2011-08-02T09:34:56-05:00 2010-09-30 MAINEHEALTH 110 FREE ST PORTLAND ME 041013908 990 2009-10-01 010177170 WALDO COUNTY GENERAL HOSPITAL WALD 2073382500 118 NORTHPORT AVENUE BELFAST ME 04915 LINDA B DRINKWATER 2073382500 2011-07-27 false 2011-08-02 2009 2016-02-24 21:20:13Z LINDA B DRINKWATER PO BOX 287 BELFAST ME 04915 73243856 false X WWW.WCHI.COM X 1901 ME WALDO COUNTY GENERAL HOSPITAL'S MISSION IS TO BE THE BEST - BETTER, EMPATHY, SERVICE AND TEAMWORK. OUR GOAL IS TO ENSURE QUALITY, ACCESSIBLE AND AFFORDABLE HEALTH CARE SERVICES AND TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY. 14 12 639 191 0 230786 517278 61722276 64606145 130755 1140541 1431046 1277559 63514863 67541523 15088 20615 0 35584048 37281642 0 0 25367547 25483388 60966683 62785645 2548180 4755878 71013550 82473154 14999222 20633231 56014328 61839923 WALDO COUNTY GENERAL HOSPITAL'S MISSION IS TO BE THE BEST - BETTER, EMPATHY, SERVICE AND TEAMWORK. OUR GOAL IS TO ENSURE QUALITY, ACCESSIBLE AND AFFORDABLE HEALTH CARE SERVICES AND TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY. false false 45737278 20615 58082249 WALDO COUNTY GENERAL HOSPITAL PROVIDES QUALITY AND AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH AND WELL BEING OF THE COMMUNITIES IT SERVES, REGARDLESS OF THE PATIENT'S ABILITY TO PAY. A BROAD SPECTRUM OF SERVICES ARE PROVIDED INCLUDING HOSPITAL ACUTE INPATIENT CARE; ANCILLARY OUTPATIENT DIAGNOSTIC SERVICES INCLUDING LABORATORY AND RADIOLOGY; THERAPEUTIC SERVICES INCLUDING PHYSICAL THERAPY, SPEECH, AUDIOLOGY, SLEEP, AND RESPIRATORY THERAPY; ONCOLOGY CLINICS; EMERGENCY SERVICES; INPATIENT HOSPITALIST CARE, INPATIENT HOSPICE; AND SURGICAL INPATIENT AND OUTPATIENT SERVICES. THE HOSPITAL PROVIDED 4,940 DAYS OF ADULT AND NEWBORN INPATIENT CARE, AND 69,661 OUTPATIENT VISITS INCLUDING 506,399 OUTPATIENT PROCEDURES AND EXAMS. (CONTINUED ON SCHEDULE O) CONTINUED FROM FORM 990, PART I, LINE 1 AND PART III, LINE 1 OUR MISSION IS TO BE THE BEST - BETTER, EMPATHY, SERVICE AND TEAMWORK - PRINCIPLES THAT GUIDE STAFF MEMBERS IN THEIR INTERACTIONS WITH PATIENTS, PATIENT FAMILIES AND COWORKERS. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF WALDO COUNTY GENERAL HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. WE PROVIDE QUALITY CARE TO ALL PATIENTS, REGARDLESS OF THE INABILITY TO PAY. WALDO COUNTY GENERAL HOSPITAL OFFERS MANY FREE OR LOW COST HEALTH SERVICES, INCLUDING: CASE MANAGEMENT OF CHRONIC DISEASES, FAMILY WELLNESS FAIRS, EXERCISE AND FITNESS CLASSES, BLOOD PRESSURE CLINICS, IMMUNIZATIONS, HEALTH INFORMATION LIBRARY, WOMEN HEALTHCARE CONFERENCES, MAMMOGRAMS, HEALTH INFORMATION LIBRARY, ONCOLOGY PATIENT ASSISTANCE FUNDING AND SUPPORT GROUPS. MANY OF THE COMMUNITY-BUILDING ACTIVITIES WE OFFER INCLUDE: COMMUNITY-WIDE EMERGENCY PREPAREDNESS PLANNING AND DRILLS, BOOKS FOR BABES AND RAISING READERS PROGRAMS, HOSPITAL TOURS FOR SECOND GRADERS, COMMUNITY NEWSLETTERS, BABY FAIRS, AMERICAN RED CROSS BLOOD DRIVE SPONSORSHIPS, ETC. OUR CHARITABLE GIVING HAS REACHED TO THE FOLLOWING COMMUNITY ORGANIZATIONS: ACTIVE OLDER ADULTS, BELFAST AREA CHAMBER OF COMMERCE, BELFAST ROTARY, BOY SCOUTS OF AMERICA, HABITAT FOR HUMANITY, SPURWINK HUMANITARIAN EVENT, STOCK THE SHELVES FOOD CHALLENGE, TOYS FOR TOTS, WALDO COUNTY ONCOLOGY WALK AND YMCA HEALTHY KIDS DAY. PLEASE SEE THE ATTACHED COMMUNITY BENEFITS STATEMENT. 5124142 4743075 WALDO COUNTY GENERAL HOSPITAL EMPLOYS MANY HOSPITAL-BASED PHYSICIANS AND PROVIDES THE FOLLOWING SPECTRUM OF PHYSICIAN PATIENT CARE SERVICES: FAMILY MEDICINE, GENERAL SURGERY, INTERNAL MEDICINE, ORTHOPEDICS, NEUROLOGY, OB/GYN, PODIATRY, CARDIOLOGY, UROLOGY, PULMONOLOGY, OTOLARYNGOLOGY AND ONCOLOGY. OUR PHYSICIANS PROVIDED CARE TO PATIENTS DURING 25,171 PHYSICIAN-OFFICE PATIENT VISITS. 2048578 1780821 WALDO COUNTY GENERAL HOSPITAL OFFERS THE COMMUNITY IT SERVES FIVE HEALTH CENTERS: ARTHUR JEWELL COMMUNITY HEALTH CENTER, STOCKTON SPRINGS REGIONAL HEALTH CENTER, DONALD S. WALKER HEALTH CENTER, LINCOLNVILLE REGIONAL HEALTH CENTER AND SEARSPORT HEALTH CENTER. WE PROVIDED HEALTHCARE SERVICES TO PATIENTS DURING 19,759 HEALTH CENTER VISITS. 52909998 true true false true false false false false true true true true false false false false false false false false true false true true false false false false false false false false false false false false false true false false false true 113 0 639 true false false false false false false false false false false false 14 12 false false false false true true true true true false false true true true true true true true true false ME X LINDA B DRINKWATER 2073382500 118 NORTHPORT AVENUE BELFAST ME 04915 D KENT CLARK MD 40.00 X 324224 0 23196 ANN HOOPER 40.00 X 127274 0 14620 JENNESS ROBBINS 1.00 X X 0 0 0 PETER D HADDOCK 1.00 X 0 0 0 JOHN D WORTH III 1.00 X X 0 0 0 FRANK MORONG 1.00 X X 0 0 0 DALE KUHNERT 1.00 X X 0 0 0 GREGOR DAVENS 1.00 X 0 0 0 WAYNE HAMILTON 1.00 X 0 0 0 LEE WOODWARD JR 1.00 X 0 0 0 REP JANE CROSBY GILES 1.00 X 0 0 0 SENATOR CAROL WESTON 1.00 X 0 0 0 JAMES PATTERSON EDD 1.00 X 0 0 0 JAMES C DELEHANTY MD 1.00 X 0 0 0 DAVID TASSONI 1.00 X 0 0 0 MARK BISCONE 40.00 X 262675 81061 25764 LINDA DRINKWATER 40.00 X 186585 0 8639 RICHARD BOWER MD 40.00 X 398253 0 17042 DENNIS DESILVEY MD 32.00 X 378970 0 24301 TERRANCE SMITH MD 40.00 X 347451 0 31223 OWEN NELSON MD 32.00 X 343483 0 5292 JOHN GAGE MD 40.00 X 341746 0 29718 GORDON TIBBETTS 40.00 X 201212 0 13919 2911873 81061 193714 43 true true false SHERIDAN CORPORATION PO BOX 359 FAIRFIELD ME 04937 CONSTRUCTION 322634 VISTA STAFFING SOLUTIONS FILE 50834 LOS ANGELES CA 900740834 MED. STAFFING 271548 WEATHERBY LOCUMS PO BOX 972633 DALLAS TX 75397 MED. STAFFING 246351 BAKER NEWMAN NOYES 280 FORE STREET PO BOX 507 PORTLAND ME 04112 AUDITING 187244 MAINE GROUP PO BOX 569 BELFAST ME 04915 ARCHITECTURE 151739 5 2100 357909 157269 517278 NET PATIENT SERVICE REVENUE 623000 64606145 64606145 64606145 1120118 1120118 183817 183817 183817 183817 5704756 18000 5696779 5554 7977 12446 20423 20423 MISCELLANEOUS REVENUE 606238 606238 CAFETERIA REVENUE 247216 247216 MANAGEMENT FEE REVENUE 240288 240288 1093742 67541523 65883704 1140541 20615 20615 972977 256543 716434 215131 215131 29294057 25396213 3897844 640558 538640 101918 4188264 3527106 661158 1970655 1657108 313547 397107 397107 2987 2987 204271 204271 4073887 3586558 487329 728 728 8731336 8387860 343476 969397 389256 580141 1337990 1125105 212885 24619 24619 150697 116202 34495 364265 306347 57918 3068924 2580965 487959 879936 360100 519836 PROVISION FOR BAD DEBTS 3245250 3245250 STATE OF ME HOSPITAL TAX 1019239 1019239 MISCELLANEOUS EXPENSES 1012755 372272 640483 62785645 52909998 9875647 0 3515 3685 6185646 3095209 4741366 4811411 1779735 1876650 616905 623333 54765521 31394566 22104062 23370955 20109997 28355005 155634 152653 15316690 20184253 71013550 82473154 6865835 7089585 7257367 7018289 876020 6525357 14999222 20633231 X 43186589 48545647 1418917 1546298 11408822 11747978 56014328 61839923 71013550 82473154 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 5043 5043 false false false false false SCHEDULE C, PART II-B, LINE 1I PERCENTAGE OF ANNUAL MAINE HOSPITAL ASSOCIATION DUES ALLOCATED TOWARDS LOBBYING EXPENSES: 5,043. false false false false false false false 697111 14173 -64458 646826 606116 106512 -15517 697111 1.00000 true false false 230009 230009 27201819 10920393 16281426 25636168 19663424 5972744 1697525 810749 886776 23370955 BENEFICIAL INTERESTS IN PERP TRUST 11335427 ASSETS LIMITED TO USE - INVEST DEPR 3634078 THIRD PARTY SETTLEMENTS 2900000 BENEFICIAL INTERESTS IN CHARIT TRUST 1085466 SUNDRY RECEIVABLES 1052776 OTHER CURRENT ASSETS 91837 DEFERRED FINANCING FEES 84669 20184253 DUE TO THIRD PARTIES 5285103 OTHER L/T LIABILITES 630000 CAPITALIZED LEASE 610254 6525357 67541523 62785645 4755878 1119287 -49570 1069717 5825595 68251231 1119287 -49570 1069717 67181514 360009 360009 67541523 62425636 62425636 360009 360009 62785645 INTENDED USES FOR ENDOWMENT FUNDS SCHEDULE D, PAGE 2, PART V, LINE 4 TWO OF THE ENDOWMENT FUNDS ARE INTENDED FOR THE EARNINGS TO BE USED IN THE GENERAL OPERATIONS OF THE HOSPITAL. OTHERS ARE INTENDED FOR THE EMERGENCY DEPARTMENT, INPATIENT HOSPICE, CANCER PATIENTS, CRIPPLED CHILDREN, AND NEEDY RESIDENTS. RECONCILIATION OF CHANGES - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 8 GAIN ON PERPETUAL AND CHARITABLE TRUSTS 486,121 EQUITY TRANSFERS TO AFFILIATES -535,691 GRANT REVENUE -360,009 GRANT EXPENSES 360,009 REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 2D GAIN ON PERPETUAL AND CHARITABLE TRUSTS 486,121 EQUITY TRANSFERS TO AFFILIATES -535,691 REVENUE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 4B GRANT REVENUE 360,009 EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XIII, LINE 4B GRANT EXPENSES 360,009 true true true X false true true true false true true 1781100 1781100 0.02990 11717717 10414539 1303178 0.02190 13498817 10414539 3084278 0.05180 194553 23728 170825 0.00290 10210 10210 0.00020 9062733 6191104 2871629 0.04820 9267496 6214832 3052664 0.05130 22766313 16629371 6136942 0.10310 true 2077609 18361437 18505571 -144134 true true WALDO COUNTY GENERAL HOSPITAL

118 NORTHPORT AVENUE BELFAST ME 04915

X X ARTHUR JEWELL COMMUNITY HEALTH CTR

55 REYNOLDS ROAD BROOKS ME 04921

DONALD S WALKER HEALTH CENTER

43 WEST MAIN STREET LIBERTY ME 04949

LINCOLNVILLE HEALTH CENTER

2399 ATLANTIC HIGHWAY LINCONVILLE ME 04849

SEARSPORT HEALTH CENTER

37 MORTLAND ROAD SEARSPORT ME 04974

STOCKTON SPRINGS REG HEALTH CENTER

11 CAPE JELLISON ROAD STOCKTON SPRINGS ME 04981

THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE WORKSHEETS PROVIDED IN THE SCHEDULE H INSTRUCTIONS. THE COST-TO-CHARGE RATIO WAS USED AS THE COSTING METHODOLOGY AND WAS ALSO CALCULATED USING WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS. PHYSICIAN CLINIC COSTS WERE INCLUDED AS SUBSIDIZED HEALTH SERVICES IN THE AMOUNT OF 9,420,868. THE AMOUNT OF BAD DEBTS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) IS 3,245,250. THE ORGANIZATION USES A COST-TO-CHARGE RATIO METHODOLOGY. THE AMOUNT REPORTED ON PART III, LINE 2 WAS DETERMINED USING WORKSHEET A, PROVIDED IN THE SCHEDULE H INSTRUCTIONS. DISCOUNTS PROVIDED TO PATIENTS ARE NOT INCLUDED IN BAD DEBT EXPENSE. AN AMOUNT THAT COULD BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY, IF SUFFICIENT INFORMATION HAD BEEN AVAILABLE TO MAKE A DETERMINATION OF THEIR ELIGIBILITY COULD NOT BE REASONABLE DETERMINED. PART III, LINE 4 - BAD DEBT FOOTNOTE IN THE ORGANIZATION'S FINANCIAL STATEMENTS CHARGES FOR SERVICES RENDERED TO INDIVIDUALS FROM WHOM PAYMENT IS EXPECTED AND ULTIMATELY NOT RECEIVED ARE WRITTEN OFF AND INCLUDED IN EXPENSES AS PART OF THE PROVISION FOR BAD DEBTS. BAD DEBT EXPENSE REPRESENTS HEALTHCARE SERVICES WALDO COUNTY GENERAL HOSPITAL HAS PROVIDED WITHOUT COMPENSATION. AS A TAX-EXEMPT HOSPITAL, WALDO COUNTY GENERAL HOSPITAL PROVIDES NECESSARY PATIENT CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THE SERVICES. A PORTION OF THE 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. WALDO COUNTY GENERAL HOSPITAL CANNOT DETERMINE THE AMOUNT OF BAD DEBT 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, WALDO COUNTY GENERAL HOSPITAL BELIEVES THAT BAD DEBT EXPENSE SHOULD BE INCLUDED AS A COMMUNITY BENEFIT. THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE HOSPITAL'S MEDICARE COST REPORT IS THE MEDICARE COST-TO-CHARGE RATIO, WHICH INCORPORATES MEDICARE ALLOWABLE COSTS. THE TOTAL AMOUNT OF 144,134 REPORTED ON PART III, LINE 7 SHOULD BE TREATED AS COMMUNITY BENEFIT BECAUSE THE LOSSES ARE INCURRED IN PERFORMING AN IMPORTANT PUBLIC SERVICE. THE HOSPITAL HAS MADE A CLEAR MISSION COMMITMENT TO SERVING ELDERLY PATIENTS. ONCE A PATIENT HAS BEEN DETERMINED TO QUALIFY FOR FREE CARE, THE PATIENT IS NOT BILLED FOR SERVICES PROVIDED, NOR IS THE PATIENT BILLED FOR AMOUNTS NOT PAID BY AN INSURER. SEE ATTACHED COMMUNITY BENEFITS STATEMENT SEE ATTACHED COMMUNITY BENEFITS STATEMENT SEE ATTACHED COMMUNITY BENEFITS STATEMENT SEE ATTACHED COMMUNITY BENEFITS STATEMENT SEE ATTACHED COMMUNITY BENEFITS STATEMENT SEE ATTACHED COMMUNITY BENEFITS STATEMENT true SCHOLARSHIPS TO STUDENTS 15 20615 ADDITIONAL INFORMATION SCHEDULE I, PAGE 4, PART IV SCHOLARSHIPS ARE AWARDED TO STUDENTS RESIDING IN WALDO COUNTY AND PURSUING A CAREER IN A HEALTHCARE RELATED PROGRAM. THERE IS A SCHOLARSHIP APPLICATION PROCESS OVERSEEN BY THE SCHOLARSHIP COMMITTEE. RECIPIENTS MUST HAVE COMPLETED ONE SEMESTER OF SCHOOLING WITH A PREDETERMINED MINIMUM GPA, BE ENROLLED IN THE SECOND SEMESTER, AND HAVE A FINANCIAL NEED. PAYMENTS ARE MADE DIRECTLY TO THE SCHOOL OR AS REIMBURSEMENT TO THE RECIPIENT WHEN APPROPRIATE DOCUMENTATION IS PROVIDED. X X X X X false false false false false false false false false D KENT CLARK MD 307306 16918 6900 16296 347420 MARK BISCONE 240103 81061 22572 6900 18864 288439 81061 LINDA DRINKWATER 176671 9914 5652 2987 195224 RICHARD BOWER MD 369395 28858 17042 415295 DENNIS DESILVEY MD 358612 20358 6900 17401 403271 TERRANCE SMITH MD 343887 3564 6900 24323 378674 OWEN NELSON MD 343483 5292 348775 JOHN GAGE MD 324437 17309 6900 22818 371464 GORDON TIBBETTS 178446 22766 6184 7735 215131 ORGANIZATION'S MISSION FORM 990 - ORGANIZATION'S MISSION WALDO COUNTY GENERAL HOSPITAL'S MISSION IS TO BE THE BEST - BETTER, EMPATHY, SERVICE AND TEAMWORK. OUR GOAL IS TO ENSURE QUALITY, ACCESSIBLE AND AFFORDABLE HEALTH CARE SERVICES AND TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY. FIRST ACHIEVEMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4A CONTINUED FROM FORM 990, PART I, LINE 1 AND PART III, LINE 1 OUR MISSION IS TO BE THE BEST - BETTER, EMPATHY, SERVICE AND TEAMWORK - PRINCIPLES THAT GUIDE STAFF MEMBERS IN THEIR INTERACTIONS WITH PATIENTS, PATIENT FAMILIES AND COWORKERS. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF WALDO COUNTY GENERAL HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. WE PROVIDE QUALITY CARE TO ALL PATIENTS, REGARDLESS OF THE INABILITY TO PAY. WALDO COUNTY GENERAL HOSPITAL OFFERS MANY FREE OR LOW COST HEALTH SERVICES, INCLUDING: CASE MANAGEMENT OF CHRONIC DISEASES, FAMILY WELLNESS FAIRS, EXERCISE AND FITNESS CLASSES, BLOOD PRESSURE CLINICS, IMMUNIZATIONS, HEALTH INFORMATION LIBRARY, WOMEN HEALTHCARE CONFERENCES, MAMMOGRAMS, HEALTH INFORMATION LIBRARY, ONCOLOGY PATIENT ASSISTANCE FUNDING AND SUPPORT GROUPS. MANY OF THE COMMUNITY-BUILDING ACTIVITIES WE OFFER INCLUDE: COMMUNITY-WIDE EMERGENCY PREPAREDNESS PLANNING AND DRILLS, BOOKS FOR BABES AND RAISING READERS PROGRAMS, HOSPITAL TOURS FOR SECOND GRADERS, COMMUNITY NEWSLETTERS, BABY FAIRS, AMERICAN RED CROSS BLOOD DRIVE SPONSORSHIPS, ETC. OUR CHARITABLE GIVING HAS REACHED TO THE FOLLOWING COMMUNITY ORGANIZATIONS: ACTIVE OLDER ADULTS, BELFAST AREA CHAMBER OF COMMERCE, BELFAST ROTARY, BOY SCOUTS OF AMERICA, HABITAT FOR HUMANITY, SPURWINK HUMANITARIAN EVENT, STOCK THE SHELVES FOOD CHALLENGE, TOYS FOR TOTS, WALDO COUNTY ONCOLOGY WALK AND YMCA HEALTHY KIDS DAY. PLEASE SEE THE ATTACHED COMMUNITY BENEFITS STATEMENT. CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PAGE 6, PART VI, LINE 6 WALDO COUNTY HEALTHCARE, INC. (WCHI)-(EIN 22-2864961) IS THE SOLE MEMBER OF WALDO COUNTY GENERAL HOSPITAL. MAINEHEALTH (EIN 01-0431680), IS THE SOLE MEMBER OF WCHI. AS SOLE MEMBER OF WCHI, MAINEHEALTH HAS THE RIGHT TO APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BODY OF WCHI AND ITS SUBSIDIARIES. ELECTION OF MEMBERS AND THEIR RIGHTS FORM 990, PAGE 6, PART VI, LINE 7A MAINEHEALTH MAY ELECT MEMBERS OF THE BOARD OF DIRECTORS FROM A SLATE OF NOMINEES SUBMITTED BY THE CORPORATION. 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 PRESIDENT/CEO AMONG OTHER DECISIONS, ARE SUBJECT TO APPROVAL BY MAINEHEALTH. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11 THE FINANCE COMMITTEE PERFORMS A DETAILED REVIEW OF THE FORM 990. THE FORM 990 IS THEN PRESENTED TO THE FULL BOARD. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C WALDO COUNTY GENERAL HOSPITAL'S CONFLICT OF INTEREST POLICY IS INCORPORATED AS PART OF THE BY-LAWS OF THESE CORPORATIONS. THE ORGANIZATION CONSISTENTLY REVIEWS ALL TRANSACTIONS TO ASSURE COMPLIANCE IN ACCORDANCE WITH THE BY-LAWS. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A THE PROCESS FOLLOWED FOR DETERMINING COMPENSATION OF THE EXECUTIVE DIRECTOR IS A FORMAL PROCESS PERFORMED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THIS COMMITTEE USES THE TOWERS-PERRIN ANNUAL EXECUTIVE COMPENSATION ANALYSIS TO COMPARE MARKET ANALYSIS IN SETTING THE COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER AS WELL AS THE OTHER KEY ADMINISTRATIVE EMPLOYEES OF THE ORGANIZATION. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B THE PROCESS FOLLOWED FOR DETERMINING COMPENSATION OF THE EXECUTIVE DIRECTOR IS A FORMAL PROCESS PERFORMED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THIS COMMITTEE USES THE TOWERS-PERRIN ANNUAL EXECUTIVE COMPENSATION ANALYSIS TO COMPARE MARKET ANALYSIS IN SETTING THE COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER AS WELL AS THE OTHER KEY ADMINISTRATIVE EMPLOYEES OF THE ORGANIZATION. 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. WALDO COUNTY HEALTHCARE INC PO BOX 287 BELFAST ME 04915 222864961 COMM. EDUC ME 501 11B NA COASTAL MEDICAL CARE PO BOX 287 BELFAST ME 04915 010487091 MED. SERV. ME 501 9 NA BELFAST PUBLIC HEALTH NURSING PO BOX 287 BELFAST ME 04915 043359810 PUB. HLTH. ME 501 9 NA WALDO COUNTY HOME HEALTHCARE SERV PO BOX 287 BELFAST ME 04915 222864960 HOSPICE ME 501 9 NA MAINEHEALTH 110 FREE STREET PORTLAND ME 04101 010431680 HEALTHCARE ME 501 11C NA WALDO COUNTY HEALTHCARE MGMT CO PO BOX 287 BELFAST ME 04915 010485133 MGMT SVCS ME N/A true false false false false false false false false false true true false false true true true true