2014-11-12T14:09:17-06:00 2013-12-31 010523282 Berry Dunn McNeil & Parker LLC PO Box 1100 Portland ME 041041100 990 2013-01-01 010263198 Down East Community Hospital DOWN 2072553356 11 Hospital Drive Machias ME 04654 Lynnette Parr CFO 2072553356 2014-11-06 1 Barbara J McGuan CPA P00219457 2077752387 2014-11-06 2013 2015-11-30 17:44:51Z Douglas Jones 11 Hospital Drive Machias ME 04654 40326108 0 X www.dech.org X 1963 ME Acute Care Critical Access Hospital 15 13 331 28 0 0 83488 31255 35158684 32962760 194475 600832 0 0 35436647 33594847 68467 194384 0 0 20465022 19557411 0 0 0 15607566 14913784 36141055 34665579 -704408 -1070732 25628890 24417559 14674788 13041638 10954102 11375921 X Provide access to quality healthcare and promote community wellness through the delivery of primary, emergency and ancillary inpatient and outpatient healthcare. The Hospital strives to improve the overall health of the communities we serve while exceeding customer expectations. 0 0 2013681 5095238 Surgical services to inpatients and outpatients, totaling 2,043 surgeries. 3672614 2991629 Care for medical/surgical unit patients. Unit provided care to 1036 admissions for 3,200 patient days. 1824575 6845351 Imaging Services to inpatients and outpatients. 15,647 radiological exams were provided to inpatients and outpatients. 23244266 194384 17961110 Various other medical services supplied to patients. 23244266 194384 17961110 30755136 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 1 1 0 0 0 1 32 0 1 331 1 0 0 0 0 0 0 0 0 0 0 X 15 13 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 0 0 ME X X Lynnette Parr 2072553356 11 Hospital Drive Machias ME 04654 Blaine Jones Trustee 1.70 0.30 X 0 0 0 Cynthia Huggins Trustee 1.70 0.30 X 0 0 0 David Whitney Trustee 1.70 0.30 X 0 0 0 Douglas Jones CEO 39.70 0.30 X X 285198 2968 19397 Eric Burke MD Chair 1.70 0.30 X X 0 0 0 Greg Campbell PhD Past Secretary 1.70 0.30 X X 0 0 0 James Thompson Vice Chair 1.70 0.30 X X 0 0 0 Kara Dwight DO Trustee 39.70 0.30 X 351865 0 18878 Katherine Land Trustee 1.70 0.30 X 0 0 0 Michael Hennessey Trustee 1.70 0.30 X 0 0 0 Mortimer Lockett Trustee 1.70 0.30 X 0 0 0 Patti Sansing Trustee 1.70 0.30 X 0 0 0 Rebecca Irving Trustee 1.70 0.30 X 0 0 0 Rose St Louis Trustee 1.70 0.30 X 0 0 0 Thomas Potter Treasurer 1.70 0.30 X X 0 0 0 Wayne Peters Secretary 1.70 0.30 X X 0 0 0 Lynnette Parr CFO 39.70 0.30 X 136841 1424 14430 Dhanvant Rathod Physician 40.00 0.00 X 457500 0 18878 John Joseph Physician 40.00 0.00 X 382019 0 8678 Rita Ten Physician 40.00 0.00 X 408611 0 18878 Stephen Madigan Physician 40.00 0.00 X 449696 0 16328 Thomas Crowe Physician 40.00 0.00 X 484076 0 18878 Aziz Massaad MD Former Trustee 40.00 0.00 X 316000 0 0 Wayne Dodwell Former CEO 0.00 0.00 X 125000 0 0 3396806 4392 134345 26 1 1 0 Physician Services Inc 126 Osborne Rd Farmington ME 04398 Physician Staffing Services 1227822 Downeast Medical Associates PO Box 317 Machias ME 04654 Surgical Call Services 316000 CPS Inc PO Box 116474 Atlanta GA 30368 Pharmacy Management & Staffing 306555 Machias Primary Care Services Inc PO Box 398 Machias ME 04654 Physician Staffing Services 301754 Dahl Chase Diagnostics 417 State Street Bangor ME 04401 Diagnostic Services 294403 17 31255 31255 Patient Revenue 621400 59956628 59956628 Electronic Health Records 621400 561505 561505 Other Revenue 621400 319832 250400 69432 Provision for Bad Debts 621400 -1998937 -1998937 Contractual/Char. Adj. 621400 -25876268 -25876268 32962760 127208 127208 7204885 6731261 473624 473624 473624 33594847 32893328 0 670264 X 194384 194384 826268 826268 15219729 14056190 1163539 640945 578502 62443 1857694 1634197 223497 1012775 878465 134310 276928 276928 77317 77317 5553114 5211464 341650 64820 1775 63045 1501861 899053 602808 877535 873513 4022 24056 16785 7271 182258 182258 1514904 1514904 938533 938533 Supplies 2911336 2901903 9433 Service Provider Tax 825641 825641 Miscellaneous 165481 47569 117912 34665579 30755136 3910443 0 1125 1105 4478791 4725853 5039118 4135292 104974 69983 451425 433019 299395 318380 29096821 17548608 12379968 11548213 2801507 3121547 72587 64167 25628890 24417559 3234522 3512504 4817267 4218326 256569 65167 6366430 5245641 14674788 13041638 X 9572855 9993201 38012 39485 1343235 1343235 10954102 11375921 25628890 24417559 X -1070732 -80674 1573225 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 9631 9631 0 Part II-B, Line 1: The Organization pays dues to local associations, a portion of which are attributable to lobbying activities. 2930298 470402 28733 3371967 2594743 370531 34976 2930298 1653523 1000900 -32851 26829 2594743 1463886 208434 18797 1653523 1153005 326009 15128 1463886 0.43000 0.57000 0.00000 0 0 257946 257946 15573546 6997669 8575877 12505021 10014528 2490493 760308 536411 223897 11548213 Unfunded Pension Liability 1284195 Estimated Third Party Payor Settlements 3961446 5245641 Part V, Line 4: Growth of investment to provide earnings that will support operations. 1 1 1 X 1 X 1 1 1 0 1 1 1 470 1076000 1076000 0.03100 1 470 1076000 1076000 0.03100 99513 99513 0.00290 236470 236470 0.00680 335983 335983 0.00970 1 470 1411983 1411983 0.04070 1 1139394 1 0 1 1 Down East Community Hospital 11 Hospital Drive Machias ME 04654 X X X X Down East Community Hospital 1 1 X X X X X X X X X 10 1 1 1 X http://chna.emh.org X X X X 1 0 1 1 150.000000000000 1 200.000000000000 1 X X 1 1 X X X X X X 1 0 X X X X 1 X 0 0 Down East Community Hospital Part V, Section B, Line 3: On a statewide basis, the research consultants developed an advisory committee that met during the assessment research and drafting of the publication. These individuals represented a broad spectrum of backgrounds, and they are named below:Carol Bell, Healthy Maine Partnership DirectorKelly Bentley, Healthy Maine Partnership DirectorGail Dana-Sacco, Wabanaki Center (serving tribal populations)Patricia Hart, Maine Development FoundationBarbara Leonard, MPH, Maine Health Access Foundation (philanthropic foundation focused on access to care in Maine)Becca Matisovich, Maine Center for Disease ControlLisa Miller, Bingham Foundation (philanthropic foundation)Dora Ann Mills, MD, Maine Center for Disease ControlElizabeth Mitchell, Maine Health Management Coalition (representing the state's major employers, insurers and providers)Trish Riley, Governor's Office of Health Policy and Finance (GOHPF)Brian Rines, Advisory Committee for Health System Development (overseen by GOHPF)Rachel Talbot-Ross, Maine Chapter, NAACPTed Trainer, Public Health Coordinating Council Shawn Yardley, City of Bangor, Department of Health and WelfareIn conjunction with EMHS, DECH hosted a community forum to present an overview of local assessment results and recommendations. Invitees included:Other area hospitalsPhysician leadersFederally Qualified Health CentersHealthy Maine PartnershipsDistrict Liaisons linked to Maine CDCHome Health and Long Term Care leadersSocial Service AgenciesLeaders of the tribal communitiesBusiness leadersLegislative leadersRepresentatives of the State administrationAttendees were provided an executive summary of the assessment as well as a summary table of data reflective of the service area. A presentation was made by EMHS staff who led the assessment, providing sample data, trends over time and the priorities and recommendations as suggested by the research consultants. Down East Community Hospital Part V, Section B, Line 4: The Hospital conducted its community health needs assessment along with Eastern Maine Health Systems, MaineGeneral, & MaineHealth. Down East Community Hospital Part V, Section B, Line 20d: No amount is billed to free care eligible individuals. Discounted care is offered at 75% of gross charges for all eligible individuals. Part I, Line 6a: The senior leadership team, with approval by the board of trustees, manages the community benefit activities of the Hospital. An expense budget is identified annually for community benefit activities. Community benefit activities are reported each year in the Hospital's annual report. Part III, Line 4: See Pages 7 & 8 of audited financial statements for footnote disclosure.Bad debt expense represents actual and estimated write-offs as identified by the Hospital. Actual write-offs represent accounts that have exceeded 90 days in Accounts Receivable with no payment plans established. Estimated write-offs represent bad debts that are expected based on payment percentage assumptions as determined by the age and payor type of the receivable. Part VI, Line 2: DECH participates with Eastern Maine Health System's community health needs assessment process. Community meetings are held in the hospital's service area and information is collected and reported in a formalized report that the hospital then uses to evaluate and respond to the health needs of its service area. Part VI, Line 3: Each private pay patient that receives a bill from the Hospital will receive a copy of the Hospital's free care guidelines and application with their bill. The free care guidelines are posted throughout the hospital in patient waiting areas and the application is also available on the Hospital's website. At every opportunity, billing personnel will communicate to patients the free care policy and encourage patients to apply.The Hospital also contracts with a collection organization who will review certain private pay patients' eligibility for MaineCare (Medicaid) insurance coverage. The Organization will contact the patients and help take them through the MaineCare application process, if applicable. Part VI, Line 4: Down East Community Hospital provides services to rural communities of Washington County, Maine. The population of 32,190 for the Hospital Service Area (HSA) has an average household income of $36,486, compared to $48,219 for the State of Maine. Of the HSA population, approximately 19.8% fall below the poverty level and 21.4% of the population is over age 65. During 2012, DECH captured a 42.8% inpatient market share or 411 of the 960 market cases in the towns of Addison, Beals, Dennysville, East Machias, Jonesboro, Jonesport, Lubec, Machias and Machiasport. Part VI, Line 5: The Hospital furthers its exempt purpose by promoting the health of the community. The board consists of volunteer community members that are elected by the Corporators of the Hospital.The Hospital has an open medical staff where all applicants have the opportunity to obtain membership as long as the guidelines as determined by the medical staff bylaws are met. 1 Sunrise Nursing Care Facility 11 Hospital Drive Machias ME 04654 222582949 501(c)(3) 185305 Support to affiliate for operations and capital acquisitions. Women's Health Resource Library PO Box 463 Milbridge ME 04658 550880014 501(c)(3) 9079 To support the Womens' Health Resource Library. 2 0 Part I, Line 2: The Organization only awards grants to qualifying public charities exempt under 501(c)(3) or municipalities. Additional monitoring is not deemed necessary. X X X 1 0 0 0 0 0 0 0 0 Douglas Jones CEO 263123 2968 0 0 22075 0 10200 105 9003 89 304401 3162 0 0 Kara Dwight DO Trustee 351865 0 0 0 0 0 10200 0 8678 0 370743 0 0 0 Lynnette Parr CFO 136020 1424 0 0 821 0 5605 58 8678 89 151124 1571 0 0 Dhanvant Rathod Physician 457500 0 0 0 0 0 10200 0 8678 0 476378 0 0 0 John Joseph Physician 382019 0 0 0 0 0 0 0 8678 0 390697 0 0 0 Rita Ten Physician 408611 0 0 0 0 0 10200 0 8678 0 427489 0 0 0 Stephen Madigan Physician 449696 0 0 0 0 0 7650 0 8678 0 466024 0 0 0 Thomas Crowe Physician 484076 0 0 0 0 0 10200 0 8678 0 502954 0 0 0 Aziz Massaad MD Former Trustee 316000 0 0 0 0 0 0 0 0 0 316000 0 0 0 Wayne Dodwell Former CEO 125000 0 0 0 0 0 0 0 0 0 125000 0 0 0 Part I, Line 4a Wayne Dodwell, Former CEO, received a severance payment in the amount of $125,000 during calendar year 2013. A Maine Health and Higher Educational Facilities Authority 010314384 560425V80 2007-11-01 1035000 Finance New Construction and Equipment 0 0 1 B Maine Health and Higher Educational Facilities Authority 010314384 560427JA5 2010-06-24 5480000 Refinance 1998 Bond 0 0 1 A 450419 1040241 47148 33641 969739 2010 0 0 1 1 B 2257688 5865921 341915 65460 2010 1 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 A 0 0 1 0 0 0 0 0 0 B 0 0 1 0 0 0 0 0 0 A 0 B 0 Part II, Line 3 The total proceeds of issue listed on line 3 differ from the issue prices listed on Part I due to the amount of premiums of each bond. Downeast Medical Associates Entity more than 35% owned by Aziz Massaad, former director 316000 Dr. Aziz Massaad provided on-call physician services through his medical practice Downeast Medical Associates, to the Organization. 0 Rita Ten MD Family member of Dr. Aziz Massaad, former board member 427489 Dr. Rita Ten provided physician anesthesia services to the Organization. 0 Form 990, Part VI, Section A, line 6 The members of the Organization, known as "Corporators," shall be those individuals who are Corporators of Down East Community Hospital as of January 1, 2011, and such other individuals as may be elected to membership in this Corporation by a majority vote of (i) those Corporators present at the Annual Meeting of this Corporation; or (ii) the Board of Trustees. A Corporator is elected for life, unless the Corporator voluntarily resigns, or the Corporator fails to attend two sucessive annual meetings of the Corporation. Additionally, those individuals who are appointed as members of the Active Medical Staff of Down East Community Hospital are eligible to serve as Corporators during the period of their appointment to the Active Medical Staff if so desired. Form 990, Part VI, Section A, line 7a The Corporators shall elect the Trustees of this Corporation from a slate of nominees presented by the Nominating Committee in accordance with the provisions of the Bylaws. Form 990, Part VI, Section B, line 11 The 990 is reviewed by the CEO and CFO and a copy is provided to the full board before filing. Form 990, Part VI, Section B, line 12c In order to monitor compliance with the conflict of interest policy for the Organization, each member of the board of trustees is required annually to submit a conflict of interest document and the compliance officer verifies the receipt of these documents. The compliance officer also reviews payments issued to the board of trustees and any contracts in effect with board members. All new employees sign a conflict of interest statement at the time of hire. Form 990, Part VI, Section B, line 15a Compensation for the Organization's CEO is set by the Executive Compensation Committee made up of independent board members. Form 990, Part VI, Section C, line 19 The financial statements and annual report are made available to the public upon request. The Organization's governing documents and conflict of interest policy are not made available to the public. Form 990, Part IX, line 11g Purchased Services: Program service expenses 2,490,635. Management and general expenses 263,232. Fundraising expenses 0. Total expenses 2,753,867. Professional Fees: Program service expenses 2,720,829. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,720,829. Collection Fees: Program service expenses 0. Management and general expenses 78,418. Fundraising expenses 0. Total expenses 78,418. Form 990, Part XI, line 9: Unfunded Pension Liability Adjustment 1,573,225. Sunrise Nursing Care Facility 11 Hospital Drive Machias ME 04645 222582949 Nursing Care Facility ME 501(c)(3) Line 9 Down East Community Hospital 1 1 1 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 Sunrise Nursing Care Facility B 185305 Fair Market Value Sunrise Nursing Care Facility Q 107015 Fair Market Value Sunrise Nursing Care Facility A 12150 Fair Market Value