2012-05-10T12:37:00-05:00 2011-06-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2010-07-01 010130427 BRIDGTON HOSPITAL BRID 2077952972 10 HOSPITAL DRIVE BRIDGTON ME 04009 MATTHEW COX 2012-04-27 true Brian D Todd 4178658701 2010 2016-02-24 21:20:13Z R DAVID FRUM 10 HOSPITAL DRIVE BRIDGTON ME 04009 50035070 false X WWW.BRIDGTONHOSPITAL.ORG X 1917 ME BRIDGTON HOSPITAL STRIVES TO PROVIDE EXCEPTIONAL HEALTHCARE SERVICES. THE HOSPITAL DEPENDS ON THE EXPERTISE OF ITS CAREGIVERS IN ADDITION TO THE COMMITMENT AND COMPASSION THEY PROVIDE TO FULFILL ITS MISSION. 9 6 373 109 0 0 196583 179797 41829407 48310331 186068 302959 248031 9886 42460089 48802973 7931 7874 0 0 23824605 17617092 0 0 0 15523523 23601458 39356059 41226424 3104030 7576549 38547365 46363338 12674459 12382959 25872906 33980379 TO PROVIDE EXCEPTIONAL HEALTHCARE SERVICES IN A SAFE AND TRUSTFUL ENVIRONMENT THROUGH THE EXPERTISE, COMMITMENT, AND COMPASSION OF OUR FAMILY OF CAREGIVERS. false false 32957631 7874 48310331 BRIDGTON HOSPITAL IS A CRITICAL ACCESS HOSPITAL SERVING 20 SURROUNDING COMMUNITIES PLUS THE MOUNT WASHINGTON VALLEY COMMUNITIES OF NEW HAMPSHIRE. THE HOSPITAL HAS A MEDICAL / SURGICAL UNIT, CRITICAL CARE UNIT, AND OBSTETRICAL UNIT WITH TWO BIRTHING SUITES. OUR TWO OPERATING ROOMS HANDLE GENERAL, ORTHOPEDIC, AND AMBULATORY SURGERY. THE HOSPITAL HAS A 24 HOUR EMERGENCY DEPARTMENT AND NUMEROUS PROFESSIONAL SERVICES INCLUDING CT SCANNING, MRI, NUCLEAR MEDICINE SPECT SCANNING, TREADMILL INCLUDING THALLIUM ONCOLOGY CLINIC, INPATIENT AND OUTPATIENT PHYSICAL THERAPY AND MEDICAL SCIENCES LIBRARY. 32957631 true true false true false false false false true true false false false false false false true false false false false false false true false true true false true true false false false true false false false false false false false false false true false false false false true 51 0 true 373 true false false false false false true true false false false false X 9 6 false false false false true true true true true false false true true true true true true false false false ME X PHIL MORISSETTE 2077952972 29 LOWELL STREET LEWISTON ME 04240 X PETER E CHALKE 1.0 X 0 597235 112723 WILLIAM CHALMERS 1.0 X 0 0 0 RONALD CILLEY MD 55.0 X 111480 0 18448 NEAL GRAFFAM 1.0 X X 0 0 0 WAYNE KUVAJA 1.0 X 0 0 0 PAUL LABAND MD 55.0 X X 182179 0 21987 PHILIP LIBBY 1.0 X X 0 0 0 AUDREY MACINTYRE 1.0 X X 0 0 0 CAROL SUDDUTH 1.0 X 0 0 0 JOHN LUDWIG 55.0 X 133941 0 15795 R DAVID FRUM 55.0 X 0 95128 13850 BRUCE LASTRA MD 55.0 X 287178 0 28030 CRAIG SMITH MD 55.0 X 290556 0 14482 DEBORAH SURETTE MD 55.0 X 304207 0 16685 JENNIFER SMITH DO 55.0 X 220321 0 23467 ERINN WRIGHT MD 55.0 X 224885 0 31926 JOHN M CARLSON 55.0 X 0 113450 12146 1754747 805813 309539 22 true true false VISTA STAFFING SOLUTIONS MEDICAL STAFFING 752249 CPS INC PHARMACY SERVICES 454426 INSIGHT HEALTH CORP MEDICAL STAFFING 363878 COMPHEALTH MEDICAL STAFFING 191575 ARUP MEDICAL TESTING 164992 7 13560 166237 179797 NET PATIENT SERVICE REVENUE 900099 48020128 48020128 CAFETERIA REVENUE 722210 91428 91428 OTHER REVENUE 900099 198775 198775 48310331 145605 145605 0 0 7790 1179 6611 6611 6611 1380867 1223513 157354 157354 157354 10680 13560 7405 3275 3275 0 0 0 48802973 48310331 312845 0 7874 7874 0 0 471344 321608 149736 0 14361670 10949183 3412487 0 1826699 1390591 436108 957379 727608 229771 0 72441 72441 55640 55640 0 0 13899 13899 8927793 6785123 2142670 270495 205576 64919 897952 682126 215826 703477 534643 168834 0 1137309 864355 272954 110346 83863 26483 0 2351 1787 564 494011 375448 118563 0 1304201 991193 313008 1427060 1084566 342494 BAD DEBT 3064028 3064028 MEDICAL SUPPLIES & DRUGS 4152137 4152137 LICENSES, DUES, SUBSCRIPTIONS 126571 96194 30377 RECRUITING & RETENTION 74555 56662 17893 REPAIRS & MAINTENANCE 733267 557283 175984 33925 25783 8142 41226424 32957631 8268793 0 249543 274802 6562057 19011088 68519 44150 4216196 5727732 15799 72 313300 296908 130371 106525 32899785 17123048 16407841 15776737 6975324 4518592 3608415 606732 38547365 46363338 3121012 3256848 24994 26994 8243973 8048809 1284480 1050308 12674459 12382959 X 22531172 30415399 2280994 2443485 1060740 1121495 25872906 33980379 38547365 46363338 X 7576549 530924 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 6654 6654 false false LOBBYING ACTIVITIES SCHEDULE C, PART II-B, LINE 1I PORTION OF DUES FOR PROFESSIONAL ASSOCIATIONS ATTRIBUTED TO LOBBYING EXPENSES - $6,654 3341734 56905 207021 40680 3564980 3236168 50626 86204 6169 25095 3341734 3151153 354034 -236483 2836 29700 3236168 0.31460 0.68540 false true true 674722 674722 17848360 5658569 12189791 13816184 11014389 2801795 560519 450090 110429 15776737 48802973 41226424 7576549 495029 35895 530924 8107473 49328582 495029 21996 517025 48811557 -8584 -8584 48802973 41221109 8584 8584 41212525 13899 13899 41226424 ENDOWMENT FUNDS SCHEDULE D, PART V, LINE 4 ENDOWMENT FUNDS ARE USED TO SUPPORT THE ORGANIZATION IN A VARIETY OF WAYS, DEPENDING UPON THE STATED PURPOSE OF EACH FUND. MANY OF THESE FUNDS HELP TO COVER COSTS OF CAPITAL EQUIPMENT PURCHASES, CONTINUING MEDICAL EDUCATION, OR FREE CARE. OTHERS ARE DESIGNATED TO SUPPORT SPECIFIC DEPARTMENTS OF THE HOSPITAL. UNCERTAIN TAX POSITION SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. OTHER RECONCILING ITEMS SCHEDULE D, PART XI, LINE 8 $ 59,655 CHANGE IN BENEFICIAL INTEREST OF PERPETUAL TRUST (23,760) BAD DEBT RELATING TO PLEDGE WITHDRAWN ---------- 35,895 OTHER RECONCILING ITEMS SCHEDULE D, PART XII, LINE 2D $ 59,655 CHANGE IN BENEFICIAL INTEREST OF PERPETUAL TRUST (13,899) INVESTMENT EXPENSE (23,760) BAD DEBT RELATING TO PLEDGE WITHDRAWN ---------- 21,996 OTHER RECONCILING ITEMS SCHEDULE D, PART XII, LINE 4B $ (1,179) RENTAL EXPENSE (7,405) SPECIAL EVENT EXPENSE ---------- (8,584) OTHER RECONCILING ITEMS SCHEDULE D, PART XIII, LINE 2D $ 1,179 RENTAL EXPENSE 7,405 SPECIAL EVENT EXPENSE ---------- 8,584 GOLF TOURNAMENT 24240 13560 10680 2500 4305 500 100 0 24240 13560 10680 2500 4305 500 100 7405 3275 true true X true X 300. false true true true false false 551879 551879 0.01450 6625273 5617249 1008024 0.02640 7177152 5617249 1559903 0.04090 72160 14000 58160 0.00150 7874 7874 0.00020 80034 14000 66034 0.00170 7257186 5631249 1625937 0.04260 false 1539921 378720 16096139 15951771 144368 X true true 1 1 BRIDGTON HOSPITAL

10 HOSPITAL DRIVE BRIDGTON ME 04009

X X X X BRIDGTON HOSPITAL 1 9 BRIDGTON INTERNAL MEDICINE

25 HOSPITAL DRIVE BRIDGTON ME 04009

OUTPATIENT PHYSICIAN CLINIC NORTHERN BRIDGTON FAMILY PRACTICE

14 WYONEGONIC ROAD BRIDGTON ME 04009

OUTPATIENT PHYSICIAN CLINIC FRYEBURG FAMILY MEDICINE

253 BRIDGTON ROAD FRYEBURG ME 04037

OUTPATIENT PHYSICIAN CLINIC BRIDGTON PEDIATRICS

25 HOSPITAL DRIVE BRIDGTON ME 04009

OUTPATIENT PHYSICIAN CLINIC BRIDGTON OBGYN

15 HOSPITAL DRIVE BUILDING B BRIDGTON ME 04009

OUTPATIENT PHYSICIAN CLINIC NAPLES FAMILY PRACTICE

410 ROOSEVELT TRAIL NAPLES ME 04055

OUTPATIENT PHYSICIAN CLINIC BRIDGTON SURGICAL SPECIALISTS

25 HOSPITAL DRIVE BRIDGTON ME 04009

OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE GASTROENTEROLOGY

15 HOSPITAL DRIVE BUILDING B BRIDGTON ME 04009

OUTPATIENT PHYSICIAN CLINIC BRIDGTON ORTHOPEDICS

25 HOSPITAL DRIVE BRIDGTON ME 04009

OUTPATIENT PHYSICIAN CLINIC CRITERIA FOR ELIGIBILITY SCHEDULE H, PART I, LINE 3C CENTRAL MAINE MEDICAL CENTER CURRENTLY PROVIDES FREE CARE FOR PATIENTS UP TO 300% FPG LEVELS. THIS IS A LEVEL OF FREE CARE ELIGIBILITY HIGHER THAN THE AVERAGE AND IS SET AT THIS LEVEL INSTEAD OF OFFERING DISCOUNTED CARE TO PATIENTS AT 250% TO 300% FPG, WHICH IS A COMMON RANGE FOR DISCOUNTED CARE ELIGIBILITY. PERCENT OF TOTAL EXPENSE SCHEDULE H, PART I, LINE 7, COLUMN F TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF THE FORM 990 ($41,226,424) WAS REDUCED BY BAD DEBT EXPENSE ($3,064,028). THE COST-TO-CHARGE RATIO FROM WORKSHEET 2 WAS USED IN COMPUTING HTE FIGURES ON LINE 7B. BAD DEBT EXPENSE SCHEDULE H, PART III, SECTION A, LINE 4 THERE IS NO FOOTNOTE IN THE CONSOLIDATED FINANCIAL STATEMENTS RELATING TO BAD DEBT EXPENSE. THE AMOUNT REPORTED ON LINE 2 OF SCHEDULE H, PART III IS BASED ON THE COST-TO-CHARGE RATIO CALCULATED IN SUPPORTING WORKSHEET 2, PROVIDED WITH THE INSTRUCTIONS TO SCHEDULE H. THE AMOUNT ON LINE 3, IN THE SAME SECTION, IS BASED UPON A COMPARISON OF EXPERIENCED CHARITY CARE COVERAGE AND US CENSUS BUREAU DATA FOR THE MOST RECENT YEAR AVAILABLE WHEN CHARITY CARE CONVERGE EXCEEDS THE CENSUS DATA, A MINIMAL AMOUNT OF BAD DEBT IS ASSUMED TO BE ELIGIBLE FOR CHARITY CARE TO ACCOUNT FOR THOSE PATIENTS WHO REFUSE TO PROVIDE INFORMATION DOCUMENTING ELIGIBILITY FOR THE PROGRAM. THESE ESTIMATES ARE BASED ON STATE-WIDE DATA AND DO NOT ACCOUNT FOR DIFFERENCES IN GEOGRAPHIC LOCATIONS WITHIN THE STATE. THE COSTING METHODOLOGY USED IN THE TABLE FOR PART 1, LINE 7 IS THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2, "RATIO OF PATIENT CARE COST-TO-CHARGES", INCLUDED WITH THE SCHEDULE H INSTRUCTIONS THIS RATIO WAS USED IN THE AMOUNTS ON LINES 7A AND 7B. COMMUNITY BENEFIT SCHEDULE H, PART III, SECTION B, LINE 8 THE COSTING METHODOLOGY USED TO DETERMINE PART III, LINE 6 IS THE COST TO CHARGE RATIO CALCULATED IN THE MEDICARE COST REPORT FOR THE REPORTABLE YEAR. COLLECTION POLICY SCHEDULE H, PART III, SECTION C, LINE 9B COLLECTION PRACTICES FOR PATIENTS KNOWN TO BE ELIGIBLE FOR CHARITY CARE ARE LIMITED TO COLLECTING FROM ANY AVAILABLE PAYMENT SOURCES SUCH AS MEDICARE OR MEDICAID. IF A PATIENT IS ELIGIBLE, BUT HAS NOT APPLIED FOR MEDICAID COVERAGE, THE PATIENT IS REQUESTED TO APPLY. ASSISTANCE IS AVAILABLE TO HELP THE PATIENT WITH THE MEDICAID APPLICATION PROCESS. NEEDS ASSESSMENT AS A CRITICAL ACCESS HOSPITAL BRIDGTON HOSPITAL ATTEMPTS TO PROVIDE ANY NEEDED HEALTH CARE SERVICES NECESSARY TO TREAT THE POPULATION OF THIS RURAL AREA OF MAINE. ADDITIONALLY BRIDGTON HOSPITAL FOCUSES ON STATE-WIDE INITIATIVES, SUCH AS HEART DISEASE AND DIABETES, AS WELL AS ORGANIZATIONAL INITIATIVES BASED ON NEEDS OBSERVED WITHIN ITS PATIENT POPULATION MANY FORMS OF EDUCATION PREVENTION AND EARLY DETECTION ARE ALSO PART OF ITS COMMUNITY HEALTH CARE PLAN. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE BRIDGTON HOSPITAL PROVIDES NOTICES ABOUT ITS FREE CARE POLICY IN ALL CLINICAL DEPARTMENTS AND MAJOR PATIENT AREAS. AN INPATIENT FINANCIAL COUNSELOR VISITS WITH ALL UNINSURED PATIENTS TO DISCUSS OPTIONS, INCLUDING GOVERNMENTAL PROGRAM ELIGIBILITY AND FREE CARE. ASSISTANCE IS AVAILABLE TO HELP PATIENTS WITH COMPLETION OF MEDICAID APPLICATIONS. ALL PATIENT FINANCIAL SERVICES STAFF ARE TRAINED TO OFFER FREE CARE AS AN OPTION TO PATIENTS WHO INDICATE AN INABILITY OR DIFFICULTY IN PAYING FOR SERVICES. INFORMATION ABOUT FINANCIAL ASSISTANCE AVAILABILITY IS INCLUDED ON THE BACK OF EVERY PATIENT STATEMENT. ADDITIONALLY, UNINSURED PATIENTS RECEIVE A SEPARATE INFORMATION SHEET WITH THEIR STATEMENTS, FURTHER INFORMING THEM ABOUT THE AVAILABLE OPTIONS. COMMUNITY INFORMATION BRIDGTON HOSPITAL, LOCATED IN BRIDGTON, MAINE, SERVES 21 TOWNS IN THE "LAKES REGION" OF WESTERN MAINE, AS WELL AS THE WESTERN MOUNTAINS OF MAINE AND THE MOUNT WASHINGTON VALLEY REGION OF NEW HAMPSHIRE. THE REGION IS RURAL IN NATURE AND IS PRIMARILY MADE UP OF WESTERN CUMBERLAND AND SOUTHERN OXFORD COUNTIES IN MAINE, AS WELL AS CARROLL COUNTY IN NEW HAMPSHIRE. THE REGION IS PRIMARILY MADE UP OF CAUCASIAN PERSONS AND HAS A VARIABLE POPULATION. THE REGION IS A SUMMER TOURIST DESTINATION AND THE POPULATION SWELLS DRAMATICALLY DURING THAT SEASON, MAKING DEMOGRAPHICS SOMEWHAT FLUID. APPROXIMATELY 14% OF THE YEAR ROUND POPULATION IS BELOW THE POVERTY LEVEL. AFFILIATED HEALTH CARE SYSTEM AS A MEMBER OF THE CENTRAL MAINE HEALTHCARE SYSTEM, BRIDGTON HOSPITAL PROVIDES HIGH QUALITY HEALTH CARE IN A RURAL SETTING WITH LIMITED HEALTH CARE OPTIONS. ITS AFFILIATION WITH CENTRAL MAINE MEDICAL CENTER PROVIDES ACCESS TO A MUCH LARGER, TERTIARY CARE HOSPITAL, INCLUDING TRAUMA CARE, NEONATAL INTENSIVE CARE, AND A SPECIALIZED CARDIAC CARE UNIT. ADDITIONALLY, CENTRAL MAINE MEDICAL CENTER PROVIDES ACCESS TO SPECIALIST PHYSICIANS FOR OUTPATIENT CARE IN THE BRIDGTON AREA ON A REGULAR SCHEDULE. THE SYSTEM PARENT, CENTRAL MAINE HEALTHCARE, PROVIDES STREAMLINED ADMINISTRATIVE FUNCTIONS AND BACKROOM SERVICES, ALLOWING BRIDGTON HOSPITAL TO PERFORM AT A COST EFFICIENT LEVEL WHICH WOULD NORMALLY BE UNACHIEVABLE IN A SMALL, RURAL HOSPITAL, ALLOWING FOR A BROADER RANGE OF SERVICES PROVIDED. true EDUCATIONAL SCHOLARSHIPS 8 7874 GRANTS SCHEDULE I, PART I, LINE 2 THE COMMITTEE REVIEWS ELIGIBILITY BEFORE AWARDING THE SCHOLARSHIPS. THE FUNDS ARE NOT DISBURSED UNTIL THE COURSEWORK IS COMPLETED AND GRADE REQUIRMENTS ARE SUBSTANTIATED. false true false false false false false false false JOHN M CARLSON 0 89971 0 0 0 23479 0 6346 0 5800 0 125596 PETER E CHALKE 0 527048 0 0 0 70187 0 100000 0 12723 0 709958 PAUL LABAND MD 169693 0 10740 0 1746 0 2342 0 19645 0 204166 0 BRUCE LASTRA MD 255486 0 4000 0 27692 0 7245 0 20785 0 315208 0 CRAIG SMITH MD 189721 0 63909 0 36926 0 5508 0 8974 0 305038 0 DEBORAH SURETTE MD 270231 0 0 0 33976 0 6914 0 9771 0 320892 0 JENNIFER SMITH DO 135197 0 53059 0 32065 0 4272 0 19195 0 243788 0 ERINN WRIGHT MD 189760 0 25783 0 9342 0 5222 0 26704 0 256811 0 CEO COMPENSATION SCHEDULE J, PART I, LINE 3 THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT IS DETERMINED BY THE PARENT CORPORATION'S BOARD OF DIRECTORS' EXECUTIVE COMPENSATION COMMITTEE USING THE FOLLOWING: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B A PARTICIPANT'S ENTITLEMENT TO BENEFITS WILL VEST ON THE PARTICIPANT'S VESTING DATE PROVIDED THE PARTICIPANT HAS REMAINED IN CONTINUOUS EMPLOYMENT IN THE SAME POSITION WHILE PARTICIPATING IN THIS PLAN. A PARTICIPANT WILL HAVE ONLY ONE VESTING DATE FOR ALL ELECTIVE DEFERRALS AND OTHER PLAN CONTRIBUTIONS MADE ON THE PARTICIPANT'S BEHALF DURING ALL PLAN YEARS. A PARTICIPANT'S ENTITLEMENT TO BENEFITS WILL ALSO VEST (A) IF THE PARTICIPANT DIES WHILE STILL EMPLOYED BY THE EMPLOYER, (B) IF THE PARTICIPANT'S EMPLOYMENT TERMINATES DUE TO TOTAL DISABILITY; OR (C) IF THE EMPLOYER TERMINATES THE PARTICIPANT'S EMPLOYMENT FOR ANY REASON OTHER THAN FOR "CAUSE". ANY PORTION OF THE PARTICIPANTS ENTITLEMENT TO BENEFITS THAT IS NOT VESTED WHEN THE PARTICIPANT'S EMPLOYMENT WITH THE EMPLOYER TERMINATES, INCLUDING ELECTIVE DEFERRALS, WILL BE FORFEITED. THE EMPLOYER WILL DISTRIBUTE A PARTICIPANT'S BENEFITS UNDER THE PLAN AS SOON AS PRACTICABLE AFTER THE PARTICIPANT'S ENTITLEMENT BECOMES VESTED. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THROUGH CENTRAL MAINE HEALTHCENTER CORPORATION, A RELATED ENTITY. $ 9,583 R. DAVID FRUM (DEFERRAL) 100,000 PETER CHALKE (DEFERRAL) DEBORAH SURETTE STUDENT LOAN REPAY X 68017 72 false false true 72 MEMBERS OR STOCKHOLDERS FORM 990, PART VI, SECTION A, LINES 6, 7A AND 7B THE MEMBER OF THE CORPORATION SHALL BE CENTRAL MAINE HEALTHCARE CORPORATION, A CORPORATION DULY ORGANIZED UNDER THE LAWS OF THE STATE OF MAINE. THE MEMBER SHALL HAVE THE RIGHT TO (A) APPROVE THE ELECTION OF MEMBERS OF THE BOARD OF DIRECTORS, (B) REMOVE MEMBERS OF THE BOARD OF DIRECTORS, PROVIDED HOWEVER, THAT (I) THE MEMBER MAY NOT REMOVE WITHOUT CAUSE MORE THAN ONE-THIRD (1/3) OF THE DIRECTORS OF THE CORPORATION IN ANY ONE YEAR, AND (II) THE MEMBER MAY NOT REMOVE ANY DIRECTOR WITH OR WITHOUT CAUSE WITHOUT PROVIDING AN OPPORTUNITY FOR ONE OR MORE REPRESENTATIVES OF THE CORPORATION TO APPEAR BEFORE THE MEMBERS BOARD OF DIRECTORS TO COMMENT ON THE PROPOSED REMOVAL, AND (C) APPROVE CERTAIN DECISIONS OF THE BOARD OF DIRECTORS, AS DETAILED IN THE BYLAWS OF THE CORPORATION. THERE SHALL BE NINE (9) DIRECTORS OF THE CORPORATION WHO SHALL BE ENTITLED TO VOTE. ONE (1) OF THE NINE (9) VOTING DIRECTORS SHALL BE APPOINTED BY THE MEMBER, AND THE BALANCE OF VOTING DIRECTORS SHALL BE ELECTED BY THE BOARD OF DIRECTORS. 990 REVIEW PROCESS FORM 990, PART VI, SECTION B, LINE 11B ALL AFFILIATED FORM 990's AND APPLICABLE SCHEDULES ARE PREPARED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM IN COOPERATION WITH THE FINANCE DEPARTMENT. THE COMPLETED RETURNS ARE REVIEWED WITH THE DIRECTOR OF FINANCE THEN WITH THE CFO FOLLOWING THAT REVIEW; THEY ARE PRESENTED TO THE FINANCE COMMITTEE OF THE CENTRAL MAINE HEALTHCARE BOARD OF DIRECTORS, WHICH HAS REPRESENTATIVES FROM ALL AFFILIATED BOARDS. ONCE THIS REVIEW IS COMPLETED, ANY NECESSARY CHANGES ARE MADE AND THE FINAL RETURN IS PRESENTED TO ITS RESPECTIVE BOARD WITH THE FINANCE COMMITTEE MEMBER TAKING AND ANSWERING QUESTIONS. A FINANCE DEPARTMENT REPRESENTATIVE, KNOWLEDGEABLE OF THE RETURN, IS AVAILABLE TO ASSIST DURING PRESENTATIONS, IF REQUESTED BY THE FINANCE COMMITTEE MEMBER IN THE EVENT THAT THE NEXT BOARD MEETING IS NOT SCHEDULED UNTIL AFTER THE FILING DATE, THE FINAL RETURN IS MAILED TO ALL BOARD MEMBERS AND THE PRESENTATION OCCURS AT THE NEXT SCHEDULED BOARD MEETING. CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C OFFICERS AND DIRECTORS COMPLETE AN ANNUAL CONFLICT OF INTEREST STATEMENT WHICH IS REVIEWED BY THE CHAIRMAN OF THE BOARD AND CONFORMS TO THE CONDITIONS CONTAINED WITHIN THE CORPORATION'S BYLAWS, WHICH MEET OR EXCEED THE CURRENT IRS REPORTING THRESHOLDS. IN AREAS OF CONFLICT BY THE CHAIRMAN, THE VICE-CHAIRMAN REVIEWS. ADDITIONALLY, AS PART OF THE ANNUAL FORM 990 PREPARATION PROCESS, A SEPARATE QUESTIONNAIRE IS PROVIDED, WHICH INCLUDES DISTRIBUTION TO KEY EMPLOYEES, COVERING REPORTING AREAS OF LOANS, GRANTS, BUSINESS RELATIONSHIPS, AND OTHER CONFLICTS. THESE QUESTIONNAIRES ARE REVIEWED BY THE FINANCE DEPARTMENT FOR REPORTABLE ITEMS FOR THE FORM 990. IN THE CASE OF A POSSIBLE CONFLICT, THE BOARD WOULD REVIEW THE SITUATION AND TAKE ACTIONS DEEMED APPROPRIATE FOR THE POSSIBLE OR ACTUAL CONFLICTS OF MEMBERS OF THE BOARD OR THE EXECUTIVE OFFICERS. IN THE CASE OF KEY EMPLOYEES, THE REVIEW AND ACTIONS TAKEN WOULD BE PERFORMED BY THEIR DIRECT SUPERVISOR. COMPENSATION POLICY - OFFICERS FORM 990, PART VI, SECTION B, LINE 15A CENTRAL MAINE HEALTHCARE (CMHC) HAS ESTABLISHED AND FOLLOWS A DELIBERATIVE TRANSPARENT PROCESS WHICH MEETS IRS REGULATIONS FOR "REBUTTABLE" PRESUMPTION OF REASONABLENESS. A STANDING EXECUTIVE COMPENSATION COMMITTEE (ECC), COMPRISED OF INDEPENDENT MEMBERS OF BOARD LEADERSHIP, EXISTS TO UNDERTAKE THE PROCESS OF DETERMINING COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, CHIEF MEDICAL OFFICER, PRESIDENT OF CENTRAL MAINE MEDICAL CENTER, PHYSICIAN PRACTICE EXECUTIVE, PRESIDENT OF RUMFORD HOSPITAL, AND PRESIDENT OF BRIDGTON HOSPITAL. THE PROCESS GUIDELINES AND AUTHORITY OF THE ECC ARE SET OUT IN THE EXECUTIVE COMPENSATION PHILOSOPHY AND RESPONSIBILITIES CHARTER WHICH WAS APPROVED BY THE CMHC BOARD. THE ENTIRE CMHC BOARD PARTICIPATES IN THE ANNUAL PERFORMANCE EVALUATION OF EACH EXECUTIVE, INCLUDING A REVIEW OF ACCOMPLISHMENTS RELATIVE TO GOALS AND OBJECTIVES DERIVED FROM THE STRATEGIC PLAN. THE ECC REVIEWS THE RESULTS OF THE ANNUAL PERFORMANCE EVALUATION AND APPROPRIATE COMPARABILITY DATA BASED ON SEVERAL FACTORS RECOMMENDED BY AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT, WHO SPECIALIZES IN NOT-FOR-PROFIT HOSPITALS AND HEALTH SYSTEMS, AND OUR ATTORNEY'S FACTORS USED IN DETERMINING COMPARABILITY TO THE ORGANIZATION INCLUDES GEOGRAPHY, ORGANIZATIONAL COMPLEXITY, FACILITY TYPE, OWNERSHIP TYPE, AND ANY OTHER FACTORS DEEMED RELEVANT BY THE COMMITTEES CONSULTANTS, OR ITS ATTORNEY'S USING THIS INFORMATION. THE ECC ANNUALLY REVIEWS THE EXECUTIVE'S COMPENSATION TO DETERMINE IF MODIFICATION TO BASE SALARY IS WARRANTED, AND REVIEWS THE EXECUTIVES' ACCOMPLISHMENTS TO DETERMINE IF ANY VARIABLE PAY IS TO BE AWARDED. THE ENTIRE PROCESS IS THEN DOCUMENTED CONTEMPORANEOUSLY WITH THE DECISION MAKING PROCESS AND APPROVED THEREAFTER IN ACCORDANCE WITH THE REQUIREMENTS OF THE IRS. PUBLIC DISCLOSURE FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST IN THE ORGANIZATION'S ADMINISTRATIVE OFFICES. THE FINANCIAL STATEMENTS OF THE ORGANIZATION ARE INCLUDED IN THE MOST RECENTLY FILED FORM 990 AND PROVIDED, UPON REQUEST, IN THAT FORMAT UNLESS THE SPECIFIC REQUEST DEEMS A DIFFERENT FORMAT MORE APPROPRIATE. COMPENSATION FORM 990, PART VII, SECTION A, COLUMN B BOARD MEMBERS DR. CILLEY AND DR. LABAND RECEIVE COMPENSATION FOR THEIR SERVICES AS PHYSICIANS AT BRIDGTON HOSPITAL. DAVID FRUM IS EMPLOYED BY CENTRAL MAINE HEALTHCARE AND SERVES AS THE PRESIDENT OF BRIDGTON HOSPITAL. PETER CHALKE IS EMPLOYED BY CENTRAL MAINE HEALTHCARE AS ITS PRESIDENT/CEO AND ALSO SITS ON SEVERAL SUBSIDIARY BOARDS, INCLUDING BRIDGTON HOSPITAL'S. WILLIAM CHALMERS IS A MEMBER OF THE BOARDS OF CENTRAL MAINE HEALTHCARE AND BRIDGTON HOSPITAL. PRESIDENT OF BRIDGTON HOSPITAL FORM 990, PART VII, SECTION A, LINES 10, 11, & 17 JOHN CARLSON IS MARKED FORMER AS HE WAS AN OFFICER WITH THE HOSPITAL (ENDING MAY OF 2010) AND RECEIVED COMPENSATION FROM CENTRAL MAINE HEALTHCARE CORPORATION FOR HIS SERVICES AS PRESIDENT OF BRIDGTON HOSPITAL DURING THE 2010 CALENDAR YEAR. JOHN LUDWIG SERVED AS INTERIM PRESIDENT FROM MAY OF 2010 UNTIL AUGUST OF 2010 WHEN DAVID FRUM BEGAN AS PRESIDENT OF BRIDGTON HOSPITAL. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 5 $ 495,029 UNREALIZED GAINS 59,655 CHANGE IN BENEFICIAL INTEREST OF PERPETUAL TRUST (23,760) BAD DEBT RELATING TO PLEDGE WITHDRAWN ---------- 530,924 CENTRAL MAINE COMMUNITY HEALTH CORP PO BOX 4500 LEWISTON ME 04243 010386912 PUBLIC EDUCAT ME 501(C)(3) 7 NA CENTRAL MAINE MEDICAL CENTER PO BOX 4500 LEWISTON ME 04243 010211494 HEALTHCARE ME 501(C)(3) 3 NA CMMC COLLEGE OF NURSING AND HEALTH PROF PO BOX 4500 LEWISTON ME 04243 010356077 EDUCATION ME 501(C)(3) 2 NA CENTRAL MAINE REAL ESTATE MANAGEMENT COR PO BOX 4500 LEWISTON ME 04243 010387674 REAL ESTATE ME 501(C)(2) NA CENTRAL MAINE HEALTHCARE CORPORATION PO BOX 4500 LEWISTON ME 04243 010386913 HEALTHCARE ME 501(C)(3) 11 B II NA RUMFORD COMMUNITY FAMILY HEALTH CENTER 430 FRANKLIN STREET RUMFORD ME 04276 010481000 HEALTHCARE ME 501(C)(3) 3 NA RUMFORD COMMUNITY HOME CORPORATION 11 JOHN F KENNEDY LANE RUMFORD ME 04276 222844951 NURSING HOME ME 501(C)(3) 9 NA RUMFORD HOSPITAL 420 FRANKLIN STREET RUMFORD ME 04276 010215227 HEALTHCARE ME 501(C)(3) 3 NA BRIDGTON HOSPITAL PHYSICIANS GROUP SOUTH HIGH STREET BRIDGTON ME 04009 010493083 HEALTHCARE ME 501(C)(3) 9 NA CENTRAL MAINE HEART AND VASCULAR INST 300 MAIN STREET LEWISTON ME 04240 542078282 HEALTHCARE ME 501(C)(3) 9 NA CENTRAL MAINE HEALTH VENTURES INC 300 MAIN STREET LEWISTON ME 04240 010430016 HEALTHCARE ME NA C CORP. 0 0 0.00000 CWM INSURANCE LTD GENESIS BUILDING PO BOX 1363 GRAND CAYMAN CJ B.W.I. 980220891 INSURANCE CJ NA C CORP. 0 0 0.00000 false false false false false false false false false true false true false true true false false false