2014-08-04T15:55:34-05:00 2013-09-30 MAINEHEALTH 110 FREE ST PORTLAND ME 041013908 990 2012-10-01 010153960 ST ANDREWS HOSPITAL STAN 2076338413 6 ST ANDREWS LANE BOOTHBAY HARBOR ME 04538 WAYNE PRINTY 2076338413 2014-06-12 false 2014-08-04 2012 2015-11-30 17:44:51Z WAYNE PRINTY CFO 35 MILES STREET DARMARISCOTTA ME 04543 18047500 false X WWW.LCHCARE.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 14 240 86 154964 -70816 368279 504552 17332784 16557807 254681 128551 467919 271321 18423663 17462231 0 0 8534635 7887639 0 49986 10063950 10236760 18598585 18124399 -174922 -662168 28420254 28467777 14014297 14232371 14405957 14235406 X - 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 false 11693972 11203007 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, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, CARDIOPULMONARY SERVICES, DIAGNOSTIC IMAGING, LABORATORY, AND PHARMACY. (CONTINUED ON SCHEDULE O) PATIENT DAYS: ADULT & CHILDREN: 2,962 NURSING FACILITY: 10,481 DISCHARGES: 224 DEPARTMENT AMOUNT STATISTICS LABORATORY 24,510 TESTS CARDIOPULMONARY 1,090 PROCEDURES CT SCANS 978 PROCEDURES RADIOLOGY 2,333 PROCEDURES REHABILITATION SERVICES 6,553 VISITS PLEASE SEE ATTACHED COMMUNITY BENEFITS STATEMENT 4914968 5354800 ST. ANDREWS HOSPITAL OFFERS LONG TERM CARE SERVICES AT ST. ANDREWS VILLAGE COMMUNITY. IT INCLUDES 13 ASSISTED LIVING UNITS, 28 INDEPENDENT LIVING APARTMENTS, 11 DEMENTIA CARE BEDS, ADULT DAY SERVICES, AND 30 LONG-TERM CARE BEDS. STATISTICS FOR THE YEAR: ASSISTED LIVING 4,192 DAYS, INDEPENDENT LIVING 7,953 DAYS, DEMENTIA CARE 3,790 DAYS, AND ADULT DAY SERVICES 542 HOURS. 16608940 true true false true false false false false false true true false false true true false false true false false false false false false false false true true false false true true false false false false false false false false false false false false false false false true false false false true 0 0 240 true true true false false false false false false false false false false false X 21 14 false false false false true true true true true false false true true true true true true true true false ME X CFO 2076338413 6 ST ANDREWS LANE BOOTHBAY HARBOR ME 04538 GARTH MILLER MD 0.40 50.00 X 0 465323 28976 MARK FOURRE MD 0.40 50.00 X 0 290300 27814 JOHN MURRAY MD 0.40 50.00 X 0 250109 26033 AQUILINO ALAMO MD 0.40 50.00 X 0 216819 26144 STEVEN FEDER DO 0.40 50.00 X 0 159524 22705 DANIEL FRIEDLAND MD 0.40 50.00 X 0 159151 26633 ROBERT MCARTOR MD 0.40 50.00 X 0 157259 42548 LESLIE BIRD 0.40 X 0 0 0 DAVID LAWRENCE 0.40 X 0 0 0 WILLIAM LOGAN 0.40 X X 0 0 0 PETER MUNDY 0.40 X X 0 0 0 MICHAEL CLARK MD 0.40 X 0 0 0 JAMES COSGROVE 0.40 X 0 0 0 BARBARA MITCHELL 0.40 X 0 0 0 CATHERINE GREGG 0.40 X 0 0 0 JANE G SMITH 0.40 X 0 0 0 JANE HURD 0.40 X 0 0 0 JEFFREY CURTIS 0.40 X X 0 0 0 NORMAN HOCHGRAF 0.40 X 0 0 0 PATRICK LYDON 0.40 X X 0 0 0 REV DR MARY JO ZIMMERLI 0.40 X 0 0 0 JAMES DONOVAN 3.00 50.00 X 0 334958 29796 WAYNE PRINTY 3.00 50.00 X 0 206034 25032 PATRICE CARTER 50.00 X 139417 0 21383 ALAN BARKER MD 50.00 X 0 135472 22395 139417 2374949 299459 1 true true false 19576 484976 504552 NET PATIENT REVENUE 623000 16188391 16188391 RENTAL INCOME 531390 369416 369416 16557807 80293 80293 16037 16037 16037 16037 611984 21543 562923 22346 49061 -803 48258 48258 MISCELLANEOUS INCOME 900099 116357 116357 COTTAGE SERVICES 531310 107776 107776 MANAGEMENT FEES 531310 23723 23723 7428 7428 255284 17462231 16722422 154964 80293 X 6243637 6239782 3855 145362 143908 1454 1060325 1049722 10603 438315 433932 4383 502 502 3294052 3202400 91652 16844 16844 1011067 930523 80544 339048 339048 626290 584662 41628 18578 18578 477943 476629 1314 1210253 1210253 INTEGRATED SERVICES 1940069 999204 890879 49986 HOSPITAL & PROVIDER TAXES 520238 520238 FOOD 373584 373569 15 MISCELLANEOUS 371576 371478 98 36716 36716 18124399 16608940 1465473 49986 381343 291348 188818 76638 1740671 1634333 187079 162883 78852 112001 31815218 15268725 17253074 16546493 6959386 6751154 563596 1631031 2329331 28420254 28467777 787474 1458324 185938 71511 7220776 6884019 3500958 3648259 2319151 2170258 14014297 14232371 X 13601259 13362655 121618 161971 683080 710780 14405957 14235406 28420254 28467777 X -662168 397906 93711 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 6565 6565 false SCHEDULE C, PART II-B, LINE 1 PORTION OF MEMBERSHIP DUES ATTRIBUTABLE TO LOBBYING ACTIVITIES: LOBBYING PORTION OF MAINE HOSPITAL ASSOCIATION DUES: 3,693 LOBBYING PORTION OF AMERICAN HOSPITAL ASSOCIATION DUES: 1,537 LOBBYING PORTION OF MAINE HEALTH CARE ASSOCIATION: 1,108 LOBBYING PORTION OF AMERICAN HEALTH CARE ASSOCIATION: 227 5210719 375829 562818 -6340 -21659 6121367 4545019 900 720113 -36580 -18733 5210719 4402289 70055 91209 -18534 4545019 3797878 585966 34289 -15844 4402289 3708727 77640 87588 -62499 -13578 3797878 0.90790 0.09210 true false 669009 669009 21212689 7610696 13601993 55933 55933 7407757 5713586 1694171 2469830 1888510 581320 16546493 DUE FROM AFFILIATE 1531031 INVESTMENT IN LCH & LCM 597000 PATIENT AND OTHER DEPOSITS 107377 DEFERRED FINANCING COSTS 78307 OTHER ASSETS 15616 2329331 DUE TO AFFILIATE 1043400 AMOUNTS PAYABLE UNDER REIMB. REGS. 897000 DEPOSITS PAYABLE 107377 MALPRATICE INSURANCE RESERVE 49810 OTHER LIABILITIES 47671 ASSET RETIREMENT OBLIGATIONS 25000 2170258 SUPPLEMENTAL FINANCIAL INFORMATION SCHEDULE D, PAGE 4, PART XIII ENDOWMENT FUNDS CONSIST OF A BENEFICIAL INTEREST IN 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 311371 311371 0.01720 3419158 2215941 1203217 0.06640 3730529 2215941 1514588 0.08360 10547 10547 0.00030 18370 18370 0.00100 14023 1770 12253 0.00070 273150 273150 0.01510 316090 1770 314320 0.01710 4046619 2217711 1828908 0.10070 5164 5164 0.00030 5164 5164 0.00030 false 355643 7254205 7197783 56422 X true true 1 1 ST ANDREWS HOSPITAL

6 ST ANDREWS LANE BOOTHBAY HARBOR ME 04538

X X ST ANDREWS HOSPITAL 1 true X X X X X X X X X X 13 true true true X X X X X X X X X X false false true true 175.0 true 225.0 true X X X X X true true X X X X true false true X false false 1 ST ANDREWS HOSPITAL

DBA ST ANDREWS VILLAGE 145 EMERY LANE BOOTHBAY HARBOR ME 04538

LONG-TERM CARE FACILITY SUBSIDIZED HEALTH SERVICES EXPLANATION PART I LINE 7G SUBSIDIZED HEALTH SERVICES INCLUDE SCHOOL BASED HEALTH CENTERS WHERE LINCOLN COUNTY HEALTH CARE INC LCH 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 12253 IN 2012 1512 OF EXPENSES RELATED TO OUTPATIENT CLINICS ARE INCLUDED IN THE SUBSIDIZED HEALTH SERVICES TOTAL IN PART I LINE 7G EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE PART I LINE 7 COLUMN F IN 2013 BAD DEBT IS A DEDUCTION FROM REVENUE AND IS NOT INCLUDED IN TOTAL EXPENSES COSTING METHODOLOGY EXPLANATION PART I LINE 7 CHARITY CARE AND MEANSTESTED GOVERNMENT PROGRAMS UTILIZE A COST TO CHARGE RATIO IN DETERMINING THE COST OF THE ACTUAL CHARITY CARE WRITEOFF THE COST TO CHARGE RATIO IS CALCULATED USING WORKSHEET 2 RATIO OF PATIENT CARE COST TO CHARGES LOCATED IN THE SCHEDULE H INSTRUCTIONS COMMUNITY BUILDING ACTIVITIES PART II LINCOLN COUNTY HEALTH CARE INC AND ITS SUBSIDIARY HOSPITAL ORGANIZATIONS MILES MEMORIAL HOSPITAL AND ST ANDREWS HOSPITAL PARTNER WITH VARIOUS COMMUNITY GROUPS SUCH AS THE HEALTHY LINCOLN COUNTY A HEALTHY MAINE PARTNERSHIP AND LINCOLN COUNTY ABUSE TASK FORCE 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 LCH PARTICIPATES IN THE COMMUNITY DISASTER TRAINING HELD ON A REGULAR BASIS THROUGHOUT THE COUNTY PART III LINE 4 BAD DEBT EXPLANATION FROM THE LCH AUDITED FINANCIAL STATEMENTS CHARITY CARE AND BAD DEBTS MMH AND SAH THE HOSPITALS ACCEPT ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY A PATIENT IS CLASSIFIED AS A CHARITY PATIENT BY REFERENCE TO CERTAIN ESTABLISHED POLICIES OF THE HOSPITALS ESSENTIALLY THESE POLICIES DEFINE CHARITY CARE AS THOSE SERVICES FOR WHICH LIMITED OR NO PAYMENT IS ANTICIPATED IN ASSESSING A PATIENTS ABILITY TO PAY THE HOSPITALS UTILIZE GENERALLY RECOGNIZED POVERTY INCOME LEVELS CHARITY CARE IS MEASURED BASED ON THE HOSPITALS ESTABLISHED RATES THE HOSPITALS UTILIZE ANNUAL FEDERAL GUIDELINES AND ADJUST ACCOUNT FOR THOSE WHOSE INCOME IS 225 OF THE POVERTY LEVEL TAKING FAMILY SIZE INTO CONSIDERATION THE COSTS AND EXPENSES INCURRED IN PROVIDING THESE SERVICES ARE INCLUDED IN OPERATING EXPENSES REVENUE FOR SERVICES RENDERED TO INDIVIDUALS FROM WHO PAYMENT IS EXPECTED AND ULTIMATELY NOT RECEIVED IS WRITTEN OFF AND INCLUDED AS PART OF THE ALLOWANCE FOR BAD DEBTS THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON PART III LINE 2 AND 3 FOLLOW THE WORKSHEETS PROVIDED IN THE SCHEDULE H INSTRUCTIONS AND UTILIZES COSTS TO CHARGE INFORMATION DERIVED DIRECTLY OFF THE ANNUAL COST REPORTS BAD DEBT EXPENSE REPRESENTS HEALTHCARE SERVICES ST ANDREWS HOSPITAL HAS PROVIDED WITHOUT COMPENSATION AS A TAXEXEMPT HOSPITAL SAH PROVIDES NECESSARY PATIENT CARE REGARDLESS OF THE PATIENTS ABILITY TO PAY FOR THE SERVICES A PORTION OF SAH 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 SAH CANNOT DETERMINE THE AMOUNT OF BAD DEBT EXPENSE THAT COULD BE REASONABLY ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE SAH 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 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 SAH BELIEVES THAT BAD DEBT EXPENSE SHOULD BE INCLUDED AS A COMMUNITY BENEFIT MEDICARE EXPLANATION PART III LINE 8 MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST TO CHARGE RATIO SAH BELIEVES THAT THE MEDICARE SHORTFALL SHOULD BE INCLUDED AS A COMMUNITY BENEFIT BECAUSE SAH 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 IMPROVED BY SAH THEY WOULD BECOME THE OBLIGATION OF THE FEDERAL GOVERNMENT COLLECTION PRACTICES EXPLANATION PART III LINE 9B COLLECTION POLICY EXCERPT REGARDING SELFPAY ACCOUNTS FOR SELFPAY BALANCES PAYMENTS MUST BE ARRANGED BY THE FINANCIAL COUNSELOR OR PATIENT ACCOUNTS STAFF USING THE FOLLOWING CRITERIA BALANCES UNDER 100 25MONTH MINIMUM BALANCES L00500 50MONTH MINIMUM BALANCES OVER 500 100MONTH MINIMUM IF THE PATIENT CANNOT MEET THE GUIDELINES ABOVE THE FINANCIAL COUNSELOR OR PATIENT ACCOUNTS STAFF WILL REQUEST PROOF OF INCOME AND REASON WHY THEY CANNOT MAKE REGULAR PAYMENTS THE PATIENT WILL BE OFFERED FINANCIAL ASSISTANCE IF CRITERIA IS MET WITH FREE CARE GUIDELINES AND OTHER ASSISTANCE THAT IS AVAILABLE WHEN IT IS DETERMINED THAT THE GUARANTOR CANNOT REALISTICALLY MEET THE EXTENDED PAYMENT PLAN TERMS DUE TO INSUFFICIENT INCOME LIMITED OR NEGLIGIBLE ASSETS OR OTHER EXTENUATING CIRCUMSTANCES BEYOND THE GUARANTORS CONTROL THE HOSPITAL MAY REDUCE THE TOTAL INDEBTEDNESS THROUGH FREE CARE UNDER THE SUPERVISION OF THE DIRECTOR OF PATIENT ACCOUNTS THE FINANCIAL COUNSELORS WILL FOLLOW THE FREE CARE GUIDELINES FOR APPROVAL OF FREE CARE A FREE CARE WRITEOFF MAY BE UTILIZED ONLY AFTER ALL THIRD PARTY BENEFIT POSSIBILITIES HAVE BEEN EXHAUSTED AND WHEN IT IS DETERMINED THAT NO OTHER HOSPITAL ASSISTANCE PROGRAMS OR FUNDS ARE APPLICABLE OR AVAILABLE TO THE GUARANTOR ONCE APPROVED THE HOSPITAL WILL ALLOW FULL OR PARTIAL ADJUSTMENTS ON BALANCES UP TO 225 OF THE FREE CARE GUIDELINES SET BY THE STATE OF MAINE NEEDS ASSESSMENT PART VI SEE THE ATTACHED COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLAN FOR A DESCRIPTION OF HOW THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES 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 MAINES 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 THREE YEARS MAINEHEALTH HOLDS 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 COMMUNITYBASED HEALTH PRIORITIES PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI PATIENTS AND OTHER PERSONS WHO ARE BILLED FOR PATIENT CARE ARE INFORMED ABOUT ELIGIBILITY CRITERIA FOR FREE CARE GOVERNMENTAL ASSISTANCE IE MEDICAID AND OTHER ASSISTANCE PROGRAMS SUCH NOTIFICATION IS ACCOMPLISHED IN THE FOLLOWING WAYS ALL SELFPAY 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 COMMUNITY INFORMATION PART VI 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 20062008 AMERICAN COMMUNITY SURVEY OF THE US CENSUS BUREAU LINCOLN COUNTY HAS A TOTAL POPULATION OF 34730 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 65 156 VERSUS 129 NATIONALLY WITHIN MAINE LINCOLN COUNTY HAS THE HIGHEST PERCENTAGE OF RESIDENTS OVER 65 200 LINCOLN COUNTY ALSO HAS A HIGHER MEDIAN AGE 456 VS 367 THAN IN THE UNITED STATES AS COMPARED TO THE UNITED STATES 652 A SMALLER PERCENT OF RESIDENTS AT LEAST 16 YEARS OF AGE ARE IN THE LABOR FORCE 642 LINCOLN COUNTY IS AN ECONOMICALLY POOR COUNTY THE US 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 ST ANDREWS HOSPITAL ON MEDICARE AND MEDICAID AND EXPLAIN THE LARGE AMOUNT OF UNCOMPENSATED CARE PROVIDED MILES MEMORIAL HOSPITAL IS A SOLE COMMUNITY HOSPITAL LOCATED IN DAMARISCOTTA 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 AN EFFORT TO CONTROL COSTS PORTIONS OF LINCOLN COUNTY HAVE BEEN DESIGNATED AS MEDICALLY UNDERSERVED HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE PART VI 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 LONGTERM 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 AFFILIATED HEALTH CARE INFORMATION PART VI 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 OBGYN PHYSICIAN PRACTICE PEDIATRICS HOME HEALTH CARE AND HOSPICE LINCOLN COUNTY HEALTH CARE LCH 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 SYSTEMS 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 MANAGEMENTPURCHASING 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 NOTFORPROFIT FAMILY OF LEADING HIGHQUALITY 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 HEALTH CARE SOUTHERN MAINE MEDICAL CENTER AND HENRIETTA D GOODALL HOSPITAL INC 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 MARYS REGIONAL MEDICAL CENTER LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILED PART VI MAINE ADDITIONAL INFORMATION PART VI 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 WRITEOFF 200 FPL 50 WRITEOFF 225 FPL 25 WRITEOFF 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 ST ANDREWS HOSPITAL LINE NUMBER 1 PART V LINE 1J PART V LINE 1J ALSO INCLUDED IN THE CHNA WAS A PRIORITIZED LIST OF HEALTH NEEDS IDENTIFIED AS WELL AS THE IMPLEMENTATION PLANS RELATED TO THESE NEEDS ST ANDREWS HOSPITAL LINE NUMBER 1 PART V LINE 3 PART V LINE 3 COMMUNITY INPUT WAS TAKEN INTO ACCOUNT WHEN CONDUCTING THE CHNA INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH THIS INCLUDED INDIVIDUALS FROM THE FOLLOWING FACILITIES HEALTHY LINCOLN COUNTY MAINEHEALTH MIDCOAST MAINE CENTER FOR DISEASE CONTROL MAINE PRIMARY CARE ASSOCIATION AND LINCOLN COUNTY HEALTHCARE ST ANDREWS HOSPITAL LINE NUMBER 1 PART V LINE 4 PART V LINE 4 THE CHNA WAS CONDUCTED THROUGH A PARTNERSHIP WITH MAINEHEALTH EASTERN MAINE HEALTHCARE SYSTEMS AND MAINEGENERAL HEALTH ST ANDREWS HOSPITAL LINE NUMBER 1 PART V LINE 5C PART V LINE 5C THE CHNA REPORT CAN BE FOUND AT HTTPWWWMAINEHEALTHCOMMHBODYCFM ID7301 ST ANDREWS HOSPITAL LINE NUMBER 1 PART V LINE 7 PART V LINE 7 THE FOLLOWING IDENTIFIED COMMUNITY HEALTH NEEDS WERE NOT ADDRESSED CANCER HOSPITAL ADMISSIONS REPRODUCTIVE HEALTH SMOKING AND YOUTH ISSUES THESE PRIORITIES WERE NOT ADDRESSED DUE TO LACK OF CONSENSUS FROM COMMUNITY PARTNERS REGARDING THE IMPORTANCE OF THE ISSUE ANDOR A LACK OF RESOURCES TO ADDRESS THE ISSUE ST ANDREWS HOSPITAL LINE NUMBER 1 PART V LINE 12H PART V LINE 12H PRESUMPTIVE ELIGIBILITY INTENDED FOR THOSE PATIENTS WHO NEVER COMPLETED A FREE CARE APPLICATION BUT THE PATIENT ACCOUNTS DEPARTMENT HAS SUFFICIENT INFORMATION TO DETERMINE THAT THE PATIENT WOULD QUALIFY FOR FREE CARE IF THEY APPLIED EXAMPLES INCLUDE THE FOLLOWING PATIENT IS HOMELESS AND DID NOT COMPLETE AN APPLICATION PATIENT IS COVERED BY AN OUT OF STATE MEDICAID PLAN THAT THE PROVIDER IS NOT CREDENTIALED WITH AND THE PATIENTS BALANCE DOES NOT JUSTIFY COMPLETION OF THE BURDENSOME PAPERWORK ASSOCIATED WITH CREDENTIALING PATIENT HAS BEEN IN THE HOSPITAL WITHOUT INCOME FOR MORE THAN 3 MONTHS AND EXPIRES BEFORE AN APPLICATION CAN BE COMPLETED PATIENT IS INCARCERATED CONSISTENT WITH THE SECTION ON MEDICAL INDIGENCE PRESUMPTIVE ELIGIBILITY PATIENTS WILL BE APPROVED FOR ADJUSTMENT BY SUPERVISORY OR MANAGEMENT STAFF IN THE PATIENT ACCOUNTS DEPARTMENT UPON RECOMMENDATION BY COLLECTION OR CUSTOMER SERVICE STAFF ST ANDREWS HOSPITAL LINE NUMBER 1 PART V LINE 20D PART V LINE 20D THE HOSPITAL FACILITY USED GROSS CHARGES TO CALCULATE DISCOUNTS ITEMS 19AC ARE BEING EVALUATED FOR WHICH IS MOST PRACTICABLE FOR FUTURE IMPLEMENTATION false true false false false false false false false GARTH MILLER MD 367323 98000 8125 20851 494299 MARK FOURRE MD 288067 2233 8125 19689 318114 JOHN MURRAY MD 234909 15200 6424 19609 276142 AQUILINO ALAMO MD 198319 18500 7202 18942 242963 STEVEN FEDER DO 139168 20356 5187 17518 182229 DANIEL FRIEDLAND MD 119851 39300 5481 21152 185784 ROBERT MCARTOR MD 135663 21596 28729 13819 199807 JAMES DONOVAN 253508 41000 40450 8125 21671 364754 WAYNE PRINTY 185759 20275 6203 18829 231066 PATRICE CARTER 124866 9654 4897 4473 16910 160800 ALAN BARKER MD 135472 4523 17872 157867 SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SCHEDULE J, PAGE 1, PART I, LINE 4 ROBERT MCARTOR, M.D. 0 16,876 0 OTHER ADDITIONAL INFORMATION SCHEDULE J, PART III PART I, LINE 4: THE NONQUALIFIED PAYMENTS ARE FROM RELATED ORGANIZATIONS WHERE THE INDIVIDUAL IS EMPLOYED. SEE SCHEDULE O PART VI, LINE 15A, FOR DESCRIPTION OF METHODS USED TO DETERMINE THE COMPENSATION FOR TOP OFFICIALS. A MHHEFA REVENUE BOND SERIES 2011A 010314384 560427LW4 2011-08-31 8469460 REFINANCE BONDS false false false A 690000 8469460 834237 88736 8380724 true false true true A false false false false false false false false A false true false false false false false false false A false ADDITIONAL INFORMATION SCHEDULE K MHHEFA REVENUE BOND SERIES 2011A SERIES 2011 BONDS WITH RESPECT TO PART I COLUMN E AND PART II LINES 112 THE INSTITUTION IS REPORTING ITS ALLOCABLE PORTION OF THIS BOND ISSUE THE REMAINDER OF WHICH IS ALLOCABLE TO AFFILAITED ENTITIES FOR PURPOSES OF PART I COLUMN I THE INSTITUTION HAS ASSUMED THAT THIS ARRANGEMENT DOES NOT CONSTITUTE A POOLED FINANCING 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. FIRST ACCOMPLISHMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4A PATIENT DAYS: ADULT & CHILDREN: 2,962 NURSING FACILITY: 10,481 DISCHARGES: 224 DEPARTMENT AMOUNT STATISTICS LABORATORY 24,510 TESTS CARDIOPULMONARY 1,090 PROCEDURES CT SCANS 978 PROCEDURES RADIOLOGY 2,333 PROCEDURES REHABILITATION SERVICES 6,553 VISITS PLEASE SEE ATTACHED COMMUNITY BENEFITS STATEMENT CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PAGE 6, PART VI, LINE 6 ST. ANDREWS HOSPITAL AND MILES MEMORIAL HOSPITAL SHARE LINCOLN COUNTY HEALTH CARE INC. (LCH) AS THEIR SOLE CORPORATE MEMBER. MAINEHEALTH (EIN 01-0431680), AS THE SOLE MEMBER OF LCH, HAS THE RIGHT TO APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BOARD OF LCH 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 PRESIDENT/CEO AMONG OTHER DECISIONS, ARE SUBJECT TO THE APPROVAL OF THE SOLE MEMBER. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B THE FINANCE COMMITTEE PERFORMED 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 HEALTH CARE 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 SULLIVAN COTTER, 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 LCH 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 LCH'S REVENUES OR OTHER SIMILAR PROFIT-SHARING STRATEGIES. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B IN CONSULTATION WITH SULLIVAN COTTER, 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 LCH 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 LCH'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. OTHER FEES FOR SERVICES FORM 990, PART IX, LINE 11G PURCHASED SERVICES 3,202,400 91,652 0 ADDITIONAL INFORMATION FORM 990, PART XI THE FINANCIAL RESULTS OF THE ORGANIZATION WERE PART OF A CONSOLIDATED FINANCIAL STATEMENT AUDIT PREPARED FOR LINCOLN COUNTY HEALTH CARE, INC. (EIN 26-1475629) AND ITS SUBSIDIARIES. OTHER CHANGES IN NET ASSETS EXPLANATION FORM 990, PART XI, LINE 9 EQUITY TRANSFERS TO AFFILIATE 66,840 CHANGE IN PERPETUAL TRUSTS 26,871 LINCOLN COUNTY MEDICAL GROUP 6 ST ANDREWS LANE BOOTHBAY HARBOR ME 04538 263878235 PHYS SVC ME 501C3 3 LCH false LINCOLN COUNTY HEALTH CARE INC (LCH) 6 ST ANDREWS LANE BOOTHBAY HARBOR ME 04538 261475629 HEALTH SVC ME 501C3 11C MH false MILES MEMORIAL HOSPITAL 35 MILES STREET DAMARISCOTTA ME 04543 010211796 HOSP SVC ME 501C3 3 LCH false COVES EDGE INC 26 SCHOONER STREET DAMARISCOTTA ME 04543 010382340 LT CARE SV ME 501C3 3 LCH false MAINEHEALTH (MH) 110 FREE STREET PORTLAND ME 04101 010431680 HEALTHCARE ME 501C3 11C NA false false false false false false false false false false true false false true true true true true true true ADDITIONAL INFORMATION SCHEDULE R LINCOLN COUNTY MEDICAL GROUP HAS APPLIED FOR PUBLIC CHARITY TAXEXEMPT STATUS WITHIN THE DUE DATE REQUIRED TO RECEIVE IRS APPROVAL RETROACTIVE TO THE LEGAL DATE OF FORMATION