2014-08-13T12:15:58-05:00 2013-09-30 MAINEHEALTH 110 FREE ST PORTLAND ME 041013908 990 2012-10-01 010219904 STEPHENS MEMORIAL HOSPITAL ASSOC STEP 2077435933 181 MAIN STREET NORWAY ME 04268 JOHN COX 2077435933 2014-08-06 false 2014-08-13 2012 2015-11-30 17:44:51Z TIMOTHY CHURCHILL 181 MAIN STREET NORWAY ME 04268 55323015 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 14 636 77 0 117000 0 57376266 54199842 35907 27541 912230 460592 58441403 54687975 0 0 30218966 30995677 6050 11798 85238 23543932 21070147 53768948 52077622 4672455 2610353 45798163 50529900 11824606 17245167 33973557 33284733 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 39432162 43070943 OUTPATIENT SERVICES: STEPHENS MEMORIAL HOSPITAL ASSOCIATION PROVIDED CARE DURING THE COURSE OF 104,094 OUTPATIENT VISITS DURING 2013. SERVICES PROVIDED INCLUDE EMERGENCY SERVICES; DIAGNOSTIC IMAGING AND LAB TESTS; AMBULATORY SURGERY; AND PHYSICAL REHABILITATION. 10188692 11128899 INPATIENT SERVICES: IN 2013 THE HOSPITAL PROVIDED INPATIENT NURSING SERVICES TO 1,606 ADULTS/PEDIATRICS, INTENSIVE CARE, AND NURSERY PATIENTS WITH A TOTAL OF 5,135 PATIENT DAYS. 58 INPATIENTS (4%) WERE UNINSURED, 898 (56%) WERE COVERED BY MEDICARE AND 346 (22%) WERE COVERED BY MEDICAID. 49620854 true false 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 false false false false false false false false false false false false false true false false false true 33 0 true 636 true false false false false false false false false false false X 19 14 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 57.00 3.00 X 354341 0 34441 TIMOTHY CHURCHILL 30.00 30.00 X X 0 320395 56198 JAMES ESHLEMAN DO 57.00 3.00 X 259415 0 22304 WILLIAM L MEDD MD 1.00 59.00 X 0 245434 4346 DAVID KUMAKI MD 1.00 59.00 X 0 225933 22858 KATHLEEN HERLIHY MD 57.00 3.00 X 160069 0 31582 ANDREA BURNS 1.00 X 0 0 0 PETER CHAPMAN 1.00 X X 0 0 0 C BRADLEY CUMMINGS 1.00 X X 0 0 0 TOM MORTON 1.00 X 0 0 0 LARRY FARMER OD 1.00 X 0 0 0 DAVID HOISINGTON 1.00 X X 0 0 0 OLA MELHUS MD 1.00 X 0 0 0 LYNN HAMPER 1.00 X 0 0 0 DAVID J PREBLE 1.00 X X 0 0 0 TED MOCCIA 1.00 X 0 0 0 REV ANNE STANLEY 1.00 X 0 0 0 ROBIN J ZINCHUK 1.00 X 0 0 0 WENDY PENLEY 1.00 X 0 0 0 PAT WEIGEL 1.00 X 0 0 0 ALLEN CONNORS 1.00 X 0 0 0 JOHN COX 30.00 20.00 X 0 189078 30028 M PATRICIA COOK 41.00 4.00 X 0 152552 40556 ROBERT C NEILSEN 60.00 X 377023 0 53263 ROBERT C KAHN 60.00 X 367570 0 45451 CAROLYN P COSTANZI 60.00 X 279144 0 32019 JAMES W GALLEA 60.00 X 274731 0 17036 THOMAS J HEWSON 60.00 X 261836 0 23306 2334129 1133392 413388 31 false true false MAINE MEDICAL PARTNERS 301C US ROUTE 1 SCARBOROUGH ME 04074 MED BILL & MGT 663663 SPECTRUM MEDICAL GROUP PA 300 PROFESSIONAL DRIVE SCARBOROUGH ME 04074 ANESTHESIA SVCS 523273 MAINE ORTHOPAEDIC CENTER 1601 CONGRESS STREET PORTLAND ME 04102 PHYSICIAN SVCS 412856 MAYO COLLABORATIVE SERVICES PO BOX 4100 ROCHESTER MN 55903 LAB PROCESSING 229733 CROSS COUNTRY STAFFING PO BOX 404674 ATLANTA GA 30384 NURSE STAFFING 153852 10 NET PATIENT SERVICE REVENUE 623000 54199842 54199842 54199842 22804 22804 426900 634202 -207302 -207302 -207302 5575 838 4737 4737 4737 OTHER REVENUE 621990 667894 667894 667894 54687975 54872473 -184498 868642 833028 35614 23268816 22285602 931209 52005 864171 827677 36494 4451686 4263764 178899 9023 1542362 1477274 61110 3978 89499 89499 11798 11798 5064049 4986643 77406 124028 118827 5201 6297483 6241571 47992 7920 1049209 1004932 44277 1162443 1113388 49055 82269 77935 4334 145854 138614 7240 56779 54383 2396 1839301 1761683 77618 733921 575381 158540 AFFILIATE CHARGES 1272233 1218545 53688 PROVIDER TAX 1150756 1150756 MAINTENANCE CONTRACTS 853569 852929 640 INTEGRATED SERVICES 641269 168721 472548 507485 469201 37770 514 52077622 49620854 2371530 85238 1900 41172 9786771 17718356 6595627 5292595 1064314 1168208 455794 475962 44164474 31020800 13455826 13143674 1295243 1495982 528396 503665 12614292 10690286 45798163 50529900 4486912 4803949 3505479 3184845 3832215 9256373 11824606 17245167 X 32828109 32065296 593294 667283 552154 552154 33973557 33284733 45798163 50529900 X 2610353 -3299177 X false true X true false X false false false false false false false false true 9666 9666 false SCHEDULE C, PART II-B, LINE 1 DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION OF 15,802 AND TO THE MAINE HOSPITAL ASSOCIATION OF 31,258. THE AMERICAN HOSPITAL ASSOCIATION AND MAINE HOSPITAL ASSOCIATION USED 23.98% AND 18.80% RESPECTIVELY OF THEIR DUES REVENUE FOR LOBBYING ACTIVITY. 1230517 1230517 20440020 12292748 8147272 20825641 17448381 3377260 1668296 1279671 388625 13143674 INTEREST IN NET ASSETS OF SCHC FOUND 5951761 PREPAID CAPITAL COSTS 4049048 DUE FROM AFFILIATES 499357 OTHER RECEIVABLES 173739 CSV-LIFE INSURANCE 16381 WORKERS COMPENSATION FUNDING AR UNDER REIMBURSEMENT REGULATIONS 10690286 AP UNDER REIMBURSEMENT REGULATIONS 6552390 DUE TO AFFILIATES 1589669 PROFESSIONAL LIABILITY CLAIM ACCRUAL 1038234 ACCRUED ASSET OBLIGATION 76080 9256373 X 51388798 -3299177 -3299177 54687975 54687975 52077622 52077622 52077622 LIABILITY UNDER FIN 48 FOOTNOTE SCHEDULE D, PAGE 3, PART X THE ORGANIZATION IS A NOT-FOR-PROFIT ORGANIZATION AND 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 NO UNCERTAIN INCOME TAX POSITIONS EXIST AT SEPTEMBER 30, 2013. THE ORGANIZATION'S TAX YEARS FROM 2011 THROUGH 2013 MAY BE SUBJECT TO EXAMINATION. REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 2D CHANGE IN INTEREST-STEPHENS COMMUNITY HEALTHCARE FOUND 500,190 CHANGE IN VALUE OF INVESTMENTS 179,165 EQUITY TRANSFERS TO AFFILIATES -3,978,532 true true true X 1.75000 true X 2.25000 true true false true true 1434088 1434088 0.02750 10584648 11028869 -444221 12018736 11028869 989867 0.02750 154732 34485 120247 0.00230 100892 81050 19842 0.00040 8762554 7586931 1175623 0.02260 9018178 7702466 1315712 0.02530 21036914 18731335 2305579 0.05280 11190 11190 0.00020 11190 11190 0.00020 false 2096698 15582211 15427932 154279 X true true 1 1 STEPHENS MEMORIAL HOSPITAL ASSOC

181 MAIN STREET NORWAY ME 04268

X X X STEPHENS MEMORIAL HOSPITAL ASSOC 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 false false true true 175.0 true 225.0 false true true X X X X true true X X X true X false false SUBSIDIZED HEALTH SERVICES EXPLANATION PART I LINE 7G 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 SCHOOLBASED HEALTH CLINICS AND OTHER CLINICAL PROGRAMS THAT ARE NOT REVENUEPRODUCING IF THESE SERVICES WERE NOT PROVIDED OR SUBSIDIZED BY THE HOSPITAL THEY WOULD NOT BE AVAILABLE IN THE COMMUNITY COMMUNITY BUILDING ACTIVITIES PART II 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 COMMUNITYBUILDING 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 MEDICALLYACCURATE INSTRUCTIONAL PROGRAM DESIGNED FOR YOUNG ADOLESCENTS 11 TO 13 YEARS OF AGE COMMUNITYWIDE 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 BROTHERSBIG 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 NONPROFIT 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 DEPRESSIONBIPOLAR CONDITIONS DIABETES GRIEF AND PARKINSONS DISEASE BAD DEBT EXPENSE EXPLANATION PART III LINE 4 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 HOSPITALS 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 TAXEXEMPT HOSPITAL THE HOSPITAL PROVIDES NECESSARY PATIENT CARE REGARDLESS OF THE PATIENTS ABILITY TO PAY FOR THE SERVICES A PORTION OF THE HOSPITALS 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 2096698 OF BAD DEBT EXPENSE AT COST WAS CALCULATED USING THE HOSPITALS COST TO CHARGE RATIO MEDICARE EXPLANATION PART III LINE 8 MEDICARE ALLOWABLE COSTS WERE TAKEN FROM THE HOSPITALS ASFILED 2013 MEDICARE COST REPORTS THE COST REPORT UTILIZES A SOPHISTICATED DETAILED STEPDOWN 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 COLLECTION PRACTICES EXPLANATION PART III LINE 9B 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 PATIENTS BALANCE NEEDS ASSESSMENT PART VI STEPHENS MEMORIAL HOSPITALS 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 MAINES 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 INFORM IDENTIFICATION AND ACTION ON LOCAL COMMUNITYBASED HEALTH PRIORITIES PLANS CALL FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT TO BE REPLICATED EVERY THREE YEARS IN THE SUMMER OF 2013 MAINEHEALTH CREATED CHNA AND IMPLEMENTATION PLAN REPORTS IN COLLABORATION WITH MEMBER HOSPITALS THESE DETAILED REPORTS COVERED THE TIME PERIOD OF 20132015 AND WERE FORMALLY ADOPTED BY EACH MEMBER ORGANIZATION BOARD FOR SUBMISSION WITH THE FY13 990 FILING ACA COMPLIANCE REQUIRED THESE REPORTS TO BE COMPLETED NO LATER THAN APRIL 2014 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI STEPHENS MEMORIAL HOSPITALS 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 BILLCOLLECTION NOTICES THE ORGANIZATION USES SIMPLE APPLICATION PROCEDURES FOR CHARITY CARE OR FINANCIAL ASSISTANCE THAT DO NOT INTIMIDATE OR CONFUSE APPLICANTS STEPHENS MEMORIAL HOSPITALS 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 COMMUNITY INFORMATION PART VI 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 HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE PART VI 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 MULTIMEDICAL SPECIALISTS WMMMSINCLUDING 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 CARES PHYSICIANS WERE COVERED BY THE STATE OF MAINE MEDICAID PROGRAM WESTERN MAINE HEALTH CARE OWNED AND OPERATED MARKET SQUARE HEALTH CARE CENTER A 98BED LONGTERM CARE FACILITY COMPRISED OF 76 NURSING HOMESKILLED NURSING FACILITY BEDS AND 22 RESIDENTIAL CARE BEDS MARKET SQUARE ACCEPTS PATIENTS AND RESIDENTS WHOSE CLINICAL NEEDS EXCEED THE CAPABILITIES OF OTHER AREA NURSING FACILITIES WHILE WE SERVE THESE PATIENTS AT A FINANCIAL LOSS IT IS AN IMPORTANT PART OF OUR MISSION TO PROVIDE HEALTH CARE SERVICES THAT KEEP OUR LOCAL PATIENTS IN THE COMMUNITY MARKET SQUARE ACCEPTS ALL RESIDENTS WHO MEET CLINICAL CRITERIA REGARDLESS OF THE SOURCE OF EXPECTED PAYMENT FOR SERVICES COMBINED OPERATING LOSSES RELATED TO NONHOSPITAL PRACTICES AND NURSING FACILITY WAS 1382000 IN 2013 THESE LOSSES WERE SUPPORTED BY STEPHENS MEMORIAL HOSPITAL THROUGH NET ASSET TRANSFERS LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILED PART VI MAINE ADDITIONAL INFORMATION PART VI PART V SECTION B LINE 5A HOSPITAL FACILITYS WEBSITE WEB ADDRESS WHERE COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE LOCATED HTTPWWWMAINEHEALTHCOMMHBODYCFMID7301 STEPHENS MEMORIAL HOSPITAL ASSOC LINE NUMBER 1 PART V LINE 1J PART V LINE 1J ALSO INCLUDED IN THE CHNA WAS A PRIORITIZED LIST OF HEALTH NEEDS IDENTIFIED AS WELL AS THE IMPLEMENTATION PLANS RELATED TO THESE NEEDS STEPHENS MEMORIAL HOSPITAL ASSOC LINE NUMBER 1 PART V LINE 3 PART V LINE 3 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 STEPHENS MEMORIAL HOSPITAL ASSOC LINE NUMBER 1 PART V LINE 4 PART V LINE 4 THE CHNA WAS CONDUCTED THROUGH A PARTNERSHIP BETWEEN MAINEHEALTH EASTERN MAINE HEALTHCARE SYSTEMS AND MAINEGENERAL HEALTH STEPHENS MEMORIAL HOSPITAL ASSOC LINE NUMBER 1 PART V LINE 7 PART V LINE 7 THE FOLLOWING IDENTIFIED COMMUNITY HEALTH NEEDS WERE NOT ADDRESSED DENTAL HEALTH ED VISITS HOSPITAL ADMISSIONS INFECTIOUS DISEASE RESPIRATORY DISEASE AND YOUTH ISSUES THESE PRIORITIES WERE NOT ADDRESSED DUE TO LACK OF CONSENSUS FROM COMMUNITY PARTNERS REGARDING THE IMPORTANCE OF THE ISSUE ANDOR LACK OF RESOURCES TO ADDRESS THE ISSUE X X X X X false false false false false false false false false GREGORY HARDY MD 282136 72205 11162 23279 388782 TIMOTHY CHURCHILL 260500 41000 18895 27385 28813 376593 JAMES ESHLEMAN DO 180000 11404 68011 22304 281719 WILLIAM L MEDD MD 225000 20434 4346 249780 DAVID KUMAKI MD 225000 933 22858 248791 KATHLEEN HERLIHY MD 154500 5569 9725 21857 191651 JOHN COX 172243 16835 7676 22352 219106 M PATRICIA COOK 135141 17411 18747 21809 193108 ROBERT C NEILSEN 309000 68023 29713 23550 430286 ROBERT C KAHN 309000 58570 19760 25691 413021 CAROLYN P COSTANZI 272950 6194 8740 23279 311163 JAMES W GALLEA 225020 49711 17036 291767 THOMAS J HEWSON 246141 15695 580 22726 285142 CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PAGE 6, PART VI, LINE 6 WESTERN MAINE HEALTH CARE, CORP. (EIN 01-0411788) IS THE SOLE MEMBER OF THE ORGANIZATION. ELECTION OF MEMBERS AND THEIR RIGHTS FORM 990, PAGE 6, PART VI, LINE 7A THE SOLE MEMBER HAS THE RESPONSIBILITY FOR THE ELECTION OF THE MEMBERS OF THE GOVERNING BODY. DECISIONS SUBJECT TO APPROVAL OF MEMBERS 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. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 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. ENFORCEMENT OF CONFLICTS POLICY 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. COMPENSATION PROCESS FOR TOP OFFICIAL 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. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION ARE MADE AVAILABLE UPON REQUEST. RECONCILIATION OF CHANGES - OTHER FORM 990, PART XI, LINE 9 CHANGE IN INTEREST-STEPHENS COMMUNITY HEALTHCARE FOUND 500,190 CHANGE IN VALUE OF INVESTMENTS 179,165 EQUITY TRANSFERS TO AFFILIATES -3,978,532 WESTERN MAINE HEALTH CARE CORP 181 MAIN STREET NORWAY ME 04268 010411788 HEALTHCARE ME 501C3 11C 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