2011-08-09T06:44:35-05:00 2010-09-30 MAINEHEALTH 110 FREE ST PORTLAND ME 041013908 990 2009-10-01 010219904 STEPHENS MEMORIAL HOSPITAL ASSOC STEP 2077435933 181 MAIN STREET NORWAY ME 04268 JOHN COX 2077435933 2011-07-29 false 2011-08-09 2009 2016-02-24 21:20:13Z TIMOTHY CHURCHILL 181 MAIN STREET NORWAY ME 04268 45735742 false X WWW.WMHCC.ORG X 1956 ME TO ENSURE A HIGH QUALITY, ACCESSIBLE, AFFORDABLE AND APPROPRIATE INTEGRATED HEALTH CARE SYSTEM TO IMPROVE THE HEALTH AND WELL BEING OF THE COMMUNITY. 19 14 554 108 0 50000 0 44176435 44784883 277654 78653 62960 86299 44567049 44949835 0 0 22548988 22379158 12261 12971 101300 19388562 19947327 41949811 42339456 2617238 2610379 38855987 38088903 11830750 10184255 27025237 27904648 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 26417603 30416599 OUTPATIENT SERVICES: STEPHENS MEMORIAL HOSPITAL ASSOCIATION PROVIDED CARE DURING THE COURSE OF 104,329 OUTPATIENT VISITS DURING 2010. SERVICES PROVIDED INCLUDE EMERGENCY SERVICES; DIAGNOSTIC IMAGING AND LAB TESTS; AMBULATORY SURGERY; AND PHYSICAL REHABILITATION. SEE COMMUNITY BENEFIT STATEMENT ATTACHED. 12622492 14533236 INPATIENT SERVICES: IN 2010 THE HOSPITAL PROVIDED INPATIENT NURSING SERVICES TO 1,942 ADULTS/PEDIATRICS, INTENSIVE CARE, AND NURSERY PATIENTS WITH A TOTAL OF 6,954 PATIENT DAYS. 58 INPATIENTS (3%) WERE UNINSURED, 1,076 (55%) WERE COVERED BY MEDICARE AND 377 (19%) WERE COVERED BY MEDICAID. 39040095 true false false true false false false false false true true true false false false false false false false false true false false true false false false false false false false true false false false false false true false false false true 48 0 true 554 true false false false false false false false false false 19 14 true false false false true true true true true false false true true true true true true true false false ME X SENIOR VP - FISCAL 2077435933 181 MAIN STREET NORWAY ME 04268 X GREGORY HARDY MD 2.00 X 0 323478 22592 TIMOTHY CHURCHILL 30.00 X X 0 299524 32948 ADAM KAZIMIERCZAK DO 2.00 X 0 169021 17172 EUGENE BENNER 2.00 X X 0 0 0 ANDREA BURNS 2.00 X 0 0 0 PETER CHAPMAN 2.00 X 0 0 0 C BRADLEY CUMMINGS 2.00 X X 0 0 0 ROBERT HARMON 2.00 X 0 0 0 LARRY FARMER OD 2.00 X 0 0 0 DAVID HOISINGTON PA 2.00 X X 0 0 0 DAVID KUMAKI MD 2.00 X 0 0 0 WILLIAM L MEDD MD 2.00 X 0 0 0 OLA MELHUS MD 2.00 X 0 0 0 LYNN HAMPER 2.00 X 0 0 0 DAVID J PREBLE 2.00 X 0 0 0 TED MOCCIA 2.00 X 0 0 0 REV ANNE STANLEY 2.00 X 0 0 0 ROBIN J ZINCHUK 2.00 X 0 0 0 WENDY PENLEY 2.00 X 0 0 0 JOHN COX 25.00 X 0 168578 20923 M PATRICIA COOK 42.00 X 0 127732 26565 RUSSELL FLORENZ MD 30.00 X 238872 0 27439 TOBIN PIKER MD 32.00 X 235034 0 18156 GEOFFREY M HOSTA MD 30.00 X 209634 0 9523 MARK DOUGLAS MD 30.00 X 203810 0 21995 HEIDI BLAKE MD 26.00 X 176228 0 20056 1063578 1088333 217369 16 false true false OXFORD HILLS INTERNAL MEDICINE 193 MAIN STREET NORWAY ME 04268 PHYSICIAN SVCS 675458 SPECTRUM MEDICAL GROUP PA 300 PROFESSIONAL DRIVE SCARBOROUGH ME 04074 ANESTHESIA SVCS 450000 NORDX PO BOX 607 SCARBOROUGH ME 04074 LAB PROCESSING 448667 MAINE ORTHOPAEDIC CENTER 1601 CONGRESS STREET PORTLAND ME 04102 PHYSICIAN SVCS 265190 QUEST DIAGNOSTICS LLC 5763 COLLECTION CENTER DR CHICAGO IL 60693 LAB PROCESSING 149062 7 NET PATIENT SERVICE REVENUE 623000 44784883 44784883 44784883 168415 168415 452875 678985 -226110 -226110 -226110 17160 106922 -89762 -89762 -89762 OTHER REVENUE 621990 312409 312409 312409 44949835 45097292 -147457 17651926 16103262 1480668 67996 32811 29932 2879 3240308 2956025 272486 11797 1454113 1326538 122373 5202 66062 66062 12971 12971 5408340 4762217 646123 114140 104767 9373 5865397 5763860 100674 863 393000 358521 34479 1046007 836332 209675 106230 96910 9320 84575 77155 5096 2324 69056 62998 6058 1802406 1644335 158071 285786 260713 25073 BAD DEBT 3225401 3225401 PROVIDER TAX 913319 913319 RECRUITMENT 333682 304407 29275 DUES AND SUBSCRIPTIONS 132845 121190 11508 147 MISCELLANEOUS 101081 92213 8868 42339456 39040095 3198061 101300 1035 1035 13932914 12419329 2352319 2293477 999503 1011207 488033 454377 40045514 25893966 14807628 14151548 1129807 1190765 323001 422181 4821747 6144984 38855987 38088903 3252848 2909405 3924933 3972361 4652969 3302489 11830750 10184255 X 26126336 26900650 346747 451844 552154 552154 27025237 27904648 38855987 38088903 X false true true X false X false false false false false false false false false false false false true 8538 8538 false false false false false SCHEDULE C, PART II-B, LINE 1I DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION OF 15,038 AND TO THE MAINE HOSPITAL ASSOCIATION OF 30,645. THE AMERICAN HOSPITAL ASSOCIATION AND MAINE HOSPITAL ASSOCIATION USED 23.76% AND 16.20% RESPECTIVELY OF THEIR DUES REVENUE FOR LOBBYING ACTIVITY. false false false false false false false false false false 1230517 1230517 18593470 10023530 8569940 18662777 14860966 3801811 1558750 1009470 549280 14151548 INTEREST IN NET ASSETS OF SCHC FOUND 4799943 AR UNDER REIMBURSEMENT REGULATIONS 1261000 WORKERS COMPENSATION FUNDING 51340 OTHER RECEIVABLES 18460 CSV-LIFE INSURANCE 14241 6144984 AP UNDER REIMBURSEMENT REGULATIONS 2138165 DUE TO AFFILIATES 558141 PROFESSIONAL LIABILITY CLAIM ACCRUAL 530103 MISCELLANEOUS OTHER LIABILITES 76080 3302489 44949835 42339456 2610379 125040 -1856008 -1730968 879411 43218867 125040 -1856008 -1730968 44949835 44949835 42339456 42339456 42339456 RECONCILIATION OF CHANGES - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 8 CHANGE IN INTEREST-STEPHENS COMMUNITY HEALTHCARE FOUND 461,739 NET TRANSFER TO AFFILIATES -2,317,747 REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 2D CHANGE IN INTEREST-STEPHENS COMMUNITY HEALTHCARE FOUND 461,739 NET TRANSFER TO AFFILIATES -2,317,747 true true true X 1.75000 true X 2.25000 true true true false true true 1730 848071 848071 0.02200 7121149 5341929 1779220 0.04500 1730 7969220 5341929 2627291 0.06700 1250 154660 154660 0.00400 1877789 1329112 548677 0.01400 1250 2032449 1329112 703337 0.01800 2980 10001669 6671041 3330628 0.08500 9039 9039 9039 9039 false 1613253 10536692 12397100 -1860408 X true true STEPHENS MEMORIAL HOSPITAL ASSOC

181 MAIN STREET NORWAY ME 04268

X SUBSIDIZED HEALTH SERVICES INCLUDE THE NET OPERATING LOSS OF PACE PARAMEDIC SERVICE, A DEPARTMENT OF STEPHENS MEMORIAL HOSPITAL, AND DIRECT SUBSIDIES AND SUPPORT OF LOCAL SCHOOL-BASED HEALTH CLINICS, A PSYCHIATRY CONSULTATION SERVICE AND OTHER CLINICAL PROGRAMS THAT ARE NOT REVENUE-PRODUCING. IF THESE SERVICES WERE NOT PROVIDED OR SUBSIDIZED BY THE HOSPITAL, THEY WOULD NOT BE AVAILABLE IN THE COMMUNITY. BAD DEBT EXPENSE OF 3,225,401 WAS REMOVED FROM TOTAL EXPENSES WHEN CALCULATING THE PERCENT OF TOTAL EXPENSES IN COLUMN (F). THE HOSPITAL ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. A PATIENT QUALIFIES FOR FREE CARE BASED UPON CERTAIN ESTABLISHED POLICIES OF THE HOSPITAL. THESE POLICIES DEFINE FREE CARE AS THOSE SERVICES FOR WHICH NO PAYMENT IS ANTICIPATED. FREE CARE PROVIDED IS NOT INCLUDED IN NET PATIENT SERVICE REVENUE AND IS MEASURED BASED ON THE HOSPITAL'S CHARGES. COSTS AND EXPENSES INCURRED IN PROVIDING THESE SERVICES ARE INCLUDED IN OPERATING EXPENSES. 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 THAT THE HOSPITAL HAS PROVIDED WITHOUT COMPENSATION. AS A TAX-EXEMPT HOSPITAL, THE HOSPITAL PROVIDES NECESSARY PATIENT CARE REGARDLESS OF THE PATIENTS 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. THE 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 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, THE HOSPITAL BELIEVES THAT BAD DEBT EXPENSE SHOULD BE INCLUDED AS A COMMUNITY BENEFIT. THE RESERVE FOR UNCOLLECTIBLE ACCOUNTS IS PROVIDED BASED ON AN ANALYSIS BY MANAGEMENT OF THE COLLECTABILITY OF OUTSTANDING BALANCES. MANAGEMENT CONSIDERS THE AGE OF OUTSTANDING BALANCES AND PAST COLLECTION EFFORTS IN DETERMINING THE RESERVE FOR UNCOLLECTIBLE ACCOUNTS. ACCOUNTS DEEMED UNCOLLECTIBLE ARE CHARGED OFF AGAINST THE ESTABLISHED RESERVE. THE 1,613,253 OF BAD DEBT EXPENSE (AT COST) WAS CALCULATED USING THE HOSPITAL'S COST TO CHARGE RATIO. MEDICARE ALLOWABLE COSTS WERE TAKEN FROM THE HOSPITAL'S AS-FILED 2010 MEDICARE COST REPORT. THE COST REPORT UTILIZES A SOPHISTICATED, DETAILED STEP-DOWN COST ALLOCATION APPROACH. THE COST REPORT EXCLUDES REVENUE, EXPENSES AND REIMBURSEMENT FOR PROFESSIONAL FEES SUCH AS EMERGENCY DEPARTMENT PHYSICIANS. IF THE COST TO PROVIDE THESE SERVICES AND PAYMENTS FOR THE SERVICES WERE INCLUDED IN THE PART III SECTION B ANALYSIS, THE MEDICARE SHORTFALL WOULD BE GREATER THAN AMOUNTS REPORTED. STEPHENS MEMORIAL HOSPITAL ASSOCIATION 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 DISABILITIES 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. PATIENTS WHO APPLY FOR AND QUALIFY FOR CHARITY CARE/FINANCIAL ASSISTANCE BASED ON THE STATE OF MAINE FREE HOSPITAL CARE GUIDELINES WILL HAVE THE SELF PAY PORTION OF THEIR ACCOUNT BALANCE ADJUSTED AT TIME OF APPROVAL. FUTURE SELF PAY BALANCES WILL BE ADJUSTED DURING THEIR ELIGIBILITY PERIOD AT THE POINT OF BILLING, PRIOR TO SENDING BILLS TO PATIENTS. FOR THOSE WHO APPLY FOR ASSISTANCE BUT WHOSE INCOME EXCEEDS THE LIMIT FOR 100% ASSISTANCE, A 10% REDUCTION WILL BE APPLIED IF THEIR INCOME IS BETWEEN 176% AND 225% OF THE FEDERAL POVERTY LIMITS. IF REQUESTED, A MONTHLY PAYMENT PLAN WILL BE SET UP FOR THE REMAINDER OF THE PATIENT'S BALANCE. STEPHENS MEMORIAL HOSPITAL'S BOARD OF TRUSTEES IS MADE UP OF A DIVERSE SET OF COMMUNITY MEMBERS. THE BOARD REQUIRES A THOROUGH COMMUNITY NEEDS ASSESSMENT ON BEHALF OF THE ORGANIZATION, AND DIRECTS THE ORGANIZATION TO ANALYZE AND RESPOND TO THE CURRENT NEEDS ASSESSMENT. STEPHENS MEMORIAL HOSPITAL AND ITS PARENT WESTERN MAINE HEALTH CARE ALSO PARTICIPATE 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 MARCH 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. STEPHENS MEMORIAL HOSPITAL'S POLICY OF CHARITY CARE AND FINANCIAL ASSISTANCE IS EASILY UNDERSTOOD, PROMINENTLY POSTED, AND PUBLICLY AVAILABLE. FOR PATIENTS WHOSE FAMILY INCOME IS AT OR BELOW 175% OF THE FEDERAL POVERTY LEVEL, CHARITY CARE IS 100% OF THEIR BILLED AMOUNTS. PATIENTS WHOSE FAMILY INCOME RANGES FROM 176% TO 225% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR A 10% CHARITY CARE DISCOUNT. A PROCESS EXISTS FOR OFFERING CHARITY CARE OR FINANCIAL ASSISTANCE TO PATIENTS WHO ARE UNABLE TO PAY AFTER THEY HAVE ALREADY BEEN BILLED. IN ADDITION TO MONITORING COLLECTION PRACTICES, COPIES OF THE CHARITY CARE POLICY ARE MADE AVAILABLE TO PATIENTS AT ALL ENTRY POINTS (REGISTRATION, ED, ETC.) AND WITH BILL/COLLECTION NOTICES. THE ORGANIZATION USES SIMPLE APPLICATION PROCEDURES FOR CHARITY CARE OR FINANCIAL ASSISTANCE THAT DO NOT INTIMIDATE OR CONFUSE APPLICANTS. STEPHENS MEMORIAL HOSPITAL'S EMPLOYEES WHO WORK IN ADMISSIONS, BILLING, ACCOUNTS RECEIVABLE, OR PATIENT FINANCIAL SERVICES ARE FULLY INFORMED AND EDUCATED ABOUT ALL FINANCIAL ASSISTANCE POLICIES. THESE STAFF MEMBERS IDENTIFY UNPAID BILLS WHERE PERSONS ARE UNABLE TO PAY, AND SEPARATES THESE POTENTIAL "CHARITY CARE" BILLS FROM OTHER BAD DEBT ACCOUNTS. STEPHENS MEMORIAL HOSPITAL PRIMARILY SERVES SOUTHERN OXFORD COUNTY IN WESTERN MAINE. TRADITIONALLY, THE DEMOGRAPHICS OF THIS REGION REFLECT A POPULATION THAT IS OLDER AND POORER THAN THE STATE OF MAINE AVERAGE. RECENT INDEPENDENT STUDIES FOUND OXFORD COUNTY TO BE THE LEAST HEALTHY COUNTY IN THE STATE. IN ADDITION TO THE SUBSIDIZED HEALTH SERVICES AND COMMUNITY HEALTH SERVICES DESCRIBED ABOVE, WESTERN MAINE HEALTH CARE SPONSORS OR PARTICIPATES IN A VARIETY OF OTHER COMMUNITY ACTIVITIES AND PROGRAMS. THESE COMMUNITY-BUILDING ACTIVITIES INCLUDE: -WE ARE THE LEAD AGENCY FOR HEALTHY OXFORD HILLS, A COMMUNITY COALITION TO PROMOTE PARTNERSHIPS, POLICIES AND PROGRAMS TO PROTECT AND ENHANCE THE HEALTH OF RESIDENTS OF OXFORD HILLS -OUR VIAL OF LIFE PROGRAM ALLOWS INDIVIDUALS IN THE COMMUNITY TO RECORD AND SAFELY STORE THEIR CURRENT HEALTH INFORMATION AT HOME, IN CASE THAT INFORMATION NEEDS TO BE RETRIEVED IN AN EMERGENCY SITUATION -SAFE SITTER COURSES, A MEDICALLY-ACCURATE INSTRUCTIONAL PROGRAM DESIGNED FOR YOUNG ADOLESCENTS 11 TO 13 YEARS OF AGE -COMMUNITY-WIDE EMERGENCY PREPAREDNESS PLANNING -REGIONAL HEALTH PLANNING AND PANDEMIC PLANNING -WE PROVIDE A CLINICAL SITE FOR LOCAL REGISTERED NURSES AND CERTIFIED NURSES AIDE PROGRAMS -ANNUAL CONFERENCE - ALCOHOLISM AND DRUG ADDICTION: DISEASE, TREATMENT AND RECOVERY -FREE COMMUNITY BLOOD PRESSURE SCREENINGS AND CLINICS -BLOOD DRIVES -SIBLING CLASSES FOR CHILDREN EXPECTING NEW FAMILY MEMBERS -NUTRITION OPEN HOUSES FOR THE GENERAL PUBLIC -"RELAY FOR LIFE" TO SUPPORT THE AMERICAN CANCER SOCIETY -"BOWL FOR KIDS SAKE" TO BENEFIT THE LOCAL BIG BROTHERS/BIG SISTERS PROGRAM -WE PROVIDE COMMUNITY OUTREACH SERVICES TO EDUCATE FAMILIES ABOUT THE ALFOND SCHOLARSHIP FOR BABIES, AND ASSIST FAMILIES IN PREPARING THE GRANT APPLICATION -WE PROVIDE MEETING SPACE AT NO CHARGE FOR LOCAL NON-PROFIT SUPPORT GROUPS INCLUDING ALCOHOLICS ANONYMOUS, SMOKING CESSATION, GEAR PARENT NETWORK SUPPORT GROUP, TAKE OFF POUNDS SENSIBLY (TOPS), THE SHRINERS ANNUAL HEALTH SCREENING DAY AND SUPPORT GROUPS FOR THOSE AFFECTED BY DEPRESSION/BIPOLAR CONDITIONS, DIABETES, GRIEF, AND PARKINSON'S DISEASE IN ORDER TO ENSURE ACCESS TO PRIMARY CARE AND CERTAIN SPECIALTY PHYSICIAN SERVICES, WESTERN MAINE HEALTH CARE (PARENT OF STEPHENS MEMORIAL HOSPITAL) OWNS AND OPERATES, THROUGH ITS SUBSIDIARY WESTERN MAINE MULTI-MEDICAL SPECIALISTS, PHYSICIAN PRACTICES PROVIDING CARDIOLOGY, FAMILY MEDICINE, GENERAL SURGERY, PEDIATRIC, AND OBSTETRIC AND GYNECOLOGY SERVICES. WMMMS ALSO HAS PARTNERED WITH PHYSICIAN GROUPS TO PROVIDE ONCOLOGY SERVICES TO THE COMMUNITY. DUE TO THE DEMOGRAPHICS OF THE POPULATION IN OXFORD COUNTY, MOST OF THESE SERVICES WOULD NOT BE AVAILABLE IF THEY WERE NOT PROVIDED BY A SYSTEM SUCH AS OURS. MOST LOCAL PRIVATE PHYSICIANS HAVE CLOSED TO, OR SIGNIFICANTLY LIMITED ACCESS FOR, NEW MEDICAID PATIENTS. OUR PRACTICES CONTINUE TO ACCEPT PATIENTS REGARDLESS OF THEIR INSURANCE COVERAGE OR LACK THEREOF. IN THE AGGREGATE, 28% OF PATIENTS SERVED BY WESTERN MAINE MULTI-MEDICAL SPECIALISTS WERE COVERED BY THE STATE OF MAINE MEDICAID PROGRAM. AT SEPTEMBER 30, 2010, PHYSICIANS EMPLOYED BY WESTERN MAINE MULTI-MEDICAL SPECIALISTS INCLUDED FIVE FAMILY PRACTITIONERS, THREE GENERAL SURGEONS, FOUR PEDIATRICIANS AND THREE OBSTETRICIAN/ GYNECOLOGISTS. WESTERN MAINE HEALTH CARE OWNS AND OPERATES MARKET SQUARE HEALTH CARE CENTER, A 98-BED LONG-TERM CARE FACILITY COMPRISED OF 76 NURSING HOME/SKILLED NURSING FACILITY BEDS AND 22 RESIDENTIAL CARE BEDS. MARKET SQUARE ACCEPTS PATIENTS AND RESIDENTS WHOSE CLINICAL NEEDS EXCEED THE CAPABILITIES OF OTHER AREA NURSING FACILITIES. WHILE WE SERVE THESE PATIENTS AT A FINANCIAL LOSS, IT IS AN IMPORTANT PART OF OUR MISSION TO PROVIDE HEALTH CARE SERVICES THAT KEEP OUR LOCAL PATIENTS IN THE COMMUNITY. MARKET SQUARE ACCEPTS ALL RESIDENTS WHO MEET CLINICAL CRITERIA, REGARDLESS OF THE SOURCE OF EXPECTED PAYMENT FOR SERVICES. COMBINED OPERATING LOSSES RELATED TO THE MISSION-CRITICAL PHYSICIAN PRACTICES AND NURSING FACILITY EXCEEDED 2,600,000 IN 2010. THESE LOSSES WERE SUPPORTED BY STEPHENS MEMORIAL HOSPITAL THROUGH NET ASSET TRANSFERS. ME X X X X X false false false false false false false false false GREGORY HARDY MD 265564 53211 4703 4416 18176 346070 TIMOTHY CHURCHILL 247212 36000 16312 10833 22115 332472 ADAM KAZIMIERCZAK DO 138900 30000 121 17172 186193 JOHN COX 160280 8298 3320 17603 189501 M PATRICIA COOK 126516 1216 9530 17035 154297 RUSSELL FLORENZ MD 205205 33667 9202 18237 266311 TOBIN PIKER MD 220280 14754 18156 253190 GEOFFREY M HOSTA MD 206245 3389 9523 219157 MARK DOUGLAS MD 203172 638 3839 18156 225805 HEIDI BLAKE MD 175998 230 1869 18187 196284 DAVID KUMAKI MD ENTITY >35% 624621 PROF MEDICAL FEES false WILLIAM MEDD MD COLLECT OWNED false BY INTERESTED false PERSONS. false RELATED PARTY INFORMATION AMONG OFFICERS FORM 990, PAGE 6, PART VI, LINE 2 DAVID KUMAKI, M.D. WILLIAM MEDD, M.D. SHAREHOLDER SHAREHOLDER BUSINESS RELATIONSHIP CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PAGE 6, PART VI, LINE 6 WESTERN MAINE HEALTH CARE, CORP. (EIN 01-0411788) IS THE SOLE MEMBER OF THE ORGANIZATION. 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 STEPHENS MEMORIAL HOSPITAL ASSOCIATION'S GOVERNING BODY ARE APPROVED BY DEFAULT BY THE MEMBER ORGANIZATION'S GOVERNING BODY SINCE THESE TWO ORGANIZATIONS SHARE A COMMON GOVERNING BODY. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11 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 STEPHENS MEMORIAL HOSPITAL ASSOCIATION. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A THE PARENT COMPANY OF STEPHENS MEMORIAL HOSPITAL ASSOCIATION 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 TOWERS PERRIN, 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. ADDITIONAL INFORMATION SCHEDULE O FORM 990, PART IX, LINE 13: OFFICE EXPENSES INCLUDE 4,709,280 OF MEDICAL SUPPLIES. WESTERN MAINE HEALTH CARE CORP 181 MAIN STREET NORWAY ME 04268 010411788 HEALTHCARE ME 501 11C NA MAINEHEALTH 110 FREE STREET PORTLAND ME 04101 010431680 HEALTHCARE ME 501 11C NA WESTERN MAINE MULTI-MEDICAL SPECIAL 181 MAIN STREET NORWAY ME 04268 010489824 PHYS PRACT ME 501 3 NA WESTERN MAINE NURSING HOME INC 3 MARKET SQUARE SOUTH PARIS ME 04281 222842655 NURSING HO ME 501 9 NA STEPHENS COMMUNITY HEALTHCARE FOUND 181 MAIN STREET NORWAY ME 04268 311644144 SUPP ORG ME 501 11A NA CHAPEL VALLEY BOARDING HOME CORP 181 MAIN STREET NORWAY ME 04268 010433206 HEALTHCARE ME 501 7 NA false false false false false false false false true false true true false false true true true false