2015-08-04T15:14:25-05:00 2014-09-30 MAINEHEALTH 110 FREE ST PORTLAND ME 041013908 990 2013-10-01 010177170 WALDO COUNTY GENERAL HOSPITAL WALD 2073382500 118 NORTHPORT AVENUE BELFAST ME 04915 LINDA B DRINKWATER CFO 2073382500 2015-07-29 2015-08-04 2013 2016-03-07 17:11:31Z LINDA B DRINKWATER PO BOX 287 BELFAST ME 04915 85799644 false X WWW.WCHI.COM X 1901 ME WALDO COUNTY GENERAL HOSPITAL'S MISSION IS TO BE THE BEST - BETTER, EMPATHY, SERVICE AND TEAMWORK. OUR GOAL IS TO ENSURE QUALITY, ACCESSIBLE AND AFFORDABLE HEALTH CARE SERVICES AND TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY. PLEASE SEE ATTACHED COMMUNITY BENEFITS REPORT. 16 13 746 50 0 739863 587594 70800502 72144216 2086928 2754323 1500925 1828365 75128218 77314498 36637 82500 0 42693198 45138439 0 0 27359594 29510038 70089429 74730977 5038789 2583521 118380385 121584679 29548845 27274970 88831540 94309709 X WALDO COUNTY GENERAL HOSPITAL'S MISSION IS TO BE THE BEST - BETTER, EMPATHY, SERVICE AND TEAMWORK. OUR GOAL IS TO ENSURE QUALITY, ACCESSIBLE AND AFFORDABLE HEALTH CARE SERVICES AND TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY. PLEASE SEE ATTACHED COMMUNITY BENEFITS REPORT. false false 56823392 82500 66432078 WALDO COUNTY GENERAL HOSPITAL PROVIDES QUALITY AND AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH AND WELL BEING OF THE COMMUNITIES IT SERVES, REGARDLESS OF THE PATIENT'S ABILITY TO PAY. A BROAD SPECTRUM OF SERVICES ARE PROVIDED INCLUDING HOSPITAL ACUTE INPATIENT CARE; ANCILLARY OUTPATIENT DIAGNOSTIC SERVICES INCLUDING PHYSICAL THERAPY, SPEECH, AUDIOLOGY, SLEEP AND RESPIRATORY THERAPY, ONCOLOGY CLINICS, EMERGENCY SERVICES, INPATIENT AND OUTPATIENT CARE, INPATIENT HOSPICE, AND SURGICAL INPATIENT AND OUTPATIENT SERVICES. THE HOSPITAL PROVIDED 5,537 DAYS OF ADULT, NEWBORN, SWING BED, AND HOSPICE INPATIENT CARE, AND 69,745 OUTPATIENT VISITS INCLUDING 477,371 OUTPATIENT PROCEDURES AND EXAMS. SEE ATTACHED COMMUNITY BENEFITS REPORT. 8515778 7289005 WALDO COUNTY GENERAL HOSPITAL EMPLOYS MANY HOSPITAL-BASED PHYSICIANS AND PROVIDES THE FOLLOWING SPECTRUM OF PHYSICIAN PATIENT CARE SERVICES: CARDIOLOGY, FAMILY MEDICINE, GENERAL SURGERY, INTERNAL MEDICINE, NEPHROLOGY, NEUROLOGY, OB/GYN, ORTHOPEDICS, OTOLARYNGOLOGY, PODIATRY, PULMONOLOGY, UROLOGY, RHEUMATOLOGY AND PRIMARY CARE CLINICS. OUR PHYSICIANS PROVIDED CARE TO PATIENTS DURING 38,729 PHYSICIAN-OFFICE PATIENT VISITS. 2337530 1731706 WALDO COUNTY GENERAL HOSPITAL OFFERS THE COMMUNITY IT SERVES FIVE HEALTH CENTERS: ARTHUR JEWELL COMMUNITY HEALTH CENTER, STOCKTON SPRINGS REGIONAL HEALTH CENTER, DONALD S. WALKER HEALTH CENTER, LINCOLNVILLE REGIONAL HEALTH CENTER AND SEARSPORT HEALTH CENTER. WE PROVIDED HEALTHCARE SERVICES TO PATIENTS DURING 17,303 HEALTH CENTER VISITS. 67676700 true true false true false false false false false true true false false true true true true true false false false false false false false false true true true true true true false false false false false false false false false false false false false false false true false false false true 115 0 true 746 true false false false false false false false false false false X 16 13 false false false false true true true true true false false true true true true true true true true false ME X LINDA B DRINKWATER 2073382500 125 NORTHPORT AVENUE BELFAST ME 04915 WILLIAM CARON MAINEHEALTH 1.00 50.00 X 0 1034119 79809 D KENT CLARK MD DIRECTOR/EMP 35.00 5.00 X 321333 0 28170 ANN HOOPER DIRECTOR/EMP 35.00 5.00 X 129708 0 19580 JAMES C DELEHANTY MD DIRECTOR 1.00 X 7600 0 0 JENNESS ROBBINS DIRECTOR 1.00 X 0 0 0 PETER D HADDOCK DIRECTOR 1.00 X 0 0 0 JOHN D WORTH III DIRECTOR 1.00 X 0 0 0 JB TURNER DIRECTOR 1.00 X 0 0 0 DALE KUHNERT VICE PRES. 1.00 X X 0 0 0 GREGOR DAVENS DIRECTOR 1.00 X 0 0 0 WAYNE HAMILTON DIRECTOR 1.00 X 0 0 0 LEE WOODWARD JR PRESIDENT 1.00 X X 0 0 0 JAMES PATTERSON PHD SECRETARY 1.00 X X 0 0 0 CATHERINE REYNOLDS TREASURER 1.00 X X 0 0 0 SYRENA GATEWOOD DIRECTOR 1.00 X 0 0 0 DAVID FLANAGAN DIRECTOR 1.00 X 0 0 0 MARK BISCONE CEO 30.00 10.00 X 316179 85407 37313 LINDA DRINKWATER CFO 35.00 5.00 X 186843 0 8406 OWEN NELSON MD ORTHOPEDIC M 32.00 X 444569 0 18073 KAREN MILLER MD OTOLARYNGOLO 40.00 X 438418 0 12380 TERRANCE SMITH MD ANESTH. MD 40.00 X 398491 0 25017 RICHARD BOWER MD ORTHOPEDIC M 40.00 X 392456 0 17741 DAVID FERGUSON MD CARDIOLOGIST 40.00 X 389351 0 17474 3024948 1119526 263963 60 false true false NORDX 301A US ROUTE 1 SCARBOROUGH ME 04074 LAB SVCS 1037909 FREY'S CARPENTRY 661 SWAN LAKE AVENUE SWANVILLE ME 04915 CARPENTRY 659163 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 CONTRACT LABOR 473983 MAINE CENTER FOR CANCER MEDICINE 100 CAMPUS DRIVE UNIT 308 SCARBOROUGH ME 04074 ONCOLOGY SVCS 341413 PARENTEAUS FLOOR COVER 218 E MAIN STREET SEARSPORT ME 04974 FLOOR INSTALL 129738 8 283942 303652 587594 NET PATIENT SERVICE REVENUE 623000 71875902 71875902 CAFETERIA REVENUE 722210 268314 268314 72144216 1274114 1274114 191446 191446 191446 191446 9935230 30125 8482582 2564 1452648 27561 1480209 1480209 MISCELLANEOUS REVENUE 900099 1158412 1158412 AFFILIATE REVENUE 561000 478507 478507 1636919 77314498 75452790 1274114 X 73000 73000 9500 9500 1150001 238050 911951 35880707 34525913 1354794 840098 808875 31223 4968891 4721856 247035 2298742 2161690 137052 465181 465181 3774 3774 80565 80565 7848734 6703697 1145037 9534707 9335809 198898 950873 950873 1551204 1458721 92483 83099 78500 4599 194731 194731 414240 389543 24697 3302765 3105853 196912 618389 407752 210637 INTEGRATED SERVICES 2295217 345778 1949439 STATE OF ME HOSPITAL TAX 1611759 1611759 MISCELLANEOUS EXPENSES 541915 541915 DUES 12885 12885 74730977 67676700 7054277 0 3615 3665 10275853 6509516 20004 71357 6489783 7749753 2578577 2594674 205615 142864 68365054 42429166 25874170 25935888 45573430 47815565 27359338 30761397 118380385 121584679 8016934 7761638 6231055 6488881 371174 14929682 13024451 29548845 27274970 X 70415447 73397334 1654134 1730569 16761959 19181806 88831540 94309709 118380385 121584679 X 2583521 1760105 1134543 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 5398 5398 false SCHEDULE C, PART II-B, LINE 1 PERCENTAGE OF ANNUAL MAINE HOSPITAL ASSOCIATION DUES ALLOCATED TOWARDS LOBBYING EXPENSES: 5,398. 773048 13032 46252 832332 723570 14464 45014 10000 773048 652523 13921 57126 723570 646826 15070 -9373 652523 697111 14173 -64458 646826 1.00000 true false 230009 230009 33027692 15636175 17391517 32925227 25775880 7149347 2182126 1017111 1165015 25935888 BENEFICIAL INTEREST-PERPETUAL TRUST 18769255 PREPAID CAPITAL COSTS 6565615 INSURANCE RECEIVABLES 1893225 OTHER RECEIVABLES 1663780 BENEFICIAL INTEREST-CHARITABLE TRUST 1141543 DUE FROM RELATED PARTIES 291051 OTHER CURRENT ASSETS 248565 INVESTMENT IN MAINEHEALTH ACO 108129 DEFERRED FINANCING FEES 80234 30761397 DUE TO THIRD PARTIES 6268245 DUE TO RELATED PARTIES 4324033 INSURANCE RESERVE PAYABLE 2432173 13024451 X 80209146 1760105 1134543 2894648 77314498 77314498 74730977 74730977 74730977 SCHEDULE D, PAGE 2, PART V, LINE 4 TWO OF THE ENDOWMENT FUNDS ARE INTENDED FOR THE EARNINGS TO BE USED IN THE GENERAL OPERATIONS OF THE HOSPITAL. OTHERS ARE INTENDED FOR THE EMERGENCY DEPARTMENT, INPATIENT HOSPICE, CANCER PATIENTS, CRIPPLED CHILDREN AND NEEDY RESIDENTS. SCHEDULE D, PAGE 3, PART X THE ORGANIZATION IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, THERE IS NO PROVISION FOR INCOME TAXES WITHIN THE FINANCIAL STATEMENTS. TAX-EXEMPT ORGANIZATIONS COULD BE REQUIRED TO RECORD AN OBLIGATION FOR INCOME TAXES AS A RESULT OF A TAX POSITION THAT THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS INCLUDING UNRELATED BUSINESS INCOME OR TAX STATUS. UNDER GUIDANCE ISSUED BY THE FINANCIAL STANDARDS BOARD (FASB), ASSETS AND LIABILITES ARE ESTABLISHED FOR UNCERTAIN TAX POSITIONS TAKEN OR POSITIONS EXPECTED TO BE TAKEN IN INCOME TAX RETURNS WHERE SUCH POSITIONS ARE JUDGED TO NOT MEET THE "MORE -LIKELY-THAN-NOT" THRESHOLD, BASED UPON THE TECHNICAL MERITS OF THE POSITION. ESTIMATED INTEREST AND PENALTIES, IF APPLICABLE, RELATED TO UNCERTAIN TAX POSITIONS ARE INCLUDED AS A COMPONENT OF INCOME TAX EXPENSE. SCHEDULE D, PAGE 4, PART XI, LINE 2D CHANGE IN VALUE OF PERPETUAL AND CHARITABLE TRUSTS 2,489,270 EQUITY TRANSFER TO AFFILIATES -1,354,727 true true true X 1.750000000000 true X 2.250000000000 true true false true true 3464838 3464838 0.04620 12633849 12048923 584926 0.00780 16098687 12048923 4049764 0.05400 223752 28500 195252 0.00260 282683 282683 0.00380 13850253 9999533 3850720 0.05140 32490 240 32250 0.00040 14389178 10028273 4360905 0.05820 30487865 22077196 8410669 0.11220 false 3294144 26837401 27253385 -415984 X true true 1 1 WALDO COUNTY GENERAL HOSPITAL 118 NORTHPORT AVENUE BELFAST ME 04915 X X X X WALDO COUNTY GENERAL 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 175.000000000000 true 225.000000000000 true X true true X X X X X X true X false X X X X true X false false FACILITY 1, WALDO COUNTY GENERAL HOSPITAL - PART V, LINE 3 THE ORGANIZATION CONVENED A PLANNING GROUP MADE UP OF PEOPLE REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY PRIOR TO HOLDING THE FORUMS. THE OBJECTIVES OF THE MEETINGS (OVER A PERIOD OF SEVERAL MONTHS) INCLUDED THE FOLLOWING: -REVIEW OF THE DATA IN COMMUNITY HEALTH NEEDS ASSESSMENT REPORT -DISCUSSION OF PRIORITY AREAS AMONG THE ORGANIZATIONS REPRESENTED IN THE PLANNING GROUP -DEFINE AN APPROACH TO THE COMMUNITY FORUM TO MAXIMIZE PARTICIPATING BY A CROSS SECTION OF THE COMMUNITY -DEVELOP THE FORUM AGENDA -RELATIONSHIP AND NETWORK BUILDING FOR FUTURE COLLABORATION (IF NOT ALREADY IN EXISTENCE) -SUCCESSFUL EXECUTION OF THE FORUMS -FORUM DEBRIEF AND DISCUSSION OF THE NEXT STEPS SEE COMMUNITY NEEDS ASSESSMENT & IMPLEMENTATION PLAN HTTP://WWW.MAINEHEALTH.ORG/WORKFILES/MH_COMMUNITY/WALDO-CHNA-AND-IMPLEMENTA TION-PLAN-FY2013-FY2015.PDF FACILITY 1, WALDO COUNTY GENERAL HOSPITAL - PART V, LINE 4 THE CHNA WAS FACILITATED BY ONEMAINE HEALTH, A COLLABORATION BETWEEN EASTERN MAINE HEALTHCARE SYSTEMS, MAINEGENERAL HEALTH AND MAINEHEALTH. THE THREE HEALTH SYSTEMS WORKED WITH MAINE HOSPITALS AND HEALTHY MAINE PARTNERSHIPS TO HOST LOCAL FORUMS TO SHARE THE INFORMATION, BEGIN DISCUSSIONS AND DEVELOP HEALTHY ACTION PLANS BASED ON THE REPORT'S FINDINGS. FACILITY 1, WALDO COUNTY GENERAL HOSPITAL - PART V, LINE 7 REPRODUCTIVE HEALTH NEEDS WERE NOT ADDRESSED DUE TO LACK OF CONCENSUS FROM COMMUNITY PARTNERS REGARDING THE IMPORTANCE OF THE ISSUE AND/OR A LACK OF RESOURCES TO ADDRESS THE ISSUE. FACILITY 1, WALDO COUNTY GENERAL HOSPITAL - PART V, LINE 20D ALL PATIENTS REGARDLESS OF PAYOR CLASS ARE BILLED THE SAME. 5 ARTHUR JEWELL COMMUNITY HEALTH CTR 55 REYNOLDS ROAD BROOKS ME 04921 GENERAL MEDICAL DONALD S WALKER HEALTH CENTER 43 WEST MAIN STREET LIBERTY ME 04949 GENERAL MEDICAL LINCOLNVILLE HEALTH CENTER 2399 ATLANTIC HIGHWAY LINCOLNVILLE ME 04849 GENERAL MEDICAL SEARSPORT HEALTH CENTER 37 MORTLAND ROAD SEARSPORT ME 04974 GENERAL MEDICAL STOCKTON SPRING REG HEALTH CENTER 11 CAPE JELLISON ROAD STOCKTON SPRINGS ME 04981 GENERAL MEDICAL PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION PHYSICIAN CLINIC COSTS WERE INCLUDED AS SUBSIDIZED HEALTH SERVICES IN THE AMOUNT OF 13,850,253. PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE WORKSHEETS PROVIDED IN THE SCHEDULE H INSTRUCTIONS. THE COST-TO-CHARGE RATIO WAS USED AS THE COSTING METHODOLOGY AND WAS ALSO CALCULATED USING WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY THE ORGANIZATION USES A COST-TO-CHARGE RATIO METHODOLOGY. THE AMOUNT REPORTED ON PART III, LINE 2 WAS DETERMINED USING THE COST-TO-CHARGE RATIO METHODOLOGY. DISCOUNTS PROVIDED TO PATIENTS ARE NOT INCLUDED IN BAD DEBT EXPENSE. AN AMOUNT THAT COULD BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY, IF SUFFICIENT INFORMATION HAD BEEN AVAILABLE TO MAKE A DETERMINATION OF THEIR ELIGIBILITY COULD NOT BE REASONABLE DETERMINED. PART III, LINE 4 - BAD DEBT FOOTNOTE IN THE ORGANIZATION'S FINANCIAL STATEMENTS CHARGES FOR SERVICES RENDERED TO INDIVIDUALS FROM WHOM PAYMENT IS EXPECTED AND ULTIMATELY NOT RECEIVED ARE WRITTEN OFF AND INCLUDED IN EXPENSES AS PART OF THE PROVISION FOR BAD DEBTS. BAD DEBT EXPENSE REPRESENTS HEALTHCARE SERVICES WALDO COUNTY GENERAL HOSPITAL HAS PROVIDED WITHOUT COMPENSATION. AS A TAX-EXEMPT HOSPITAL, WALDO COUNTY GENERAL HOSPITAL PROVIDES NECESSARY PATIENT CARE REGARDLESS OF THE PATIENT'S 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. WALDO COUNTY GENERAL 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'S 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 WHO EITHER FAIL TO APPLY FOR FINANCIAL ASSISTANCE OR WHO ARE EXPERIENCING DIFFICULT PERSONAL OR ECONOMIC CIRCUMSTANCES, WALDO COUNTY GENERAL HOSPITAL BELIEVES THAT BAD DEBT EXPENSE SHOULD BE INCLUDED AS A COMMUNITY BENEFIT. PART III, LINE 8 - MEDICARE EXPLANATION THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE HOSPITAL'S MEDICARE COST REPORT IS THE MEDICARE COST-TO-CHARGE RATIO, WHICH INCORPORATES MEDICARE ALLOWABLE COST. MEDICARE DID NOT REIMBURSE 415,984 OF THE ALLOWED COSTS. THE HOSPITAL HAS MADE A CLEAR MISSION COMMITMENT TO SERVING ELDERLY PATIENTS: THEREFORE THIS AMOUNT SHOULD BE CONSIDERED AS A COMMUNITY BENEFIT. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION ONCE A PATIENT HAS BEEN DETERMINED TO QUALIFY FOR FREE CARE, THE PATIENT IS NOT BILLED FOR SERVICES PROVIDED, NOR IS THE PATIENT BILLED FOR AMOUNTS NOT PAID BY AN INSURER. PART VI, LINE 2 - NEEDS ASSESSMENT SEE ATTACHED COMMUNITY BENEFITS REPORT PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SEE ATTACHED COMMUNITY BENEFITS REPORT PART VI, LINE 4 - COMMUNITY INFORMATION SEE ATTACHED COMMUNITY BENEFITS REPORT PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH SEE ATTACHED COMMUNITY BENEFITS REPORT PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM SEE ATTACHED COMMUNITY BENEFITS REPORT PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT MAINE ADDITIONAL INFORMATION PART V, SECTION B, LINE 5A - URL FOR COMMUNITY HEALTH NEEDS ASSESSMENT HTTP://WWW.MAINEHEALTH.ORG/WORKFILES/MH_COMMUNITY/WALDO-CHNA-AND-IMPLEMENTA TION-PLAN-FY2013-FY2015.PDF true COASTAL MOUNTAINS LAND TRUST 101 MOUNT BATTIE ST CAMDEN ME 04843 222795691 501C3 50000 SUPPORT HOSPICE VOLUNTEERS OF WALDO COUNTY PO BOX 772 BELFAST ME 04915 222668307 501C3 20000 SUPPORT HOSPICE 2 SCHOLARSHIPS TO STUDENTS 13 9500 SCHEDULE I, PAGE 4, PART IV SCHOLARSHIPS ARE AWARDED TO STUDENTS RESIDING IN WALDO COUNTY AND PURSUING A CAREER IN A HEALTHCARE RELATED PROGRAM. THERE IS A SCHOLARSHIP APPLICATION PROCESS OVERSEEN BY THE SCHOLARSHIP COMMITTEE. RECIPIENTS MUST HAVE COMPLETED ONE SEMESTER OF SCHOOLING WITH A PREDETERMINED MINIMUM GPA, BE ENROLLED IN THE SECOND SEMESTER, AND HAVE A FINANCIAL NEED. PAYMENTS ARE MADE DIRECTLY TO THE SCHOOL OR AS REIMBURSEMENT TO THE RECIPIENT WHEN APPROPRIATE DOCUMENTATION IS PROVIDED. X X X X X false true false false false false false false false WILLIAM CARON MAINEHEALTH CEO 699295 334824 59222 20587 1113928 D KENT CLARK MD DIRECTOR/EMP 316333 5000 7650 20520 349503 MARK BISCONE CEO 260114 85407 38000 18065 7650 23747 5916 347576 91323 LINDA DRINKWATER CFO 181843 5000 5654 2752 195249 OWEN NELSON MD ORTHOPEDIC MD 444569 7650 10423 462642 KAREN MILLER MD OTOLARYNGOLOGIST 438418 12380 450798 TERRANCE SMITH MD ANESTH. MD 397851 640 7650 17367 423508 RICHARD BOWER MD ORTHOPEDIC MD 392456 7650 10091 410197 DAVID FERGUSON MD CARDIOLOGIST 389351 7650 9824 406825 SCHEDULE J, PAGE 1, PART I, LINE 4 WILLIAM CARON 0 315,764 0 A MHHEFA 2014 REFUNDING BONDS 010314384 560427W77 2014-07-24 6774309 REFINANCE 1998C MHHEFA REVENUE BONDS false false false A 6685000 6774309 612600 50193 80234 true false true true A false false false false false false false A false false false false false false false false false FORM 990 - ORGANIZATION'S MISSION WALDO COUNTY GENERAL HOSPITAL'S MISSION IS TO BE THE BEST - BETTER, EMPATHY, SERVICE AND TEAMWORK. OUR GOAL IS TO ENSURE QUALITY, ACCESSIBLE AND AFFORDABLE HEALTH CARE SERVICES AND TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY. PLEASE SEE ATTACHED COMMUNITY BENEFITS REPORT. FORM 990, PAGE 6, PART VI, LINE 6 WALDO COUNTY HEALTHCARE, INC. (WCHI)- (EIN 22-2864961) IS THE SOLE MEMBER OF WALDO COUNTY GENERAL HOSPITAL. MAINEHEALTH (EIN 01-0431680), IS THE SOLE MEMBER OF WCHI. AS THE SOLE MEMBER OF WCHI, MAINEHEALTH HAS THE RIGHT TO APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BODY OF WCHI AND ITS SUBSIDIARIES. FORM 990, PAGE 6, PART VI, LINE 7A MAINEHEALTH (EIN 01-0431680) MAY ELECT MEMBERS OF THE BOARD OF DIRECTORS FROM A SLATE OF NOMINEES SUBMITTED BY THE CORPORATION. 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 APPROVAL BY MAINEHEALTH (EIN 01-0431680). FORM 990, PAGE 6, PART VI, LINE 11B THE FINANCE COMMITTEE PERFORMS A DETAILED REVIEW OF THE FORM 990. THE FORM 990 IS THEN PROVIDED TO THE FULL BOARD. THE CONTROLLER AND CFO PERFORM A DETAILED REVIEW OF THE FORM 990 AND ITS SCHEDULES AND ATTACHMENTS BEFORE FILING. FORM 990, PAGE 6, PART VI, LINE 12C WALDO COUNTY GENERAL HOSPITAL'S CONFLICT OF INTEREST POLICY IS INCORPORATED AS PART OF THE BY-LAWS OF THIS CORPORATION. THE ORGANIZATION CONSISTENTLY REVIEWS ALL TRANSACTIONS TO ASSURE COMPLIANCE IN ACCORDANCE WITH THE BY-LAWS. FORM 990, PAGE 6, PART VI, LINE 15A THE PROCESS FOLLOWED FOR DETERMINING COMPENSATION OF THE EXECUTIVE DIRECTOR IS A FORMAL PROCESS PERFORMED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THIS COMMITTEE USES THE SULLIVAN COTTER ANNUAL EXECUTIVE COMPENSATION ANALYSIS TO COMPARE MARKET ANALYSIS IN SETTING THE COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER AS WELL AS THE OTHER KEY ADMINISTRATIVE EMPLOYEES OF THE ORGANIZATION. FORM 990, PAGE 6, PART VI, LINE 15B THE PROCESS FOLLOWED FOR DETERMINING COMPENSATION OF THE EXECUTIVE DIRECTOR IS A FORMAL PROCESS PERFORMED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THIS COMMITTEE USES THE SULLIVAN COTTER ANNUAL EXECUTIVE COMPENSATION ANALYSIS TO COMPARE MARKET ANALYSIS IN SETTING THE COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER AS WELL AS THE OTHER KEY ADMINISTRATIVE EMPLOYEES OF THE ORGANIZATION. 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 CONTRACT LABOR 3,904,377 0 0 PURCHASED SERVICES 2,799,320 987,965 0 PHYSICIAN RECRUITMENT 0 157,072 0 FORM 990, PART XI, LINE 9 CHANGE IN VALUE OF PERPETUAL AND CHARITABLE TRUSTS 2,489,270 EQUITY TRANSFER TO AFFILIATES -1,354,727 WALDO COUNTY HEALTHCARE INC PO BOX 287 BELFAST ME 04915 222864961 COMM. EDUC ME 501C3 11B MEHLTH false COASTAL MEDICAL CARE PO BOX 287 BELFAST ME 04915 010487091 MED. SERV. ME 501C3 9 WCHI false BELFAST PUBLIC HEALTH NURSING PO BOX 287 BELFAST ME 04915 043359810 PUB. HLTH. ME 501C3 9 WCHI false WALDO COUNTY HOME HEALTHCARE SERV PO BOX 287 BELFAST ME 04915 222864960 HHLTH&HOSP ME 501C3 9 WCHI false MAINEHEALTH 110 FREE STREET PORTLAND ME 04101 010431680 HEALTHCARE ME 501C3 11C NA false WALDO COUNTY HEALTHCARE MGMT CO PO BOX 287 BELFAST ME 04915 010485133 MGMT SVCS ME N/A false false false false false false false false false false true true true true false true true true true true