2024-11-14T07:15:57-06:00 2023-12-31 010523282 Berry Dunn McNeil & Parker LLC 2211 Congress St Portland ME 04102 990 2023-01-01 862728785 Calais Community Hospital CALA 2074547521 24 Hospital Lane Calais ME 04619 Lynnette Parr CFO 2074547521 2024-11-12 1 1 Joseph R Byrne P01289281 2077752387 2024-11-12 2023 2024-10-15 13:58:12Z Steven Lail 24 Hospital Lane Calais ME 04619 27373260 0 X www.calaishospital.org X 2021 ME Critical Access Hospital 14 11 222 15 0 0 1298036 588924 24995916 26697757 19022 86579 0 0 26312974 27373260 0 0 0 0 11839049 12612695 0 0 0 13446950 14530416 25285999 27143111 1026975 230149 13924708 14120745 10053241 10019129 3871467 4101616 X Provide access to quality healthcare and promote community wellness through the delivery of primary, emergency and ancillary inpatient and outpatient healthcare. The Hospital strives to improve the overall health of the communities we serve while exceeding customer expectations. 0 0 4181232 4895479 Emergency Services- Total visits for calendar year 2023 = 7,604 859247 2863547 Laboratory services - Performed 70,507 laboratory tests for inpatients and outpatients for calendar year 2023. 1309464 7546868 Imaging Services to inpatients and outpatients. 13,383 radiological exams were provided to the inpatients and outpatients for calendar year 2023. 16514697 11391863 Various other medical services supplied to patients. 16514697 11391863 22864640 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 36 0 1 222 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 ME X Lynnette Parr 2072550269 24 Hospital Lane Calais ME 04619 Jacqueline O'Clair Chair 1.25 2.25 X X 0 0 0 Judd Bragg Vice Chair 1.25 2.25 X X 0 0 0 Ian Pratt Treasurer 1.25 2.25 X X 0 0 0 Nate Martel Secretary/Past Board Chair 1.25 2.25 X X 0 0 0 Jack Corrigan Trustee 1.25 2.25 X 0 0 0 Jody Dennison Trustee 1.25 2.25 X 0 0 0 Michael Hennessey Trustee 1.25 2.25 X 0 0 0 Christian Inegbenijie MD Trustee 1.25 38.75 X 0 473624 40093 Julie Jordan Trustee 1.25 2.25 X 0 0 0 Betty Marshall Trustee 1.25 2.25 X 0 0 0 Tom Moholland Trustee 1.25 2.25 X 0 0 0 Corey Schwinn Trustee 1.25 2.25 X 0 0 0 Rita Ten MD Trustee 1.25 38.75 X 0 550632 46599 Steven Lail CEO 1.25 38.75 X X 0 388393 33913 Lisa Carlisle Past Chair 1.25 2.25 X X 0 0 0 Gwendolyn Jones Past Trustee 1.25 2.25 X 0 0 0 Lynnette Parr CFO 1.25 38.75 X 0 286901 38146 John Gluscic Physician 40.00 0.00 X 558132 0 11058 Nima Moghaddas DPM Physician 32.00 0.00 X 306132 0 13599 Elizabeth Eliacin MD Physician 40.00 0.00 X 239090 0 9174 James Eshleman Physician 20.00 0.00 X 195463 0 590 Ausaf Tak Pharmacist 40.00 0.00 X 172507 0 387 1471324 1699550 193559 16 0 1 0 EPA PO Box 634850 Cincinnati OH 452634850 ER Physicians 2555755 Medefis Consolidated PO Box 5068 New York NY 100875068 Traveling Staffing 2318393 Cody Davis DO LLC 7322 Manatee Ave West 220 Bradenton FL 34209 Hospitalist 457434 Trubridge PO Box 11407 Birmingham AL 352466448 Information System 335302 Triage LLC PO Box 773328 Chicago IL 606773328 Traveling Staffing 213560 13 508193 80731 588924 Patient Services 621400 46194507 46194507 Other Revenue 900099 1191186 1141888 49298 Contractual/Char. Adj. 621400 -20687936 -20687936 26697757 86579 86579 27373260 26648459 0 135877 X 10642566 9064133 1578433 1203802 1019159 184643 766327 628388 137939 6787 6787 83245 83245 8460658 7398451 1062207 37087 37087 72568 20119 52449 1481683 1053120 428563 10226 8344 1882 200603 200603 618995 618995 325985 296904 29081 Supplies 1850512 1830238 20274 Service Provider Tax 613854 613854 Miscellaneous Expense 591090 31661 559429 Dues and Subscriptions 177123 80671 96452 27143111 22864640 4278471 0 X 349305 430029 4453864 4837572 1464567 1234253 313149 352801 244419 205787 7635597 1177931 5947135 6457666 37725 1114544 602637 13924708 14120745 2475549 2549674 7392788 7469455 184904 0 10053241 10019129 X 3833742 4101616 37725 0 3871467 4101616 13924708 14120745 230149 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1102 1102 0 Part II-B, Line 1: The Organization pays dues to local associations, a portion of which is attributable to lobbying activities. 293536 293536 4521662 498758 4022904 2791580 676980 2114600 28819 2193 26626 6457666 1 1 1 X 1 X 1 1 0 1 1 29939 29939 0.00110 6253222 6015270 237952 0.00880 6283161 6015270 267891 0.00990 12993 12993 0.00050 36274 36274 0.00130 767204 767204 0.02830 816471 816471 0.03010 7099632 6015270 1084362 0.04000 1 0 0 7279660 7501671 -222011 X 1 1 1 1 Calais Community Hospital 24 Hospital Lane Calais ME 04619 www.calaishospital.org 39606 X X X X Calais Community Hospital 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X calaishospital.org/community-health-needs-assessment/ X http://www.mainechna.org X 1 22 1 calaishospital.org/community-health-needs-assessment/ 0 1 X 150.000000000000 200.000000000000 X 1 1 X X X 1 X calaishospital.org/financial-assistance/ X calaishospital.org/financial-assistance/ X calaishospital.org/financial-assistance/ X X X X X X 1 X 0 X X X X 1 X 0 0 Calais Community Hospital Part V, Section B, Line 5: The 2019 Maine Shared Community Health Needs Assessment was born out of a unique public-private partnership. The partnership began as the OneMaine Health Collaborative in 2007, involving Northern Light Health (formerly Eastern Maine Healthcare Systems), MaineGeneral Health, and MaineHealth. After conversations with the Statewide Coordinating Council for Public Health, the Maine Center for Disease Control and Prevention, an office of the Department of Health and Human Services joined in 2012. In 2013, Central Maine Healthcare joined the group and in 2014 a charter was drafted by all five partners to guide a statewide assessment process. The shared CHNA includes a large set of statistics on health status and risk factors from existing surveillance and health data sets.This 2022 CHNA includes input from a broad set of stakeholders from across the state as facilitated by the Steering Committee, Metrics Committee & Community Engagement Committee. Community outreach and engagement for the Maine Shared CHNA included coordination at the statewide, public health district & county level. In addition to the state-level Community Engagement Committee, a local community engagement planning committee for Washington County planned and implemented the logistics of community forums within the county. The committee was compromised of hospitals, public health district liaisons and a variety of additional partners. Calais Community Hospital Part V, Section B, Line 6a: The Hospital participated in the statewide community health needs assessment along with the following Maine hospitals:Northern Light Health Member Organizations: Acadia Hospital; Blue Hill Memorial Hospital; Charles A Dean Memorial Hospital; Eastern Maine Medical Center, Inland Hospital, Mercy Hospital; Sebasticook Valley Hospital, Maine Coast Hospital, AR Gould Hospital; Maine Health Affiliated: Southern Maine Healthcare, Maine Medical Center, Spring Harbor, Stephens Memorial Hospital, Franklin Memorial Hospital, Lincoln Health, Waldo County General Hospital, Pen Bay Medical Center; CMHC Affiliated: Bridgton Hospital, Central Maine Medical Center, Rumford Hospital; York Hospital; NE Rehabilitation; St. Mary's Regional Medical Center; Mid Coast Hospital; Maine General Health; Reddington-Fairview General Hospital; Millinocket Regional Hospital; Penobscot Valley Hospital; St. Joseph Hospital; Mayo Regional Hospital; Calais Regional Hospital; Mt. Desert Island Hospital; Cary Medical Center; Houlton Regional Hospital and Northern Maine Medical Center.The Maine Shared Community Health Needs Assessment (Maine Shared CHNA) is a collaboration between Central Maine Healthcare (CMHC), Maine Center for Disease Control and Prevention (Maine CDC), MaineGeneral Health (MGH), MaineHealth (MH), and Northern Light Health (NLH). The vision of the Maine Shared CHNA is to turn health data into action so that Maine will become the healthiest state in the U.S. Down East Community Hospital was an active participant in the process. Calais Community Hospital Part V, Section B, Line 6b: The Hospital's CHNA was conducted with the following community non-hospital organizations:Aroostook Mental Health Center Calais Community Hospital City of Calais Community Caring Collaborative Community Health & Counseling Services/Mental and Behavioral Health Community Health & Counseling Services/Home Health & Hospice Community members Comprehensive Cancer Control Program Down East Community Hospital Downeast Public Health District University of Maine Downeast Rural Health Collaborative Institute Eastern Area Agency on Aging Eastport Health Care Harrington Family Health Center Healthy Acadia Maine Community Foundation Maine Department of Health and Human Services Maine Hospice Council Maine Mobile Health Program Maine Seacoast Mission Maine Senator Marianne Moore Maine State Police NextStep Domestic Violence Project Northern Light Health Office of Aging and Disability Services, Department of Health and Human Services Penobscot Community Health Care Public Health Nursing Maine Center for Disease Control and Prevention St. Croix Regional Family Health Center Strategic Wisdom Partners Sunrise County Economic Council UMaine Center on Aging Senior Companion Program The University of Maine at Machias US Senator Susan Collins' Office Washington County Community College. Calais Community Hospital Part V, Section B, Line 11: CCH addressed the needs of the most recent CHNA by preparing and adopting an implementation strategy. CCH plans to address all priorities identified through the management and budget of community benefit activities. In addition, CCH also takes advantage of partnering with other community plans by participating, supporting, or promoting programs which support community health needs. CCH's detailed implementation strategy can be found on the hospital website. Calais Community Hospital Part V, Section B, Line 16j: Notices of the Free Care program are posted at the front desk in the main lobby, in the registration areas, patient billing department, Surgical Services department, Orthopedic Department, Baileyville Clinic, and Rural Health Care Clinic. Applications are available at all of these points. Assistance in completing the applications is provided by the Patient Financial Advocate. Part I, Line 6a: The senior leadership team, with approval by the board of trustees, manages the community benefit activities of the Hospital. An expense budget is identified annually for community benefit activities. Community benefit activities are reported each year in the Hospital's annual report. Part III, Line 4: See Pages 11-13 of the attached audited financial statements for footnote disclosure. Part III, Line 8: Down East Community Hospital is paid by Medicare as a critical access hospitals (CAH). Most inpatient and outpatient services are reimbursed at 101% of reasonable costs. Beginning in 2013, Critical Access Hospitals reimbursement was reduced by 2% due to a Federal sequestration. Physician and practitioner bills are paid for professional Medicare services using the Physician Fee Schedule (PFS). The amount to provide services to Medicare costs more than the revenue generated from services to Medicare patients. We consider direct shortfall the organization sustains for providing these services a community benefit. Part III, Line 9b: The financial assistance policy that is referred to in the billing & collection policy states that based on the financial assistance level approved, an eligible individual will not be billed for services, or any amount not paid by an insurer or medical assistance program if the person has been qualified for financial assistance. Part VI, Line 2: See Schedule H, Part V, Section C. Part VI, Line 3: CCH has a financial assistance policy that outlines all the discounted cost opportunities that the Hospital has to offer. The complete financial assistance policy, plain language summary, and free care application is located on the Hospital's website at www.calaishospital.org. Copies of the plain language summary is also posted in all main waiting areas of the facility and satellite locations and full copies of the policy can be obtained per request and without charge. Annually, CCH also advertises its plain language summary in local media outlets.Each patient is given the Hospital's financial assistance policy plain language summary prior to the commencement of each date of service. The summary and contact information to obtain a free care application is also listed on the patient's bill. At every opportunity, the Hospital's billing specialists and financial counselors will communicate our policies to patients after billing and encourage patients to apply for financial assistance. During discussions, if patients are identified to be eligible for other governmental insurances, CCH will assist the patient with the application process if requested by the patient. Part VI, Line 4: Demographics:Washington County is one of two counties in the Downeast Public Health District. The population of Washington County is 31,491 and 30.8% of the population is 65 years of age or older. The population is predominantly white (90.8%); 2.4% are Hispanic, and 2.1% are two or more races. The median household income is $41,347, over $15,000 less than the state average. The high school graduation rate (84.4%) was lower than the state (87.4%). The percentage of the population with an associate degree or higher was (31.2%) which was lower than the state (41.9%).Quantitative Evidence:In Washington County:The percentage of the population that was uninsured was higher than the state overall (12.9% vs. 7.9%) in 2015-2019.The percentage of the population who reported an inability to access healthcare due to cost was higher than the state overall (13.0% vs. 10.6%) from 2015-2017.The percentage of the population with a usual primary care provider was significantly lower than the state overall (82.4% vs. 87.9%) in 2015-2017.The percentage of the population with a primary care visit to any provider in the past year was significantly lower than the state overall (82.4% vs. 87.9%) in 2015-2017.The percentage of individuals living in poverty was higher than the state (18% vs. 11.8%) and the percentage of children living in poverty was significantly higher than the state (24.6% vs. 13.8%) Part VI, Line 5: The Hospital furthers its exempt purpose by promoting the health of the community. The board consists of volunteer community members that are elected by the Corporators of the Hospital.The Hospital has an open medical staff where all applicants have the opportunity to obtain membership as long as the guidelines as determined by the medical staff bylaws are met. 0 0 0 0 0 0 0 1 0 Rita Ten MD Trustee 0 550632 0 0 0 0 0 16500 0 30099 0 597231 0 0 John Gluscic Physician 472586 0 71146 0 14400 0 0 0 11058 0 569190 0 0 0 Christian Inegbenijie MD Trustee 0 463624 0 10000 0 0 0 16500 0 23593 0 513717 0 0 Steven Lail CEO 0 380893 0 7500 0 0 0 13200 0 20713 0 422306 0 0 Lynnette Parr CFO 0 286901 0 0 0 0 0 17424 0 20722 0 325047 0 0 Nima Moghaddas DPM Physician 246209 0 59923 0 0 0 0 0 13599 0 319731 0 0 0 Elizabeth Eliacin MD Physician 239090 0 0 0 0 0 0 0 9174 0 248264 0 0 0 James Eshleman Physician 174222 0 21241 0 0 0 0 0 590 0 196053 0 0 0 Ausaf Tak Pharmacist 172507 0 0 0 0 0 0 0 387 0 172894 0 0 0 Part I, Line 3 The Organization's CEO is compensated by Down East Community Hospital, a related organization. The Hospital uses the following to establish the compensation for the CEO: 1. Compensation committee 2. Written employment contract 3. Compensation survey or study 4. Approval by the board or compensation committee Part I, Line 7 Physician bonuses are based on three categories: Retention, RVU, or minimum base salary levels. Form 990, Part VI, Section A, line 6 The sole Member of the Organization is Down East Community Hospital. Form 990, Part VI, Section A, line 7a The Corporators shall elect the Trustees of this Corporation from a slate of nominees presented by the Nominating Committee in accordance with the provisions of the Bylaws. Form 990, Part VI, Section A, line 7b Down East Community hospital, the sole member of the Organization, has the sole power to take any necessary actions related to the following: 1. Adopting and implementing a system-wide strategic plan for this Corporation and its affiliates, as well as preparing any annual or other reports required to update that plan. 2. Ensuring the financial viability of this Corporation. 3. Overseeing the financial viability of this Corporation 4. Approving plans with respect to the development of any new programs and/or consolidation of existing programs. 5. Approving plans for clinical initiatives that involve any capital expenditure or the development of any new facility. 6. Amending the Articles of Incorporation or Bylaws of this Corporation. 7. Employing a Chief Executive Officer 8. Appointing and removing Trustee serving on the Board of Trustees of this Corporation. 9. Approving the operational structure of this Corporation 10. Approving the sale or substantially all the assets of this Corporation. The following actions, when taken by the Board of Trustees of this Corporation, shall require the approval of the Member and any such action shall not be effective until such approval is granted: 1. Adoption of annual operating and capital budgets, or substantial changes thereto; including but not limited to the adoption of new health services. 2. Unbudgeted debt instruments, notes, guarantees, mortgages, or pledges in excess of such limits as the Members shall specify from time to time. 3. Authorization or material amendment of contracts for sale, lease, exchange, or other disposition or acquisition or divestiture of real property or other substantial corporate assets in excess of such amounts as the Member shall specify from time to time. 4. The filing of any petition for voluntary dissolution. 5. The filing of any petition for voluntary bankruptcy. 6. Affiliation, consolidation, or merger with, or acquisition of, any other organization. 7. Establishment, termination, or relocation of any major clinical service. 8. Selection of any outside auditor or legal counsel. Form 990, Part VI, Section B, line 11b The 990 is reviewed by the CEO and CFO and a copy is provided to the full board before filing. Form 990, Part VI, Section B, line 12c To monitor compliance with the conflict-of-interest policy for the Organization, each member of the board of trustees is required annually to submit a conflict-of-interest document and the compliance officer verifies the receipt of these documents. The compliance officer also reviews payments issued to the board of trustees and any contracts in effect with board members. All new employees sign a conflict-of-interest statement at the time of hire. Form 990, Part VI, Section B, line 15a The Organization has a CEO Compensation committee. This committee is responsible for evaluating compensation. Committee meetings are documented with minutes. The CEO for the Organization is determined by a vote of the full Board of Trustees and the existence of a legal contract. Form 990, Part VI, Section C, line 19 The financial statements and annual report are made available to the public upon request. The annual report is also available on the hospital website. The Organization's governing documents and conflict of interest policy are not made available to the public. Form 990, Part IX, line 11g Purchased Services: Program service expenses 608,497. Management and general expenses 1,062,207. Fundraising expenses 0. Total expenses 1,670,704. Temporary Personnel: Program service expenses 3,012,965. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,012,965. Physician Fees: Program service expenses 3,776,989. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,776,989. Form 990, Part X, Line 10: Land, Buildings, and Equipment Section 1.263(a)-3(n) Election: Calais Community Hospital 24 Hospital Lane Calais, ME 04619 EIN: 86-2728785 Calais Community Hospital is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). Sunrise Healthcare 11 Hospital Drive Machias ME 04645 222582949 Community Healthcare ME 501(c)(3) Line 7 Down East Community Hospital 0 Down East Community Hospital 11 Hospital Drive Machias ME 04645 010263198 Hospital ME 501(c)(3) Line 3 N/A 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0