2012-08-13T09:28:03-05:00 2011-09-30 MAINEHEALTH 110 FREE ST PORTLAND ME 041013908 990 2010-10-01 222842655 WESTERN MAINE NURSING HOME INC WEST 2077437086 3 MARKET SQUARE SOUTH PARIS ME 04281 JOHN COX 2077437086 2012-07-27 false 2012-08-13 2010 2016-02-24 21:20:13Z TIMOTHY CHURCHILL 3 MARKET SQUARE SOUTH PARIS ME 04281 6490855 false X WWW.WMHCC.ORG X 1987 ME TO ENSURE A HIGH QUALITY, ACCESSIBLE, AFFORDABLE AND APPROPRIATE INTEGRATED HEALTH CARE SYSTEM TO IMPROVE THE HEALTH AND WELL BEING OF THE COMMUNITY. 18 14 195 18 0 10 2168 6495730 6474634 695 317 14579 13736 6511014 6490855 0 0 4425937 4749777 0 0 2543246 2557880 6969183 7307657 -458169 -816802 926134 1431104 624232 663004 301902 768100 TO ENSURE A HIGH QUALITY, ACCESSIBLE, AFFORDABLE AND APPROPRIATE INTEGRATED HEALTH CARE SYSTEM TO IMPROVE THE HEALTH AND WELL BEING OF THE COMMUNITY. false false 6940049 6488370 THE ORGANIZATION PROVIDES LONG-TERM NURSING AND RELATED MEDICAL CARE TO ITS RESIDENTS. SERVICES INCLUDE A RESIDENTIAL CARE UNIT, SKILLED NURSING CARE AND INTERMEDIATE NURSING CARE. IN 2011 THE ORGANIZATION SERVED 30,706 RESIDENT DAYS, INCLUDING 20,424 MAINECARE DAYS. SEE COMMUNITY BENEFIT STATEMENT. 6940049 true false false true false false false false false true false false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false false true 5 0 true 195 true false false false false false false false false false false false false X 18 14 true false false false false true true true true false false true true true true true true true false false X SENIOR VP - FISCAL 2077435933 3 MARKET SQUARE SOUTH PARIS ME 04281 X GREGORY HARDY MD 1.00 X 0 361929 21670 TIMOTHY CHURCHILL 5.00 X X 0 301098 28065 ADAM KAZIMIERCZAK DO 1.00 X 0 244789 18631 EUGENE BENNER 1.00 X X 0 0 0 ANDREA BURNS 1.00 X 0 0 0 PETER CHAPMAN 1.00 X 0 0 0 C BRADLEY CUMMINGS 1.00 X X 0 0 0 ROBERT HARMON 1.00 X 0 0 0 LARRY FARMER OD 1.00 X 0 0 0 DAVID HOISINGTON 1.00 X X 0 0 0 DAVID KUMAKI MD 1.00 X 0 0 0 REV ANNE STANLEY 1.00 X 0 0 0 WILLIAM L MEDD MD 1.00 X 0 0 0 OLA MELHUS MD 1.00 X 0 0 0 WENDY PENLEY 1.00 X X 0 0 0 LYNN HAMPER 1.00 X 0 0 0 DAVID J PREBLE 1.00 X 0 0 0 TED MOCCIA 1.00 X 0 0 0 ROBIN J ZINCHUK 1.00 X 0 0 0 PAT WEIGEL 1.00 X 0 0 0 JOHN COX 5.00 X 0 167152 20487 M PATRICIA COOK 1.00 X 0 138581 22147 1213549 111000 false true false SELECT REHABILITATION 35338 EAGLE WAY CHICAGO IL 60678 PT STAFFING 484933 1 2168 2168 PATIENT SERVICE REVENUE 623000 6474634 6474634 6474634 317 317 OTHER REVENUE 900099 10703 10703 MEAL DELIVERY PROGRAM 624210 3033 3033 13736 6490855 6488370 317 3515970 3344596 171374 110220 104852 5368 854963 813326 41637 268624 255542 13082 10693 10693 775467 716286 59181 736 736 577953 570985 6968 22185 21105 1080 300598 264644 35954 778 778 8077 8077 155480 147908 7572 302428 287729 14699 10786 10786 PROVIDER TAX 352875 352875 MISCELLANEOUS 18599 18599 PROVISION FOR BAD DEBTS 17541 17541 DUES AND SUBSCRIPTIONS 3684 3684 7307657 6940049 367608 0 370 370 123445 124080 523750 1099270 25564 25916 3453 3740 1913 249552 175815 926134 1431104 452982 473529 171250 189475 624232 663004 X 301902 766187 1913 301902 768100 926134 1431104 X -816802 1283000 X false true true X false X 105 7560 180 10 2168 10023 6179288 6178476 6488950 6510309 6488370 31845393 6179393 6186036 6489130 6510319 6490538 31855416 31855416 9134 2745 2404 695 317 15295 9134 2745 2404 695 317 15295 6188527 6188781 6491534 6511014 6490855 31870711 0.99950 0.99890 0.00000 X false false false false false false false false false false false false true 2072 2072 false false false false false SCHEDULE C, PART II-B, LINE 1I ALLOCATED PERCENTAGE OF MEMBERSHIP DUES PAID TO MAINE HEALTH CARE ASSOCIATION AND AMERICAN HEALTH CARE ASSOCIATION. false false false false false false false 1913 1913 6235 6235 5235 1000 6235 1.00000 false false false CASH SURRENDER VALUE-LIFE INSURANCE 83399 AR UNDER REIMBURSEMENT AGREEMENTS 64478 DUE FROM AFFILIATE 27938 175815 DUE TO AFFILIATES 172857 PROFESSIONAL LIABILITY CLAIM ACCRUAL 16618 189475 INTENDED USES FOR ENDOWMENT FUNDS SCHEDULE D, PAGE 2, PART V, LINE 4 TEMPORARILY RESTRICTED GIFTS ARE UTILIZED ACCORDING TO SPECIFIC DONOR STIPULATIONS. THESE INCLUDE EXPENDITURES FOR CAPITAL IMPROVEMENTS. LIABILITY UNDER FIN 48 FOOTNOTE SCHEDULE D, PAGE 3, PART X THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION AND HAS BEEN RECOGNIZED AS TAX EXEMPT PURSUANT TO SECTION 501(C)(3)OF THE INTERNAL REVENUE CODE. THE ORGANIZATION HAS EVALUATED THE POSITION TAKEN ON ITS FILED TAX RETURNS. THE ORGANIZATION HAS CONCLUDED NO UNCERTAIN INCOME TAX POSITIONS EXIST AT SEPTEMBER 30, 2011. THE ORGANIZATION'S TAX YEARS FROM 2008 THROUGH 2011 ARE OPEN AND SUBJECT TO EXAMINATION. X X X X X false false false false false false false false false GREGORY HARDY MD 344442 16842 645 2059 19611 383599 TIMOTHY CHURCHILL 246000 38000 17098 5051 23014 329163 ADAM KAZIMIERCZAK DO 173481 41154 30154 18631 263420 JOHN COX 160536 6616 1435 19052 187639 M PATRICIA COOK 127401 11180 3652 18495 160728 RELATED PARTY INFORMATION AMONG OFFICERS FORM 990, PAGE 6, PART VI, LINE 2 DAVID KUMAKI WILLIAM MEDD SHAREHOLDER SHAREHOLDER BUSINESS RELATIONSHIP. ELECTION OF MEMBERS AND THEIR RIGHTS FORM 990, PAGE 6, PART VI, LINE 7A THE SOLE MEMBER HAS THE RESPONSIBILITY FOR THE ELECTION OF THE MEMBERS OF THE GOVERNING BODY. DECISIONS SUBJECT TO APPROVAL OF MEMBERS FORM 990, PAGE 6, PART VI, LINE 7B ALL DECISIONS BY THE WESTERN MAINE NUSING HOME, INC.'S GOVERNING BODY ARE APPROVED BY DEFAULT BY THE MEMBER ORGANIZATION'S GOVERNING BODY. THIS IS BECAUSE THESE TWO ORGANIZATIONS SHARE A COMMON GOVERNING BODY. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B THE 990 WAS REVIEWED IN DETAIL BY A COMMITTEE OF THE BOARD OF TRUSTEES. THE PRESIDENT AND SENIOR VICE PRESIDENT - FISCAL LED THE DISCUSSION. SUBSEQUENT TO THAT REVIEW, A COPY OF THE ORGANIZATION'S 990 WAS DISTRIBUTED TO ALL TRUSTEES. THE 990 WAS REVIEWED IN SUMMARY AT A BOARD MEETING PRIOR TO FILING. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C CONFLICT OF INTEREST STATEMENTS ARE OBTAINED ANNUALLY. THE PRESIDENT'S OFFICE COLLECTS AND REVIEWS THE RESPONSES. WHERE ANY REAL OR PERCEIVED CONFLICTS EXIST, OFFICERS AND TRUSTEES ARE EXPECTED TO RECUSE THEMSELVES (1) FROM MEETINGS DURING TIMES WHEN THE TOPICS OF POTENTIAL CONFLICT ARE DISCUSSED AND (2) FROM VOTING ON SUCH MATTERS. KEY EMPLOYEES MAY NOT USE THEIR POSITIONS TO PROFIT PERSONALLY OR TO ASSIST OTHERS IN PROFITING IN ANY WAY AT THE EXPENSE OF WESTERN MAINE NURSING HOME, INC. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A THE PARENT COMPANY OF WESTERN MAINE NURSING HOME, INC. IS WESTERN MAINE HEALTH CARE, CORP. (EIN 01-0411788) WHO THROUGH ITS PARENT COMPANY MAINEHEALTH, HAS A FORMAL WRITTEN COMPENSATION POLICY IN PLACE. IN CONSULTATION WITH SULLIVAN COTTER, THE MAINEHEALTH BOARD COMPENSATION COMMITTEE ESTABLISHES APPROPRIATE COMPENSATION PARAMETERS FOR EACH ORGANIZATION'S CEO AND CERTAIN MEMBERS OF THEIR SENIOR MANAGEMENT TEAM. WORKING WITHIN THESE PARAMETERS, THE WESTERN MAINE HEALTH CARE BOARD DETERMINES THE LEVEL OF COMPENSATION FOR ITS CEO. THE FINDINGS OF THE COMPENSATION COMMITTEE ARE MADE TRANSPARENT TO, AND VOTED ON BY, THE FULL GOVERNING BOARD. THE "TOTAL EXECUTIVE COMPENSATION" IS FILED PUBLICLY BY THE ORGANIZATION, AND INCLUDES "TOTAL CASH COMPENSATION" AND "TOTAL VALUE OF ALL BENEFITS AND PERQUISITES" ASSOCIATED WITH THE POSITION. THE BOARD TAKES NECESSARY ACTION TO PREVENT THE CEO FROM VOTING OR DIRECTLY PARTICIPATING IN THE FINAL COMMITTEE DETERMINATION OF HIS OWN COMPENSATION. THE ORGANIZATION'S EXECUTIVE COMPENSATION PROCEDURES RELY UPON APPROPRIATE DATA FOR COMPARABILITY (E.G. COMPENSATION LEVELS PAID BY BOTH TAXABLE AND TAX-EXEMPT SIMILARLY SITUATED ORGANIZATIONS AND INDEPENDENT SURVEYS BY NATIONALLY RECOGNIZED INDEPENDENT FIRMS). FINALLY, THE ORGANIZATION REFRAINS FROM ALLOWING EXECUTIVE COMPENSATION TO EVER BE BASED SOLEY ON WESTERN MAINE HEALTH CARE, CORP.'S REVENUES OR OTHER SIMILAR PROFIT-SHARING STRATEGIES. 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. RELATED ORGANIZATIONS FORM 990, PAGE 7, PART VII GREGORY HARDY 59 HOURS TIMOTHY CHURCHILL 55 HOURS ADAM KAZIMIERCZAK 59 HOURS JOHN COX 45 HOURS M. PATRICIA COOK 44 HOURS OTHER CHANGES IN NET ASSETS EXPLANATION FORM 990, PART XI, LINE 5 THIS REPRESENTS AN EQUITY TRANSFER FROM AFFILIATE. WESTERN MAINE HEALTH CARE CORP 181 MAIN STREET NORWAY ME 04268 010411788 HEALTHCARE ME 501C3 11C MEHEALTH false MAINEHEALTH 110 FREE STREET PORTLAND ME 04101 010431680 HEALTHCARE ME 501C3 11C NA false WESTERN MAINE MULTI-MEDICAL SPECIAL 181 MAIN STREET NORWAY ME 04268 010489824 PHYS PRACT ME 501C3 3 WMHCC false STEPHENS MEMORIAL HOSPITAL ASSOC 181 MAIN STREET NORWAY ME 04268 010219904 HOSPITAL ME 501C3 3 WMHCC false STEPHENS COMMUNITY HEALTHCARE FOUND 181 MAIN STREET NORWAY ME 04268 311644144 SUPP ORG ME 501C3 11A WMHCC false CHAPEL VALLEY BOARDING HOME CORP 181 MAIN STREET NORWAY ME 04268 010433206 HEALTHCARE ME 501C3 7 WMHCC false false false false false false false false false false false false false false false true true false true