2011-08-09T14:46:00-05:00 2010-09-30 MAINEHEALTH 110 FREE ST PORTLAND ME 041013908 990 2009-10-01 010153960 ST ANDREWS HOSPITAL STAN 2076338413 6 ST ANDREWS LANE BOOTHBAY HARBOR ME 04538 WAYNE PRINTY 2076338413 2011-08-09 false 2011-08-09 2009 2016-02-24 21:20:13Z WAYNE PRINTY CFO 35 MILES STREET DARMARISCOTTA ME 04543 22129978 false X WWW.STANDREWSHEALTHCARE.ORG X 1955 ME - TO ESTABLISH, OPERATE, & MAINTAIN FOR SCIENTIFIC, CHARITABLE, EDUCATIONAL & BENEVOLENT PURPOSES A PUBLIC HOSPITAL, CLINIC, INFIRMARY & RETIREMENT COMMUNITY FOR THE CARE & TREATMENT OF SICK, WOUNDED, INFIRM OR AGED PERSONS, A DOCTOR'S OFFICE BUILDING & A SCHOOL FOR THE EDUCATION & TRAINING OF NURSES, ALL WITHOUT DISCRIMINATION AS TO RACE, COLOR, CREED, NATIONAL ORIGIN, AGE, GENDER, SEXUAL ORIENTATION OR FINANCIAL STATUS. - TO BE OPERATED & MAINTAINED AS A CRITICAL ACCESS HOSPITAL IN ACCORDANCE WITH THE STANDARDS ESTABLISHED FROM TIME TO TIME FOR THE MEDICARE RURAL HOSPITAL FLEXIBILITY PROGRAM. - TO ENCOURAGE & CARRY ON EDUCATIONAL ACTIVITIES PURSUANT TO CONTINUALLY IMPROVING THE QUALITY OF CARE PROVIDED. - TO COOPERATE & PARTICIPATE WITH ALLIED AGENCIES IN ALL ACTIVITIES DESIGNED TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY IN THE AREAS SERVED BY THE HOSPITAL. - THIS CORPORATION SHALL NOT BE CONDUCTED FOR GAIN OR PROFIT, & NO PART OF THE NET EARNINGS SHALL INURE TO THE BENEFIT OF AN 21 16 364 123 193541 -9990 432882 873746 20009273 19204839 -70002 39005 466310 695892 20838463 20813482 0 0 9685620 8756523 0 98158 12116550 11428874 21802170 20185397 -963707 628085 29809466 31255498 15890899 17145091 13918567 14110407 - TO ESTABLISH, OPERATE, & MAINTAIN FOR SCIENTIFIC, CHARITABLE, EDUCATIONAL & BENEVOLENT PURPOSES A PUBLIC HOSPITAL, CLINIC, INFIRMARY & RETIREMENT COMMUNITY FOR THE CARE & TREATMENT OF SICK, WOUNDED, INFIRM OR AGED PERSONS, A DOCTOR'S OFFICE BUILDING & A SCHOOL FOR THE EDUCATION & TRAINING OF NURSES, ALL WITHOUT DISCRIMINATION AS TO RACE, COLOR, CREED, NATIONAL ORIGIN, AGE, GENDER, SEXUAL ORIENTATION OR FINANCIAL STATUS. - TO BE OPERATED & MAINTAINED AS A CRITICAL ACCESS HOSPITAL IN ACCORDANCE WITH THE STANDARDS ESTABLISHED FROM TIME TO TIME FOR THE MEDICARE RURAL HOSPITAL FLEXIBILITY PROGRAM. - TO ENCOURAGE & CARRY ON EDUCATIONAL ACTIVITIES PURSUANT TO CONTINUALLY IMPROVING THE QUALITY OF CARE PROVIDED. - TO COOPERATE & PARTICIPATE WITH ALLIED AGENCIES IN ALL ACTIVITIES DESIGNED TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY IN THE AREAS SERVED BY THE HOSPITAL. - THIS CORPORATION SHALL NOT BE CONDUCTED FOR GAIN OR PROFIT, & NO PART OF THE NET EARNINGS SHALL INURE TO THE BENEFIT OF AN false true 11322463 12922621 ST. ANDREWS HOSPITAL IS A 25 BED CRITICAL ACCESS HOSPITAL. THE HOSPITAL OPERATIONS PROVIDE BOTH ACUTE CARE AND REHABILITATIVE CARE IN ITS INPATIENT SETTING. OUTPATIENT SERVICES INCLUDE EMERGENCY CARE, GENERAL SURGERY, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, CARDIOPULMONARY SERVICES, DIAGNOSTIC IMAGING, LABORATORY, AND PHARMACY. (CONTINUED ON SCHEDULE O) CONTINUED FROM FORM 990, PART III, LINE 4A STATISTICS FOR THE YEAR ENDED SEPTEMBER 30, 2010: PATIENT DAYS: ADULT & CHILDREN:3,085 NURSING FACILITY: 10,751 DISCHARGES: 142 DEPARTMENT AMOUNT STATISTICS OPERATING ROOM 280 PROCEDURES LABORATORY 21,418 TESTS CARDIOPULMONARY 754 PROCEDURES CT SCANS 751 PROCEDURES RADIOLOGY 3,625 PROCEDURES REHABILITATION SERVICES 4,397 VISITS OUTPATIENT DEPARTMENTS: EMERGENCY ROOM 3,334 VISITS FAMILY CARE CENTER 19,637 CHARGES FAMILY CARE CENTER 8,830 VISITS MENTAL HEALTH SERVICES 1,291 CHARGES PLEASE SEE ATTACHED COMMUNITY BENEFITS STATEMENT 1063615 1151446 ST. ANDREWS HOSPITAL INCLUDES PRIMARY CARE SERVICES PROVIDED BY A TEAM OF FOUR PHYSICIANS AND ONE MID-LEVEL, AND ALSO INCLUDES BEHAVIORAL HEALTH SERVICES AT ITS JOHN F. ANDREWS FAMILY CARE CENTER. 3941395 5470793 ST. ANDREWS HOSPITAL OFFERS LONG TERM CARE SERVICES AT ST. ANDREWS VILLAGE COMMUNITY. IT INCLUDES 12 ASSISTED LIVING UNITS, 30 INDEPENDENT LIVING APARTMENTS, 11 DEMENTIA CARE BEDS, ADULT DAY SERVICES, AND 30 LONG-TERM CARE BEDS. STATISTICS FOR THE YEAR: ASSISTED LIVING 3,895 DAYS, INDEPENDENT LIVING 8,809 DAYS, DEMENTIA CARE 3,617 DAYS, AND ADULT DAY SERVICES 875 HOURS. 1884 807 OCCUPATIONAL HEALTH EXPENSES 1,884 AND REVENUE 807. 1884 807 16329357 true true false true false false false false true true false true false false false false false false false false true false false true false false false false false false false false false false false false false true false false false true 39 0 true 364 true true true false false false false false false false false 21 16 false false false false true true true true true false false true true true true true true true true false ME X CHIEF FINANCIAL OFFICER 2076338413 6 ST ANDREWS LANE BOOTHBAY HARBOR ME 04538 MARK FOURRE MD 2.00 X 0 260195 23336 ROBERT MCARTOR MD 2.00 X 0 175070 25735 DANIEL FRIEDLAND MD 2.00 X 0 157144 18069 STEVEN FEDER DO 2.00 X 0 151265 7423 ALAN BARKER MD 2.00 X 4833 128507 6747 PHIL LATHROP 2.00 X 0 0 0 PETER MUNDY 2.00 X 0 0 0 ROBERT CONN 2.00 X 0 0 0 DANIEL PYKETT 2.00 X 0 0 0 BARBARA MITCHELL 2.00 X 0 0 0 CATHERINE GREGG 2.00 X 0 0 0 DAVID TRAHAN 2.00 X 0 0 0 JANE G SMITH 2.00 X 0 0 0 JANE HURD 2.00 X 0 0 0 JEFFREY CURTIS 2.00 X 0 0 0 JAMES HUNT 2.00 X 0 0 0 JOHN PEACOCK 2.00 X 0 0 0 NORMAN HOCHGRAF 2.00 X 0 0 0 PATRICK LYDON 2.00 X 0 0 0 REV DR MARY JO ZIMMERLI 2.00 X 0 0 0 WILLIAM BUTLER 2.00 X 0 0 0 JAMES DONOVAN 15.00 X 0 273039 22541 WAYNE PRINTY 15.00 X 0 180029 19218 CHARLES KIRK 50.00 X 139688 0 16694 PATRICE CARTER 50.00 X 105409 0 13182 MARY DIMASCIO 50.00 X 101919 0 15701 MARGARET PINKHAM X 152225 0 0 STEPHEN COOK MD 50.00 X X 9389 265527 18419 513463 1590776 187065 2 true true false NORDX 102 CAMPUS DRIVE UNIT 18 SCARBOROUGH ME 04074 EXTERNAL SERVIC 330211 ARCADIA PO BOX 673174 DETROIT MI 48267 MEDICAL STAFF 277693 COMPHEALTH INC PO BOX 972670 DALLAS TX 75397 HEALTH PROF 120336 APEX MEDICAL STAFFING AGENCY PO BOX 268 ORRS ISLAND ME 04066 MEDICAL STAFF 102990 4 150859 722887 6299 873746 NET PATIENT REVENUE 623000 19204839 19204839 19204839 87419 87419 15351 15351 15351 15351 1075870 192212 1124784 191712 -48914 500 -48414 -48414 MISCELLANEOUS INCOME 900099 502351 502351 COTTAGE SERVICES 531310 120960 120960 MANAGEMENT FEES 531310 37892 37892 19338 19338 680541 20813482 19658776 193541 87419 4833 4833 6862113 5910498 951615 132780 114377 18403 1233810 1062804 171006 522987 450501 72486 947 947 6401 6401 5799135 3661342 2044389 93404 38692 31872 2734 4086 1499087 1414843 84071 173 658590 643551 15039 69870 52470 17400 595005 594958 47 1327408 1327408 BAD DEBTS 476802 460621 16181 HOSPITAL & PROVIDER TAXES 466174 176179 289995 FOOD 355866 353239 2132 495 MISCELLANEOUS 88365 66006 22359 DUES & SUBSCRIPTIONS 46532 3855 42677 20185397 16329357 3757882 98158 363168 1304876 818415 11271 155100 397489 2471491 2248141 246899 258304 117996 101037 34136640 15157894 20112076 18978746 4923959 6475472 600362 1480162 29809466 31255498 1307687 913912 58433 331087 8192062 7925457 3991378 3837645 2341339 4136990 15890899 17145091 X 12801544 12837313 482920 616234 634103 656860 13918567 14110407 29809466 31255498 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false false false true 6248 6248 false false false false false SCHEDULE C, PART II-B, LINE 1I PORTION OF MEMBERSHIP DUES ATTRIBUTABLE TO LOBBYING ACTIVITIES: LOBBYING PORTION OF MAINE HOSPITAL ASSOCIATION DUES: 3,119 LOBBYING PORTION OF AMERICAN HOSPITAL ASSOCIATION DUES: 1,511 LOBBYING PORTION OF HOME CARE & HOSPICE ALLIANCE DUES: 47 LOBBYING PORTION OF MAINE HEALTH CARE ASSOCIATION: 1,321 LOBBYING PORTION OF AMERICAN HEALTH CARE ASSOCIATION: 249 false false false false false false false 3797878 585966 34289 -15844 4402289 3708727 77640 87588 -62499 -13578 3797878 0.88380 0.11620 true false false 646055 646055 21189083 5973047 15216036 10150200 7709293 2440907 2151302 1475554 675748 18978746 AMOUNTS PAYABLE UNDER REIMB. REGS. 2715240 DUE TO AFFILIATE 955644 DEPOSITS PAYABLE 292156 MALPRATICE INSURANCE RESERVE 96555 ASSET RETIREMENT OBLIGATIONS 42500 OTHER LIABILITIES 34895 4136990 SUPPLEMENTAL FINANCIAL INFORMATION SCHEDULE D, PAGE 4, PART XIV ENDOWMENT FUNDS CONSIST OF A BENEFICIAL INTEREST IN A PERPETUAL TRUST, BOARD DESIGNATED FUNDS, AND BEQUESTS THAT HAVE BEEN VOTED ON BY THE BOARD OF TRUSTEES TO BE UNRESTRICTED ENDOWMENT FUNDS. true true true X 1.75000 true X 2.25000 true true true false true true 413323 413323 0.02050 3464605 2461475 1003130 0.04970 3877928 2461475 1416453 0.07020 9575 9575 0.00050 4357 4357 0.00020 47378 15772 31606 0.00160 3008 3008 0.00010 64318 15772 48546 0.00240 3942246 2477247 1464999 0.07260 4201 4201 0.00020 5000 5000 0.00020 9201 9201 0.00050 false 356042 6494663 6493089 1574 X true true ST ANDREWS HOSPITAL

6 ST ANDREWS LANE BOOTHBAY HARBOR ME 04538

X ST ANDREWS HOSPITAL DBA THE FAMILY CARE CENTER

14 ST ANDREWS LANE BOOTHBAY HARBOR ME 04538

ST ANDREWS HOSPITAL DBA ST ANDREWS VILLAGE

145 EMERY LANE BOOTHBAY HARBOR ME 04538

CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS UTILIZE A COST TO CHARGE RATIO IN DETERMINING THE COST OF THE ACTUAL CHARITY CARE WRITE-OFF. THE COST TO CHARGE RATIO IS DERIVED FROM THE ANNUAL COST REPORT SUBMISSIONS. SUBSIDIZED HEALTH SERVICES INCLUDE SCHOOL BASED HEALTH CENTERS WHERE LINCOLN COUNTY HEALTH CARE, INC. (LCHC) AND ITS SUBSIDIARIES MILES MEMORIAL HOSPITAL (MMH) AND ST. ANDREWS HOSPITAL (SAH) PROVIDE PHYSICIANS OR NURSE PRACTITIONERS TO CONSULT AND PROVIDE SERVICES WITHIN THE SCHOOL. CLINICS ARE ALSO OFFERED THROUGHOUT THE YEAR TO PROVIDE SUBSIDIZED SERVICES SUCH AS MAMMOGRAPHY, BLOOD PRESSURE SCREENINGS, ETC. TO ENCOURAGE ITS RESIDENTS TO OBTAIN THESE HEALTH SERVICES. PHYSICIAN PRACTICES OFFERING SERVICES SUCH AS FAMILY MEDICINE, INTERNAL MEDICINE AND PEDIATRICS OPERATE AT A LOSS IN ORDER TO ENSURE HEALTHCARE FOR ITS COMMUNITY MEMBERS REGARDLESS OF THEIR ABILITY TO PAY. 31,606 OF EXPENSES RELATED TO OUTPATIENT CLINICS ARE INCLUDED IN THE SUBSIDIZED HEALTH SERVICES TOTAL IN PART I, LINE 7G. 476,802 WAS REMOVED FROM TOTAL EXPENSES WHEN CALCULATING THE PERCENT OF TOTAL EXPENSES IN COLUMN (F). THE COMMUNITY BENEFIT REPORT IS CONTAINED WITHIN THE REPORT PREPARED BY LINCOLN COUNTY HEALTH CARE, INC. SEE SCHEDULE O. PART I, LINE 3B ELIGIBILITY FOR FREE OR DISCOUNTED CARE IS BASED ON INCOME CRITERIA AS OUTLINED BELOW: 175% FPL - 100% WRITE-OFF 200% FPL - 75% WRITE-OFF 225% FPL - 50% WRITE-OFF % FEDERAL POVERTY LEVELS (FPL) TAKE INTO ACCOUNT FAMILY SIZE. NO ASSET TEST, OR OTHER CRITERIA IS EVALUATED FOR ELIGIBILITY. THESE LEVELS SURPASS THE MINIMUM STATE REQUIREMENTS FOR FREE CARE ELIGIBILITY AT 150% OF FPL. THE HEALTH NEEDS OF THE COMMUNITY ARE ASSESSED BY: UTILIZING THE MAINE STATE HEALTH PLAN AND ASSESSMENT, COMMUNITY FORUMS, INVOLVEMENT IN COMMUNITY BASED HEALTH STATUS IMPROVEMENT PROGRAMS AND IN CONJUNCTION WITH MAINEHEALTH (OUR HEALTH CARE SYSTEM.) MAINEHEALTH ALSO PARTICIPATES IN VARIOUS INITIATIVES TO HELP SUPPORT AND PROVIDE UPDATES TO COMMUNITY NEEDS ASSESSMENT PLANNING. SOME OF THESE INITIATIVES INCLUDE: CLINICAL STRATEGIC PLANNING, FINANCIAL STRATEGIC PLANNING, FACILITY PLANNING, MANPOWER PLANNING, PHYSICIAN RECRUITMENT STRATEGIC PLANNING, EMERGENCY PREPAREDNESS PLANNING. ALONG WITH THE INTERNAL ASSESSMENTS, MOST MEMBER ORGANIZATIONS ALSO REVIEW AND ACT ON MANY OF THE RECOMMENDATIONS PROVIDED BY EXTERNAL GROUPS SUCH AS THE MAINE CENTER FOR DISEASE CONTROL AND PREVENTION AND THE "STATE HEALTH PLAN" CREATED BY THE ADVISORY COMMITTEE FOR HEALTH SYSTEMS DEVELOPMENT. IN ADDITION, MAINEHEALTH AND ITS PARTNERS IN THE ONEMAINE HEALTH COLLABORATIVE, EASTERN MAINE HEALTH SYSTEM AND MAINEGENERAL HEALTH, RELEASED THE ONEMAINE HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT REPORT IN 2011. THE REPORT IS A COMPREHENSIVE COMPILATION AND ANALYSIS CONTAINING PRIMARY AND SECONDARY HEALTH DATA SOURCES. THE REPORT CONTAINS A HEALTH STATUS PROFILE FOR THE STATE AS A WHOLE AND FOR EACH OF MAINE'S SIXTEEN COUNTIES. THE PRIMARY DATA SOURCE WAS A RANDOMIZED TELEPHONE SURVEY; THE SAMPLING METHODOLOGY WAS DESIGNED TO PERMIT COMPARISONS AT THE COUNTY LEVEL. SECONDARY DATA SOURCES INCLUDE NUMEROUS STATE AND FEDERAL SOURCES. THIS REPORT PROVIDES BASELINE DATA ON HUNDREDS OF HEALTH INDICATORS THAT ARE RELEVANT TO HOSPITALS AND COMMUNITIES TO INFORM PLANNING AND EVALUATION ACTIVITIES. PLANS CALL FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT TO BE REPLICATED EVERY FIVE YEARS. MAINEHEALTH WILL HOLD COMMUNITY FORUMS IN PARTNERSHIP WITH EACH MEMBER AND AFFILIATE HOSPITAL IN ORDER TO INCREASE UNDERSTANDING AND USE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND TO INFORM IDENTIFICATION AND ACTION ON LOCAL, COMMUNITY-BASED HEALTH PRIORITIES. PATIENTS AND OTHER PERSONS WHO ARE BILLED FOR PATIENT CARE ARE INFORMED ABOUT ELIGIBILITY CRITERIA FOR FREE CARE, GOVERNMENTAL ASSISTANCE (I.E. MEDICAID) AND OTHER ASSISTANCE PROGRAMS. SUCH NOTIFICATION IS ACCOMPLISHED IN THE FOLLOWING WAYS: ALL SELF-PAY PATIENTS ARE PROVIDED A PACKET THAT DESCRIBES AVAILABLE PROGRAMS, ELIGIBILITY AND THE APPLICATION PROCESS. NOTIFICATIONS ARE POSTED AT NUMEROUS LOCATIONS THROUGHOUT THE HOSPITAL IN PATIENT CARE AREAS, AS WELL AS THE HOSPITAL ENTRANCE. INPATIENTS WITHOUT INSURANCE RECEIVE FINANCIAL COUNSELING AT WHICH TIME FINANCIAL ASSISTANCE OPPORTUNITIES ARE DISCUSSED. HOSPITAL STAFF WILL ASSIST PATIENTS IN THE APPLICATION PROCESS. PATIENT BILLS AND STATEMENTS PROVIDE A TELEPHONE NUMBER TO CALL FOR INFORMATION ABOUT FINANCIAL ASSISTANCE PROGRAMS AND HELP IN QUALIFYING FOR THEM. OUR SERVICE AREA IS LINCOLN COUNTY, MAINE, WHICH WAS INCORPORATED JUNE 19, 1760. LINCOLN COUNTY CONTAINS 457 SQUARE MILES OF LAND, 451 MILES OF COASTLINE, AND SIX RIVERS. MARINE INTERESTS SUCH AS COMMERCIAL FISHING, LOBSTERING, CLAMMING, EELING, BOAT BUILDING ALONG WITH FORESTRY AND AGRICULTURE CONSTITUTED THE MAJORITY OF OUR EARLY ECONOMIC BASE. IN MORE RECENT TIMES, SERVICE INDUSTRIES AND TOURISM ALSO SERVE AS OUR ECONOMIC BASE. ACCORDING TO 2006-2008 AMERICAN COMMUNITY SURVEY OF THE U.S. CENSUS BUREAU, LINCOLN COUNTY HAS A TOTAL POPULATION OF 34,730. THIS POPULATION ALMOST DOUBLES IN THE SUMMER, AS WE ARE A VERY BUSY TOURIST DESTINATION ON THE COAST. TEN PERCENT OF OUR RESIDENTS ARE BELOW THE POVERTY LEVEL. MAINE HAS THE THIRD HIGHEST PERCENTAGE OF RESIDENTS OVER 65, 15.6% VERSUS 12.9% NATIONALLY. WITHIN MAINE, LINCOLN COUNTY HAS THE HIGHEST PERCENTAGE OF RESIDENTS OVER 65 - 20.0%. LINCOLN COUNTY ALSO HAS A HIGHER MEDIAN AGE (45.6 VS. 36.7) THAN IN THE UNITED STATES. AS COMPARED TO THE UNITED STATES (65.2%), A SMALLER PERCENT OF RESIDENTS AT LEAST 16 YEARS OF AGE ARE IN THE LABOR FORCE (64.2%). ADDITIONALLY, THOUGH NEARLY ALL OF LINCOLN COUNTY RESIDENTS ARE WHITE (98.1%), WE ARE AN ECONOMICALLY POOR COUNTY. THE U.S. DEPARTMENT OF LABOR REPORTS THAT THE WEEKLY WAGE IN LINCOLN COUNTY DURING THE THIRD QUARTER OF 2009 WAS ONLY 542 AS COMPARED TO THE AVERAGE WEEKLY WAGE OF 840 IN THE UNITED STATES. IN FACT, LINCOLN COUNTY HAS THE SECOND LOWEST WEEKLY WAGE OF ALL COUNTIES IN MAINE. THESE POPULATION AND ECONOMIC DATA POINT OUT THE DEPENDENCE OF MILES MEMORIAL HOSPITAL ON MEDICARE AND MEDICAID AND EXPLAIN THE LARGE AMOUNT OF UNCOMPENSATED CARE PROVIDED. ST. ANDREWS HOSPITAL IS A CRITICAL ACCESS HOSPITAL LOCATED IN BOOTHBAY HARBOR. IT IS THE ONLY OTHER HOSPITAL IN LINCOLN COUNTY. THE PROVISION OF CARE TO LINCOLN COUNTY RESIDENTS IS COORDINATED BETWEEN MILES AND ST. ANDREWS AND THEY SHARE COMMON GOVERNANCE, MANAGEMENT AND ADMINISTRATIVE SERVICES IN A EFFORT TO CONTROL COSTS. PORTIONS OF LINCOLN COUNTY HAVE BEEN DESIGNATED AS MEDICALLY UNDERSERVED. LINCOLN COUNTY HEALTHCARE, INC. AND ITS SUBSIDIARY HOSPITAL ORGANIZATIONS MILES MEMORIAL HOSPITAL AND ST. ANDREWS HOSPITAL PARTNER WITH VARIOUS COMMUNITY GROUPS SUCH AS THE LINCOLN COUNTY ABUSE TASK FORCE AND THE DOMESTIC ABUSE PREVENTION COUNCIL TO IMPROVE AND PROTECT THE HEALTH OF ITS COMMUNITY MEMBERS. MEALS ARE PREPARED BY ITS STAFF AS PART OF THE LOCAL MEALS ON WHEELS PROGRAMS WHICH DELIVERS MEALS TO THE ELDERLY POPULATION TO ASSIST WITH THEIR NUTRITIONAL NEEDS. LCHC PARTICIPATES IN THE COMMUNITY DISASTER TRAINING HELD ON A REGULAR BASIS THROUGHOUT THE COUNTY. THE TAX EXEMPT PURPOSE OF THE ORGANIZATION TO IMPROVE THE HEALTH OF THE COMMUNITY IS PROMOTED AND ENHANCED IN THE FOLLOWING WAYS: THE MAJORITY OF THE GOVERNING BODY IS COMPOSED OF PERSONS LIVING WITHIN THE HOSPITAL SERVICE AREA THAT ARE NEITHER EMPLOYED BY NOR HAVE CONTRACTUAL RELATIONSHIPS WITH, THE HOSPITAL OR ITS AFFILIATES. MEDICAL STAFF PRIVILEGES ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. SOLICITATION OF COMMUNITY INPUT IN THE STRATEGIC PLANNING PROCESS. COMMON GOVERNANCE OF THE HOSPITALS, LONG-TERM CARE, HOME HEALTH, HOSPICE AND PHYSICIAN SERVICES PROVIDED IN THE COUNTY TO PROMOTE COMMON HEALTH CARE AND IMPROVEMENT PLANNING AND CONTROL COSTS. VOLUNTARY CAP ON INCOME FROM OPERATIONS TO RESTRAIN PRICES AND TO FUND HEALTH CARE AND HEALTH IMPROVEMENT ACTIVITIES. SURPLUS FUNDS ARE REINVESTED IN CAPITAL EQUIPMENT AND IMPROVEMENTS TO ENSURE HIGH QUALITY CARE. EACH YEAR A PORTION OF RETAINED EARNINGS ARE DISTRIBUTED TO OUR PARENT, MAINEHEALTH, FOR THE SPECIFIC PURPOSE OF HEALTH STATUS IMPROVEMENT PROGRAMS THROUGHOUT THE MAINEHEALTH SERVICE AREA. THE HOSPITAL IS PART OF LINCOLN COUNTY HEALTH CARE, INC. WHICH INCLUDES THE FOLLOWING SERVICES PROVIDED IN LINCOLN COUNTY: A CRITICAL ACCESS HOSPITAL, A SOLE COMMUNITY PROVIDER HOSPITAL, TWO NURSING FACILITIES, TWO ASSISTED LIVING FACILITIES, TWO DEMENTIA CARE FACILITIES, RURAL HEALTH CLINICS AT SEVERAL SITES, GENERAL SURGERY PRACTICE, ORTHOPEDIC SURGERY PRACTICE, OB/GYN PHYSICIAN PRACTICE, PEDIATRICS, HOME HEALTH CARE AND HOSPICE. LINCOLN COUNTY HEALTH CARE (LCHC), IN TURN, IS PART OF THE MAINEHEALTH SYSTEM. THE ABILITY TO IMPROVE HEALTH CARE AND THE HEALTH STATUS IN LINCOLN COUNTY IS ENHANCED BY THE COMMON GOVERNANCE, MANAGEMENT AND ADMINISTRATION OF THESE DIVERSE HEALTH CARE SERVICES. THE SYSTEM'S COORDINATED APPROACH TO THE FOLLOWING, ENHANCES THE RESOURCES THAT CAN BE ALLOCATED TO DIRECT PATIENT CARE AND HEALTH STATUS IMPROVEMENT: ACCOUNTING, ANALYSIS AND BUDGETING; PATIENT BILLING; MEDICAL RECORDS; SUPPLY CHAIN MANAGEMENT/PURCHASING; HUMAN RESOURCES; INFORMATION SERVICES; MEDICAL STAFF; EDUCATION (COMMUNITY & STAFF; SHARED CLINICAL DEPARTMENT MANAGEMENT (HOSPITALS). THE SYSTEM APPROACH PROVIDES A MORE "HOLISTIC" APPROACH TO COMMUNITY NEEDS ASSESSMENT AND TO THE IMPLEMENTATION OF PROGRAMS TO IMPROVE COMMUNITY HEALTH. STRATEGIC PLANNING AND BUDGETING CAN BETTER ALLOCATE RESOURCES ACROSS THE SPECTRUM OF CARE TO ACHIEVE BETTER OVERALL OUTCOMES. MAINEHEALTH IS A NOT-FOR-PROFIT FAMILY OF LEADING HIGH-QUALITY PROVIDERS AND OTHER HEALTHCARE ORGANIZATIONS WORKING TOGETHER SO THEIR COMMUNITIES ARE THE HEALTHIEST IN AMERICA. RANKED AMONG THE NATIONS TOP 100 INTEGRATED HEALTHCARE DELIVERY NETWORKS, MAINEHEALTH IS GOVERNED BY A BOARD OF TRUSTEES CONSISTING OF COMMUNITY AND BUSINESS LEADERS FROM ITS SOUTHERN, CENTRAL AND WESTERN MAINE REGIONAL SERVICE AREAS. THE COLLABORATION OF MAINEHEALTH MEMBERS MAKES IT POSSIBLE TO OFFER AN EXTENSIVE RANGE OF CLINICAL INTEGRATION AND COMMUNITY HEALTH PROGRAMS, MANY AIMED AT IMPROVING ACCESS TO PREVENTIVE AND PRIMARY CARE SERVICES. MAINEHEALTH INCLUDES THE FOLLOWING MEMBER ORGANIZATIONS: LINCOLN COUNTY HEALTH CARE (MILES MEMORIAL HOSPITAL AND ST. ANDREWS HOSPITAL), MAINE MEDICAL CENTER, MAINE MENTAL HEALTH PARTNERS (SPRING HARBOR HOSPITAL), PEN BAY HEALTHCARE (PEN BAY MEDICAL CENTER), SOUTHERN MAINE MEDICAL CENTER, WALDO COUNTY HEALTHCARE (WALDO COUNTY GENERAL HOSPITAL), WESTERN MAINE HEALTHCARE (STEPHENS MEMORIAL HOSPITAL), HOMEHEALTH VISITING NURSES, MAINE PHYSICIAN HOSPITAL ORGANIZATION, NORDX, AND SYNERNET. AFFILIATES OF MAINEHEALTH INCLUDE MAINEGENERAL MEDICAL CENTER, MID COAST HOSPITAL, NEW ENGLAND REHABILITATION HOSPITAL, AND ST. MARY'S REGIONAL MEDICAL CENTER. ME X X X X true false false false false false false false false MARK FOURRE MD 260195 7963 15373 283531 ROBERT MCARTOR MD 151411 23659 3591 22144 200805 DANIEL FRIEDLAND MD 157144 5360 12709 175213 STEVEN FEDER DO 151265 4740 2683 158688 JAMES DONOVAN 223039 40000 10000 7963 14578 295580 WAYNE PRINTY 167272 12757 5599 13619 199247 CHARLES KIRK 129488 10200 3602 13092 156382 MARGARET PINKHAM 152225 152225 STEPHEN COOK MD 9389 265527 7963 10456 9389 283946 SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SCHEDULE J, PAGE 1, PART I, LINE 4 MARGARET PINKHAM 152,225 0 0 ORGANIZATION'S MISSION FORM 990 - ORGANIZATION'S MISSION - TO ESTABLISH, OPERATE, & MAINTAIN FOR SCIENTIFIC, CHARITABLE, EDUCATIONAL & BENEVOLENT PURPOSES A PUBLIC HOSPITAL, CLINIC, INFIRMARY & RETIREMENT COMMUNITY FOR THE CARE & TREATMENT OF SICK, WOUNDED, INFIRM OR AGED PERSONS, A DOCTOR'S OFFICE BUILDING & A SCHOOL FOR THE EDUCATION & TRAINING OF NURSES, ALL WITHOUT DISCRIMINATION AS TO RACE, COLOR, CREED, NATIONAL ORIGIN, AGE, GENDER, SEXUAL ORIENTATION OR FINANCIAL STATUS. - TO BE OPERATED & MAINTAINED AS A CRITICAL ACCESS HOSPITAL IN ACCORDANCE WITH THE STANDARDS ESTABLISHED FROM TIME TO TIME FOR THE MEDICARE RURAL HOSPITAL FLEXIBILITY PROGRAM. - TO ENCOURAGE & CARRY ON EDUCATIONAL ACTIVITIES PURSUANT TO CONTINUALLY IMPROVING THE QUALITY OF CARE PROVIDED. - TO COOPERATE & PARTICIPATE WITH ALLIED AGENCIES IN ALL ACTIVITIES DESIGNED TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY IN THE AREAS SERVED BY THE HOSPITAL. - THIS CORPORATION SHALL NOT BE CONDUCTED FOR GAIN OR PROFIT, & NO PART OF THE NET EARNINGS SHALL INURE TO THE BENEFIT OF ANY MEMBER. ANY SIGNIFICANT CHANGES IN CONDUCT FOR PROGRAM SERVICES FORM 990, PAGE 2, PART III, LINE 3 PHYSICIAN SERVICES WERE MOVED FROM ST. ANDREWS HOSPITAL TO MILES MEMORIAL HOSPITAL ON JUNE 30, 2010. MILES MEMORIAL HOSPITAL IS A "SISTER" ORGANIZATION TO ST. ANDREWS HOSPITAL. FIRST ACHIEVEMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4A CONTINUED FROM FORM 990, PART III, LINE 4A STATISTICS FOR THE YEAR ENDED SEPTEMBER 30, 2010: PATIENT DAYS: ADULT & CHILDREN:3,085 NURSING FACILITY: 10,751 DISCHARGES: 142 DEPARTMENT AMOUNT STATISTICS OPERATING ROOM 280 PROCEDURES LABORATORY 21,418 TESTS CARDIOPULMONARY 754 PROCEDURES CT SCANS 751 PROCEDURES RADIOLOGY 3,625 PROCEDURES REHABILITATION SERVICES 4,397 VISITS OUTPATIENT DEPARTMENTS: EMERGENCY ROOM 3,334 VISITS FAMILY CARE CENTER 19,637 CHARGES FAMILY CARE CENTER 8,830 VISITS MENTAL HEALTH SERVICES 1,291 CHARGES PLEASE SEE ATTACHED COMMUNITY BENEFITS STATEMENT ALL OTHER ACHIEVEMENTS DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4D OCCUPATIONAL HEALTH EXPENSES 1,884 AND REVENUE 807. CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PAGE 6, PART VI, LINE 6 ST. ANDREWS HOSPITAL AND MILES MEMORIAL HOSPITAL SHARE LINCOLN COUNTY HEALTHCARE, INC. (LCHC) AS THEIR SOLE CORPORATE MEMBER. MAINEHEALTH (EIN 01-0431680), AS THE SOLE MEMBER OF LCHC, HAS THE RIGHT TO APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BODY OF LCHC AND ITS SUBSIDIARIES. ELECTION OF MEMBERS AND THEIR RIGHTS FORM 990, PAGE 6, PART VI, LINE 7A THE MEMBER ELECTS THE BOARD OF TRUSTEES. ALL OFFICERS OF THE BOARD OF TRUSTEES ARE ELECTED BY THE BOARD, AND EACH MUST BE A TRUSTEE. OFFICERS OF THE CORPORATION ARE ELECTED ANNUALLY BY THE BOARD. 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 CEO AMONG OTHER DECISIONS, ARE SUBJECT TO APPROVAL BY LINCOLN COUNTY HEALTHCARE, INC. AND MAINEHEALTH. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11 EDUCATION WAS PROVIDED TO THE FINANCE COMMITTEE CONCERNING THE REVISED IRS FORM 990. THE FINANCE COMMITTEE PERFORMS A DETAILED REVIEW OF THE FORM 990. THE FORM 990 IS THEN MADE AVAILABLE TO THE FULL BOARD. THE CHIEF FINANCIAL OFFICER ALSO PERFORMS A DETAILED REVIEW OF THE ENTIRE FORM 990 BEFORE SIGNING AND PRIOR TO FILING. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON THE PART OF A TRUSTEE, PHYSICIAN, OFFICER OR MANAGER (E.G., A MEMBER OF LINCOLN COUNTY HEALTHCARE LEADERSHIP TEAM, DIRECTOR, MANAGER OR PERSON RESPONSIBLE FOR PURCHASING) MUST BE DISCLOSED TO THE APPLICABLE BOARD, BOARD COMMITTEE OR, IN THE CASE OF AN ADMINISTRATIVE DECISION THAT IS NOT SUBJECT TO BOARD OR COMMITTEE APPROVAL, TO THE MANAGER'S IMMEDIATE SUPERVISOR. SUCH DISCLOSURES SHALL BE MADE A MATTER OF RECORD. DISCLOSURE WILL BE MADE AT THE TIME OF INITIAL AFFILIATION WITH LINCOLN COUNTY HEALTHCARE ANNUALLY AND WHEN THE INTEREST BECOMES A MATTER FOR BOARD OR COMMITTEE ACTION OR ADMINISTRATIVE DECISION. DISCLOSURE FORMS SHALL BE COMPLETED ANNUALLY BY TRUSTEES AND OFFICERS AT THE TIME OF THE ANNUAL MEETING, AND ANNUALLY BY VICE PRESIDENTS, DIRECTORS, AND MANAGERS IN CONJUNCTION WITH THEIR ANNUAL PERFORMANCE REVIEW. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A IN CONSULTATION WITH TOWERS PERRIN, THE MAINEHEALTH EXECUTIVE COMMITTEE ESTABLISHES APPROPRIATE COMPENSATION PARAMETERS FOR EACH MEMBER ORGANIZATION'S CEO AND CERTAIN MEMBERS OF THEIR SENIOR MANAGEMENT TEAM. WORKING WITHIN THOSE PARAMETERS, THE LCHC COMPENSATION COMMITTEE 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. THIS "TOTAL EXECUTIVE COMPENSATION" IS FILED PUBLICLY BY THE ORGANIZATION, AND INCLUDES "TOTAL CASH COMPENSATION" AND "TOTAL VALUE OF ALL BENEFITS AND PERQUISITES ASSOCIATED WITH POSITION (SUCH AS HOUSING ALLOWANCES, SOCIAL CLUB MEMBERSHIPS, SIGNING BONUSES, ETC.)". THE BOARD TAKES NECESSARY ACTION TO PREVENT THE CEO FROM VOTING OR DIRECTLY PARTICIPATING IN THE FINAL COMMITTEE DETERMINATION OF (HER/HIS) OWN COMPENSATION. THE ORGANIZATION'S EXECUTIVE COMPENSATION PROCEDURE RELIES UPON APPROPRIATE DATA FOR COMPARABILITY (E.G. COMPENSATION LEVELS PAID BY BOTH TAXABLE AND TAX-EXEMPT SIMILARLY SITUATED ORGANIZATIONS AND INDEPENDENT COMPENSATION SURVEYS BY NATIONALLY RECOGNIZED INDEPENDENT FIRMS). FINALLY, THE ORGANIZATION REFRAINS FROM ALLOWING EXECUTIVE COMPENSATION TO EVER BE BASED SOLELY ON LCHC'S REVENUES OR OTHER SIMILAR PROFIT-SHARING STRATEGIES. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B IN CONSULTATION WITH TOWERS PERRIN, THE MAINEHEALTH EXECUTIVE COMMITTEE ESTABLISHES APPROPRIATE COMPENSATION PARAMETERS FOR EACH MEMBER ORGANIZATION'S CEO AND CERTAIN MEMBERS OF THEIR SENIOR MANAGEMENT TEAM. WORKING WITHIN THOSE PARAMETERS, THE LCHC COMPENSATION COMMITTEE 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. THIS "TOTAL EXECUTIVE COMPENSATION" IS FILED PUBLICLY BY THE ORGANIZATION, AND INCLUDES "TOTAL CASH COMPENSATION" AND "TOTAL VALUE OF ALL BENEFITS AND PERQUISITES ASSOCIATED WITH POSITION (SUCH AS HOUSING ALLOWANCES, SOCIAL CLUB MEMBERSHIPS, SIGNING BONUSES, ETC.)". THE BOARD TAKES NECESSARY ACTION TO PREVENT THE CEO FROM VOTING OR DIRECTLY PARTICIPATING IN THE FINAL COMMITTEE DETERMINATION OF (HER/HIS) OWN COMPENSATION. THE ORGANIZATION'S EXECUTIVE COMPENSATION PROCEDURE RELIES UPON APPROPRIATE DATA FOR COMPARABILITY (E.G. COMPENSATION LEVELS PAID BY BOTH TAXABLE AND TAX-EXEMPT SIMILARLY SITUATED ORGANIZATIONS AND INDEPENDENT COMPENSATION SURVEYS BY NATIONALLY RECOGNIZED INDEPENDENT FIRMS). FINALLY, THE ORGANIZATION REFRAINS FROM ALLOWING EXECUTIVE COMPENSATION TO EVER BE BASED SOLELY ON LCHC'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. ADDITIONAL INFORMATION SCHEDULE O FORM 990, SCHEDULE R, PART II, COLUMN D, EXEMPT CODE SECTION -LINCOLN COUNTY MEDICAL GROUP HAS APPLIED FOR PUBLIC CHARITY TAX-EXEMPT STATUS WITHIN THE DUE DATE REQUIRED TO RECEIVE IRS APPROVAL RETROACTIVE TO THE LEGAL DATE OF FORMATION. FORM 990, PART XI, LINE 2A, FINANCIAL STATEMENTS AND REPORTING THE FINANCIAL RESULTS OF THE ORGANIZATION WERE PART OF A CONSOLIDATED FINANCIAL STATEMENT AUDIT PREPARED FOR LINCOLN COUNTY HEALTHCARE, INC. (EIN 26-1475629) AND ITS SUBSIDIARIES. LINCOLN COUNTY MEDICAL GROUP 6 ST ANDREWS LANE BOOTHBAY HARBOR ME 04538 263878235 PHYS SVC ME 501 3 NA LINCOLN COUNTY HEALTH CARE INC 6 ST ANDREWS LANE BOOTHBAY HARBOR ME 04538 261475629 HEALTH SVC ME 501 11C NA MILES MEMORIAL HOSPITAL 35 MILES STREET DAMARISCOTTA ME 04543 010211796 HOSP SVC ME 501 3 NA COVES EDGE INC 26 SCHOONER STREET DAMARISCOTTA ME 04543 010382340 LT CARE SV ME 501 3 NA MAINEHEALTH 110 FREE STREET PORTLAND ME 04101 010431680 HEALTHCARE ME 501 11C NA false false false false false true false true true false false true true true true true true true