2015-05-14T12:13:57-07:00 2014-09-30 CYNTHIA M THOMPSON CPA 1723 US HWY 1 CARY PLT ME 044713010 990 2013-10-01 237134386 HOULTON REGIONAL HOSPITAL HOUL 2075322900 20 HARTFORD ST HOULTON ME 04730 THOMAS MOAKLER CEO 2015-05-14 true Non-paid Preparer P00707659 2075324523 2013 2016-02-25 16:41:14Z THOMAS MOAKLER 20 HARTFORD ST HOULTON ME 04730 46282646 false 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 EDCUATION, TREATMENT AND REHABILITATION. 11 8 477 77 9689 -14545 58420 125442 41234948 44569787 686781 387231 0 41980149 45082460 0 0 27568493 27963522 0 0 17665191 17407548 45233684 45371070 -3253535 -288610 26099568 26582018 21825940 22405010 4273628 4177008 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 EDCUATION, TREATMENT AND REHABILITATION. false false 35285326 44569787 PROVISION OF HEALTH CARE SERVICES IN RURAL MAINE. DURING THE FISCAL YEAR ENDED 9/30/14, 1,355 PEOPLE HAD AN INPATIENT STAY (INCLUDING SWING BEDS); 89,392 OUTPATIENT SERVICES WERE RENDERED; 10,708 PEOPLE WERE SERVED IN THE EMERGENCY ROOM. OF THESE SERVICES, 1,688 ACCOUNTS (REPRESENTING 374 PEOPLE AND $1,321,904) 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 9/30/14, A DAILY AVERAGE OF 44 LIFELINE UNITS WERE RENTED. 35285326 true true false true false false false false false true true false false false 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 true false false false false false false false false false false true 47 0 true 477 true true false false false false false false 0 false false false false false false false false false false X 11 8 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 KARL WOODS DMD Director 1.00 0.00 X 0 0 0 JOHN CLARK Past Director 1.00 0.00 X 0 0 0 LYNETTE MCLAUGHLIN President 1.00 0.00 X X 0 0 0 REV JESSIE DRYSDALE Director 1.00 0.00 X 0 0 0 STEPHEN NELSON Treasurer 1.00 0.00 X 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 HASSAN E ABOULEISH MD Vice President 40.00 0.00 X X 29382 0 0 ROBERT ELLIS Director 1.00 0.00 X 0 0 0 MAX LYNDS Director 1.00 0.00 X 0 0 0 NANCY KETCH Secretary 1.00 0.00 X X 0 0 0 PHILIP MCFARLANE MD Director 40.00 0.00 X 269496 0 12776 THOMAS MOAKLER CEO 40.00 0.00 X 242453 0 7998 CYNTHIA THOMPSON CFO 40.00 0.00 X 107709 0 0 SANTIAGO DUY GEN SURGEON 40.00 0.00 X 321196 0 17064 BRIAN GRIFFIN ED PHYSICIAN 40.00 0.00 X 266072 0 17064 ROBERT MOSENFELDER OB/GYN PHYSICIAN 40.00 0.00 X 250979 0 12776 DONALD BRUSHETT MD FAMILY MEDICINE 40.00 0.00 X 247253 0 10858 PAUL M ALEXANDER CRNA 40.00 0.00 X 238709 0 0 1973249 78536 28 false true false HOULTON INTERNAL MEDICINE PA 22 HARTFORD ST HOULTON ME 04730 INTERNAL MEDICINE 1233734 IMBESAT DAUDI 181 ACADEMY STREET SUITE 3 PRESQUE ISLE ME 04769 UROLOGIST 391543 ARUNDEL INTERNAL MEDICINE 61 COURT STREET HOULTON ME 04730 HOSPITALIST SVCS 381258 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 753972633 LOCUM SVCS 369091 AROOSTOOK RADIOLOGY SERVICES 20 HARTFORD STREET HOULTON ME 04730 RADIOLOGIST 262500 17 125442 125442 CHARITY CARE -1321904 -1321904 CONFERENCE ROOM RENTAL 722320 9689 9689 MEDICARE & MEDICAID PYMTS 21475866 21475866 PATIENT FEES 58314625 58314625 VENDING, CAFETERIA, MISC. 258979 258979 -34167468 -34167468 44569787 187824 187824 0 0 0 1391393 8200 1198526 1660 192867 6540 199407 199407 0 0 0 0 45082460 44301119 9689 646210 X 0 0 0 0 669814 311654 358160 0 20152500 18098841 2053659 10250 10250 5747889 5747889 1383069 1277679 105390 0 76010 76010 40000 40000 6979 6979 0 16731 16731 5530632 5386429 144203 11805 11805 129168 29853 99315 198945 198945 0 329842 329842 120970 100532 20438 0 0 653766 511637 142129 0 1585608 1240898 344710 395776 167927 227849 SUPPLIES 4996812 4982060 14752 UTILITIES 872425 872425 MEDICAID TAX - STATE OF MAINE 844438 844438 MAINTENANCE/SERVICE CONTRACTS 624557 624557 973084 506554 466530 45371070 35285326 10085744 0 23902 19484 97178 290426 40483 75332 6576482 7600541 0 0 0 768382 772018 695225 548696 41160778 29239149 13016510 11921629 3618425 4206478 0 0 365047 325310 897934 822104 26099568 26582018 5501231 6146372 10338213 9649818 722425 613668 5264071 5995152 21825940 22405010 X 4207331 4040977 14633 84367 51664 51664 4273628 4177008 26099568 26582018 -288610 191990 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 6979 6979 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. 114339 13656 500 127495 103490 11075 226 114339 85541 18149 200 103490 88511 -2770 200 85541 9038 200 88511 88511 1.00000 false false false 193107 193107 23408255 14974451 8433804 11361348 9241414 2119934 6198068 5023284 1174784 11921629 457 PLAN ASSETS 397322 DUE TO THIRD PARTY PAYORS 4438271 LINE OF CREDIT 1159559 5995152 45257719 191990 191990 45065729 16731 16731 45082460 45354339 45354339 16731 16731 45371070 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 true X true X 150.000000000 false true false false false false 734129 734129 0.01530 8587063 7477052 1110012 0.02310 9321192 7477052 1844141 0.03840 19484 19484 0.00040 27043 4442 22601 0.00050 43287 7560 35727 0.00070 89814 12002 77812 0.00160 9411006 7489054 1921953 0.04000 false 1530127 249411 18843940 18594878 249062 X true true 1 1 HOULTON REGIONAL HOSPITAL 20 HARTFORD STREET HOULTON ME 04730 www.houltonregional.org 37871 X X X SWING BED PROGRAM & 2 RHCS HOULTON REGIONAL HOSPITAL 1 true X X X X X X 13 true true true X http://www2.houltonregional.org/?p=5441 X http://www.emhs.org/document-library/ X X X X true false false true true 150.0000 true 150.0000 true X X true true X X X X X X true false true X false false Part V, Line 3 - Account Input from Person Who Represent the Community THE RESULTS FROM THE SURVEY WERE DISTRIBUTED TO ALL INVOLVED AGENCIES. STAFF FROM HOULTON REGIONAL MEET PERIODICALLY AND WORK WITH THESE GROUPS ON AN ONGOING BASIS. WE ALSO RELY ON FEEDBACK FROM OUR PATIENTS, EMPLOYEES, MEDICAL STAFF, AND BOARD MEMBERS REGARDING SERVICE NEEDS. Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment THE HOSPITAL PARTICIPATED IN THE EMHS QUALITATIVE STAKEHOLDER SURVEY THAT INCLUDED EMHS MEMBER HOSPITALS,9 OTHER PARTNERING HOSPITALS, 6 LOCAL PUBLIC HEALTH COUNCILS, AND 17 HEALTHY MAINE PARTNERSHIPS. Part V, Line 20d - Other Billing Determination of Individuals Without Insurance IF A PATIENT IS KNOWN TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE, THE CHARGES ARE WRITTEN OFF WHEN INCURRED OR BILLED TO THE PATIENT AT THE SLIDING SCALE OR REDUCED RATE. IF ELIGIBILITY IS NOT KNOWN AT THE TIME OF SERVICE, THE PATIENT WILL RECEIVE A BILL AT OUR STANDARD RATES. CHARGES WOULD BE REDUCED OR WRITTEN OFF COMPLETELY AFTER IT WAS DETERMINED THEY QUALIFIED FOR FREE OR DISCOUNTED CARE. 2 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 $ 9,528FACILITY COSTS $17,515CLASS REVENUES COLLECTED ($ 4,442)NET COMMUNITY BENEFIT $22,601 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 (16.3%). 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, 16.3% of persons in 2013 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 $18,843,940 $1,511,708 $20,355,647COSTS $18,594,878 $2,381,186 $20,976,064SHORTFALL $ 249,062 $( 869,479) $ ( 620,417)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 AND 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 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 $869,479 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. SELF-PAY ACCOUNTS ARE REVIEWED FOR OPEN/ACTIVE FREE CARE APPLICATIONS BEFORE BILLING THE PATIENT. IF THE PATIENT HAS AN OPEN/ACTIVE FREE CARE 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 - Needs Assessment THE HOSPITAL PARTICIPATED IN THE 2014 EMHS QUALITATIVE STAKEHOLDER SURVEY. THIS IS FOLLOW UP TO THE ONE MAINE HEALTH NEEDS ASSESSMENT DONE IN JANUARY 2010.THE RESULTS WERE DISTRIBUTED TO ALL PARTICIPATING AGENCIES, HAVE BEEN REVIEWED BY HOSPITAL LEADERSHIP AND INCORPORATED INTO OUR STRATEGIC PLAN. THE REPORT FOR AROOSTOOK COUNTY (OUR PRIMARY SERVICE AREA) HAS BEEN LINKED TO OUR WEBSITE.THE REPORT SUMMARIZES KEY FINDINGS TO BE INVOLVING GAPS IN PROVIDED CARE AND BARRIERS TO ACCESS THAT CARE. THE HOSPITAL CONTINUES TO SEEK IMPROVEMENT IN THESE AREAS THROUGH THE FOLLOWING:MENTAL HEALTH SERVICES - WE HAVE A PARTNERSHIP WITH OUR LOCAL MENTAL HEALTH AGENCY TO PROVIDE CONSULTATION BOTH IN OUR EMERGENCY DEPARTMENT AND ON OUR INPATIENT UNIT.DENTAL CARE - WE HAVE WORKED TO IMPLEMENT THE "FIRST TOOTH" PROGRAM IN OUR PHYSICIAN PRACTICES. THIS INVOLVES A FLUORIDE VARNISH TO YOUNG CHILDREN DURING THEIR ANNUAL PREVENTATIVE HEALTH EXAM. WE HAVE ALSO ALLOWED A TRAVELING DENTAL PROVIDER TO USE OUR PROPERTY FOR A CLINIC SITE.PRIMARY CARE - WE HAVE BEEN ACTIVELY RECRUITING NEW PHYSICIANS TO FILL VACANCIES IN OUR PRACTICES.SPECIALTY CARE - WE CONTINUE TO PROVIDE SPECIALTY PHYSICIAN SERVICES IN OUR CLINIC LOCATION. THIS PREVENTS PATIENTS FROM HAVING TO TRAVEL OUTSIDE OF OUR AREA FOR SERVICES.HOME HEALTH VISITS - WE CONTRACT WITH A LOCAL HOME HEALTH AGENCY TO VISIT RECENTLY DISCHARGED PATIENTS THAT MEET CERTAIN MEDICAL CRITERIA. THIS HOME VISIT ALLOWS THE NURSE TO REVIEW MEDICATIONS, ASSESS THE SAFETY OF LIVING CONDITIONS, AND ANSWER QUESTIONS THE PATIENT MAY HAVE. Part VI - 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.IN ADDITION, THE HOSPITAL HAS A STAFF PERSON AVAILABLE TO ASSIST INDIVIDUALS IN SELECTING WHICH MEDICARE PART D PLAN WOULD BE BEST FOR THE PATIENT'S SPECIFIC MEDICATION NEEDS. THAT SAME STAFF PERSON ADMINISTERS THE HOSPITAL'S PRESCRIPTION ASSISTANCE PROGRAM. Part VI - 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 THE 2013 US CENSUS, 20.6% 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. 32.6% OF THE SERVICE AREA RESIDENTS ARE CONSIDERED TO BE LOW-INCOME (LESS THAN 200% OF THE FEDERAL POVERTY LEVEL) ACCORDING TO THE 2013 CENSUS COMPARED TO 27.2% IN MAINE AS A WHOLE. AVERAGE UNEMPLOYMENT IN AROOSTOOK COUNTY FOR 2013 WAS 8.7% COMPARED TO 6.7% 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 - Explanation Of How Organization Furthers Its Exempt Purpose 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 MONTHLY 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. THE HOSPITAL ALSO HOLDS VARIOUS HEALTH EDUCATION PROGRAMS AND HOSTS SUPPORT GROUPS IN ITS CENTER FOR COMMUNITY HEALTH EDUCATION. X X X false false false false false false false false false false BRIAN GRIFFIN ED PHYSICIAN 265658 414 17064 283136 DONALD BRUSHETT MD FAMILY MEDICINE 246065 1188 10858 258111 PAUL M ALEXANDER CRNA 237935 774 238709 PHILIP MCFARLANE MD Director 268277 1219 12776 282272 ROBERT MOSENFELDER OB/GYN PHYSICIAN 249791 1188 12776 263755 SANTIAGO DUY GEN SURGEON 320008 1188 17064 338260 THOMAS MOAKLER CEO 233765 8688 7998 250451 A MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTHORITY 010314384 560425L40 2007-07-01 2345000 REFINANCE EXISTING DEBT false false true B MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTHORITY 010314384 560425469 2006-07-01 1400000 51% CONSTRUCTION, 49% REFINANCING false false true C MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTHORITY 010314384 5604253L2 2008-11-01 3600000 CONSTRUCTION false false true D MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTHORITY 2010B 010314384 560427JA5 2010-06-24 2965000 REFINANCE EXISTING DEBT false false true A 655000 2371246 45535 true false true true B 485000 1529734 46860 1482874 false false true true C 270000 3572529 65821 577759 2928949 false false true true D 690000 3171803 44927 true false true true B false true false false false 0.00600 0.00600 false C false false false false false A false false true TRANSAMERICA 33.0000 true false false B false false true FSA 29.0000 true false false C false false false true false false D false false false true 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 DEVELOP WRITTEN POLICIES. A MAINE HEALTH & HIGHER EDU 010314384 560427WV4 2013-05-23 2380000 REFINANCE EXISTING DEBT false false true A 220000 2653988 34370 true false true true A false false false false A false HASSAN E ABOULEISH INC DIR 100% OWNER 29382 PHYSICIAN SERVICES false BARBARA MOAKLER SPOUSE OF CEO 67922 WAGES/EMPLOYMENT false TERAN CLARK WIFE OF DIR 43207 WAGES/EMPLOYMENT false COMMUNITY LIVING ASSOCIATION CEO A DIRECTOR 24872 WASTE COLLECTION SVCS false MATTHEW QUINT BROTHER OF CFO 18328 WAGES/EMPLOYMENT false HOULTON WATER COMPANY DIRECTOR - OFFICER 471695 UTILITY SERVICES false SARAH LYNDS DIR DAUGH-LAW 43849 WAGES/EMPLOYMENT false ELISABETH CLARK DIR DAUGH-LAW 27782 WAGES/EMPLOYMENT false Form 990, Part VI, Line 11b: Form 990 Review Process REVIEWED WITH THE BOARD OF DIRECTORS AT A REGULARLY SCHEDULED MEETING. 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.