2011-05-04T06:39:14-07:00 2010-09-30 CYNTHIA M THOMPSON CPA 1723 US HWY 1 ORIENT ME 044713010 990 2009-10-01 237134386 HOULTON REGIONAL HOSPITAL HOUL 2075322900 20 HARTFORD ST HOULTON ME 04730 THOMAS MOAKLER 2011-05-04 Barbara McGuan 2075412319 2009 2016-02-24 21:20:13Z THOMAS MOAKLER 20 HARTFORD ST HOULTON ME 04730 45403401 false false X houltonregional.org X 1973 ME HOULTON REGIONAL HOSPITAL OPERATES A CRITICAL ACCESS HOSPITAL, SKILLED NURSING FACILITY AND 2 RURAL HEALTH CLINICS. 14 8 499 85 10448 -8380 88773 420042 43388322 43426074 -131190 373011 0 43345905 44219127 0 0 25997630 27363465 0 0 16917975 16589344 42915605 43952809 430300 266318 31314072 29534896 22945172 21237309 8368900 8297587 HOULTON REGIONAL HOSPITAL'S PURPOSE IS TO PROVIDE SAFE, COMPASSIONATE, QUALITY, COST EFFECTIVE CARE TO THE COMMUNITIES WE SERVE. OUR RESOURCES WILL BE DEDICATED TOWARDS IMPROVING THE HEALTH STATUS OF THOSE WE SERVE THROUGH EDUCATION, TREATMENT AND REHABILITATION. false false 33457387 43426074 PROVISION OF HEALTH CARE SERVICES IN RURAL MAINE. DURING THE FISCAL YEAR ENDED 9/30/10, 1,686 PEOPLE HAD AN INPATIENT STAY (INCLUDING THE PROGRESSIVE CARE FACILITY); 87,069 OUTPATIENT SERVICES WERE RENDERED; 12,833 PEOPLE WERE SERVED IN THE EMERGENCY ROOM. OF THESE SERVICES, 1,442 ACCOUNTS (REPRESENTING 373 PEOPLE AND $1,245,888) WERE WRITTEN OFF AS CHARITY CARE. HOULTON REGIONAL HOSPITAL (HRH) ALSO ASSISTS ELDERLY CITIZENS WITH THEIR WISH TO REMAIN INDEPENDENT AS LONG AS POSSIBLE. TO ACCOMPLISH THIS GOAL, HRH ASSISTS WITH THE RENTAL OF LIFELINE EMERGENCY RESPONSE UNITS. DURING FISCAL YEAR 9/30/10, 68 LIFELINE UNITS WERE RENTED. 33457387 true true false true false false false false false true true false true false false false false false false false false true false false true true false false false false false false false true true true false false false false false true true false false true 40 0 true 499 true true true false false false false false false false false false 0 false false false false false false false false 14 8 false false false false false false false true true false false false true true true true true true true true false false ME X CINDY L DAIGLE CFO 2075322900 20 HARTFORD ST HOULTON ME 04730 WALTER GOODRICH 1.00 X 0 0 0 THOMAS MOAKLER 40.00 X 218518 0 9017 STEPHEN NELSON 1.00 X 0 0 0 ROBERT MOSENFELDER 40.00 X 236567 0 12910 RICHARD CLEARY 1.00 X 0 0 0 REV JESSIE DRYSDALE 1.00 X X 0 0 0 RAHILA BILAL 40.00 X 272972 0 13534 PHILIP MCFARLANE MD 40.00 X 205260 0 12499 PEDRO HERNANDEZ MD 40.00 X 251516 0 12288 NANCY KETCH 1.00 X 0 0 0 MICHAEL NORTHWAY 40.00 X 223248 0 6829 MAX LYNDS 1.00 X 0 0 0 MARGUERITE LAWLER 1.00 X 0 0 0 LYNETTE MCLAUGHLIN 1.00 X X 0 0 0 LAKSHMIMALINI GOVINDAN 0. X 211776 0 13914 JOHN CLARK 1.00 X X 0 0 0 JERRY YORK 1.00 X 0 0 0 HASSAN E ABOULEISH MD 40.00 X X 259213 0 0 CINDY DAIGLE 40.00 X 125456 0 15235 BRIAN GRIFFIN MD 40.00 X 236172 0 16328 ALISON BOSSIE 1.00 X 0 0 0 2240698 112554 25 false true true JAMES CURTIS MADIX MD 20 HARTFORD ST HOULTON ME 04730 RADIOLOGIST 567760 VISTA STAFFING SOLUTIONS 675 EAST 2100 SOUTH SUITE 390 SALT LAKE CITY UT 841069813 LOCUM SURGEON SVCS 218881 PIZZAGALLI CONSTRUCTION COMPANY 50 JOY DRIVE SOUTH BURLINGTON VT 054072009 GENERAL CONTRACTOR 2012977 LINDE HEALTHCARE STAFFING INC PO BOX 915241 DALLAS TX 753915241 LOCUM PHYSICIAN SVCS 173098 HOULTON INTERNAL MEDICINE PA 22 HARTFORD ST HOULTON ME 04730 INTERNAL MEDICINE 1308412 9 302500 117542 420042 VENDING MACHINES & MISC. 308513 301357 7156 PHARMACY 27328 27328 PATIENT FEES 42115931 42115931 MEDICARE & MEDICAID PYMTS 25500765 25500765 CAFETERIA SALES 125060 125060 -24651523 -24661971 10448 43426074 122100 122100 0 0 0 1435185 1184274 250911 250911 250911 0 0 0 0 44219127 43256082 10448 532555 0 0 0 0 1109001 740775 368226 0 19901737 18129770 1771967 47887 47887 4872737 4872737 1432103 1287031 145072 0 49624 49624 42056 42056 8957 8957 0 13441 13441 0 79466 79466 123855 31331 92524 93344 93344 0 569914 569914 141723 117258 24465 0 0 474087 474087 0 1026806 1026806 473863 189167 284696 UTILITIES 738307 738307 SUPPLIES 5285149 5257144 28005 PROVISION FOR BAD DEBTS 1102308 1102308 PROFESSIONAL SERVICES 3323930 3188911 135019 MEDICAID TAX - STATE OF MAINE 910830 910830 2131684 1706886 424798 43952809 33457387 10495422 0 46639 21507 1441565 549230 0 4702062 5516033 0 0 0 726148 888495 1010286 1230583 39282928 25616528 12411510 13666400 2839540 3233923 0 0 0 8136322 4428725 31314072 29534896 4936410 4653008 12550043 12189673 400434 336320 5058285 4058308 22945172 21237309 X 8106048 7930948 211188 314975 51664 51664 8368900 8297587 31314072 29534896 X false true true X false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 8957 8957 false false Part II-B, Line 1i Part II-B, Line 1i - Other Activities Description OTHER LOBBYING AMOUNTS REPRESENT AN ALLOCABLE PORTION OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION, THE MAINE HOSPITAL ASSOCIATION, AND THE MAINE HEALTH CARE ASSOCIATION. 79673 9038 200 88511 761985 -84267 597107 938 79673 1.00000 false false false 193107 193107 22806173 12810786 9995387 10328816 8292483 2036333 5954832 4513259 1441573 13666400 DUE FROM THIRD PARTY PAYORS 3510281 DUE FROM MEDICAL ARTS 5702663 DEFERRED FINANCING COSTS 444276 457 PLAN ASSETS 132806 4428725 LINE OF CREDIT 239484 DUE TO THIRD PARTY PAYORS 3686018 457 PLAN ASSETS 132806 4058308 44219127 43952809 266318 -40459 -297172 -337631 -71313 69137811 -40459 -40459 69178270 -24959143 -24959143 44219127 68614780 24661971 24661971 43952809 43952809 Part XIII, Line 2d Part XIII, Line 2d: Other expenses and losses per audited F/S CONTRACTUAL ADJUSTMENTS $23416083 CHARITY CARE $1245888 Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances LOSS ON INVESTMENT IN SUBSIDIARY $ -297172 Part V, Line 4 Part V, Line 4: Intended uses of the endowment fund. THE CORPUS OF THE ENDOWMENT IS PERMANENTLY RESTRICTED, WITH ANY EARNINGS AVAILABLE TO PROMOTE THE HOSPITAL'S EXEMPT PURPOSE. true true true X false false true true false false false 757218 757218 0.01770 9605316 10347982 10362534 10347982 757218 0.01720 36563 8422 28141 0.00070 695 695 480886 249101 231786 0.00540 83361 7560 75801 0.00180 601505 265083 336423 0.00770 10964039 10613065 1093641 0.02490 false 676073 102763 15363678 16574940 -1211262 X true true HOULTON REGIONAL HOSPITAL

20 HARTFORD ST HOULTON ME 04730

X X X SKILLED NURSING FACILITY & 2 RHCS DISCOUNTED CARE PROVIDED IN THE RHC SETTING, BEGINNING AT 150% OF FPG. COST-TO-CHARGE RATIO WAS USED TO DERIVE CHARITY CARE AT COST IN THE TABLE. COST-TO-CHARGE RATIO WAS ALSO USED TO DERIVE THE COST OF MEDICAID SERVICES, WHICH IS INCLUDED AS A PORTION OF THE UNREIMBURSED MEDICAID COMMUNITY BENEFIT EXPENSE. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARECOST-TO-CHARGES. SUBSIDIZED HEALTH SERVICES CONSIST OF THREE SERVICES: A SURGICAL PRACTICE; CARDIAC & RESPIRATORY REHABILITATION CLASSES; AND LIFELINE UNIT RENTALS.MEDICAL ARTS, INC. IS A WHOLLY OWNED SUBSIDIARY OF HOULTON REGIONAL HOSPITAL (HRH) CURRENTLY CONTAINING ONE SURGICAL PHYSICIAN PRACTICE. THIS PRACTICE REGULARLY OPERATES AT A LOSS. IF THIS PRACTICE WERE DISCONTINUED, PATIENTS WOULD HAVE TO DRIVE TO ANOTHER FACILITY THAT IS AT A MINIMUM 45 MILES AWAY. CALCULATED COMMUNITY BENEFIT COSTS FOR THIS PRACTICE WERE COMPUTED USING THE COST TO CHARGE RATIO FROM WORKSHEET 2.CARDIAC REHAB PHASE III AND RESPIRATORY REHAB PHASE III CLASSES ARE OFFERED TO THE HRH PATIENT BASE, BUT ARE NOT ELIGIBLE FOR REIMBURSEMENT FROM THIRD PARTY INSURANCES. PATIENTS PAY UP FRONT TO ATTEND THESE SESSIONS, THEREFORE CHARITY CARE AND BAD DEBT DO NOT APPLY. COSTS FOR THESE SESSIONS HAS BEEN DETERMINED BY USING ACTUAL STAFF TIME LOGGED TO TEACH THE SESSIONS. FACILITY COSTS HAVE BEEN INCLUDED BASED ON THE TIME USAGE OF THE CLASSES COMPARED TO THE AVAILABLE SQUARE FOOTAGE. THIS PERCENTAGE WAS THEN MULTIPLIED AGAINST THE FACILITY COSTS DRAWN DOWN BY THE CARDIAC DEPARTMENT ON THE MEDICARE COST REPORT.DIRECT STAFFING & BENEFIT COSTS $22,225FACILITY COSTS 41,564CLASS REVENUES COLLECTED ( 6,629)NET COMMUNITY BENEFIT $57,159HRH RENTS LIFELINE EMERGENCY RESPONSE UNITS TO INDIVIDUALS IN OUR SERVICE AREA. THIS PROGRAM IS OPERATED TO ASSIST THE ELDERLY WITH THEIR DESIRE TO REMAIN INDEPENDENT AND LIVING IN THEIR OWN HOME. HRH PAYS A FEE FOR THE UNIT AND A RELATED CONNECTION COST. HRH ALSO INCURS STAFFING COST FOR INSTALLATION AND DISCONNECTION OF THE UNITS. A LOG OF THESE COSTS WAS CREATED FROM THE RELATED INVOICES AND TIMECARDS:STAFFING, UNIT RENTAL & CONNECTION COSTS $24,664UNIT RENTAL FEES COLLECTED ( 23,877)NET COMMUNITY BENEFIT 787 TEXT TO FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE: PATIENT ACCOUNTS RECEIVABLE ARE STATED AT THE AMOUNT MANAGEMENT EXPECTS TO COLLECT FROM OUTSTANDING BALANCES. MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS THROUGH A CHARGE TO EARNINGS AND A CREDIT TO A VALUATION ALLOWANCE 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 VALUATION ALLOWANCE AND A CREDIT TO PATIENT ACCOUNTS RECEIVABLE.COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINE 2: WORKSHEET A, WHICH IS COST-TO-CHARGE METHODOLOGY.PAYMENTS OR DISCOUNTS ON BAD DEBT ACCOUNTS: ANY PAYMENTS OR DISCOUNTS ON PATIENT ACCOUNTS AFTER THE ACCOUNT HAS BEEN WRITTEN-OFF ARE RECORDED THROUGH THE VALUATION ACCOUNT. PERIODICALLY REASONABLENESS OF THE BALANCE IN THE VALUATION ACCOUNT IS REVIEWED. IF THE BALANCE NEEDS TO BE ADJUSTED AN ENTRY IS MADE TO THE VALUATION ACCOUNT WITH AN OFFSETTING ENTRY POSTED TO BAD DEBT EXPENSE.COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 3:THIS AMOUNT IS BASED ON THE ORGANIZATION'S BAD DEBT EXPENSE AT COST (CALCULATED AT LINE 2) MULTIPLIED BY THE PERCENTAGE OF PERSONS IN AROOSTOOK COUNTY BELOW THE POVERTY LEVEL (15.2%). THE HOSPITAL USES THE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR PROVIDING FREE CARE TO LOW INCOME INDIVIDUALS. THE FAMILY INCOME LIMIT FOR ELIGIBILITY FOR FREE CARE IS 150% OF POVERTY LEVEL. WE ASSUME THAT THE DEMOGRAPHICS OF THE PATIENTS COMPRISING OUR BAD DEBT EXPENSE ARE SIMILAR TO THE DEMOGRAPHICS OF AROOSTOOK COUNTY (THE COUNTY WE ARE LOCATED IN). PER THE US CENSUS BUREAU QUICKFACTS FOR AROOSTOOK COUNTY, MAINE, 15.2% OF PERSONS IN 2008 ARE BELOW POVERTY LEVEL. SINCE OUR ELIGIBILITY CRITERIA FOR OUR HOSPITAL IS 150% POVERTY LEVEL AND WE USED THE PERCENTAGE BELOW 100% TO ESTIMATE THE POTENTIAL CHARITY CARE WRITTEN OFF AS BAD DEBT, WE BELIEVE OUR CALCULATION IS REASONABLE AND CONSERVATIVE. THE PORTION OF THE MEDICARE SHORTFALL RELATED TO THE SKILLED NURSING FACILITY SHOULD CONSTITUTE COMMUNITY BENEFIT SINCE HOULTON REGIONAL HOSPITAL (HRH) WILL CONTINUE TO PROVIDE THIS SERVICE REGARDLESS OF THE LEVEL OF LOSSES IT CONTINUES TO SUSTAIN. THIS IS THE REMAINING SERVICE LINE THAT HRH SUPPORTS THAT IS NOT AN ESSENTIAL SERVICE TYPICALLY PROVIDED BY A HOSPITAL AND IS NOT COST REIMBURSEABLE. IF HRH DISCONTINUED THIS SERVICE LINE THERE WOULD BE A SHORTAGE OF SKILLED NURSING SERVICES IN OUR SERVICE AREA AND MEMBERS OF THE COMMUNITY WOULD HAVE TO SEEK THE SERVICES FURTHER FROM HOME, WHICH MAY POSE ISSUES WITH THEIR FAMILY SUPPORT SYSTEM AND COULD LEAD TO A HINDERED RECOVERY. THE HRH SKILLED NURSING FACILITY IS LICENSED FOR 28 BEDS AND HAD AN OCCUPANCY % OF 80.2% IN 2009. IF HRH WERE TO CLOSE THE FACILITY, BASED ON THE OCCUPANCY PERCENTAGE, 22.46 PATIENTS WOULD BE DISPLACED AT ANY GIVEN TIME. THE OTHER TWO FACILITIES IN OUR COMMUNITY WOULD ONLY BE ABLE TO ACCOMODATE 7 OF THOSE PATIENTS, LEAVING 15 TO SEEK SERVICES AWAY FROM HOME. IN ADDITION, ALTHOUGH OUR FACILITY HAS ONLY 7% OF THE NURSING FACILITY BEDS IN THE SURROUNDING REGION, WE HAVE 32% OF THE MEDICARE POPULATION, WHICH INDICATES THAT INDIVIDUALS REQUIRING POST-ACUTE, SKILLED NURSING/REHAB STAYS TEND TO COME TO OUR FACILITY. THE NEXT HIGHEST MEDICARE POPULATION SERVED WAS 16%, SO IT IS DOUBTFUL THAT THE OTHER FACILITIES WOULD HAVE THE INFRASTRUCTURE/STAFFING IN PLACE TO ASSUME THE ADDITIONAL MEDICARE POPULATION IF HRH WERE TO DISCONTINUE THE SKILLED NURSING FACILITY SERVICES.SNF REIMBURSEMENT $1,608,945SNF ALLOWABLE COSTS $2,660,171SNF SHORTFALL ($1,051,226)ADDITIONAL MEDICARE SHORTFALL - REVENUES & COSTS NOT INCLUDED IN THE MEDICARE COST REPORT: COST REPORT PROFESS FEES TOTALREIMBURSEMENT $15,363,678 $862,386 $16,226,064COSTS 16,578,940 1,683,248 18,258,188SHORTFALL (1,211,262) ( 820,862) ( 2,032,124)THE HOSPITAL BILLS FOR VARIOUS PHYSICIAN SERVICES THROUGHOUT THE YEAR. THE CHARGES AND COSTS RELATED TO THOSE PROFESSIONAL SERVICES ARE NOT REPORTED IN THE HOSPTIAL'S COST REPORT. PROFESSIONAL FEE REIMBURSEMENT: WHEN PREPARING THE COST REPORT TOTAL CHARGES BY DEPARTMENT ARE TAKEN FROM THE GENERAL LEDGER, DETAIL REPORTS BY PROCEDURES AND INPATIENT/OUTPATIENT ARE GENERATED FOR THOSE DEPARTMENTS THAT INCLUDE PROFESSIONAL SERVICE REVENUE, AND PROFESSIONAL SERVICE REVENUE IS THEN SUBTRACTED FROM TOTAL REVENUE TO ARRIVE AT REVENUE TO REPORT ON WORKSHEET C ON THE COST REPORT. THE SAME REPORTS WERE RUN FOR ONLY MEDICARE PROFESSIONAL SERVICE REVENUE BY INPATIENT AND OUTPATIENT. INPATIENT MEDICARE PROFESSIONAL FEE REVENUE WAS THEN REDUCED BY THE INPATIENT MEDICARE PROFESSIONAL FEE DEDUCTIONS FROM REVENUE ON THE GENERAL LEDGER TO ARRIVE AT INPATIENT PROFESSIONAL FEE REIMBURSEMENT. OUTPATIENT MEDICARE PROFESSIONAL FEE REIMBURSEMENT WAS DERIVED BY MULTIPLYING THE GROSS REIMBURSEMENT ON THE CAH-FEE REIMBURSED PROVIDER SUMMARY REPORT (REPORT TYPE 855) BY THE PERCENTAGE OF PREOFESSIONAL CHARGES INCLUDED IN THE SAME REPORT. PROFESSIONAL FEE COSTS: MEDICARE PROFESSIONAL FEE COSTS WERE DERIVED BY DETERMINING THE PERCENTAGE OF PROFESSIONAL FEE REVENUE BY SPECIALTY SERVICE RELATED TO MEDICARE AND MULTIPLYING THE SPECIFIC PROFESSIONAL COSTS SUMMARIZED BY SPECIALTY SERVICE (A-8-2 SUPPORT) BY THE MEDICARE PERCENTAGE. SHORTFALL: THE PROFESSIONAL FEE REIMBURSEMENT IS $820,862 LESS THAN THE PROFESSIONAL FEE COSTS.TOTAL REVENUE RECEIVED FROM MEDICARE REPORTED ON LINE 5 WAS REDUCED BY $274,860 RELATED TO PRIOR YEAR ACTIVITY. THE AMOUNT CONSISTS OF THE FOLLOWING:HOSPITAL ($159,215)SKILLED NURSING FACILITY 533RURAL HEALTH CLINICS ( 116,178)TOTAL ( 274,860) THE HOSPITAL HAS MANY INDIVIDUAL POLICIES THAT RELATE TO COLLECTIONS. THE HOSPITAL HAS A FREE CARE DISCOUNT POLICY WHICH SPECIFIES THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE. WHEN AN APPLICATION IS RECEIVED THAT MEETS THE INCOME ELIGIBILITY REQUIREMENTS, A SEARCH OF THE BILLING/ACCOUNTS RECEIVABLE IS PERFORMED TO LOCATE ALL ACCOUNTS FOR MEMBERS OF THE HOUSEHOLD. THE ACCOUNTS FOR HOUSEHOLD MEMBERS ARE THEN FLAGGED AS "FREE", BALANCES ARE WRITTEN OFF, AND AN APPROVAL LETTER IS MAILED TO THE APPLICANT. A COPY OF THE APPLICATION IS PLACED IN THE FREE CARE BINDER AND RETAINED THERE FOR THREE MONTHS, WHICH IS THE LENGTH OF TIME AN APPLICATION IS VALID AND IN EFFECT. SELF-PAY ACCOUNTS ARE REVIEWED FOR OPEN/ACTIVE FREE CARE APPLICATIONS BEFORE BILLING THE PATIENT. IF THE PATIENT HAS AN OPEN/ACTIVE FREE CARE APPLICATION, THE BALANCE IS WRITTEN-OFF AS CHARITY CARE AND THE PATIENT IS NOT BILLED. A SIMILAR PROCESS IS IN PLACE FOR THE SLIDING FEE DISCOUNTS THAT ARE AVAILABLE TO PATIENTS OF THE HOSPITAL-BASED RURAL HEALTH CLINICS. THE HOSPITAL ALSO OPERATES A SKILLED NURSING FACILITY AND 2 RURAL HEALTH CLINICS. FORM 990, SCHEDULE H, QUESTION 7, LINES D, J, & K, COLUMN F:COMPUTER SYSTEM IS INCORRECTLY INCLUDING BAD DEBTS IN THE TOTAL AMOUNT OF EXPENSES USED FOR THE PERCENTAGE CALCULATION SHOWN ON THE TOTAL LINES. CORRECT TOTAL EXPENSES FOR PURPOSES THIS CALCULATION IS $42,850,501. CORRECTED PERCENTAGES ARE AS FOLLOWS:LINE D, COLUMN F: 1.77%LINE J, COLUMN F: 0.79%LINE K, COLUMN F: 2.56% THE HOSPITAL IS A STRATEGIC AFFILIATE OF EASTERN MAINE HEALTHCARE SYSTEMS (EMHS). EMHS OWNS SEVERAL OTHER HOSPITALS INCLUDING EASTERN MAINE MEDICAL CENTER (EMMC). EMMC IS THE TERTIARY FACILITY FOR OUR SERVICE AREA, SO EMMC AND HRH OFTEN SERVE THE SAME PATIENTS AND HAVE SIMILAR PATIENT DEMOGRAPHICS AND NEEDS.IN 2007, EMHS ORGANIZED A COMMUNITY FORUM IN HOULTON TO PRESENT AN OVERVIEW OF THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT THEY HAD COMMISSIONED. THE COMMUNITY HEALTH NEEDS ASSESSMENT ENCOMPASSED THE HOULTON SERVICE AREA, SO WE ARE ABLE TO USE THE REPORT ON A LOCAL LEVEL. IT IS OUR UNDERSTANDING THAT THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS BASED ON SEVERAL SOURCES INCLUDING PATIENT/COMMUNITY MEMBER FOCUS GROUPS. EMHS IS IN THE PROCESS OF ORGANIZING A NEW FORUM IN THE HOULTON AREA AND THIS NEW REPORT WILL BE USED TO PRIORITIZE AND PLAN FOR ADDRESSING THE HOULTON COMMUNITY'S HEALTH NEEDS.IN ADDITION, WE RELY ON FEEDBACK FROM OUR PATIENTS, EMPLOYEES, MEDICAL STAFF, AND BOARD MEMBERS REGARDING SERVICE NEEDS. OUR BOARD IS COMPRISED OF RESIDENTS FROM THE COMMUNITIES WE SERVE, AND BOARD MEMBERS KEEP HOSPITAL MANAGEMENT AWARE OF ANY ISSUES IN THEIR COMMUNITIES. PATIENTS ARE MADE AWARE OF THE CHARITY CARE POLICY THROUGH SIGNAGE IN WAITING ROOMS, DIRECT NOTIFICATION BY STAFF, INFORMATIONAL BROCHURES, AND NOTICES PRINTED ON THE BACK OF PATIENT BILLS. IN ORDER TO QUALIFY FOR CHARITY CARE, THE PATIENT IS ASKED TO PROVIDE A MEDICAID DENIAL LETTER. IF THE PATIENT DOES NOT KNOW HOW TO APPLY FOR STATE ASSISTANCE PROGRAMS, THEY ARE REFERRED TO THE LOCAL HEALTH AND HUMAN SERVICES OFFICE. IF THE PATIENT IS AN INPATIENT, THE HOSPITAL'S SOCIAL SERVICES DEPARTMENT WILL ASSIST THE PATIENT IN FILING STATE AND FEDERAL ASSISTANCE APPLICATIONS.IN ADDITION, THE HOSPITAL HAS A STAFF PERSON AVAILABLE TO ASSIST INDIVIDUALS IN SELECTING WHICH MEDICARE PART D PLAN WOULD BE BEST FOR THE PATIENT'S SPECIFIC MEDICATION NEEDS. THAT SAME STAFF PERSON ADMINISTERS THE HOSPITAL'S PRESCRIPTION ASSISTANCE PROGRAM. HRH SERVES THE COMMUNITIES LOCATED IN SOUTHERN AROOSTOOK COUNTY AS WELL AS A FEW COMMUNITIES IN BORDERING COUNTIES. THE SERVICE AREA IS GEOGRAPHICALLY ISOLATED FROM THE LARGER POPULATION CENTER OF BANGOR, ME. TRAVEL WITHIN THE SERVICE AREA AND TO OUT-OF-AREA DESTINATIONS IS FURTHER COMPLICATED BY THE HARSH MAINE WINTERS.THE POPULATION IN AROOSTOOK COUNTY IS OLDER THAN THE STATEWIDE AVERAGE. BASED ON THE 2000 US CENSUS, 18.2% OF THE SERVICE AREA POPULATION IS ELDERLY (65+ YEARS), WHICH IS HIGHER THAN THE STATE % OF ELDERLY. THIS HIGHER CONCENTRATION OF ELDERLY COULD CONTRIBUTE TO A DISPROPORTIONATE UTILIZATION OF HEALTH CARE SERVICES. HRH SERVICE AREA RESIDENTS ARE POORER AND CONFRONTED BY A SIGNIFICANTLY HIGHER UNEMPLOYMENT RATE THAN MAINERS AS A WHOLE. MOST INCOME MEASURES FOR AROOSTOOK COUNTY ARE LOWER AND POVERTY IS HIGHER THAN STATEWIDE AVERAGES. 44.2% OF THE SERVICE AREA RESIDENTS ARE CONSIDERED TO BE LOW-INCOME (LESS THAN 200% OF THE FEDERAL POVERTY LEVEL) ACCORDING TO THE 2000 CENSUS COMPARED TO 29.5% IN MAINE AS A WHOLE. UNEMPLOYMENT IN AROOSTOOK COUNTY FOR FEBRUARY 2011 WAS 10.1% COMPARED TO 8.5% FOR MAINE AS A WHOLE.WITH RESPECT TO INSURANCE STATUS IN COMPARISON TO THE STATE, MORE SERVICE AREA RESIDENTS ARE COVERED BY MEDICAID AND MEDICARE OR ARE UNINSURED. AT HRH, ALL QUALIFIED PHYSICIANS IN THE COMMUNITY ARE ELIGIBLE FOR MEDICAL STAFF PRIVILEGES AT THE HOSPITAL. NO QUALIFIED PHYSICIANS HAVE BEEN DENIED PRIVILEGES.THE HOSPITAL IS GOVERNED BY A COMMUNITY BOARD WITH BOARD MEMBERS RESIDING IN THE HOSPITAL'S SERVICE AREA. BOARD MEMBERS COME FROM VARIOUS PROFESSIONAL BACKGROUNDS. THE BOARD MEETS A MINIMUM OF TEN TIMES PER YEAR. EACH MEETING STARTS OFF WITH A BOARD EDUCATION SESSION ON TOPICS SUCH AS QUALITY IMPROVEMENT, REIMBURSEMENT METHODOLOGIES, AND REGULATORY REPORTING OR CHANGES.THE HOSPITAL COORDINATES CONTINUING MEDICAL EDUCATION (CME) FOR ITS MEDICAL STAFF. MANY OF THE SESSIONS ARE PERFORMED IN CONJUNCTION WITH THE MONTHLY MEDICAL STAFF MEETINGS AND ARE TOPICS THAT THE MEDICAL STAFF HAS EXPRESSED AN INTEREST IN. THE MAJORITY OF THE SESSIONS ARE SPONSORED BY THE HOSPITAL, HELD IN THE HOSPITAL CONFERENCE ROOMS, AND THE SPEAKERS DONATE THEIR TIME.THE HOSPITAL PROVIDES VARIOUS MEDICAL SCREENING PROGRAMS TO THE COMMUNITY. THE HOSPITAL ALSO HOLDS VARIOUS HEALTH EDUCATION PROGRAMS AND HOSTS SUPPORT GROUPS IN ITS CENTER FOR COMMUNITY HEALTH EDUCATION. X X X false false false false false false false false false false THOMAS MOAKLER 209826 8692 2188 6829 227535 ROBERT MOSENFELDER 235062 1505 2415 10495 249477 RAHILA BILAL 272540 432 2783 10751 286506 PHILIP MCFARLANE MD 204270 990 2004 10495 217759 PEDRO HERNANDEZ MD 250355 1161 2560 9728 263804 MICHAEL NORTHWAY 222397 851 6829 230077 LAKSHMIMALINI GOVINDAN 211613 163 13914 225690 HASSAN E ABOULEISH MD 259213 259213 BRIAN GRIFFIN MD 235897 275 2414 13914 252500 MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTHORITY 2010B 010314384 560427JA5 2010-06-24 3171803 REFINANCE EXISTING DEBT false false MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTHORITY 010314384 5604253L2 2008-11-01 3572529 CONSTRUCTION false false MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTHORITY 010314384 560425QS2 2003-10-16 4606976 REFINANCE EXISTING BOND false false MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTHORITY 010314384 560425469 2006-07-01 1529734 51% CONSTRUCTION, 49% REFINANCING false false MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTHORITY 010314384 560425L40 2007-07-01 2371246 REFINANCE EXISTING DEBT false false 3680810 295081 3339864 938 44927 2010 false false true true 3572529 575156 2604 54116 2928949 2010 false false true true 5120949 384170 4652011 1442 79427 2003 false false true true 1529734 119500 30689 1363375 2006 false false true true 2584832 191153 2346112 2033 38601 2007 false false true true false false false false false false false true false false false 0.07500 0.01000 false false false false false true false false false false false false true false false true false false true FSA 20.0000 true false false false false false true FSA 29.0000 true false false false false false true TRANSAMERICA 33.0000 true false false HOULTON WATER COMPANY PRES IS OFFICER 519974 UTILITY SERVICES false KAREN GALLOP MOTHER OF TREAS 27667 WAGES/EMPLOYMENT false NANCY PUTNAM FNP SISTER OF DIRECTOR 107451 WAGES/EMPLOYMENT false COMMUNITY LIVING ASSOCIATION CEO A DIRECTOR 19350 WASTE COLLECTION SVCS false TERAN CLARK SPOUSE OF PRES 69368 WAGES/EMPLOYMENT false BARBARA MOAKLER SPOUSE OF CEO 55785 WAGES/EMPLOYMENT false HASSAN E ABOULEISH INC DIR 100% OWNER 259213 ED PHYSICIAN false Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available THE BY-LAWS OF HOULTON REGIONAL HOSPITAL ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. Form 990, Part VI, Line 15b Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees WAGES FOR THE CEO AND CFO ARE COMPARED AGAINST THE MHA EXECUTIVE COMPENSATION SURVEY ON A BI-ANNUAL BASIS BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts ANNUALLY, DIRECTORS, OFFICERS, AND KEY EMPLOYEES SHALL COMPLETE A CONFLICT OF INTEREST STATEMENT, IN ACCORDANCE WITH THE HOSPITAL'S CONFLICT OF INTEREST POLICY, DISCLOSING ANY POTENTIAL BUSINESS AND PROFESSIONAL CONFLICTS WHICH MAY ARISE. POTENTIAL CONFLICTS WILL BE REVIEWED ON AN ANNUAL BASIS BY THE BOARD OF DIRECTORS. SHOULD A DIRECTOR ENCOUNTER A SPECIFIC CONFLICT OF INTEREST IN ANY MEETING OF THE BOARD OR A BOARD COMMITTEE, THAT DIRECTOR WILL EXCUSE THEMSELVES FROM THE MEETING, WILL NOT PARTICIPATE IN DISCUSSION OF THE ISSUE AND WILL NOT VOTE. Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: Form 990 Review Process REVIEWED WITH THE BOARD OF DIRECTORS AT A REGULARLY SCHEDULED MEETING. MEDICAL ARTS INC 20 HARTFORD ST HOULTON ME 04730 010456638 PHYSICIAN PRACTICE ME N/A C CORP 645663 14765 1.00000 true false false false false false false false false false false false false false false false false false MEDICAL ARTS INC a 7601