2021-09-09T14:25:59-07:00 2020-09-30 990 2019-10-01 237134386 HOULTON REGIONAL HOSPITAL HOUL 2075322900 20 HARTFORD ST HOULTON ME 04730 SHAWN ANDERSON CEO 2021-09-09 2019 2022-09-23 18:48:47Z SHAWN D ANDERSON 20 HARTFORD ST HOULTON ME 04730 50078773 false X houltonregional.org X 1973 ME HOULTON REGIONAL HOSPITAL'S PURPOSE IS TO PROVIDE SAFE, COMPASSIONATE, QUALITY, COST EFFECTIVE CARE TO THE COMMUNITIES WE SERVE. WE ARE DEDICATED TO IMPROVING THE HEALTH STATUS OF THOSE WE SUPPORT THROUGH EDUCATION, TREATMENT AND REHABILITATION. 10 7 451 29 6264 94369 1678380 46975247 46430929 552112 332431 0 47621728 48441740 40000 0 0 27583817 28409961 0 0 19962336 19422042 47586153 47832003 35575 609737 23834079 36054389 20471751 31817131 3362328 4237258 HOULTON REGIONAL HOSPITAL'S PURPOSE IS TO PROVIDE SAFE, COMPASSIONATE, QUALITY, COST EFFECTIVE CARE TO THE COMMUNITIES WE SERVE. WE ARE DEDICATED TO IMPROVING THE HEALTH STATUS OF THOSE WE SUPPORT THROUGH EDUCATION, TREATMENT AND REHABILITATION. false false 42454542 46317813 PROVISION OF HEALTH CARE SERVICES IN RURAL MAINE. DURING THE FISCAL YEAR ENDED 9/30/20, 1,094 PEOPLE HAD AN INPATIENT STAY (INCLUDING SWING BEDS); 76,751 OUTPATIENT SERVICES WERE RENDERED; 8,577 PEOPLE WERE SERVED IN THE EMERGENCY ROOM. OF THESE SERVICES, 296 ACCOUNTS (REPRESENTING 81 PEOPLE AND $135,880) WERE WRITTEN OFF AS CHARITY CARE. HOULTON REGIONAL HOSPITAL (HRH) ALSO ASSISTS ELDERLY CITIZENS WITH THEIR WISH TO REMAIN INDEPENDENT AS LONG AS POSSIBLE. TO ACCOMPLISH THIS GOAL, HRH ASSISTS WITH THE RENTAL OF LIFELINE EMERGENCY RESPONSE UNITS. DURING FISCAL YEAR 9/30/20, A DAILY AVERAGE OF 13 LIFELINE UNITS WERE RENTED. 42454542 true true false true false false false false false true true false false true true false true false false false false false false false false false true true false false true true false false false false false false false true true false false false false false false false false false false true 76 0 true 451 true true true false false false false false false 0 false false false false false false false X 10 7 false false false false false false false true true false false true true true true true true true true false X CYNTHIA M THOMPSON 2075322900 20 HARTFORD ST HOULTON ME 04730 X ERIC RAU GEN SURGEON 40.00 0.00 312553 0 19181 HASSAN E ABOULEISH MD Vice President 40.00 0.00 X X 302910 0 0 KIMBERLY MAYS-DE-PEREZ OB/GYN PHYSICIAN 40.00 0.00 272019 0 23538 SOLOMON OLABIYI MD Director 40.00 0.00 X 247073 0 29100 THOMAS J MOAKLER CEO 40.00 0.00 X 253138 0 18968 JOSEPH FAHEY PEDIATRICIAN 40.00 0.00 250774 0 16780 JENNIFER CAVALARI HOSPITALIST 40.00 0.00 241347 0 8639 PAUL MONTE ALEXANDER CRNA 40.00 0.00 248744 0 0 SHAWN D ANDERSON CEO 40.00 0.00 X 212776 0 12815 CYNTHIA THOMPSON CFO 40.00 0.00 X 154220 0 0 C REGINA BROWN COO 40.00 0.00 X 118528 0 23538 KARL WOODS DMD Director 1.00 0.00 X 0 0 0 LYNETTE MCLAUGHLIN President 1.00 0.00 X X 0 0 0 ELLEN HALLIDAY Director 1.00 0.00 X 0 0 0 SCOTT ALLEN Director 1.00 0.00 X 0 0 0 DOUG HAZLETT Director 1.00 0.00 X 0 0 0 GARY BOSSIE Director 1.00 0.00 X 0 0 0 MAX LYNDS Secretary 1.00 0.00 X X 0 0 0 NANCY KETCH Treasurer 1.00 0.00 X X 0 0 0 2614082 152559 27 false true false BLUE WATER EMERGENCY PARTNERS LLC 14 MAINE STREET BRUNSWICK ME 04011 EMERGENCY PHYSICIANS 2644624 HOULTON INTERNAL MEDICINE PA 22 HARTFORD ST HOULTON ME 04730 INTERNAL MEDICINE 784117 ARUNDEL INTERNAL MEDICINE PC 5 ELM STREET HOULTON ME 04730 HOSPITALIST SVCS 549034 ALLIANCE HEALTHCARE SERVICES PO BOX 96485 CHICAGO IL 606936485 MRI IMAGING SVCS 395052 JOHN C RUSSELL MD 2912 202ND AVENUE CT E LAKE TAPPS WA 98391 UROLOGIST 370505 16 X 1437519 240861 1678380 BILLING SERVICE FEES 561000 3355 3355 CATERING 722320 2214 2214 MEDICARE & MEDICAID PYMTS 20816625 20816625 PATIENT FEES 62225309 62225309 VENDING, CAFETERIA, MISC. 2950071 2843219 106852 -39566645 -39567340 695 46430929 142541 142541 0 0 0 1826923 1637033 189890 189890 189890 0 0 0 0 48441740 46317813 6264 439283 X 0 0 0 0 1373066 579083 793983 0 19810045 18262223 1547822 0 5807114 5214664 592450 1419736 1263637 156099 0 23612 23612 50000 50000 6959 6959 0 19065 19065 7721991 7253884 468107 17850 17850 148511 148511 549442 549442 0 169603 145865 23738 57992 51070 6922 0 0 378039 232224 145815 0 904794 775228 129566 442005 189696 252309 SUPPLIES 5748179 5746074 2105 MEDICAID TAX - STATE OF MAINE 892288 892288 UTILITIES 768541 664934 103607 MAINTENANCE/SERVICE CONTRACTS 590958 590958 932213 592714 339499 47832003 42454542 5377461 0 15009 1827974 602805 11523237 19912 7495521 4784704 0 0 0 869619 862194 911433 789845 42911695 34596356 8736043 8315339 4185489 4781258 0 0 0 1018160 3149926 23834079 36054389 9714379 9103344 3682878 5667312 4789476 206184 151517 4883876 14089916 20471751 31817131 X 3297305 4120162 65023 117096 3362328 4237258 23834079 36054389 609737 265193 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 6959 6959 false false Part II-B, Line 1i - Other Activities Description OTHER LOBBYING AMOUNTS REPRESENT AN ALLOCABLE PORTION OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION AND THE MAINE HOSPITAL ASSOCIATION. 172422 31127 500 203049 171521 1401 500 172422 154065 17956 500 171521 131722 22843 500 154065 120543 11679 500 131722 1.00000 false false false 193107 193107 23985152 17887439 6097713 11917839 11018140 899699 6815597 5690777 1124820 8315339 457 PLAN ASSETS 899887 DUE FROM THIRD PARTY PAYORS 1989041 INVESTMENT IN JOINT VENTURE -17707 3149926 457 PLAN ASSETS 899887 BORROWING COLLATERALIZED BY PATIENT ACCT 762464 DUE TO THIRD PARTY PAYORS 8564599 LINE OF CREDIT 152066 PAYCHECK PROTECTION PROGRAM 3710900 14089916 48687868 265193 265193 48422675 19065 19065 48441740 47812938 47812938 19065 19065 47832003 Part V, Line 4: Intended uses of the endowment fund. THE CORPUS OF THE ENDOWMENT IS PERMANENTLY RESTRICTED, WITH ANY EARNINGS AVAILABLE TO PROMOTE THE HOSPITAL'S EXEMPT PURPOSE. true true X true X true X 150.000000000 false true false false false false 296 81 75541 75541 0.00160 9287467 8049474 1237993 0.02590 296 81 9363008 8049474 1313534 0.02750 13 135 14132 14132 0.00030 3 108 625 625 35208 17347 17861 0.00040 100 1210 60098 7560 52538 0.00110 116 1453 110063 24907 85156 0.00180 412 1534 9473071 8074381 1398690 0.02930 false 1977892 306573 18454614 19006477 -551863 X true true 1 1 HOULTON REGIONAL HOSPITAL 20 HARTFORD STREET HOULTON ME 04730 www.houltonregional.org 39174 X X X SWING BED PROGRAM & 2 RHCS 1 HOULTON REGIONAL HOSPITAL 1 false false true X X X X X X 18 true true false true X https://houltonregional.org/community-he X https://www.maine.gov/dhhs/mecdc/phdata/ X true 18 true http://www2.houltonregional.org/wp-content/uploads/2019/10/2 false false true X 150.0000 150.0000 X X true true X X X true X https://www2.houltonregional.org/wp-cont X https://houltonregional.org/wp-content/u X http://www2.houltonregional.org/wp-conte X X X X true X false X X X true X false false Facility: HOULTON REGIONAL HOSPITAL - Part V, Section B, Line 5 THE RESULTS FROM THE SURVEY WERE DISTRIBUTED TO ALL INVOLVED AGENCIES. STAFF FROM HOULTON REGIONAL ARE PART OF THE AROOSTOOK DISTRICT COORDINATING COUNCIL FOR PUBLIC HEALTH THAT IS TAKING THE LEAD TO ADDRESS THE NEEDS FOR OUR COUNTY. WE ALSO RELY ON FEEDBACK FROM OUR PATIENTS, EMPLOYEES, MEDICAL STAFF, AND BOARD MEMBERS REGARDING SERVICE NEEDS. Facility: HOULTON REGIONAL HOSPITAL - Part V, Section B, Line 6a THE HOSPITAL PARTICIPATED IN THE MAINE SHARED HEALTH NEEDS ASSESSMENT SURVEY THAT INCLUDED NORTHERN LIGHT HEALTH MEMBER HOSPITALS; CENTRAL MAINE HEALTHCARE; MAINEGENERAL HEALTH; MAINE HEALTH; STATE OF MAINE CENTERS FOR DISEASE CONTROL EPIDEMIOLOGISTS; UNIVERSITY OF SOUTHERN MAINE'S MUSKIE SCHOOL OF PUBLIC SERVICE, ALONG WITH MANY OTHER COLLABORATING ORGANIZATIONS AND TRIBAL OR PUBLIC HEALTH DEPARTMENTS. Facility: HOULTON REGIONAL HOSPITAL - Part V, Section B, Line 11 THE HOSPITAL IS WORKING TO ADDRESS 6 KEY AREAS IN RESPONSE TO THE MOST RECENT HEALTH NEEDS ASSESSMENT: PHYSICAL ACTIVITY, NUTRITION AND WEIGHT; MENTAL HEALTH; SUBSTANCE USE; ACCESS TO CARE; OLDER ADULT HEALTH/HEALTHY AGING; AND CARDIOVASCULAR DISEASE.EFFORTS UNDERTAKEN INCLUDE: PATIENT EDUCATION, CASE MANAGEMENT SERVICES, REFERRALS TO SPECIALTY AND COMMUNITY AGENCIES, USE OF OUR FACILITY SPACE FOR SUPPORT GROUP MEETINGS, ADJUSTING OFFICE PRACTICE HOURS, AND CONTINUED REVIEW OF OUR SERVICE LINES.WE REVIEW THE COMMUNITY NEEDS ON AN ONGOING BASIS AGAINST THE AVAILABLE RESOURCES THAT WE HAVE AND ALSO AGAINST OUR SCOPE OF LICENSE OR PRACTICE. SIGRID E TOMPKINS RURAL HEALTH CENTER 22 HARTFORD STREET HOULTON ME 04730 RURAL HEALTH CENTER HOULTON FAMILY PRACTICE 22 HARTFORD STREET HOULTON ME 04730 RURAL HEALTH CENTER Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used) DISCOUNTED CARE PROVIDED IN THE RHC SETTING, BEGINNING AT 150% OF FPG. Part I, Line 7 - Explanation of Costing Methodology COST-TO-CHARGE RATIO WAS USED TO DERIVE CHARITY CARE AT COST IN THE TABLE. COST-TO-CHARGE RATIO WAS ALSO USED TO DERIVE THE COST OF MEDICAID SERVICES, WHICH IS INCLUDED AS A PORTION OF THE UNREIMBURSED MEDICAID COMMUNITY BENEFIT EXPENSE. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARECOST-TO-CHARGES. Part I, Line 7g - Costs Associated With Physicans Clinics SUBSIDIZED HEALTH SERVICES CONSISTS OF CARDIAC & RESPIRATORY REHABILITATION CLASSES.CARDIAC REHAB PHASE III AND RESPIRATORY REHAB PHASE III CLASSES ARE OFFERED TO THE HRH PATIENT BASE, BUT ARE NOT ELIGIBLE FOR REIMBURSEMENT FROM THIRD PARTY INSURANCES. PATIENTS PAY UP FRONT TO ATTEND THESE SESSIONS, THEREFORE CHARITY CARE AND BAD DEBT DO NOT APPLY. COSTS FOR THESE SESSIONS HAS BEEN DETERMINED BY USING ACTUAL STAFF TIME LOGGED TO TEACH THE SESSIONS. FACILITY COSTS HAVE BEEN INCLUDED BASED ON THE TIME USAGE OF THE CLASSES COMPARED TO THE AVAILABLE SQUARE FOOTAGE. THIS PERCENTAGE WAS THEN MULTIPLIED AGAINST THE FACILITY COSTS DRAWN DOWN BY THE CARDIAC DEPARTMENT ON THE MEDICARE COST REPORT.DIRECT STAFFING & BENEFIT COSTS $ 4,543FACILITY COSTS $15,302CLASS REVENUES COLLECTED ($ 3,099)NET COMMUNITY BENEFIT $ 16,746HRH RENTS LIFELINE EMERGENCY RESPONSE UNITS TO INDIVIDUALS IN OUR SERVICE AREA. THIS PROGRAM IS OPERATED TO ASSIST THE ELDERLY WITH THEIR DESIRE TO REMAIN INDEPENDENT AND LIVING IN THEIR OWN HOME. HRH PAYS A FEE FOR THE UNIT AND A RELATED CONNECTION COST. HRH ALSO INCURS STAFFING COSTS FOR INSTALLATION AND DISCONNECTION OF THE UNITS. A LOG OF THESE COSTS IS KEPT FROM THE RELATED INVOICES AND TIMECARDS:STAFFING, UNIT RENTAL & CONNECTION COSTS $5,491UNIT RENTAL FEES COLLECTED ($4,672)NET COMMUNITY BENEFIT $ 819HRH CONTRACTS WITH A LOCAL BEHAVIORAL HEALTH AGENCY TO PROVIDE CRISIS INTERVENTION SERVICES IN OUR EMERGENCY DEPARTMENT. THIS SERVICE IS USED TO STABILIZE EMERGENT PATIENTS AND THEN REFER OR TRANSFER THEM FOR FURTHER CARE. THIS LEVEL OF SERVICE IS OFTEN NOT COVERED BY PATIENT INSURANCE, SO HRH ENDS UP COVERING THE MAJORITY OF THESE COSTS. THIS SUBSIDY IS CALCULATED BY ESTIMATING THE COLLECTION RATE FROM PATIENTS OR THEIR INSURANCE AND THEN SUBTRACTING THIS FROM THE INVOICES RECEIVED FROM THE EXTERNAL AGENCY:COLLECTIONS RECEIVED $1,127INVOICES PAID FOR SERVICES ($1,423)NET COMMUNITY BENEFIT $ 296 Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense We used Worksheet A to estimate bad debt expense (at cost), which is a cost-to-charge methodology. Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit This amount is based on the organization's bad debt expense at cost (calculated at Line 2) multiplied by the percentage of persons in Aroostook County below the poverty level (15.5%). The hospital uses the Federal Poverty Guidelines to determine eligibility for providing free care to low income individuals. The family income limit for eligibility for free care is 150% of poverty level. We assume that the demographics of the patients comprising our bad debt expense are similar to the demographics of Aroostook County (the County we are located in). Per the US Census Bureau QuickFacts for Aroostook County, Maine, 15.5% of persons in 2019 are below poverty level. Since our eligibility criteria for our hospital is 150% poverty level and we used the percentage below 100% to estimate the potential charity care written off as bad debt, we believe our calculation is reasonable and conservative. Part III, Line 4 - Bad Debt Expense PATIENT ACCOUNTS RECEIVABLE ARE STATED AT THE AMOUNT MANAGEMENT EXPECTS TO COLLECT FROM OUTSTANDING BALANCES. MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS THROUGH A CHARGE TO EARNINGS AND A CREDIT TO A VALUATION ALLOWANCE BASED ON ITS ASSESSMENT OF THE CURRENT STATUS OF INDIVIDUAL ACCOUNTS. BALANCES THAT ARE STILL OUTSTANDING AFTER MANAGEMENT HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE VALUATION ALLOWANCE AND A CREDIT TO PATIENT ACCOUNTS RECEIVABLE. Part III, Line 8 - Explanation Of Shortfall As Community Benefit ADDITIONAL MEDICARE SHORTFALL - REVENUES AND COSTS NOT INCLUDED IN THE MEDICARE COST REPORT: COST PROFESSIONAL REPORT FEES TOTALREIMBURSEMENT 16,830,725 1,623,889 18,454,614COSTS 16,867,880 2,138,597 19,006,477SHORTFALL ( 37,155) ( 514,708) ( 551,863)THE HOSPITAL BILLS FOR VARIOUS PHYSICIAN SERVICES THROUGHOUT THE YEAR. THE CHARGES AND COSTS RELATED TO THOSE PROFESSIONAL SERVICES ARE NOT REPORTED IN THE HOSPITAL'S COST REPORT.PROFESSIONAL FEE REIMBURSEMENT: WHEN PREPARING THE COST REPORT TOTAL CHARGES BY DEPARTMENT ARE TAKEN FROM THE GENERAL LEDGER, DETAIL REPORTS BY PROCEDURE FOR INPATIENT/OUTPATIENT ARE GENERATED FOR THOSE DEPARTMENTS THAT INCLUDE PROFESSIONAL SERVICE REVENUE, AND PROFESSIONAL SERVICE REVENUE IS THEN SUBTRACTED FROM TOTAL REVENUE TO ARRIVE AT REVENUE TO REPORT ON WORKSHEET C ON THE COST REPORT. THE SAME REPORTS WERE RUN FOR ONLY MEDICARE PROFESSIONAL SERVICE REVENUE BY INPATIENT AND OUTPATIENT. INPATIENT MEDICARE PROFESSIONAL FEE REVENUE WAS THEN REDUCED BY THE INPATIENT MEDICARE PROFESSIONAL FEE DEDUCTIONS FROM REVENUE ON THE GENERAL LEDGER TO ARRIVE AT INPATIENT PROFESSIONAL FEE REIMBURSEMENT. OUTPATIENT MEDICARE PROFESSIONAL FEE REIMBURSEMENT WAS DERIVED BY MULTIPLYING THE GROSS REIMBURSEMENT ON THE CAH-FEE REIMBURSED PROVIDER SUMMARY REPORT (REPORT TYPE 855) BY THE PERCENTAGE OF PROFESSIONAL CHARGES INCLUDED IN THE SAME REPORT.PROFESSIONAL FEE COSTS: MEDICARE PROFESSIONAL FEE COSTS WERE DERIVED BY DETERMINING THE PERCENTAGE OF PROFESSIONAL FEE REVENUE BY SPECIALTY SERVICE RELATED TO MEDICARE AND MULTIPLYING THE SPECIFIC PROFESSIONAL COSTS SUMMARIZED BY SPECIALTY SERVICE (A-8-2 SUPPORT) BY THE MEDICARE PERCENTAGE.SHORTFALL: THE PROFESSIONAL FEE REIMBURSEMENT IS $514,708 LESS THAN THE PROFESSIONAL FEE COSTS. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients THE HOSPITAL HAS MANY INDIVIDUAL POLICIES THAT RELATE TO COLLECTIONS. THE HOSPITAL HAS A FREE CARE DISCOUNT POLICY WHICH SPECIFIES THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE. WHEN AN APPLICATION IS RECEIVED THAT MEETS THE INCOME ELIGIBILITY REQUIREMENTS, A SEARCH OF THE BILLING/ACCOUNTS RECEIVABLE IS PERFORMED TO LOCATE ALL ACCOUNTS FOR MEMBERS OF THE HOUSEHOLD. THE ACCOUNTS FOR HOUSEHOLD MEMBERS ARE THEN FLAGGED AS "FREE", BALANCES ARE WRITTEN OFF, AND AN APPROVAL LETTER IS MAILED TO THE APPLICANT. A COPY OF THE APPLICATION IS PLACED IN THE FREE CARE BINDER AND RETAINED THERE FOR THREE MONTHS, WHICH IS THE LENGTH OF TIME AN APPLICATION IS VALID AND IN EFFECT. THE PATIENT IS LINKED IN OUR ELECTRONIC MEDICAL RECORD TO A CODE SETUP FOR FINANCIAL ASSISTANCE. THIS REQUIRES AN ACCOUNT REVIEW BEFORE ANY BILLS ARE GENERATED TO THE PATIENT. IF THEY ARE STILL WITHIN THEIR VALID 3 MONTH APPLICATION, THE BALANCE IS WRITTEN-OFF AS CHARITY CARE AND THE PATIENT IS NOT BILLED. A SIMILAR PROCESS IS IN PLACE FOR THE SLIDING FEE DISCOUNTS THAT ARE AVAILABLE TO PATIENTS OF THE HOSPITAL-BASED RURAL HEALTH CLINICS. Part VI, Line 2 - Needs Assessment THE HOSPITAL PARTICIPATED IN THE 2019 MAINE SHARED HEALTH NEEDS ASSESSMENT SURVEY. THE RESULTS WERE DISTRIBUTED TO ALL PARTICIPATING AGENCIES, HAVE BEEN REVIEWED BY HOSPITAL LEADERSHIP AND AN IMPLEMENTATION PLAN APPROVED. A TAB OF OUR WEBSITE HAS BEEN DEVOTED TO THIS CHNA AND MANY REPORTS ARE LINKED FOR REFERENCE. THE HOSPITAL CONTINUES TO SEEK IMPROVEMENT IN MANY AREAS. A MORE COMPLETE EXPLANATION IS INCLUDED WITH OUR RESPONSE TO PART V, SECTION B, QUESTION 11. Part VI, Line 3 - Patient Education of Eligibility for Assistance PATIENTS ARE MADE AWARE OF THE CHARITY CARE POLICY THROUGH SIGNAGE IN WAITING ROOMS, DIRECT NOTIFICATION BY STAFF, INFORMATIONAL BROCHURES, NOTICES PRINTED ON THE BACK OF PATIENT BILLS, AND POSTINGS ON OUR WEBSITE. IN ORDER TO QUALIFY FOR CHARITY CARE, THE PATIENT IS ASKED TO PROVIDE A MEDICAID DENIAL LETTER. IF THE PATIENT DOES NOT KNOW HOW TO APPLY FOR STATE ASSISTANCE PROGRAMS, THEY ARE REFERRED TO THE LOCAL HEALTH AND HUMAN SERVICES OFFICE. IF THE PATIENT IS AN INPATIENT, THE HOSPITAL'S SOCIAL SERVICES DEPARTMENT WILL ASSIST THE PATIENT IN FILING STATE AND FEDERAL ASSISTANCE APPLICATIONS. THE HOSPITAL ALSO HAS A FINANCIAL COUNSELOR WHO MEETS WITH BOTH INPATIENTS AND OUTPATIENTS THAT HAVE BILLING OR ASSISTANCE RELATED QUESTIONS. THIS SAME STAFF PERSON ADMINISTERS THE HOSPITAL'S PRESCRIPTION ASSISTANCE PROGRAM. Part VI, Line 4 - Community Information HRH SERVES THE COMMUNITIES LOCATED IN SOUTHERN AROOSTOOK COUNTY AS WELL AS A FEW COMMUNITIES IN BORDERING COUNTIES. THE SERVICE AREA IS GEOGRAPHICALLY ISOLATED FROM THE LARGER POPULATION CENTER OF BANGOR, ME. TRAVEL WITHIN THE SERVICE AREA AND TO OUT-OF-AREA DESTINATIONS IS FURTHER COMPLICATED BY THE HARSH MAINE WINTERS.THE POPULATION IN AROOSTOOK COUNTY IS OLDER THAN THE STATEWIDE AVERAGE. BASED ON 2019 CENSUS BUREAU STATISTICS, 24.9% OF THE SERVICE AREA POPULATION IS ELDERLY (65+ YEARS), WHICH IS HIGHER THAN THE STATE % OF ELDERLY. THIS HIGHER CONCENTRATION OF ELDERLY COULD CONTRIBUTE TO A DISPROPORTIONATE UTILIZATION OF HEALTH CARE SERVICES.HRH SERVICE AREA RESIDENTS ARE POORER AND CONFRONTED BY A SIGNIFICANTLY HIGHER UNEMPLOYMENT RATE THAN MAINERS AS A WHOLE. MOST INCOME MEASURES FOR AROOSTOOK COUNTY ARE LOWER AND POVERTY IS HIGHER THAN STATEWIDE AVERAGES. 31% OF THE SERVICE AREA RESIDENTS ARE CONSIDERED TO BE LOW-INCOME (LESS THAN 200% OF THE FEDERAL POVERTY LEVEL) ACCORDING TO 2019 STATISTICS FROM THE CENSUS BUREAU COMPARED TO 21% IN THE UNITED STATES AS A WHOLE. AVERAGE UNEMPLOYMENT IN AROOSTOOK COUNTY FOR 2020 WAS 4.1% COMPARED TO 4.0% FOR MAINE AS A WHOLE.WITH RESPECT TO INSURANCE STATUS IN COMPARISON TO THE STATE, MORE SERVICE AREA RESIDENTS ARE COVERED BY MEDICAID AND MEDICARE OR ARE UNINSURED. Part VI, Line 5 - Promotion of Community Health AT HRH, ALL QUALIFIED PHYSICIANS IN THE COMMUNITY ARE ELIGIBLE FOR MEDICAL STAFF PRIVILEGES AT THE HOSPITAL. NO QUALIFIED PHYSICIANS HAVE BEEN DENIED PRIVILEGES.THE HOSPITAL IS GOVERNED BY A COMMUNITY BOARD WITH BOARD MEMBERS RESIDING IN THE HOSPITAL'S SERVICE AREA. BOARD MEMBERS COME FROM VARIOUS PROFESSIONAL BACKGROUNDS. THE BOARD MEETS A MINIMUM OF TEN TIMES PER YEAR. EACH MEETING STARTS OFF WITH A BOARD EDUCATION SESSION ON TOPICS SUCH AS QUALITY IMPROVEMENT, REIMBURSEMENT METHODOLOGIES, AND REGULATORY REPORTING OR CHANGES.THE HOSPITAL COORDINATES CONTINUING MEDICAL EDUCATION (CME) FOR ITS MEDICAL STAFF. MANY OF THE SESSIONS ARE PERFORMED IN CONJUNCTION WITH THE QUARTERLY MEDICAL STAFF MEETINGS AND ARE TOPICS THAT THE MEDICAL STAFF HAS EXPRESSED AN INTEREST IN. THE MAJORITY OF THE SESSIONS ARE SPONSORED BY THE HOSPITAL, HELD IN THE HOSPITAL CONFERENCE ROOMS, AND THE SPEAKERS DONATE THEIR TIME.THE HOSPITAL PROVIDES VARIOUS MEDICAL SCREENING PROGRAMS TO THE COMMUNITY, WITH A FOCUS ON OFFERING ADDITIONAL SERVICES FOR OUR PEDIATRIC PATIENTS. THESE INCLUDE NUTRITIONAL ADVICE, VISION SCREENINGS, AND DENTAL FLUORIDE VARNISH. THE HOSPITAL ALSO HOLDS VARIOUS HEALTH EDUCATION PROGRAMS AND HOSTS SUPPORT GROUPS IN ITS CENTER FOR COMMUNITY HEALTH EDUCATION. HRH RENTS OFFICE SPACE TO THE VA ON A WEEKLY BASIS TO ALLOW THEM TO HOLD A CLINIC IN OUR LOCAL AREA, PROVIDING EASIER ACCESS TO CARE FOR OUR VETERANS. LASTLY, HRH HAS ALLOWED NORTHERN MAINE COMMUNITY COLLEGE TO USE SPACE IN OUR CENTER FOR COMMUNITY HEALTH EDUCATION TO HOUSE A NURSING CLASS. THIS HAS ALLOWED MORE STUDENTS TO PURSUE THEIR DEGREE, AS THEY DO NOT HAVE TO TRAVEL SO FAR TO ATTEND CLASSES.DUE TO THE PANDEMIC DURING OUR YEAR ENDED 9/30/20, SOME OF THESE SERVICES WERE DISCONTINUED FOR INFECTION PREVENTION PURPOSES. IT IS OUR PLAN TO REESTABLISH THESE SERVICES ONCE THE PANDEMIC ENDS. X X X false false false false false false false false false CYNTHIA THOMPSON CFO 153983 237 154220 ERIC RAU GEN SURGEON 312049 504 19181 331734 HASSAN E ABOULEISH MD Vice President 302910 302910 JENNIFER CAVALARI HOSPITALIST 241166 181 8639 249986 JOSEPH FAHEY PEDIATRICIAN 250774 16780 267554 KIMBERLY MAYS-DE-PEREZ OB/GYN PHYSICIAN 270935 1084 23538 295557 PAUL MONTE ALEXANDER CRNA 247200 1544 248744 SHAWN D ANDERSON CEO 210031 2745 12815 225591 SOLOMON OLABIYI MD Director 246886 187 29100 276173 THOMAS J MOAKLER CEO 244799 8339 18968 272106 A MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTHORITY 010314384 56042RLG5 2017-06-27 1215000 REFINANCE EXISTING DEBT false false true B MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTHORITY 2010B 010314384 560427JA5 2010-06-24 2965000 REFINANCE EXISTING DEBT false false true C MAINE HEALTH & HIGHER EDU 010314384 560427WV4 2013-05-23 2380000 REFINANCE EXISTING DEBT false false true D MAINE HEALTH & HIGHER EDU 010314384 5604274R4 2015-07-30 820000 REFINANCE EXISTING DEBT false true A 380000 1215000 27420 1187580 2017 true false true true B 1925000 2965000 44927 2920073 2010 true false true true C 1770000 2380000 34370 2345630 2013 true false true true D 370000 820000 23767 796233 2015 true false true true D false false false false false 0.00200 0.00200 false A false true false false false B false true false false false false false C false true false false false false D false true false false false A false B false C false D false Part VI SCHEDULE K, PART III, LINE 7 AND SCHEDULE K, PART VTHE HOSPITAL HAS CURRENTLY ESTABLISHED SOME OF THE PRACTICES AND PROCEDURES NECESSARY FOR POST-ISSUANCE COMPLIANCE. THE HOSPITAL CURRENTLY MONITORS COMPLIANCE WITH BOND DOCUMENTS THROUGH OUR INTERNAL COMPLIANCE COMMITTEE. WE ARE ALSO REQUIRED BY THE ISSUER TO SUBMIT QUARTERLY DOCUMENTS AS PART OF OUR BOND AGREEMENTS. WE ARE WORKING WITH OUR AUDITORS AND ATTORNEY TO IMPROVE WRITTEN POLICIES. A MAINE HEALTH & HIGHER EDU 010314384 56042RTR3 2019-07-31 2535000 REFINANCE EXISTING DEBT false false true A 95000 2535000 202750 40320 2291930 2019 true false true true A false false false false false false false false false A false true false false false A false INTERNAL MED OF HOULTON DIR 100% OWNER 302910 PHYSICIAN SERVICES false SARAH LYNDS DIR DAUGH-LAW 68393 WAGES/EMPLOYMENT false Form 990, Part VI, Line 11b: Form 990 Review Process COPY PROVIDED TO EACH BOARD MEMBER FOR REVIEW, BEFORE RETURN WAS FILED. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts ANNUALLY, DIRECTORS, OFFICERS, AND KEY EMPLOYEES SHALL COMPLETE A CONFLICT OF INTEREST STATEMENT, IN ACCORDANCE WITH THE HOSPITAL'S CONFLICT OF INTEREST POLICY, DISCLOSING ANY POTENTIAL BUSINESS AND PROFESSIONAL CONFLICTS WHICH MAY ARISE. POTENTIAL CONFLICTS WILL BE REVIEWED ON AN ANNUAL BASIS BY THE BOARD OF DIRECTORS. SHOULD A DIRECTOR ENCOUNTER A SPECIFIC CONFLICT OF INTEREST IN ANY MEETING OF THE BOARD OR A BOARD COMMITTEE, THAT DIRECTOR WILL EXCUSE THEMSELVES FROM THE MEETING, WILL NOT PARTICIPATE IN DISCUSSION OF THE ISSUE AND WILL NOT VOTE. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management WAGES FOR THE CEO AND CFO ARE COMPARED AGAINST THE MHA EXECUTIVE COMPENSATION SURVEY ON A BI-ANNUAL BASIS BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees PHYSICIAN SALARIES ARE COMPARED AGAINST TWO DIFFERENT SETS OF COMPARATIVE DATA - THE MGMA PHYSICIAN COMPENSATION SURVEY AND THE MAINE RECRUITMENT CENTER SURVEY. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available THE BY-LAWS OF HOULTON REGIONAL HOSPITAL ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.