO PROVIDES A PRESCRIPTION ASSISTANCE PROGRAM CALLED RX ASSIST. THE PROGRAM IS DESIGNED TO ASSIST THOSE WHO DO NOT QUALIFY FOR TRADITIONAL ASSISTANCE PROGRAMS SUCH AS MEDICARE D OR MAINECARE.FOR FYE 2012 THE COST TO CHARGE RATIO WAS DERIVED BY USING THE IRS 990, SCHEDULE H WORKSHEET 1 & 2 INSTRUCTIONS.IN PRIOR YEARS, THE RATIO OF COST TO CHARGE WAS CALCULATED USING DATA DERIVED FROM THE MEDICARECOST REPORT. PART II: GOODALL HOSPITAL PROVIDES NUMEROUS EDUCATIONAL CLASSES FOR THE COMMUNITIES IT SERVICES. THE ORGANIZATION PREPARES A QUARTERLY FLYER CALLED THE "COMMUNITY EDUCATION CALENDAR". THIS LISTING PROVIDES EDUCATIONAL SEMINARS THAT ARE OPEN FOR FREE PUBLIC PARTICIPATION, HELD ON MOST EVENINGS FOR 1 1/2 HOURS, FOR EASE OF COMMUNITY PARTICIPATION. THE SEMINARS ARE LEAD BY KNOWLEDGEABLE GOODALL PROFESSIONALS WHO ARE TRAINED AND EDUCATED IN THE SPECIFIC AREAS. THE EVENTS PRESENTED IN FISCAL YEAR 2012 INCLUDE COLORECTAL CANCER AWARENESS, ASTHMA & ALLERGY AWARENESS, DIABETES SUPPORT, DRUG & ALCOHOL AWARENESS, BREAST CANCER AWARENESS, SEASONAL AFFECTIVE DISORDER, CHRONIC & COMMON PAIN, AND MANY MORE.PARTNERS FOR HEALTHIER COMMUNITIES (PHC) MOBILIZES LOCAL ORGANIZATIONAL REPRESENTATIVES AND INTERESTED COMMUNITY MEMBERS TO PROMOTE AND IMPROVE THE HEALTH AND WELL-BEING OF THE FOLLOWING COMMUNITIES: SANFORD/SPRINGVALE, ACTON, ALFRED, CORNISH, LIMERICK, LIMINGTON, LYMAN, NEWFIELD, PARSONFIELD, SHAPLEIGH, AND WATERBORO.THE HEALTHY MAINE PARTNERSHIPS RECRUITED MULTI-SECTOR PARTNERS TO SERVE ON AN ADVISORY COUNCIL TO SUPPORT WORK OF HEALTHY MAINE PARTNERSHIPS. THIS PARTNERSHIP ACTIVATED THE PHASE 6 OF THE STRATEGIC PLANNING PROCESS WHICH STARTED IN 2007. ACTION PLANS FOR 3 SEPARATE REGIONS WITHIN HEALTHY MAINE PARTNERSHIPS SERVICE AREA. PHC HAS ALSO COLLABORATED WITH THE TOWN OF SANFORD AND SAFE SCHOOLS HEALTHY STUDENTS TO MOBILIZE THE SAFE AND HEALTHY SANFORD COALITION WHICH RESULTED IN A DRUG FREE COMMUNITIES GRANT OF $625,000 FOR 5 YEARS. THIS GRANT WILL ADDRESS YOUTH SUBSTANCE ABUSE PREVENTION EFFORTS. HEALTH PROMOTION COORDINATOR SERVED AS CO-CHAIR FOR THE GRANT AND SUSTAINABILITY TASKFORCE OF THE SAFE AND HEALTHY SANFORD COALITION. THIS COORDINATOR ALSO WAS THE CHAIRPERSON FOR THE SAFE AND HEALTHY SANFORD COALITION.THROUGH DEVELOPMENT TRAINING PROVIDED IN WASHINGTON DC THE HEALTH PROMOTION COORDINATOR HAS TAKEN THE LEAD IN SECURING ACCESS TO FEDERAL RESOURCE DATABASE MANAGED BY THE FOUNDATION CENTER TO BE LOCATED IN SANFORD COMMUNITY. HEALTH PROMOTION COORDINATOR ALSO WORKED WITH THE POLICE DEPARTMENT TO DEVELOP CURRICULUM TO TRAIN CADETS AND INCORPORATE BICYCLE SAFETY PATROLS IN YOUTH CADET PROGRAMS AS WELL AS WORKED WITH THE SANFORD DOWNTOWN LEGACY DESIGN COMMITTEE TO INCREASE BIKE FRIENDLY AND ACTIVE COMMUNITIES ENVIRONMENTAL DESIGN.PHC PARTICIPATED IN BRIDGE TO HOME STRATEGIC PLANNING WITH GOODALL HOSPITAL AND LITERACY VOLUNTEERS OF GREATER SANFORD. PART III, LINE 4: FOOTNOTE CONCERNING BAD DEBTS: 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 SELF-PAY 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 PATIENT'S ABILITY TO PAY FOR THE SERVICES. A PORTION OF HENRIETTA D. GOODALL 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. HENRIETTA D. GOODALL HOSPITAL CANNOT DETERMINE THE AMOUNT OF BAD 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 EITHER WHO FAIL TO APPLY FOR FINANCIAL ASSISTANCE OR WHO ARE EXPERIENCING DIFFICULT PERSONAL OR ECONOMIC CIRCUMSTANCES, HENRIETTA D. GOODALL HOSPITAL BELIEVES THAT BAD DEBT EXPENSE SHOULD BE INCLUDED AS A COMMUNITY BENEFIT. PART III, LINE 8: THE COSTING METHODOLOGY CONSISTS OF APPLYING A COST TO CHARGE RATIO TO INPATIENT AND OUTPATIENT REVENUES BASED ON MEDICARE COST REPORT. THE COMPUTED SHORTFALL HAS NOT BEEN INCLUDED IN COMMUNITY BENEFIT. 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 THE HOSPITAL HAS A CLEAR MISSION COMMITMENT TO SERVING ELDERLY PATIENTS AND ADULTS WITH DISABILITIE 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 THE HOSPITAL, THEY WOULD BECOME THE OBLIGATION OF THE FEDERAL GOVERNMENT. HENRIETTA D. GOODALL HOSPITAL, INC. PART V, SECTION B, LINE 5C: THE ASSESSMENT WAS AVAILABLE THROUGH OTHER NON-HOSPITAL FACILITIES. HENRIETTA D. GOODALL HOSPITAL, INC. PART V, SECTION B, LINE 19D: THE HOSPITAL USES COST AS THE BASIS FOR MARKUP. THE MARKUP TO CHARGE INCLUDES DIFFERING PERCENTAGES BASED ON A TIER COSTING SYSTEM. PART VI, LINE 2: GOODALL HOSPITAL'S BOARD OF TRUSTEES IS COMPRISED OF A DIVERSE GROUP OF COMMUNITY MEMBERS. THE BOARD OF TRUSTEES PROVIDES INSIGHT AND DIRECTION TO THE HOSPITAL. FROM NOVEMBER 2007 TO JUNE 2010, THE THREE HEALTHY MAINE PARTNERSHIPS IN YORK COUNTY, ALSO KNOWN AS YORK PUBLIC HEALTH DISTRICT, LED AN ASSESSMENT PROCESS AS THE FIRST STEP TOWARD COMMUNITY-WIDE STRATEGIC PLANNING TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THOSE WHO LIVE HERE. THE HEALTHY MAINE PARTNERSHIPS ARE: COASTAL HEALTHY COMMUNITIES COALITION AT THE UNIVERSITY OF NEW ENGLAND'S COLLEGE OF OSTEOPATHIC MEDICINE; PARTNERS FOR HEALTHIER COMMUNITIES, A PROGRAM OF GOODALL HOSPITAL; AND CHOOSE TO BE HEALTHY AT YORK HOSPITAL. A CORE GROUP OF ORGANIZATIONS THAT JOINED THEM INCLUDED UNITED WAY OF YORK COUNTY, YORK COUNTY FAMILY COMMUNITY ACTION CORPORATION, SOUTHERN MAINE MEDICAL CENTER, NORTHERN YORK COUNTY FAMILY YMCA AND THE YORK DISTRICT TOBACCO COORDINATOR. THE GROUP NAMED THEMSELVES HEALTHY YORK COUNTY. THEY UTILIZED THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) PROCESS CREATED BY THE NATIONAL ASSOCIATION OF CITY AND COUNTY HEALTH OFFICIALS. A VISIONING PROCESS AND FOUR MAPP ASSESSMENTS WERE COMPLETED IN YORK DISTRICT BETWEEN NOVEMBER 2007 AND JUNE 2010. OVER 3,100 YORK DISTRICT RESIDENTS PARTICIPATED IN THIS PROCESS EITHER BY RESPONDING TO A COUNTY-WIDE SURVEY AND/OR 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.THIS ASSESSMENT HAS BEEN DISTRIBUTED AND DISCUSSED WITH THE COMMUNITIES AND GROUPS SO AS TO BUILD AWARENESS OF THE HEALTH CARE NEEDS OF THOSE AROUND THEM. THE HOSPITAL HAS DISCUSSED AND HAS IMPLEMENTED PROGRAMS TO ADDRESS ISSUES AND EDUCATE PATIENTS APPROPRIATELY.THE HEALTHY MAINE PARTNERSHIPS RECRUITED MULTI-SECTOR PARTNERS TO SERVE ON AN ADVISORY COUNCIL TO SUPPORT WORK OF HEALTHY MAINE PARTNERSHIPS.THE HEALTHY MAINE PARTNERSHIPS INSTITUTED PHASE 6 OF THE STRATEGIC PLANNING PROCESS OF THE COMMUNITY HEALTH IMPROVEMENT WHICH STARTED IN 2007. ACTION PLANS FOR 3 SEPARATE REGIONS WITHIN HEALTHY MAINE PARTNERSHIPS SERVICE AREA. PART VI, LINE 3: 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 A S SPECIFIC AS ASSISTING THE PATIENT AND/OR FAMILIES IN COMPLETING THE VARIOUS FORMS REQUIRED BY MEDICAID AND MEDICARE.POSTING OF THE FINANCIAL ASSISTANCE CONTACT INFORMATION IS PRESENT IN ADMISSIONS 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 ASSISTANCE CONTACT INFORMATION.GOODALL HOSPITAL WORKS WITH GOODALL'S SELF PAY PATIENTS ADVANCED PATIENT ADVOCACY PROGRAM THAT SCREEN FOR ALL INPATIENTS AND OUTPATIENTS THAT MEET APPROPRIATE CRITERIA. THIS PROGRAM EFFECTIVELY EDUCATE PATIENTS ABOUT THEIR COVERAGE OPTIONS, NAVIGATE COMPLEX PROGRAM CRITERIA AND ENROLL MORE UNINSURED IN PROGRAM(S) THAT BEST MATCH THEIR NEEDS.THE HOSPITAL'S SENIOR ADVOCATE PROGRAM PROVIDES FREE ADVICE 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 ELIGIBILITY 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 D OR MAINECARE, BUT WHOSE FINANCIAL SITUATION QUALIFIES THEM TO RECEIVE SUPPORT. THE COORDINATOR SERVES AS A LIAISON 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 LONG-TERM SOLUTIONS TOWARDS ACQUIRING MEDICATIONS IN THE FUTURE. PART VI, LINE 4: GOODALL HOSPITAL SERVES THE POPULATION OF WESTERN YORK COUNTY, MAINE. SANFORD IS THE TOWN WITH THE LARGEST POPULATION IN THE HOSPITAL'S SERVICE AREA, WITH A POPULATION OF APPROXIMATELY 21,000 WITH AN ELDERLY POPULATION RATE OF 15% AND FAMILIES REPRESENTING 64% OF THIS POPULATION, WITH 93% BEING WHITE CAUCASIAN.THE HOSPITAL'S MEDICAID VOLUME IS 24% 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. SANFORD'S POVERTY RATE IS 17%, WHILE THE STATE OF MAINE IS AT 12%. 72% OF SANFORD'S ELEMENTARY SCHOOL CHILDREN ARE ELIGIBLE TO RECEIVE FREE OR SUBSIDIZED MEALS.SANFORD'S UNEMPLOYMENT RATE OF 10% EXCEEDS THE STATE'S OVERALL UNEMPLOYMENT RATE OF 8%. SANFORD HAS BEEN DESIGNATED AS A MEDICALLY UNDERSERVICED AREA. PART VI, LINE 5: 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 DIRECTORS/MANAGERS/COORDINATORS AND EMPLOYEES OF GOODALL HOSPITAL ARE ENCOURAGED TO PARTICIPATE IN THE COMMUNITIES ACTIVITIES AND SUPPORT GROUPS THAT BENEFIT THE COMMUNITY AT LARGE. EXAMPLES OF THESE ACTIVITIES ARE AS FOLLOWS:COLLABORATING WITH TOWN LIBRARY TO PRESENT EVENTS AROUND HEALTH AND SAFETY 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 HEALTH CARE TREATMENT COSTS AND IMPROVING LIVES.LINKING FAMILIES WITH OTHER FAMILIES THAT ARE EXPERIENCING SIMILAR LIFE CIRCUMSTANCES THROUGH COMMUNITY EVENTS THAT INCLUDE THE PARENTS AND CHILDREN PARTICIPATION.LEAD SCREENING AND PREVENTION EDUCATION, TEST KIT MAILERS AND INFORMATION TO ALERT THE COMMUNITIES OF THE IMPORTANCE OF LEAD TESTING AND TREATMENT IF APPROPRIATE AT YOUNG AGES. PART VI, LINE 6: N/A REPORTS FILED WITH STATES PART VI, LINE 7 ME X 1 1 X X X X 0 0 0 0 0 0 0 0 0 PATRICIA APRILE 243843 0 30000 0 0 0 2450 0 15323 0 291616 0 0 0 CHARLES CARUSO 170137 0 0 0 0 0 1721 0 21211 0 193069 0 0 0 DANIEL FORGUES 195941 0 0 0 0 0 0 0 15806 0 211747 0 0 0 KATHLEEN MORRIS MD 204901 0 0 0 0 0 3094 0 13790 0 221785 0 0 0 MUKESH BHARGAVA MD 176154 0 0 0 0 0 0 0 0 0 176154 0 0 0 FRANK GOUDREAU 485699 0 0 0 0 0 2450 0 25187 0 513336 0 0 0 JOHNATHAN SHILL 320988 0 20000 0 0 0 3675 0 4421 0 349084 0 0 0 NINA SHERVIN 363216 0 0 0 0 0 2450 0 20275 0 385941 0 0 0 JOHN THOMPSON 467968 0 0 0 0 0 2450 0 25156 0 495574 0 0 0 PETER CLARK 363726 0 0 0 0 0 2865 0 24054 0 390645 0 0 0 DARLENE STROMSTAD 185316 0 30000 0 0 0 2133 0 4780 0 222229 0 0 0 MAINE HEALTH AND HIGHER EDUCATIONAL FACILITIES AUTHORITY 010314384 560425D49 2006-09-07 6020317 RENOVATE HOSPITAL AND PURCHASE EQUIPMENT 0 0 0 MAINE HEALTH AND HIGHER EDUCATIONAL FACILITIES AUTHORITY 010314385 560425H37 2007-07-18 5108908 REFINANCE MHHEFA REVENUE BOND 1996A 0 0 0 6470000 522453 82639 5836740 293000 2007 0 0 1 1 78484 451093 78484 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 PETER G BOOTH TO PROVIDE RETIREMENT FUNDS VIA A SPLIT DOLLAR LIFE INSURANCE POLICY X 851677 851677 0 1 1 851677 MARK MICKERIZ CHAIR OF GOODALL'S BOARD AND PRESIDENT OF SANFORD INSTITUTE FOR SAVINGS 4408110 SANFORD INSTITUTE FOR SAVINGS (SIS) HAS FOUR OUTSTANDING LOANS WITH HENRIETTA D. GOODALL HOSPITAL, INC. THE ORIGINAL AMOUNT OF THE LOAN WAS $7,368,000 AND AS OF MAY 31, 2012, THE REMAINING BALANCE ON THE LOANS WERE $4,408,110. 0 WEBER SHILL FORMER OWNER OF TMG 1236348 WEBER SHILL HAS ONE OUTSTANDING LOAN WITH HENRIETTA D. GOODALL HOSPITAL INC. FOR THE PURCHASE OF THE MEDICAL GROUP. THE ORIGINAL AMOUNT OF THE LOAN WAS $1,835,248 AND AS OF MAY 31, 2012, THE REMAINING BALANCE OF THE LOAN WAS $1,236,348. 0 WILLIAM FRANK TREASURER OF GOODALL'S BOARD 20800 GOODALL HOSPITAL CONTRACTS WITH DR. FRANK TO PERFORM VARIOUS DUTIES AT THE HOSPITAL, SUCH AS ON CALL, IMPACT COVERAGE, AND SOME COMMITTEES. 0 FORM 990, PART VI, SECTION B, LINE 11 MANAGEMENT REVIEWS THE 990 WITH ITS EXTERNAL AUDITORS PRIOR TO SUBMISSION. MANAGEMENT WILL MAKE THE 990 AVAILABLE FOR BOARD REVIEW PRIOR TO SIGNATURE AND SUBMISSION OF THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C THE HOSPITAL ENSURES THAT THE CONFLICT OF INTEREST POLICY IS ENFORCED BY REQUIRING BOARD MEMBERS TO SIGN CONFLICT OF INTEREST DOCUMENTS ON A YEARLY BASIS. THESE DOCUMENTS ARE REVIEWED ANNUALLY BY MANAGEMENT TO IDENTIFY ANY CONFLICTS, ACTUAL OR PERCEIVED, AND TO DEVELOP NECESSARY RESOLUTIONS FOR ANY INDENTIFIED CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15 15A: THE BOARD OF DIRECTORS APPROVES THE COMPENSATION FOR THE CEO AFTER CAREFUL REVIEW OF INDUSTRY SALARY COMPENSATION INFORMATION (COMPENSATION STUDY) WITH AN OUTSIDE COMPENSATION CONSULTANT. 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 HIGHLY QUALIFIED WORKFORCE, WHILE PROVIDING THE NECESSARY STRUCTURE TO EFFECTIVELY MANAGE THE COMPETITIVE ADVANTAGE OF PRODUCTIVITY, TOTAL QUALITY, CUSTOMER SERVICE AND COSTS. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION WILL PROVIDE ITS FORMS 1023, 990 AND 990-T UPON WRITTEN REQUEST. IT EVALUATES THE REASON FOR THE REQUEST AND DEEMS WHETHER IT WILL OFFER THESE DOCUMENTS BASED ON THE INTENT AND PURPOSE OF THE REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE HOSPITAL WILL PROVIDE ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY UPON WRITTEN REQUEST. IT EVALUATES THE REASON FOR THE REQUEST AND DEEMS WHETHER IT WILL OFFER THESE DOCUMENTS BASED ON THE INTENT AND PURPOSE OF THE REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -659,600. DECREASE IN BENEFICIAL INTEREST IN PERPETUAL TRUSTS -1,240,838. UNREALIZED INVESTMENT LOSS ON TEMPORARY NET ASSETS -20,578. LOSS ON EXTINGUISHMENT OF DEBT -230,184. IMPAIRMENT OF GOODWILL -1,347,958. TOTAL TO FORM 990, PART XI, LINE 5: -3,499,158. GOODALL HOSPITAL REAL ESTATE HOLDING COMPANY LLC 25 JUNE STREET SANFORD ME 04073 010078060 REAL ESTATE HOLDING COMPANY ME HENRIETTA D GOODALL HOSPITAL INC WATERBORO MEDICAL OFFICE BUILDING LLC 25 JUNE STREET SANFORD ME 04073 010078060 REAL ESTATE HOLDING COMPANY ME HENRIETTA D GOODALL HOSPITAL INC GOODALL HOSPITAL MEDICAL OFFICE BUILDING LLC 25 JUNE STREET SANFORD ME 04073 010078060 REAL ESTATE HOLDING COMPANY ME HENRIETTA D GOODALL HOSPITAL INC MANOR AT PHILLIPSTOWN PLACE INC 25 JUNE STREET SANFORD ME 04073 010473857 PROVIDE CARE TO THE ELDERLY ME 501(C)(3) 9 HENRIETTA D GOODALL HOSPITAL INC 0 JUNE STREET PHARMACY LLC 25 JUNE STREET SANFORD ME 04073 020765952 PROVIDE PHARMACY SERVICES TO THE COMMUNITY. 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