2016-08-12T13:27:14-05:00 2015-09-30 990 2014-10-01 010219904 STEPHENS MEMORIAL HOSPITAL ASSOC STEP 2077435933 181 MAIN STREET NORWAY ME 04268 JOHN COX SENIOR VP - FISCAL 2077435933 2016-08-03 2014 2016-09-27 15:27:22Z TIMOTHY CHURCHILL 181 MAIN STREET NORWAY ME 04268 61016560 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 13 641 65 0 20000 57360104 60493446 41504 38673 -212785 -133034 57188823 60419085 0 0 31416735 31029476 8881 7028 78186 21554305 25394252 52979921 56430756 4208902 3988329 53108901 66898421 15181357 25968318 37927544 40930103 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 42609116 46983887 OUTPATIENT SERVICES: STEPHENS MEMORIAL HOSPITAL ASSOCIATION PROVIDED CARE DURING THE COURSE OF 104,937 OUTPATIENT VISITS DURING 2015. SERVICES PROVIDED INCLUDE EMERGENCY SERVICES; DIAGNOSTIC IMAGING AND LAB TESTS; AMBULATORY SURGERY; AND PHYSICAL REHABILITATION. 11187749 12336420 INPATIENT SERVICES: IN 2015 THE HOSPITAL PROVIDED INPATIENT NURSING SERVICES TO 1,471 ADULTS/PEDIATRICS, SPECIAL CARE, AND NURSERY PATIENTS WITH A TOTAL OF 4,857 PATIENT DAYS. 70 INPATIENTS (5%) WERE UNINSURED, 836 (57%) WERE COVERED BY MEDICARE AND 255 (17%) WERE COVERED BY MEDICAID. 1156949 OTHER REVENUE CONSISTS PRIMARILY OF MEANINGFUL USE PAYMENTS, 340B CONTRACT PHARMACY REVENUE, PHYSICIAN INCENTIVE PAYMENTS, VHA-PURCHASE REBATES AND OTHER OPERATING REVENUE 53796865 true true false true false false false false false false true false false true true true true 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 22 0 true 641 true false false false false false false false false false false X 19 13 false 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 GREGORY HARDY MD TRUSTEE 46.00 4.00 X 344725 0 29052 TIMOTHY CHURCHILL PRESID & CEO 30.00 30.00 X X 0 330891 50705 JAMES ESHLEMAN DO MED STAFF PR 47.00 3.00 X 251916 0 15505 WILLIAM L MEDD MD TRUSTEE 1.00 49.00 X 0 249254 34592 BRIAN M NOLAN MD MED STAFF PR 1.00 49.00 X 0 230445 23660 KATHLEEN HERLIHY MD TRUSTEE 46.00 4.00 X 181968 0 27529 LISA MILLER MD TRUSTEE 42.00 3.00 X 166640 0 18268 C BRADLEY CUMMINGS TRUSTEE 1.00 0.00 X 0 0 0 TOM MORTON SECRETARY/TR 1.00 0.00 X X 0 0 0 DAVID HOISINGTON PA TRUSTEE 1.00 0.00 X 0 0 0 LYNN HAMPER TRUSTEE 1.00 0.00 X 0 0 0 DAVID J PREBLE CHAIR 1.00 0.00 X X 0 0 0 TED MOCCIA TRUSTEE 1.00 0.00 X 0 0 0 ROBIN J ZINCHUK TRUSTEE 1.00 0.00 X 0 0 0 PAT WEIGEL VICE CHAIR 1.00 0.00 X X 0 0 0 ALLEN CONNORS TRUSTEE 1.00 0.00 X 0 0 0 KEVIN CARLETON TRUSTEE 1.00 0.00 X 0 0 0 TODD GAUGER DVM TRUSTEE 1.00 0.00 X 0 0 0 HOLLY BANCROFT BROWN TRUSTEE 1.00 0.00 X 0 0 0 SAWIN MILLETT TRUSTEE 1.00 0.00 X 0 0 0 JOHN COX SR VP-FISCAL 30.00 20.00 X 0 181951 26218 M PATRICIA COOK SR VP-CLINIC 46.00 4.00 X 0 153843 35895 ROBERT C KAHN MD PHYSICIAN 50.00 0.00 X 349844 0 39442 ALYSSA A PAETAU MD PHYSICIAN 50.00 0.00 X 339276 0 9640 MICHAEL M MOHSENI MD PHYSICIAN 50.00 0.00 X 307042 0 9560 CAROLYN P COSTANZI MD PHYSICIAN 50.00 0.00 X 280449 0 26018 LUKE E WOOD MD PHYSICIAN 50.00 0.00 X 264605 0 15522 2486465 1146384 361606 33 false true false MAINE MEDICAL PARTNERS 301C US ROUTE 1 SCARBOROUGH ME 04074 MED BILL & MGT 1419985 NORDX 100 CAMPUS DRIVE SCARBOROUGH ME 04074 LAB PROCESSING 831947 SPECTRUM MEDICAL GROUP PA 300 PROFESSIONAL DRIVE SCARBOROUGH ME 04074 ANESTHESIA SVCS 523463 MAINE ORTHOPAEDIC CENTER 1601 CONGRESS STREET PORTLAND ME 04102 PHYSICIAN SVCS 406570 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 753972633 PHYSICIAN SVCS 339202 7 20000 20000 NET PATIENT SERVICE REVENUE 623000 59320307 59320307 OTHER REVENUE 621990 1173139 1173139 60493446 54863 54863 446651 579685 -133034 -133034 -133034 1600 17790 -16190 -16190 -16190 60419085 60477256 -78171 X 1062159 1014787 47372 23173709 22139247 987826 46636 791691 756350 35341 4372009 4176845 187073 8091 1629908 1557150 69190 3568 119590 119590 7028 7028 8519603 8460487 59116 59770 57102 2668 1319831 1260914 46756 12161 1040411 993968 46443 1169269 1115267 54002 137072 129577 7495 165942 157828 8114 178046 170098 7948 1795459 1715311 80148 895112 734152 160960 MEDICAL SUPPLIES 5513134 5512703 431 PROVIDER TAX 1279462 1279462 AFFILIATE CHARGES 1267441 1210863 56578 MAINTENANCE CONTRACTS 854269 853448 821 1079841 501306 577833 702 56430756 53796865 2555705 78186 164397 34079 18185446 24318214 5618001 6038657 1297342 1189093 480559 511540 47828684 32543321 12322186 15285363 1400725 2699924 815004 1176560 12825241 15644991 53108901 66898421 4252247 5123367 5862804 171044 61067 10758066 14921080 15181357 25968318 X 36344644 39625276 1024489 746416 558411 558411 37927544 40930103 53108901 66898421 X 3988329 -370853 -614917 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 10496 10496 false SCHEDULE C, PART II-B, LINE 1 DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION OF 16,360 AND TO THE MAINE HOSPITAL ASSOCIATION OF 31,258. THE AMERICAN HOSPITAL ASSOCIATION AND MAINE HOSPITAL ASSOCIATION USED 22.12% AND 22.00% RESPECTIVELY OF THEIR DUES REVENUE FOR LOBBYING ACTIVITY. 1230517 1230517 20945070 13778263 7166807 20221287 17383749 2837538 5431810 1381309 4050501 15285363 PREPAID CAPITAL COSTS 6171280 INTEREST IN NET ASSETS OF SCHC FOUND 6097516 INSURANCE RECEIVABLE 3094682 DUE FROM AFFILIATES 221919 OTHER RECEIVABLES 39333 CSV-LIFE INSURANCE 20261 15644991 AP UNDER REIMBURSEMENT REGULATIONS 7258295 PROFESSIONAL LIABILITY CLAIM ACCRUAL 4141030 DUE TO AFFILIATES 3428559 ACCRUED ASSET OBLIGATION 76080 OTHER DEFERRED LIABILITY 17116 14921080 X 59433315 -370853 -614917 -985770 60419085 60419085 56430756 56430756 56430756 SCHEDULE D, PAGE 3, PART X THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS TAX EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION HAS EVALUATED THE POSITION TAKEN ON ITS FILED TAX RETURNS. THE ORGANIZATION HAS CONCLUDED THAT NO UNCERTAIN TAX POSITIONS EXIST AT SEPTEMBER 30, 2015. THE ORGANIZATION'S TAX YEARS FROM 2012 THROUGH 2014 ARE OPEN AND SUBJECT TO EXAMINATION. SCHEDULE D, PAGE 4, PART XI, LINE 2D CHANGE IN INTEREST-STEPHENS COMMUNITY HEALTHCARE FOUND -642,716 EQUITY TRANSFERS TO AFFILIATES 27,799 true true true X 1.750000000000 true X 2.250000000000 true true false true true 1312479 1312479 0.02330 9679052 8557914 1121138 0.01990 10991531 8557914 2433617 0.04310 4372 5416 -1044 89488 24766 64722 0.00110 9940695 8680795 1259900 0.02230 10034555 8710977 1323578 0.02350 21026086 17268891 3757195 0.06660 25848 25848 0.00050 25848 25848 0.00050 false 2367722 16584928 16420721 164207 X true true 1 1 STEPHENS MEMORIAL HOSPITAL ASSOC 181 MAIN STREET NORWAY ME 04268 WWW.WMHCC.ORG 38404 X X X STEPHENS MEMORIAL HOSPITAL ASSOC 1 false false true X X X X X X X X X X 13 true true false true X HTTP://WWW.MAINEHEALTH.ORG/CHNA X true 13 true HTTP://WWW.MAINEHEALTH.ORG/CHNA false false true X 175.000000000000 225.000000000000 false true X X X X true X WWWWMHCCORG X WWWWMHCCORG X X X X true X true X X true X false false FACILITY 1, STEPHENS MEMORIAL HOSPITAL ASSOC. - PART V, LINE 3J ALSO INCLUDED IN THE CHNA WAS A PRIORITIZED LIST OF HEALTH NEEDS IDENTIFIED, AS WELL AS THE IMPLEMENTATION PLANS RELATED TO THESE NEEDS. FACILITY 1, STEPHENS MEMORIAL HOSPITAL ASSOC. - PART V, LINE 5 COMMUNITY INPUT WAS TAKEN INTO ACCOUNT WHEN CONDUCTING THE CHNA, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH. THIS INCLUDED INDIVIDUALS FROM THE FOLLOWING ORGANIZATIONS: STEPHENS MEMORIAL HOSPITAL, HEALTHY OXFORD HILLS, WESTERN MAINE PUBLIC HEALTH DISTRICT, BESSEY MOTORS, OXFORD HILLS SCHOOL DISTRICT AND MAINEHEALTH. FACILITY 1, STEPHENS MEMORIAL HOSPITAL ASSOC. - PART V, LINE 6A THE CHNA WAS CONDUCTED THROUGH A PARTNERSHIP BETWEEN MAINEHEALTH, EASTERN MAINE HEALTHCARE SYSTEMS AND MAINEGENERAL HEALTH. FACILITY 1, STEPHENS MEMORIAL HOSPITAL ASSOC. - PART V, LINE 11 THE ORGANIZATION HAS CONTINUED TO WORK ON ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENT CHNA AND IMPLEMENTATION PLAN. PLEASE SEE THE ATTACHED IMPLEMENTATION PLAN UPDATE FOR DETAILS OF THE ACTIVITIES UNDERTAKEN BY THE ORGANIZATION TO MEET THE IDENTIFIED NEEDS OF ITS COMMUNITY. DENTAL HEALTH, ED VISITS, HOSPITAL ADMISSIONS, INFECTIOUS DISEASE, RESPIRATORY DISEASE AND YOUTH ISSUES ARE NOT BEING ADDRESSED BECAUSE OF A LACK OF CONSENSUS FROM COMMUNITY PARTNERS REGARDING THE IMPORTANCE OF THE ISSUE AND/OR A LACK OF RESOURCES TO ADDRESS THE ISSUE. PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION 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 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. PART II - COMMUNITY BUILDING ACTIVITIES 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 PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY 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. 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 2,367,722 OF BAD DEBT EXPENSE (AT COST) WAS CALCULATED USING THE HOSPITAL'S COST TO CHARGE RATIO. PART III, LINE 8 - MEDICARE EXPLANATION MEDICARE ALLOWABLE COSTS WERE TAKEN FROM THE HOSPITAL'S AS-FILED 2015 MEDICARE COST REPORTS. 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, THERE WOULD BE A MEDICARE SHORTFALL FOR THESE SERVICES. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION 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 50% REDUCTION WILL BE APPLIED IF THEIR INCOME IS BETWEEN 176% AND 200% OF THE FEDERAL POVERTY LIMITS. PATIENTS WHOSE FAMILY INCOME RANGES FROM 201% TO 225% OF THE FEDERAL POVERTY LIMITS QUALIFY FOR A 25% REDUCTION. IF REQUESTED, A MONTHLY PAYMENT PLAN WILL BE SET UP FOR THE REMAINDER OF THE PATIENT'S BALANCE. PART VI, LINE 2 - NEEDS ASSESSMENT 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 WAS A COMPREHENSIVE COMPILATION AND ANALYSIS CONTAINING PRIMARY AND SECONDARY HEALTH DATA SOURCES. THE REPORT CONTAINED 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. MAINEHEALTH HOLDS COMMUNITY FORUMS IN PARTNERSHIP WITH EACH MEMBER AND AFFILIATE HOSPITAL IN ORDER TO INCREASE UNDERSTANDING AND USE OF THE COMMUNITY NEEDS HEALTH ASSESSMENT AND TO FORM IDENTIFICATION AND ACTION ON LOCAL, COMMUNITY-BASED HEALTH PRIORITIES. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE 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 200% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR A 50% CHARITY CARE DISCOUNT. PATIENTS WHOSE FAMILY INCOME RANGES FROM 201% TO 225% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR A 25% 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. PART VI, LINE 4 - COMMUNITY INFORMATION 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 SECOND LEAST HEALTHY COUNTY IN THE STATE. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH IN ORDER TO ENSURE ACCESS TO PRIMARY CARE AND CERTAIN SPECIALTY PHYSICIAN SERVICES, WESTERN MAINE HEALTH CARE OWNS AND OPERATES ITS SUBSIDIARIES STEPHENS MEMORIAL HOSPITAL ASSOCIATION AND WESTERN MAINE MULTI-MEDICAL SPECIALISTS (WMMMS)INCLUDING PHYSICIAN PRACTICES PROVIDING CARDIOLOGY, FAMILY MEDICINE, GENERAL SURGERY, INTERNAL MEDICINE, ONCOLOGY, PEDIATRIC, AND OBSTETRIC AND GYNECOLOGY SERVICES. WMMMS ALSO HAS PARTNERED WITH PHYSICIAN GROUPS TO PROVIDE UROLOGY 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, 23% OF PATIENTS SERVED BY WESTERN MAINE HEALTH CARE'S PHYSICIANS WERE COVERED BY THE STATE OF MAINE MEDICAID PROGRAM. PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT MAINE false false false false false false false false false GREGORY HARDY MD TRUSTEE 280636 64089 13385 15667 373777 TIMOTHY CHURCHILL PRESID & CEO 268000 45000 17891 32836 17869 381596 JAMES ESHLEMAN DO MED STAFF PRESIDENT 180000 71916 15505 267421 WILLIAM L MEDD MD TRUSTEE 225000 24254 31348 3244 283846 BRIAN M NOLAN MD MED STAFF PRESIDENT 221900 8545 8302 15358 254105 KATHLEEN HERLIHY MD TRUSTEE 172903 9065 12116 15413 209497 LISA MILLER MD TRUSTEE 148320 4200 14120 2447 15821 184908 JOHN COX SR VP-FISCAL 179610 2341 10713 15505 208169 M PATRICIA COOK SR VP-CLINICAL 144000 9843 20243 15652 189738 ROBERT C KAHN MD PHYSICIAN 313424 36420 23694 15748 389286 ALYSSA A PAETAU MD PHYSICIAN 309000 30276 1046 8594 348916 MICHAEL M MOHSENI MD PHYSICIAN 300992 6050 1065 8495 316602 CAROLYN P COSTANZI MD PHYSICIAN 272250 8199 10479 15539 306467 LUKE E WOOD MD PHYSICIAN 240358 24247 15522 280127 SCHEDULE J, PAGE 1, PART I, LINE 3 TOP MANAGEMENT OFFICIALS ARE COMPENSATED BY THIS OR OTHER RELATED ORGANIZATIONS. THESE ORGANIZATIONS USED ONE OR MORE OF THE METHODS SHOWN AT PART 1, LINE 3 TO ESTABLISH THE COMPENSATION OF TOP MANAGEMENT. FOR ADDITIONAL INFORMATION SEE SCHEDULE O - FORM 990, PART VI, LINE 15A - COMPENSATION FOR TOP OFFICIAL A ME HEALTH & HIGHER EDUC FACILITIES 010314384 560427Y75 2015-01-07 6079722 SEE PART VI false false false A 140000 6079504 130625 78890 1657183 4343431 true false false true A false false false false false false false A false true false false false false false false false A false SCHEDULE K - ADDITIONAL INFORMATION ME HEALTH & HIGHER EDUC. FACILITIES PART I (F) DESCRIPTION OF PURPOSE - CONSTRUCTION, RENOVATION, AND EQUIPPING OF MEDICAL OFFICE BUILDING WITH RESPECT TO PART I COLUMNS (E) AND (F), PART II LINES 1-12, AND PART III, THE INSTITUTION IS REPORTING ITS ALLOCABLE PORTION OF THIS BOND ISSUE, THE REMAINDER OF WHICH IS ALLOCABLE TO AFFILIATED ENTITIES. FOR PURPOSES OF PART I COLUMN (I), THE INSTITUTION HAS ASSUMED THAT THIS ARRANGEMENT DOES NOT CONSTITUTE A "POOLED FINANCING." PART II LINE 14 HAS BEEN ANSWERED WITH RESPECT TO THE ISSUE AS A WHOLE, RATHER THAN THE INSTITUTION'S ALLOCABLE PORTION; THE INSTITUTION'S ALLOCABLE PORTION OF THE BONDS DID NOT INCLUDE ANY REFUNDING COMPONENT. THE DIFFERENCE BETWEEN THE ISSUE PRICE (PART I) AND TOTAL PROCEEDS (PART II, LINE 3) IN COLUMN A IS DUE TO INVESTMENT EARNINGS (INCREASE IN PROCEEDS) AND A SMALL PORTION OF WHAT WOULD HAVE BEEN INVESTMENT PROCEEDS THAT WAS USED TO RETIRE PRINCIPAL OF THE BONDS (REDUCTION IN PROCEEDS). PART II, LINE 4 - THE AMOUNT SHOWN HERE CONSISTS OF DEBT SERVICE FUND DEPOSITS. PART III, LINE 2 - THE INSTITUTION LEASES CERTAIN SPACE IN THE FINANCED SPACE TO AN AFFILIATED 501(C)(3) ORGANIZATION. FOR PURPOSES OF THIS LINE, THE INSTITUTION HAS ASSUMED THAT THIS DOES NOT CONSTITUTE A LEASE THAT MAY RESULT IN PRIVATE BUSINESS USE. PART III, LINE 3A - THE INSTITUTION HAS ENTERED INTO A MANAGEMENT CONTRACT WITH AN AFFILIATED 501(C)(3) ORGANIZATION. FOR PURPOSES OF THIS LINE, THE INSTITUTION HAS ASSUMED THAT THIS DOES NOT CONSTITUTE A MANAGEMENT OR SERVICE CONTRACT THAT MAY RESULT IN PRIVATE BUSINESS USE. FORM 990, PAGE 6, PART VI, LINE 6 WESTERN MAINE HEALTH CARE, CORP. (EIN 01-0411788) IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PAGE 6, PART VI, LINE 7A THE SOLE MEMBER HAS THE RESPONSIBILITY FOR THE ELECTION OF THE MEMBERS OF THE GOVERNING BODY. 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. FORM 990, PAGE 6, PART VI, LINE 11B 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. 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. 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 SULLIVAN COTTER, 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 SOLELY ON WESTERN MAINE HEALTH CARE, CORP.'S REVENUES OR OTHER SIMILAR PROFIT-SHARING STRATEGIES. FORM 990, PAGE 6, PART VI, LINE 19 DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G PHYSICIAN SERVICES 1,406,571 0 0 LAB/PATHOLOGY SERVICES 2,840,723 0 0 ANESTHESIA SERVICES 519,996 0 0 OTHER 3,268,564 59,116 0 IMAGING 424,633 0 0 FORM 990, PART XI, LINE 9 CHANGE IN INTEREST-STEPHENS COMMUNITY HEALTHCARE FOUND -642,716 EQUITY TRANSFERS TO AFFILIATES 27,799 WESTERN MAINE HEALTH CARE CORP 181 MAIN STREET NORWAY ME 04268 010411788 HEALTHCARE ME 501C3 11B MEHEALTH false MAINEHEALTH 110 FREE STREET PORTLAND ME 04101 010431680 HEALTHCARE ME 501C3 11C NA false WESTERN MAINE MULTI-MEDICAL SPECIAL 181 MAIN STREET NORWAY ME 04268 010489824 PHYS PRACT ME 501C3 9 WMHCC false WESTERN MAINE NURSING HOME INC 3 MARKET SQUARE SOUTH PARIS ME 04281 222842655 NURSING HO ME 501C3 9 WMHCC false STEPHENS COMMUNITY HEALTHCARE FOUND 181 MAIN STREET NORWAY ME 04268 311644144 SUPP ORG ME 501C3 11A WMHCC false CHAPEL VALLEY BOARDING HOME CORP 181 MAIN STREET NORWAY ME 04268 010433206 HEALTHCARE ME 501C3 7 WMHCC false false false false false false false false false false true false true true false false true true true true