{"success":true,"data":{"_id":10078060,"filings":[{"Organization":{"Hours":[0],"Total Compensation":[0],"Direct compensation":[0],"Other compensation":[0]},"Basic":{"mission":"Henrietta D. Goodall Hospital, Inc.'s mission is to serve as a leader in improving the health and well-being of its community. THE HOSPITAL OPENED AN OUTPATIENT SERVICES FACILITY IN KENNEBUNK, MAINE ON SEPTEMBER 14, 2009, CALLED \"GOODALL OUTPATIENT SERVICES.\" THIS FACILITY EXTENDS HENRIETTA D. GOODALL HOSPITAL'S OUTPATIENT SERVICES TO KENNEBUNK, MAINE, FOR CONVENIENT ACCESS FOR THE COMMUNITY.","primary_activities":"Goodall hospital is a 58 bed hospital which strives to meet the health care needs of individuals and families throughout york county. Goodall hospital offers a broad range of medical, surgical, diagnostic and rehabilitation services, wellness education, support groups and other community outreach programs. Goodall hospital has had 22,271 emergency room visits, 35,114 radiology procedures, 341,907 laboratory procedures, 47,270 therapy procedures, 249 infants born and 2,586 surgery cases. Goodall hospital provided $882,162 in charity care to the community. This includes patients who are underinsured or those without any insurance. In addition to the charitable care services, we are continually absorbing all the costs associated with providing the community a variety of special complimentary services. Goodall proudly sponsors community organizations, school groups, civic organizations and special events (like the local baseball team). Goodall hospital sponsors two to four free education events each month of the year along with dozens of support groups. Goodall hospital also routinely participates in health fairs and business events, performing blood pressure checks, cholesterol screenings and CPR training. Goodall hospital's senior advocate provides free advice and services to elderly members of the community. Services include help with insurance and medical issues, as well as personal issues including tax information, finances and home needs.\n\nGoodall health partners consist of many physicians with multi-specialty services in different locations throughout york county. These physicians compliment the hospital in maintaining its mission to serve as a leader in improving the health and well-being of our community by serving the populous. These specialties include (but are not limited to) cardiology, ent, family practices, internal medicine, pediatrics, ortho and general surgery. The number of patients seen were 19,307 for a total number of visits of 55,762.\n\nGoodall hospital eldercare services provide long-term care and medical services to our senior citizens. Eldercare had admitted 253 residents for a total of 25,684 patient days. We continue to grow and adapt to the needs of our community with this service. Goodall hospital eldercare prides themselves by creating a home-like, comfortable environment for the residents and staff. The newton center for rehabilitation and nursing care promotes high quality care; with dedicated staff family educational nd involvement make this program special.\n\nThe medical group consists of many physicians with multi-specialty services that extend goodall hospital's existing services to kennebunk, me. These physicians compliment the hospital in maintaining its mission to serve as a leader in improving the health and well-being of our community. These services include (but are not limited to) full service primary care, womens's health, gastroenterolgy, pulmonary medicine, orthopedics and pain management. The number of patients seen were 9,543 for a total number of visits of 34,663.\n\nThe hospital opened an outpatient services facility in kennebunk, maine, on september 14, 2009, called \"goodall outpatient services\". This facility extends henrietta d. Goodall hospital's outpatient services to kennebunk, maine, for convenient access for the community.\n\nAmounts listed as bond issue price do not match IRS Form 8038, Part III, line 21(b), as the Hospital was a part of a group of organizations participating in the revenue bonds issuance. Thus, the amount listed is the Hospital's portion of the total bond issue price.","year":2009,"name":"HENRIETTA D GOODALL HOSPITAL INC","phone":"2074907337","website":"www.goodallhospital.org","type":"990","principal_officer":"Darlene Stromstad","year_formation":1927,"state_legal_domicile":"ME","total_volunteers":83,"tax_period_begin":"2009-06-01T00:00:00","tax_period_end":"2010-05-31T00:00:00","address":"25 June Street, Sanford, ME, 04073, USA","city":"Sanford","state":"ME","country":"USA","zip_code":"04073"},"Governance":{"501c determination":true,"Number of voting members":12,"Number of independent voting members":10,"Number of employees total":1034,"Total Gross UBI":267043,"Net unrelated business taxable income":34666,"Number of employees":1034,"Prohibited tax shelter transactions":false,"Taxable party notification":false,"Funds to pay premiums":false,"Premiums Paid":false,"Family or business relationship":false,"Delegation of management duties":false,"Conflict of interest policy":true,"Whistle blower policy":true,"Compensation process for CEO":true,"Compensation process for other employees":true,"Changes to organizing documents":false,"Material diversion or misuse":false,"Members or stockholders":false,"Election of board members":false,"Decisions subject to approval":false,"Minutes of governing body":true,"Local chapters":true,"Form 990 provided to governing body":true,"Document retention policy":true,"Investment in joint venture":false,"Independent audit financial statements":false,"Consolidated audit financial statements":true,"Accountant compile or review":false,"Financial statements audited by independent accountant":true,"Audit committee":true,"Federal grant audit required":true,"Federal grant audit performed":true,"Political activities":false,"Donor advised funds":false,"Conservation easements":false,"Collections of art":false,"School":false,"Hospital":true,"Foreign activities":false,"Foreign office":false,"Gaming":false,"Fundraising activities":false,"Professional fundraising":false,"Loan to officer or DQP":true,"Grant to related person":false,"Business relationship through family member":false,"Business relationship with organization":false,"Transfers to exempt non-charitable organization":false},"Revenues":{"value":81381144,"Contributions":{"value":1551088,"Other contributions":939268,"Grant revenue":611820},"Program revenue":{"value":78388437,"Total revenue":78388437,"Unrelated business revenue":267043},"Investment income":{"value":505858,"Investment income total":543773,"Net investment gain":-37915},"Other revenues":{"value":935761,"Other total":1384164,"Net rental income":-448403}},"Expenses":{"value":80826802,"Grant expense":{"value":0},"Total professional fundraising expense":{"value":0},"Benefits paid to members":{"value":0},"Salaries":{"value":44020030,"Current officers":1179802,"Other salaries and wages":35069822,"Other employee benefits":5439285,"Payroll taxes":2331121},"Other expenses":{"value":36806772,"Legal":237968,"Accounting":246276,"Lobbying services":127500,"Other services":4951551,"Advertising":94677,"Office expenses":120060,"Information technology":436352,"Occupancy":1494394,"Travel":40027,"Conferences and meetings":86879,"Interest":838504,"Depreciation and depletion":3654792,"Insurance":1183349,"Itemized Expenses":{"value":23294443,"VARIOUS":23294443}}},"Assets":{"value":84336393,"Non-interest bearing cash":5185,"Savings and temp cash investments":5414641,"Accounts receivable":7753284,"Receivables from officers":851677,"Inventories for sale or use":1535788,"Prepaid expenses deferred charges":2094494,"Land, building, equipment":34628970,"Investments publicly traded":8087521,"Investments other":12710758,"Other assets":11254075},"Liabilities":{"value":37018987,"Accounts payable, accrued":12651004,"Tax exempt bond liabilities":11814439,"Secured mortgages and notes payable":12061491,"Other liabilities":492053},"Fund balance":{"value":47317406},"Form990Details":{"program_service_accomplishments":[{"description":"GOODALL HOSPITAL IS A 58 BED HOSPITAL WHICH STRIVES TO MEET THE HEALTH CARE NEEDS OF INDIVIDUALS AND FAMILIES THROUGHOUT YORK COUNTY. GOODALL HOSPITAL OFFERS A BROAD RANGE OF MEDICAL, SURGICAL, DIAGNOSTIC AND REHABILITATION SERVICES, WELLNESS EDUCATION, SUPPORT GROUPS AND OTHER COMMUNITY OUTREACH PROGRAMS. GOODALL HOSPITAL HAS HAD 22,271 EMERGENCY ROOM VISITS, 35,114 RADIOLOGY PROCEDURES, 341,907 LABORATORY PROCEDURES, 47,270 THERAPY PROCEDURES, 249 INFANTS BORN AND 2,586 SURGERY CASES. GOODALL HOSPITAL PROVIDED $882,162 IN CHARITY CARE TO THE COMMUNITY. THIS INCLUDES PATIENTS WHO ARE UNDERINSURED OR THOSE WITHOUT ANY INSURANCE. IN ADDITION TO THE CHARITABLE CARE SERVICES, WE ARE CONTINUALLY ABSORBING ALL THE COSTS ASSOCIATED WITH PROVIDING THE COMMUNITY A VARIETY OF SPECIAL COMPLIMENTARY SERVICES. GOODALL PROUDLY SPONSORS COMMUNITY ORGANIZATIONS, SCHOOL GROUPS, CIVIC ORGANIZATIONS AND SPECIAL EVENTS (LIKE THE LOCAL BASEBALL TEAM). GOODALL HOSPITAL SPONSORS TWO TO FOUR FREE EDUCATION EVENTS EACH MONTH OF THE YEAR ALONG WITH DOZENS OF SUPPORT GROUPS. GOODALL HOSPITAL ALSO ROUTINELY PARTICIPATES IN HEALTH FAIRS AND BUSINESS EVENTS, PERFORMING BLOOD PRESSURE CHECKS, CHOLESTEROL SCREENINGS AND CPR TRAINING. GOODALL HOSPITAL'S SENIOR ADVOCATE PROVIDES FREE ADVICE AND SERVICES TO ELDERLY MEMBERS OF THE COMMUNITY. SERVICES INCLUDE HELP WITH INSURANCE AND MEDICAL ISSUES, AS WELL AS PERSONAL ISSUES INCLUDING TAX INFORMATION, FINANCES AND HOME NEEDS.","expense":49290799,"revenue":57380104},{"description":"GOODALL HEALTH PARTNERS CONSIST OF MANY PHYSICIANS WITH MULTI-SPECIALTY SERVICES IN DIFFERENT LOCATIONS THROUGHOUT YORK COUNTY. THESE PHYSICIANS COMPLIMENT THE HOSPITAL IN MAINTAINING ITS MISSION TO SERVE AS A LEADER IN IMPROVING THE HEALTH AND WELL-BEING OF OUR COMMUNITY BY SERVING THE POPULOUS. THESE SPECIALTIES INCLUDE (BUT ARE NOT LIMITED TO) CARDIOLOGY, ENT, FAMILY PRACTICES, INTERNAL MEDICINE, PEDIATRICS, ORTHO AND GENERAL SURGERY. THE NUMBER OF PATIENTS SEEN WERE 19,307 FOR A TOTAL NUMBER OF VISITS OF 55,762.","expense":8485026,"revenue":8545432},{"description":"GOODALL HOSPITAL ELDERCARE SERVICES PROVIDE LONG-TERM CARE AND MEDICAL SERVICES TO OUR SENIOR CITIZENS. ELDERCARE HAD ADMITTED 253 RESIDENTS FOR A TOTAL OF 25,684 PATIENT DAYS. WE CONTINUE TO GROW AND ADAPT TO THE NEEDS OF OUR COMMUNITY WITH THIS SERVICE. GOODALL HOSPITAL ELDERCARE PRIDES THEMSELVES BY CREATING A HOME-LIKE, COMFORTABLE ENVIRONMENT FOR THE RESIDENTS AND STAFF. THE NEWTON CENTER FOR REHABILITATION AND NURSING CARE PROMOTES HIGH QUALITY CARE; WITH DEDICATED STAFF FAMILY EDUCATIONAL ND INVOLVEMENT MAKE THIS PROGRAM SPECIAL.","expense":6173942,"revenue":7319020},{"description":"THE MEDICAL GROUP CONSISTS OF MANY PHYSICIANS WITH MULTI-SPECIALTY SERVICES THAT EXTEND GOODALL HOSPITAL'S EXISTING SERVICES TO KENNEBUNK, ME. THESE PHYSICIANS COMPLIMENT THE HOSPITAL IN MAINTAINING ITS MISSION TO SERVE AS A LEADER IN IMPROVING THE HEALTH AND WELL-BEING OF OUR COMMUNITY. THESE SERVICES INCLUDE (BUT ARE NOT LIMITED TO) FULL SERVICE PRIMARY CARE, WOMENS'S HEALTH, GASTROENTEROLGY, PULMONARY MEDICINE, ORTHOPEDICS AND PAIN MANAGEMENT. THE NUMBER OF PATIENTS SEEN WERE 9,543 FOR A TOTAL NUMBER OF VISITS OF 34,663.","expense":6052464,"revenue":5143881}],"program_service_revenue_detail":[{"business_code":"900099","description":"Net Patient Service Re","total_revenue":78388437,"related_or_exempt_function_income":78388437}],"functional_expense_allocations":{"current_officers_directors":{"management_and_general":1179802,"total":1179802},"other_salaries_and_wages":{"program_services":31466569,"management_and_general":3571409,"fundraising":31844,"total":35069822},"other_employee_benefits":{"program_services":4736176,"management_and_general":698428,"fundraising":4681,"total":5439285},"payroll_taxes":{"program_services":2029789,"management_and_general":299326,"fundraising":2006,"total":2331121},"legal_fees":{"management_and_general":237968,"total":237968},"accounting_fees":{"management_and_general":246276,"total":246276},"lobbying_fees":{"management_and_general":127500,"total":127500},"other_service_fees":{"program_services":3606079,"management_and_general":1345472,"total":4951551},"advertising":{"program_services":3014,"management_and_general":56948,"fundraising":34715,"total":94677},"office_expenses":{"program_services":43455,"management_and_general":71309,"fundraising":5296,"total":120060},"information_technology":{"program_services":93464,"management_and_general":342888,"total":436352},"occupancy":{"program_services":535297,"management_and_general":959097,"total":1494394},"travel":{"program_services":28353,"management_and_general":11574,"fundraising":100,"total":40027},"conferences_meetings":{"program_services":63618,"management_and_general":22861,"fundraising":400,"total":86879},"interest":{"program_services":754654,"management_and_general":83850,"total":838504},"depreciation_depletion":{"program_services":3289313,"management_and_general":365479,"total":3654792},"insurance":{"program_services":1028248,"management_and_general":155101,"total":1183349}},"tax_and_disclosure_flags":{"activities_conducted_through_partnership":false,"foreign_financial_account":false,"backup_withholding_compliance":true,"employment_tax_returns_filed":true,"lobbying_activities":true,"deductible_non_cash_contributions":false,"deductible_contributions_of_art":false,"method_of_accounting_accrual":true},"principal_officer_detail":{"person_name":"Darlene Stromstad","address_line1":"25 June Street","city":"Sanford","state":"ME","zip":"04073"},"audit_financial_statement_detail":{"accountant_compile_or_review":false,"audited_financial_statement_consolidated":true,"federal_grant_audit_required":true,"federal_grant_audit_performed":true},"related_party_due_diligence":{"officer_entity_with_business_relationship":true,"officer_mailing_address":false,"related_entity":true,"related_org_controlled_entity":true,"compensation_from_other_sources":false,"excess_benefit_transaction":false,"excess_business_holdings":false,"distribution_to_donor":false,"annual_disclosure_covered_persons":true},"grant_due_diligence":{"grants_to_organizations":false,"grants_to_individuals":false,"more_than_5000_to_organizations":false,"more_than_5000_to_individuals":false},"books_are_in_care_of":{"person_name":"Darlene Stromstad presidentceo","phone":"2074907337","address_line1":"25 June Street","city":"Sanford","state":"ME","zip":"04073"},"contractor_compensation":[{"business_name_line1":"MAK Anesthesia Inc","compensation":526087,"services_description":"Anesthesia Services provided to Henriett","address_line1":"156 Country Club Road","city":"Sanford","state":"ME","zip":"04073","name":"MAK Anesthesia Inc","address":"156 Country Club Road, Sanford, ME, 04073"},{"person_name":"Leonid Temkin MD PA","compensation":461458,"services_description":"Anesthesia Services provided to Henriett","address_line1":"239 Arundel Road","city":"Kennebunk","state":"ME","zip":"04046","name":"Leonid Temkin MD PA","address":"239 Arundel Road, Kennebunk, ME, 04046"},{"person_name":"Edward Burzon PC","compensation":288050,"services_description":"Provides Physician services to Henrietta","address_line1":"1 Sarah Paul Hill","city":"Madbury","state":"NH","zip":"03823","name":"Edward Burzon PC","address":"1 Sarah Paul Hill, Madbury, NH, 03823"},{"person_name":"john h bartley md","compensation":288050,"services_description":"Provides Physician services to Henrietta","address_line1":"17a bodwell street","city":"Sanford","state":"ME","zip":"04073","name":"john h bartley md","address":"17a bodwell street, Sanford, ME, 04073"},{"person_name":"Donald P Lyon MD PA","compensation":282383,"services_description":"Provides Physician services to Henrietta","address_line1":"PO Box 459","city":"Limerick","state":"ME","zip":"03869","name":"Donald P Lyon MD PA","address":"PO Box 459, Limerick, ME, 03869"}],"officers_directors_key_employees":[{"title":"trustee","average_hours_per_week":2.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"Trustee","average_hours_per_week":2.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"Trustee","average_hours_per_week":2.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"Trustee","average_hours_per_week":2.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"vice 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Goodall Hospital, Inc. has a contract for government relations services with the Grinnell Associates (formally known as the Liberty Square Group) to identify, research and champion efforts for appropriation funding opportunities to meet the Hospital's goals and objectives, including facility development, system technology enhancements, equipment acquisition, wellness and community health and emergency preparedness."}]},"ScheduleD":{"endowment_funds":{"current_year":{"beginning_year_balance":20029729,"contributions":685453,"investment_earnings_or_losses":1932748,"grants_or_scholarships":0,"other_expenditures":255422,"administrative_expenses":0,"end_year_balance":22392508},"current_year_minus1":{"beginning_year_balance":36660093,"contributions":802935,"investment_earnings_or_losses":-7213371,"other_expenditures":10219928,"end_year_balance":20029729},"board_designated_eoy_percentage":0.55,"permanent_endowment_eoy_percentage":0.4,"term_endowment_eoy_percentage":0.05,"held_by_unrelated_organizations":true,"held_by_related_organizations":false},"land_buildings_equipment":{"land":{"other_cost_or_other_basis":2728106,"book_value":2728106},"buildings":{"other_cost_or_other_basis":43737534,"book_value":23807260,"depreciation":19930274},"leasehold_improvements":{"other_cost_or_other_basis":4521887,"book_value":3115557,"depreciation":1406330},"equipment":{"other_cost_or_other_basis":19677089,"book_value":4760944,"depreciation":14916145},"other_land_buildings":{"other_cost_or_other_basis":1196707,"book_value":217103,"depreciation":979604},"total_book_value":34628970},"securities":{"other_securities":[{"description":"alternative investments","book_value":2410924,"method_of_valuation":"F"},{"description":"beneficial interest in perpetual trusts","book_value":8004553,"method_of_valuation":"F"},{"description":"investment in real property","book_value":2295281,"method_of_valuation":"F"}],"total_book_value":12710758},"other_assets":{"assets":[{"description":"investments in subsidiaries & joint ventures","book_value":658496},{"description":"deferred financing costs","book_value":190790},{"description":"Due from affiliates","book_value":1265405},{"description":"trustee held funds (bond funds)","book_value":1370260},{"description":"synernet workers' compensation capital contribution","book_value":39633},{"description":"contribution receivable from remainder trust","book_value":33101},{"description":"estimated settlements with mainecare","book_value":6330540},{"description":"intangible asset - TMG Goodwill","book_value":1347958},{"description":"intangible asset - ortho medical records","book_value":17892}],"total_book_value":11254075},"other_liabilities":{"liabilities":[{"description":"Estimated Settlements due to third-party payors","amount":492053}],"total_liability":492053},"net_assets_reconciliation":{"total_revenue":81381144,"total_expenses":80826802,"excess_or_deficit_for_year":554342,"net_unrealized_gains_losses_on_investments":100747,"other_amount":1903131,"total_adjustments":2003878,"excess_or_deficit_per_financial_statements":2558220},"revenue_reconciliation":{"total_revenue_audited_financial_statements":82537019,"net_unrealized_gains_investments":1168962,"other_revenue":13943,"revenue_not_reported":1182905,"revenue_subtotal":81354114,"other_revenues_not_included":27030,"revenue_not_reported_financial_statement":27030,"total_revenue_per_990":81381144},"expense_reconciliation":{"total_expenses_audited_financial_statements":0,"expenses_not_reported":0,"expenses_subtotal":0,"expenses_not_reported_financial_statement":0,"total_expenses_per_990":0},"supplemental_information":[{"identifier":"Part V, Line 4:","explanation":"Under the policy of the Organization, the endowment assets are invested conservatively with the intent of providing a predictable stream of funding to the Organization for purchases of capital, expansion projects and to supplement general operations."},{"identifier":"Part X:","explanation":"The Accounting for Uncertainty in Income Taxes footnote per the HENRIETTA D. GOODALL HOSPITAL, INC. AND SUBSIDIARIES consolidated financial statements: In accordance with generally accepted accounting principles, the Organization annually evaluates its tax status and tax positions taken with respect to its operations and financial position."},{"identifier":"Part XI, Line 8 - Other Adjustments:","explanation":"Releases from temporarily restricted net assets: -15033. Net assets released from restriction used for operations: 14908. Increase in beneficial interest in perpetual trusts: 735134. UNrealized gain on securities: 1168962. OTHER CHANGE IN NET ASSETS: -840."},{"identifier":"Part XII, Line 2d - Other Adjustments:","explanation":"RESTRICTED CONTRIBUTIONS RELEASED: 13943."},{"identifier":"Part XII, Line 4b - Other Adjustments:","explanation":"per f/s - TEMPORARILY RESTRICTED CONTRIBUTIONS: 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Share Drive, Kennebunk, ME, 04043"}],"part_vi_explanations":{"affiliated_health_care_system":"Part VI, Line 7: N/A","bad_debt_footnote":"Part III, Line 4: Footnote concerning bad debts: Management monitors and evaluates its allowance for doubtful accounts to ensure that receivables are stated at their net realizable value. The costing methodology consists of applying a cost to charge ratio to the recorded provision for bad debt (representing uncollected charges) and charity care revenues based on cost report.","community_building_activities":"Part VI, Line 5: Community building activities are primarily administered through the hospital's Partners for Healthier Communities (PHC), a local Healthy Maine Partnership. Listed below are some of the recent programs provided by PHCSafe and Healthy Sanford Coalition: Collaborated with the Town of Sanford and Safe Schools, Health Students to create a community vision for healthy students. District Public Health Council: Worked collaboratively with Maine CDC and two other Health Maine Partnerships to co-convene a District Public Health Council service York County. Tobacco Cessation: Coordinated 8 classes at no charge to participants. Twenty-two individuals have completed the program. Trained three staff in tobacco cessation skills and provided education to the local community regarding the Maine Tobacco Helpline.Safe Routes to School: Coordinated this initiative for Sanford schools and assisted in the preparation of funding application.H1N1: Assisted the Maine CDC in dissemination of educational resources throughout the community.Worksite Wellness: Assisted seven worksites to establish or improve worksite wellness teams and action plans. School Health Coordinators: Funded School Health Coordinator position for Sanford schools. This position focuses on policy and environmental changes related to tobacco, physical activity and nutrition.Alcohol and Drug Awareness: Provided community information session on alcohol, marijuana and other dugs, responsible beverage seller and enforcement activities related to underage drinking patrols and education.","community_information":"Part VI, Line 4: Goodall Hospital serves the population of western York County, Maine. Sanford is the town with the largest population in the hospital's service area. Sanford's population is approximately 22,000 with an elderly population rate of 16.2% and families representing 65.9% of the population. 95.1% of the population is white. The hospital's Medicaid volume of 21% is amongst the highest in the state and reflects the high percentage of families with income less than 100% of the Federal poverty level. Sanford's poverty rate is 16.4% for families and 17.8% for individuals. 56% of Sanford's elementary school children are eligible to receive free or subsidized meals. Sanford's unemployment rate of 10.1% exceeds the state's overall unemployment rate. Sanford has been hard hit by the foreclosure crisis and has the most home foreclosures of any of Maine's communities. Sanford has also been designated as a medically underserviced area.","needs_assessment":"Part VI, Line 2: Goodall Hospital's Board of Trustees is comprised of a diverse group of community members. The Board of Trustees provides insight and direction to the hospital. The hospital also participated in a community visioning session with the Town of Sanford and \"Safe Schools, Healthy Students\" to establish the Safe and Healthy Coalition. In addition, Goodall Hospital recognizes and acts on recommendations made by the Maine Center for Disease Control and Prevention and other external state groups such as the Health Maine Partnerships Collaborative.","other_information":"Part VI, Line 6: Goodall Hospital also provides the following in an effort to promote the health of the community through Maine Families York County:Prenatal Support: Free and voluntary service that provides prenatal support to first time parents up to the time their first child reaches age five. The program is accredited by Health Families America and also ahs certified parents as teachers/educators on its staff.Families READ Family Literacy Program: Provides parents with the opportunity to access educational services.Health Promotions: Completed 1,530 home visits to 159 community families that provide services such as identification of childhood developmental delays, breastfeeding and infant nutrition education, assistance to parents in determining risk levels associated with lead poisoning, and assitance to parents regarding shaken baby syndrome and home safety.","patient_education_assistance":"Part VI, Line 3: Goodall Hospital employs a financial counselor who assists and educates patients and their families on financial matters concerning the hospital charity care policy and eligibility for state and federal programs. This assistance can be as specific as assisting the patient and/or families in completing the various forms required by Medicaid and Medicare. The hospital's Senior Advocate program provides free advice and services to elderly members of the community. These services include assistance with insurance and medical issues, tax information, personal finances and home needs. The Senior Advocate has extensive knowledge of the issues facing seniors and can help with assessment of current needs and provide referrals to existing services.Goodall Hospital also provides a prescription assistance program called RX Assist. The program is designed to assist those who do not qualify for traditional assistance programs such as Medicare D or MaineCare. The program processed 1,438 prescriptions and saved patients $547,000.","reports_filed_with_states":"ME","shortfall_as_community_benefit":"Part III, Line 8: The costing methodology consists of applying a cost to charge ratio to inpatient and outpatient revenues based on Medicare cost report.The computed shortfall has not been included in community 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Goodall hospital, inc.'s mission is to serve as a leader in improving the health and well-being of its community.","primary_activities":"Goodall hospital is a 58 bed hospital which strives to meet the health care needs of individuals and families throughout york county. Goodall hospital offers a broad range of medical, surgical, diagnostic, clinical and rehabilitation services, wellness education, support groups and other community outreach programs. Goodall hospital has had 21,904 emergency room visits, 49,777 radiology procedures, 386,848 laboratory procedures, 70,115 therapy procedures, 190 infants born and 2,696 surgery cases. Goodall hospital provided $2,004,448 in charity care to the community. This includes patients who are underinsured or those without any insurance. In addition to the charitable care services, we are continually absorbing all the costs associated with providing the community a variety of special complimentary educational and informational services. Goodall proudly sponsors community organizations, school groups, civic organizations and special events (like the local baseball team). Goodall hospital sponsors two to four free education events each month of the year along with dozens of support groups. Goodall hospital also routinely participates in health fairs and business events, performing blood pressure checks, cholesterol screenings and CPR training. Goodall hospital's senior advocate provides free advice and services to elderly members of the community. Services include help with insurance and medical issues, as well as personal issues including tax information, finances and home needs.\n\nGoodall health partners consist of many physicians with multi-specialty services in different locations throughout york county. These physicians compliment the hospital in maintaining its mission to serve as a leader in improving the health and well-being of our community by serving the populous. These specialties include (but are not limited to) cardiology, ent, family practices, women' health, internal medicine, pediatrics, ortho and general surgery. Goodall health partners provided $44,692 in charity care to the community. The number of patients seen were 15,365 for a total number of visits of 54,374.\n\nGoodall hospital eldercare services provide long-term care, medical services and daycare to our senior citizens. Eldercare had admitted 296 residents for a total of 39,001 patient days. We continue to grow and adapt to the needs of our community with this service. Goodall hospital eldercare prides themselves by creating a home-like, comfortable environment for the residents and staff. The newton center for rehabilitation and nursing care promotes high quality care; with dedicated staff family educational and involvement make this program special.\n\nThe medical group consists of many physicians with multi-specialty services that extend goodall hospital's existing services to kennebunk, me. These physicians complement the hospital in maintaining its mission to serve as a leader in improving the health and well-being of our community. These services include (but are not limited to) full service primary care, womens's health, gastroenterolgy, pulmonary medicine, orthopedics and pain management. The medical group provided $12,629 in charity care to the community. The number of patients seen were 9,442 for a total number of visits of 33,306.","year":2011,"name":"HENRIETTA D GOODALL HOSPITAL INC","phone":"2074907337","website":"WWW.GOODALLHOSPITAL.ORG","type":"990","principal_officer":"PATRICIA APRILE","year_formation":1927,"state_legal_domicile":"ME","total_volunteers":242,"tax_period_begin":"2011-06-01T00:00:00","tax_period_end":"2012-05-31T00:00:00","address":"25 JUNE STREET, SANFORD, ME, 04073, USA","city":"SANFORD","state":"ME","country":"USA","zip_code":"04073"},"Governance":{"501c3 determination":true,"Number of voting members":11,"Number of independent voting members":8,"Number of employees total":1090,"Total Gross UBI":355583,"Net unrelated business taxable income":57162,"Number of employees":1090,"Prohibited tax shelter transactions":false,"Taxable party notification":false,"Funds to pay premiums":false,"Premiums Paid":false,"Family or business relationship":false,"Delegation of management duties":false,"Conflict of interest policy":true,"Whistle blower policy":true,"Compensation process for CEO":true,"Compensation process for other employees":true,"Changes to organizing documents":false,"Material diversion or misuse":false,"Members or stockholders":false,"Election of board members":false,"Decisions subject to approval":false,"Minutes of governing body":true,"Local chapters":true,"Form 990 provided to governing body":true,"Document retention policy":true,"Investment in joint venture":false,"Independent audit financial statements":false,"Consolidated audit financial statements":true,"Accountant compile or review":false,"Financial statements audited by independent accountant":true,"Audit committee":true,"Federal grant audit required":false,"Political activities":false,"Donor advised funds":false,"Conservation easements":false,"Collections of art":false,"School":false,"Hospital":true,"Foreign activities":false,"Foreign office":false,"Gaming":false,"Fundraising activities":false,"Professional fundraising":false,"Loan to officer or DQP":true,"Grant to related person":false,"Business relationship through family member":false,"Business relationship with organization":false,"Transfers to exempt non-charitable organization":false},"Revenues":{"value":91687479,"Contributions":{"value":2446041,"Other contributions":204382,"Grant revenue":2241659},"Program revenue":{"value":87287884,"Total revenue":87287884,"Unrelated business revenue":355583},"Investment income":{"value":776194,"Investment income total":622426,"Net investment gain":153768},"Other revenues":{"value":1177360,"Other total":1662689,"Net rental income":-485329}},"Expenses":{"value":89508957,"Grant expense":{"value":0},"Total professional fundraising expense":{"value":0},"Benefits paid to members":{"value":0},"Salaries":{"value":49695968,"Current officers":801014,"Other salaries and wages":39603621,"Other employee benefits":6566432,"Payroll taxes":2724901},"Other expenses":{"value":39812989,"Legal":272598,"Accounting":110257,"Lobbying services":85388,"Other services":6002729,"Advertising":217933,"Office expenses":113861,"Information technology":509023,"Occupancy":1438823,"Travel":17652,"Conferences and meetings":141035,"Interest":827095,"Depreciation and depletion":3698096,"Insurance":1025638,"Itemized Expenses":{"value":23437814,"VARIOUS":23437814},"All other expenses":1915047}},"Assets":{"value":85944028,"Non-interest bearing cash":5277,"Savings and temp cash investments":3957864,"Accounts receivable":9091776,"Receivables from officers":851677,"Inventories for sale or use":1417919,"Prepaid expenses deferred charges":1529545,"Land, building, equipment":32760127,"Investments publicly traded":11664433,"Investments other":13142291,"Other assets":11523119},"Liabilities":{"value":36911735,"Accounts payable, accrued":14711137,"Tax exempt bond liabilities":9396449,"Secured mortgages and notes payable":12148451,"Other liabilities":655698},"Fund balance":{"value":49032293},"Form990Details":{"program_service_accomplishments":[{"description":"GOODALL HOSPITAL IS A 58 BED HOSPITAL WHICH STRIVES TO MEET THE HEALTH CARE NEEDS OF INDIVIDUALS AND FAMILIES THROUGHOUT YORK COUNTY. GOODALL HOSPITAL OFFERS A BROAD RANGE OF MEDICAL, SURGICAL, DIAGNOSTIC, CLINICAL AND REHABILITATION SERVICES, WELLNESS EDUCATION, SUPPORT GROUPS AND OTHER COMMUNITY OUTREACH PROGRAMS. GOODALL HOSPITAL HAS HAD 21,904 EMERGENCY ROOM VISITS, 49,777 RADIOLOGY PROCEDURES, 386,848 LABORATORY PROCEDURES, 70,115 THERAPY PROCEDURES, 190 INFANTS BORN AND 2,696 SURGERY CASES. GOODALL HOSPITAL PROVIDED $2,004,448 IN CHARITY CARE TO THE COMMUNITY. THIS INCLUDES PATIENTS WHO ARE UNDERINSURED OR THOSE WITHOUT ANY INSURANCE. IN ADDITION TO THE CHARITABLE CARE SERVICES, WE ARE CONTINUALLY ABSORBING ALL THE COSTS ASSOCIATED WITH PROVIDING THE COMMUNITY A VARIETY OF SPECIAL COMPLIMENTARY EDUCATIONAL AND INFORMATIONAL SERVICES. GOODALL PROUDLY SPONSORS COMMUNITY ORGANIZATIONS, SCHOOL GROUPS, CIVIC ORGANIZATIONS AND SPECIAL EVENTS (LIKE THE LOCAL BASEBALL TEAM). GOODALL HOSPITAL SPONSORS TWO TO FOUR FREE EDUCATION EVENTS EACH MONTH OF THE YEAR ALONG WITH DOZENS OF SUPPORT GROUPS. GOODALL HOSPITAL ALSO ROUTINELY PARTICIPATES IN HEALTH FAIRS AND BUSINESS EVENTS, PERFORMING BLOOD PRESSURE CHECKS, CHOLESTEROL SCREENINGS AND CPR TRAINING. GOODALL HOSPITAL'S SENIOR ADVOCATE PROVIDES FREE ADVICE AND SERVICES TO ELDERLY MEMBERS OF THE COMMUNITY. SERVICES INCLUDE HELP WITH INSURANCE AND MEDICAL ISSUES, AS WELL AS PERSONAL ISSUES INCLUDING TAX INFORMATION, FINANCES AND HOME NEEDS.","expense":55568114,"revenue":65885612},{"description":"GOODALL HEALTH PARTNERS CONSIST OF MANY PHYSICIANS WITH MULTI-SPECIALTY SERVICES IN DIFFERENT LOCATIONS THROUGHOUT YORK COUNTY. THESE PHYSICIANS COMPLIMENT THE HOSPITAL IN MAINTAINING ITS MISSION TO SERVE AS A LEADER IN IMPROVING THE HEALTH AND WELL-BEING OF OUR COMMUNITY BY SERVING THE POPULOUS. THESE SPECIALTIES INCLUDE (BUT ARE NOT LIMITED TO) CARDIOLOGY, ENT, FAMILY PRACTICES, WOMEN' HEALTH, INTERNAL MEDICINE, PEDIATRICS, ORTHO AND GENERAL SURGERY. GOODALL HEALTH PARTNERS PROVIDED $44,692 IN CHARITY CARE TO THE COMMUNITY. THE NUMBER OF PATIENTS SEEN WERE 15,365 FOR A TOTAL NUMBER OF VISITS OF 54,374.","expense":8791177,"revenue":8859838},{"description":"GOODALL HOSPITAL ELDERCARE SERVICES PROVIDE LONG-TERM CARE, MEDICAL SERVICES AND DAYCARE TO OUR SENIOR CITIZENS. ELDERCARE HAD ADMITTED 296 RESIDENTS FOR A TOTAL OF 39,001 PATIENT DAYS. WE CONTINUE TO GROW AND ADAPT TO THE NEEDS OF OUR COMMUNITY WITH THIS SERVICE. GOODALL HOSPITAL ELDERCARE PRIDES THEMSELVES BY CREATING A HOME-LIKE, COMFORTABLE ENVIRONMENT FOR THE RESIDENTS AND STAFF. THE NEWTON CENTER FOR REHABILITATION AND NURSING CARE PROMOTES HIGH QUALITY CARE; WITH DEDICATED STAFF FAMILY EDUCATIONAL AND INVOLVEMENT MAKE THIS PROGRAM SPECIAL.","expense":6800747,"revenue":8119533},{"description":"THE MEDICAL GROUP CONSISTS OF MANY PHYSICIANS WITH MULTI-SPECIALTY SERVICES THAT EXTEND GOODALL HOSPITAL'S EXISTING SERVICES TO KENNEBUNK, ME. THESE PHYSICIANS COMPLEMENT THE HOSPITAL IN MAINTAINING ITS MISSION TO SERVE AS A LEADER IN IMPROVING THE HEALTH AND WELL-BEING OF OUR COMMUNITY. THESE SERVICES INCLUDE (BUT ARE NOT LIMITED TO) FULL SERVICE PRIMARY CARE, WOMENS'S HEALTH, GASTROENTEROLGY, PULMONARY MEDICINE, ORTHOPEDICS AND PAIN MANAGEMENT. THE MEDICAL GROUP PROVIDED $12,629 IN CHARITY CARE TO THE COMMUNITY. 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PRESIDENT THROUGH 5/31/11","average_hours_per_week":40.0,"reportable_comp_from_org":215316,"reportable_comp_from_related_orgs":0,"other_compensation":6913,"former":true}]},"ScheduleA":{"public_charity_status":{"hospital_170b1_aiii":true}},"ScheduleB":{"attached":true,"required":true},"ScheduleC":{"lobbying_activities":{"volunteers":false,"paid_staff_or_management":true,"media_advertisements":false,"mailings_members":false,"publications_or_broadcast":false,"grants_other_organizations":false,"direct_contact_legislators":true,"rallies_demonstrations":false,"other_activities":true,"other_activities_amount":85388,"total_lobbying_expenditures":85388,"not_described_section_501c3":false},"supplemental_information":[{"identifier":"EXPLANATION OF LOBBYING ACTIVITIES:","form_and_line_reference":"PART II-B, LINE 1:","explanation":"HENRIETTA D. GOODALL HOSPITAL, INC. HAD A CONTRACT FOR GOVERNMENT RELATIONS SERVICES WITH THE GRINNELL ASSOCIATES TO IDENTIFY, RESEARCH AND CHAMPION EFFORTS FOR APPROPRIATION FUNDING OPPORTUNITIES TO MEET THE HOSPITAL'S GOALS AND OBJECTIVES, INCLUDING FACILITY DEVELOPMENT, SYSTEM TECHNOLOGY ENHANCEMENTS, EQUIPMENT ACQUISITION, WELLNESS AND COMMUNITY HEALTH AND EMERGENCY PREPAREDNESS. CONTRACT EXPIRED IN DECEMBER 2011. INCLUDED IS AMOUNTS PAID AS PART OF DUES TO MHA/AHA/MEHCA FOR LOBBYIST ACTIVITIES."}]},"ScheduleD":{"endowment_funds":{"current_year":{"beginning_year_balance":21667901,"contributions":466220,"investment_earnings_or_losses":-1610061,"other_expenditures":1035225,"end_year_balance":19488835},"current_year_minus1":{"beginning_year_balance":17085103,"contributions":1898375,"investment_earnings_or_losses":2691423,"other_expenditures":7000,"end_year_balance":21667901},"current_year_minus2":{"beginning_year_balance":14720200,"contributions":642735,"investment_earnings_or_losses":1962857,"other_expenditures":240689,"end_year_balance":17085103},"board_designated_eoy_percentage":0.53,"permanent_endowment_eoy_percentage":0.47,"held_by_unrelated_organizations":true,"held_by_related_organizations":false},"land_buildings_equipment":{"land":{"other_cost_or_other_basis":2728106,"book_value":2728106},"buildings":{"other_cost_or_other_basis":45507046,"book_value":21827970,"depreciation":23679076},"leasehold_improvements":{"other_cost_or_other_basis":4500636,"book_value":2611482,"depreciation":1889154},"equipment":{"other_cost_or_other_basis":19690977,"book_value":3869734,"depreciation":15821243},"other_land_buildings":{"other_cost_or_other_basis":3298441,"book_value":1722835,"depreciation":1575606},"total_book_value":32760127},"securities":{"other_securities":[{"description":"ALTERNATIVE INVESTMENTS","book_value":2916269,"method_of_valuation":"F"},{"description":"BENEFICIAL INTEREST IN PERPETUAL TRUSTS","book_value":8228007,"method_of_valuation":"F"},{"description":"INVESTMENT IN REAL PROPERTY","book_value":1998015,"method_of_valuation":"F"}],"total_book_value":13142291},"other_assets":{"assets":[{"description":"INVESTMENTS IN SUBSIDIARIES & JOINT VENTURES","book_value":853598},{"description":"DEFERRED FINANCING COSTS","book_value":150554},{"description":"DUE FROM AFFILIATES","book_value":1837232},{"description":"TRUSTEE HELD FUNDS (BOND FUNDS)","book_value":668839},{"description":"SYNERNET WORKERS' COMPENSATION CAPITAL CONTRIBUTION","book_value":39633},{"description":"CONTRIBUTION RECEIVABLE FROM REMAINDER TRUST","book_value":32753},{"description":"ESTIMATED SETTLEMENTS WITH MAINECARE","book_value":7725950},{"description":"INTANGIBLE ASSET - ORTHO MEDICAL RECORDS","book_value":17892},{"description":"HDG DUE FROM TEMP NET ASSETS","book_value":-250},{"description":"HDG CAPITAL RESERVE CASH","book_value":86490},{"description":"INSURANCE CAPTIVE","book_value":110428}],"total_book_value":11523119},"other_liabilities":{"liabilities":[{"description":"ESTIMATED SETTLEMENTS DUE TO THIRD-PARTY PAYORS","amount":545270},{"description":"INSURANCE CAPTIVE LIABILITY","amount":110428}],"total_liability":655698},"net_assets_reconciliation":{"total_revenue":91687479,"total_expenses":89508957,"excess_or_deficit_for_year":2178522,"net_unrealized_gains_losses_on_investments":-659600,"other_amount":-2839558,"total_adjustments":-3499158,"excess_or_deficit_per_financial_statements":-1320636},"revenue_reconciliation":{"total_revenue_audited_financial_statements":89478172,"net_unrealized_gains_investments":-659600,"other_revenue":-1525706,"revenue_not_reported":-2185306,"revenue_subtotal":91663478,"other_revenues_not_included":24001,"revenue_not_reported_financial_statement":24001,"total_revenue_per_990":91687479},"expense_reconciliation":{"total_expenses_audited_financial_statements":89508957,"expenses_not_reported":0,"expenses_subtotal":89508957,"expenses_not_reported_financial_statement":0,"total_expenses_per_990":89508957},"supplemental_information":[{"identifier":"DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:","explanation":"UNDER THE POLICY OF THE ORGANIZATION, THE ENDOWMENT ASSETS ARE INVESTED CONSERVATIVELY WITH THE INTENT OF PROVIDING A PREDICTABLE STREAM OF FUNDING TO THE ORGANIZATION FOR PURCHASES OF CAPITAL, EXPANSION PROJECTS AND TO SUPPLEMENT GENERAL OPERATIONS."},{"identifier":"DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:","explanation":"THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES FOOTNOTE PER THE HENRIETTA D. GOODALL HOSPITAL, INC. AND SUBSIDIARIES CONSOLIDATED FINANCIAL STATEMENTS: IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, THE ORGANIZATION ANNUALLY EVALUATES ITS TAX STATUS AND TAX POSITIONS TAKEN WITH RESPECT TO ITS OPERATIONS AND FINANCIAL POSITION."},{"identifier":"PART XI, LINE 8 - OTHER ADJUSTMENTS:","explanation":"DECREASE IN BENEFICIAL INTEREST IN PERPETUAL TRUSTS -1,240,838. UNREALIZED INVESTMENT LOSS ON TEMPORARY NET ASSETS -20,578. LOSS ON EXTINGUISHMENT OF DEBT -230,184. IMPAIRMENT OF GOODWILL -1,347,958. TOTAL TO SCHEDULE D, PART XI, LINE 8: -2,839,558."},{"identifier":"PART XII, LINE 2D - OTHER ADJUSTMENTS:","explanation":"IMPAIRMENT OF GOODWILL -1,347,958. LOSS ON EXTINGUISHMENT OF DEBT -230,184. NET ASSETS RELEASED - USED FOR OPERATIONS 22,412. NET ASSETS RELEASED - USED FOR ACQUISITION OF PPE 30,024."},{"identifier":"PART XII, LINE 4B - OTHER ADJUSTMENTS:","explanation":"TEMPORARY AND PERMANENT CONTRIBUTIONS 24,001."}]},"ScheduleH":{"policies":{"financial_assistance_policy":true,"written_policy":true,"policy_applied_to_all_hospitals":true,"fpg_reference_free_care":true,"free_care_percent_200":true,"fpg_reference_discounted_care":true,"discounted_care_percent_250":true,"free_or_discounted_care_medically_indigent":false,"financial_assistance_budget":true,"expenses_exceed_budget":true,"unable_to_provide_care":false,"annual_community_benefit_report":false},"bad_debt_medicare_collections":{"bad_debt_expense_reported":true,"bad_debt_expense":3038020,"bad_debt_expense_attributable_to_financial_assistance":579202,"reimbursed_by_medicare":12637149,"cost_of_care_reimbursed_by_medicare":14464546,"medicare_surplus_or_shortfall":-1827397,"cost_to_charge_ratio":true,"written_debt_collection_policy":true,"financial_assistance_provision":true},"community_benefit":{"financial_assistance_at_cost":{"total_community_benefit_expense":974496,"direct_offsetting_revenue":29332,"net_community_benefit_expense":945164,"total_expense_percentage":0.0106},"unreimbursed_medicaid":{"total_community_benefit_expense":21523873,"direct_offsetting_revenue":11106871,"net_community_benefit_expense":10417002,"total_expense_percentage":0.1164},"total_financial_assistance":{"total_community_benefit_expense":22498369,"direct_offsetting_revenue":11136203,"net_community_benefit_expense":11362166,"total_expense_percentage":0.127},"community_health_services":{"total_community_benefit_expense":957625,"direct_offsetting_revenue":726848,"net_community_benefit_expense":230777,"total_expense_percentage":0.0026},"total_other_benefits":{"total_community_benefit_expense":957625,"direct_offsetting_revenue":726848,"net_community_benefit_expense":230777,"total_expense_percentage":0.0026},"total_community_benefits":{"total_community_benefit_expense":23455994,"direct_offsetting_revenue":11863051,"net_community_benefit_expense":11592943,"total_expense_percentage":0.1296}},"community_building":{"community_support":{"total_community_benefit_expense":91219,"direct_offsetting_revenue":82871,"net_community_benefit_expense":8348,"total_expense_percentage":0.0001},"environmental_improvements":{"total_community_benefit_expense":37058,"direct_offsetting_revenue":33666,"net_community_benefit_expense":3392,"total_expense_percentage":0.0},"coalition_building":{"total_community_benefit_expense":31357,"direct_offsetting_revenue":28487,"net_community_benefit_expense":2870,"total_expense_percentage":0.0},"health_improvement_advocacy":{"total_community_benefit_expense":122576,"direct_offsetting_revenue":111358,"net_community_benefit_expense":11218,"total_expense_percentage":0.0001},"total_community_building_activities":{"total_community_benefit_expense":282210,"direct_offsetting_revenue":256382,"net_community_benefit_expense":25828,"total_expense_percentage":0.0002}},"management_companies":[{"business_name_line1":"1 CANCER CARE CENTER OF YORK COUNTY","primary_activities":"SUPPORT AND PERFORM MEDICAL PROCEDURES FOR CANCER PATIENTS","organization_profit_or_ownership_percentage":0.3333,"officers_profit_or_ownership_percentage":0.0,"physicians_profit_or_ownership_percentage":0.0,"name":"1 CANCER CARE CENTER OF YORK COUNTY"},{"business_name_line1":"2 GSM REALTOR INC","primary_activities":"REAL ESTATE HOLDING COMPANY","organization_profit_or_ownership_percentage":0.3333,"officers_profit_or_ownership_percentage":0.0,"physicians_profit_or_ownership_percentage":0.0,"name":"2 GSM REALTOR INC"},{"business_name_line1":"3 GOODALL HOSPITAL REAL ESTATE HOLDING CO LLC","primary_activities":"REAL ESTATE HOLDING COMPANY","organization_profit_or_ownership_percentage":1.0,"officers_profit_or_ownership_percentage":0.0,"physicians_profit_or_ownership_percentage":0.0,"name":"3 GOODALL HOSPITAL REAL ESTATE HOLDING CO LLC"},{"business_name_line1":"4 WATERBORO MEDICAL OFFICE BUILDING LLC","primary_activities":"REAL ESTATE HOLDING COMPANY","organization_profit_or_ownership_percentage":1.0,"officers_profit_or_ownership_percentage":0.0,"physicians_profit_or_ownership_percentage":0.0,"name":"4 WATERBORO MEDICAL OFFICE BUILDING LLC"},{"business_name_line1":"5 GOODALL HOSPITAL MEDICAL OFFICE BUILDING LLC","primary_activities":"REAL ESTATE HOLDING COMPANY","organization_profit_or_ownership_percentage":1.0,"officers_profit_or_ownership_percentage":0.0,"physicians_profit_or_ownership_percentage":0.0,"name":"5 GOODALL HOSPITAL MEDICAL OFFICE BUILDING LLC"},{"business_name_line1":"6 PINE TREE INSURANCE A RECIPROCAL RISK RETENTION GROUP","primary_activities":"PROVIDE MALPRACTICE INSURANCE FOR A GROUP OF HEALTH CARE PROVIDERS","organization_profit_or_ownership_percentage":0.2541,"officers_profit_or_ownership_percentage":0.0,"physicians_profit_or_ownership_percentage":0.0,"name":"6 PINE TREE INSURANCE A RECIPROCAL RISK RETENTION GROUP"}],"hospital_facility_count":1,"hospital_facilities":[{"facility_number":1,"business_name_line1":"HENRIETTA D GOODALL HOSPITAL INC","address_line1":"25 JUNE STREET","city":"SANFORD","state":"ME","zip":"04073","licensed_hospital":true,"general_medical_and_surgical":true,"emergency_room_24_hours":true,"name":"HENRIETTA D GOODALL HOSPITAL INC","address":"25 JUNE STREET, SANFORD, ME, 04073"}],"facility_policies":[{"business_name_line1":"HENRIETTA D GOODALL HOSPITAL INC","facility_number":1,"chna_conducted":true,"community_definition":true,"community_demographics":true,"how_data_obtained":true,"community_health_needs":true,"community_health_needs_identification_process":true,"consulting_process":true,"chna_conducted_year":11,"took_into_account_others_input":false,"chna_conducted_with_other_facilities":false,"chna_report_widely_available":true,"report_available_on_own_website":true,"paper_copy_public_inspection":true,"report_available_through_other_method":true,"implementation_strategy_adopted":true,"adopt_budget":true,"all_needs_addressed":true,"eligibility_criteria_explained":true,"fpg_family_income_limit_free_discounted":true,"fpg_family_income_limit_free_care_percentage":200.0,"fpg_family_income_limit_discounted_care_percentage":250.0,"fpg_used_determine_discounted_care":true,"income_level_criteria":true,"basis_explained":true,"application_financial_assistance_explanation":true,"other_method_used":true,"includes_publicity_measures":true,"fap_available_on_request_no_charge":true,"fap_actions_on_nonpayment":true,"attached_to_invoice":true,"posted_in_admission_office":true,"posted_in_emergency_room":true,"collection_activities":false,"nondiscriminatory_emergency_care_policy":true,"uninsured_discount":true,"amounts_generally_billed":false,"gross_charges":false,"name":"HENRIETTA D GOODALL HOSPITAL INC"}],"other_health_care_facility_count":9,"other_health_care_facilities":[{"business_name_line1":"NEWTON CENTER (ELDER CARE)","address_line1":"35 JULY STREET","city":"SANFORD","state":"ME","zip":"04073","facility_type":"NURSING HOME","name":"NEWTON CENTER (ELDER CARE)","address":"35 JULY STREET, SANFORD, ME, 04073"},{"business_name_line1":"GOODALL HEALTH PARTNERS","address_line1":"25 JUNE STREET","city":"SANFORD","state":"ME","zip":"04073","facility_type":"PHYSICIAN PRACTICES","name":"GOODALL HEALTH PARTNERS","address":"25 JUNE STREET, SANFORD, ME, 04073"},{"business_name_line1":"WELLNESS CENTER","address_line1":"13 JULY STREET","city":"SANFORD","state":"ME","zip":"04073","facility_type":"CLINIC","name":"WELLNESS CENTER","address":"13 JULY STREET, SANFORD, ME, 04073"},{"business_name_line1":"GOODALL HEALTH PARTNERS","address_line1":"10 GOODALL DRIVE","city":"EAST WATERBORO","state":"ME","zip":"04070","facility_type":"PHYSICIAN PRACTICES","name":"GOODALL HEALTH PARTNERS","address":"10 GOODALL DRIVE, EAST WATERBORO, ME, 04070"},{"business_name_line1":"GOODALL HEALTH PARTNERS","address_line1":"272 COTTAGE STREET","city":"SANFORD","state":"ME","zip":"04073","facility_type":"PHYSICIAN PRACTICES","name":"GOODALL HEALTH PARTNERS","address":"272 COTTAGE STREET, SANFORD, ME, 04073"},{"business_name_line1":"THE MEDICAL GROUP","address_line1":"2 LIVEWELL DRIVE","city":"KENNEBUNK","state":"ME","zip":"04043","facility_type":"PHYSICIAN PRACTICES","name":"THE MEDICAL GROUP","address":"2 LIVEWELL DRIVE, KENNEBUNK, ME, 04043"},{"business_name_line1":"COMMUNITY SERVICES","address_line1":"15 DAIGLE STREET","city":"SANFORD","state":"ME","zip":"04073","facility_type":"COMMUNITY PROGRAMS","name":"COMMUNITY SERVICES","address":"15 DAIGLE STREET, SANFORD, ME, 04073"},{"business_name_line1":"OCCUPATIONAL HEALTH SERVICES","address_line1":"2 LIVEWELL DRIVE","city":"KENNEBUNK","state":"ME","zip":"04043","facility_type":"CLINIC","name":"OCCUPATIONAL HEALTH SERVICES","address":"2 LIVEWELL DRIVE, KENNEBUNK, ME, 04043"},{"business_name_line1":"GOODALL HEALTH CLINICS","address_line1":"2 LIVEWELL DRIVE","city":"KENNEBUNK","state":"ME","zip":"04043","facility_type":"CLINIC","name":"GOODALL HEALTH CLINICS","address":"2 LIVEWELL DRIVE, KENNEBUNK, ME, 04043"}],"supplemental_information":[{"explanation":"PART I, LINE 7: GOODALL HOSPITAL EMPLOYS A FINANCIAL COUNSELOR WHO ASSISTS AND EDUCATES PATIENTS AND THEIR FAMILIES ON FINANCIAL MATTERS CONCERNING THE HOSPITAL CHARITY CARE POLICY AND ELIGIBILITY FOR STATE AND FEDERAL PROGRAMS. THIS ASSISTANCE CAN BE AS SPECIFIC AS ASSISTING THE PATIENT AND/OR FAMILIES IN COMPLETING THE VARIOUS FORMS REQUIRED BY MEDICAID AND MEDICARE. THE HOSPITAL'S SENIOR ADVOCATE PROGRAM PROVIDES FREE ADVICE AND SERVICES TO ELDERLY MEMBERS OF THE COMMUNITY. THESE SERVICES INCLUDE ASSISTANCE WITH INSURANCE AND MEDICAL ISSUES, TAX INFORMATION, PERSONAL FINANCES AND HOME NEEDS. THE SENIOR ADVOCATE HAS EXTENSIVE KNOWLEDGE OF THE ISSUES FACING SENIORS AND CAN HELP WITH ASSESSMENT OF CURRENT NEEDS AND PROVIDE REFERRALS TO EXISTING SERVICES.GOODALL HOSPITAL ALSO PROVIDES A PRESCRIPTION ASSISTANCE PROGRAM CALLED RX ASSIST. THE PROGRAM IS DESIGNED TO ASSIST THOSE WHO DO NOT QUALIFY FOR TRADITIONAL ASSISTANCE PROGRAMS SUCH AS MEDICARE D OR MAINECARE.FOR FYE 2012 THE COST TO CHARGE RATIO WAS DERIVED BY USING THE IRS 990, SCHEDULE H WORKSHEET 1 & 2 INSTRUCTIONS.IN PRIOR YEARS, THE RATIO OF COST TO CHARGE WAS CALCULATED USING DATA DERIVED FROM THE MEDICARECOST REPORT."},{"explanation":"PART II: GOODALL HOSPITAL PROVIDES NUMEROUS EDUCATIONAL CLASSES FOR THE COMMUNITIES IT SERVICES. THE ORGANIZATION PREPARES A QUARTERLY FLYER CALLED THE \"COMMUNITY EDUCATION CALENDAR\". THIS LISTING PROVIDES EDUCATIONAL SEMINARS THAT ARE OPEN FOR FREE PUBLIC PARTICIPATION, HELD ON MOST EVENINGS FOR 1 1/2 HOURS, FOR EASE OF COMMUNITY PARTICIPATION. THE SEMINARS ARE LEAD BY KNOWLEDGEABLE GOODALL PROFESSIONALS WHO ARE TRAINED AND EDUCATED IN THE SPECIFIC AREAS. THE EVENTS PRESENTED IN FISCAL YEAR 2012 INCLUDE COLORECTAL CANCER AWARENESS, ASTHMA & ALLERGY AWARENESS, DIABETES SUPPORT, DRUG & ALCOHOL AWARENESS, BREAST CANCER AWARENESS, SEASONAL AFFECTIVE DISORDER, CHRONIC & COMMON PAIN, AND MANY MORE.PARTNERS FOR HEALTHIER COMMUNITIES (PHC) MOBILIZES LOCAL ORGANIZATIONAL REPRESENTATIVES AND INTERESTED COMMUNITY MEMBERS TO PROMOTE AND IMPROVE THE HEALTH AND WELL-BEING OF THE FOLLOWING COMMUNITIES: SANFORD/SPRINGVALE, ACTON, ALFRED, CORNISH, LIMERICK, LIMINGTON, LYMAN, NEWFIELD, PARSONFIELD, SHAPLEIGH, AND WATERBORO.THE HEALTHY MAINE PARTNERSHIPS RECRUITED MULTI-SECTOR PARTNERS TO SERVE ON AN ADVISORY COUNCIL TO SUPPORT WORK OF HEALTHY MAINE PARTNERSHIPS. THIS PARTNERSHIP ACTIVATED THE PHASE 6 OF THE STRATEGIC PLANNING PROCESS WHICH STARTED IN 2007. ACTION PLANS FOR 3 SEPARATE REGIONS WITHIN HEALTHY MAINE PARTNERSHIPS SERVICE AREA. PHC HAS ALSO COLLABORATED WITH THE TOWN OF SANFORD AND SAFE SCHOOLS HEALTHY STUDENTS TO MOBILIZE THE SAFE AND HEALTHY SANFORD COALITION WHICH RESULTED IN A DRUG FREE COMMUNITIES GRANT OF $625,000 FOR 5 YEARS. THIS GRANT WILL ADDRESS YOUTH SUBSTANCE ABUSE PREVENTION EFFORTS. HEALTH PROMOTION COORDINATOR SERVED AS CO-CHAIR FOR THE GRANT AND SUSTAINABILITY TASKFORCE OF THE SAFE AND HEALTHY SANFORD COALITION. THIS COORDINATOR ALSO WAS THE CHAIRPERSON FOR THE SAFE AND HEALTHY SANFORD COALITION.THROUGH DEVELOPMENT TRAINING PROVIDED IN WASHINGTON DC THE HEALTH PROMOTION COORDINATOR HAS TAKEN THE LEAD IN SECURING ACCESS TO FEDERAL RESOURCE DATABASE MANAGED BY THE FOUNDATION CENTER TO BE LOCATED IN SANFORD COMMUNITY. HEALTH PROMOTION COORDINATOR ALSO WORKED WITH THE POLICE DEPARTMENT TO DEVELOP CURRICULUM TO TRAIN CADETS AND INCORPORATE BICYCLE SAFETY PATROLS IN YOUTH CADET PROGRAMS AS WELL AS WORKED WITH THE SANFORD DOWNTOWN LEGACY DESIGN COMMITTEE TO INCREASE BIKE FRIENDLY AND ACTIVE COMMUNITIES ENVIRONMENTAL DESIGN.PHC PARTICIPATED IN BRIDGE TO HOME STRATEGIC PLANNING WITH GOODALL HOSPITAL AND LITERACY VOLUNTEERS OF GREATER SANFORD."},{"explanation":"PART III, LINE 4: FOOTNOTE CONCERNING BAD DEBTS: HENRIETTA D. GOODALL HOSPITAL DOES NOT HAVE A SPECIFIC FOOTNOTE IN THE FINANCIAL STATEMENTS THAT DESCRIBES \"BAD DEBT EXPENSE\". HENRIETTA D. GOODALL HOSPITAL REPORTS ACCOUNTS RECEIVABLE FOR SERVICES RENDERED NET OF ALLOWANCES FOR CONTRACTUAL ADJUSTMENTS, THIRD PARTY REIMBURSING AGENCIES, FREE CARE AND BAD DEBTS. A BAD DEBT ALLOWANCE IS ESTABLISHED FOR ACCOUNTS THE HOSPITAL BELIEVES WILL BECOME UNCOLLECTIBLE. THE ALLOWANCE IS ESTABLISHED BY EXAMINING HISTORICAL DATA, AGING TRENDS OF COMMERCIAL INSURANCE AND SELF-PAY BALANCES AND ECONOMIC TRENDS. THE OFFSET TO THE ALLOWANCE ACCOUNT IS TO BAD DEBT EXPENSE ON THE STATEMENT OF OPERATIONS. RECOVERIES ON ACCOUNTS PREVIOUSLY WRITTEN OFF ARE ACCOUNTED FOR ON A CASH BASIS AND ARE APPLIED DIRECTLY TO THE PROVISION FOR BAD DEBTS ON THE STATEMENT OF OPERATIONS. AMOUNTS WRITTEN OFF OR RECOVERED FROM BAD DEBTS DURING THE YEAR ARE CHARGED AGAINST THE ALLOWANCE ACCOUNT ON THE BALANCE SHEET. BAD DEBT EXPENSE REPRESENTS HEALTHCARE SERVICES HENRIETTA D. GOODALL HOSPITAL HAS PROVIDED WITHOUT COMPENSATION. AS A TAX-EXEMPT HOSPITAL, HENRIETTA D. GOODALL HOSPITAL PROVIDES NECESSARY PATIENT CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THE SERVICES. A PORTION OF HENRIETTA D. GOODALL 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. HENRIETTA D. GOODALL HOSPITAL CANNOT DETERMINE THE AMOUNT OF BAD 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 EITHER WHO FAIL TO APPLY FOR FINANCIAL ASSISTANCE OR WHO ARE EXPERIENCING DIFFICULT PERSONAL OR ECONOMIC CIRCUMSTANCES, HENRIETTA D. GOODALL HOSPITAL BELIEVES THAT BAD DEBT EXPENSE SHOULD BE INCLUDED AS A COMMUNITY BENEFIT."},{"explanation":"PART III, LINE 8: THE COSTING METHODOLOGY CONSISTS OF APPLYING A COST TO CHARGE RATIO TO INPATIENT AND OUTPATIENT REVENUES BASED ON MEDICARE COST REPORT. THE COMPUTED SHORTFALL HAS NOT BEEN INCLUDED IN COMMUNITY BENEFIT. MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST TO CHARGE RATIO. HENRIETTA D. GOODALL HOSPITAL BELIEVES THAT THE MEDICARE SHORTFALL SHOULD BE INCLUDED AS A COMMUNITY BENEFIT BECAUSE THE HOSPITAL HAS A CLEAR MISSION COMMITMENT TO SERVING ELDERLY PATIENTS AND ADULTS WITH DISABILITIE THROUGH THE PROVISION OF SPECIFIC SUBSIDIZED PROGRAMS DEVELOPED TO HELP IMPROVE THE HEALTH STATUS OF THESE PATIENTS. IF THESE CRITICAL SUBSIDIZED PROGRAMS WERE NOT PROVIDED BY THE HOSPITAL, THEY WOULD BECOME THE OBLIGATION OF THE FEDERAL GOVERNMENT."},{"explanation":"PART V, SECTION B, LINE 5C: THE ASSESSMENT WAS AVAILABLE THROUGH OTHER NON-HOSPITAL FACILITIES."},{"explanation":"PART V, SECTION B, LINE 19D: THE HOSPITAL USES COST AS THE BASIS FOR MARKUP. THE MARKUP TO CHARGE INCLUDES DIFFERING PERCENTAGES BASED ON A TIER COSTING SYSTEM."},{"explanation":"PART VI, LINE 2: GOODALL HOSPITAL'S BOARD OF TRUSTEES IS COMPRISED OF A DIVERSE GROUP OF COMMUNITY MEMBERS. THE BOARD OF TRUSTEES PROVIDES INSIGHT AND DIRECTION TO THE HOSPITAL. FROM NOVEMBER 2007 TO JUNE 2010, THE THREE HEALTHY MAINE PARTNERSHIPS IN YORK COUNTY, ALSO KNOWN AS YORK PUBLIC HEALTH DISTRICT, LED AN ASSESSMENT PROCESS AS THE FIRST STEP TOWARD COMMUNITY-WIDE STRATEGIC PLANNING TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THOSE WHO LIVE HERE. THE HEALTHY MAINE PARTNERSHIPS ARE: COASTAL HEALTHY COMMUNITIES COALITION AT THE UNIVERSITY OF NEW ENGLAND'S COLLEGE OF OSTEOPATHIC MEDICINE; PARTNERS FOR HEALTHIER COMMUNITIES, A PROGRAM OF GOODALL HOSPITAL; AND CHOOSE TO BE HEALTHY AT YORK HOSPITAL. A CORE GROUP OF ORGANIZATIONS THAT JOINED THEM INCLUDED UNITED WAY OF YORK COUNTY, YORK COUNTY FAMILY COMMUNITY ACTION CORPORATION, SOUTHERN MAINE MEDICAL CENTER, NORTHERN YORK COUNTY FAMILY YMCA AND THE YORK DISTRICT TOBACCO COORDINATOR. THE GROUP NAMED THEMSELVES HEALTHY YORK COUNTY. THEY UTILIZED THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) PROCESS CREATED BY THE NATIONAL ASSOCIATION OF CITY AND COUNTY HEALTH OFFICIALS. A VISIONING PROCESS AND FOUR MAPP ASSESSMENTS WERE COMPLETED IN YORK DISTRICT BETWEEN NOVEMBER 2007 AND JUNE 2010. OVER 3,100 YORK DISTRICT RESIDENTS PARTICIPATED IN THIS PROCESS EITHER BY RESPONDING TO A COUNTY-WIDE SURVEY AND/OR PARTICIPATING IN COMMUNITY MEETINGS TO IDENTIFY KEY HEALTH ISSUES AND COMMUNITY CONCERNS. THIS INFORMATION WAS COLLECTED TO INFORM THE DEVELOPMENT OF COMMUNITY HEALTH IMPROVEMENT PLAN THAT MAXIMIZES RESOURCES, TAKES INTO ACCOUNT UNIQUE CIRCUMSTANCES AND NEEDS, AND FORMS EFFECTIVE PARTNERSHIPS FOR STRATEGIC ACTION.THIS ASSESSMENT HAS BEEN DISTRIBUTED AND DISCUSSED WITH THE COMMUNITIES AND GROUPS SO AS TO BUILD AWARENESS OF THE HEALTH CARE NEEDS OF THOSE AROUND THEM. THE HOSPITAL HAS DISCUSSED AND HAS IMPLEMENTED PROGRAMS TO ADDRESS ISSUES AND EDUCATE PATIENTS APPROPRIATELY.THE HEALTHY MAINE PARTNERSHIPS RECRUITED MULTI-SECTOR PARTNERS TO SERVE ON AN ADVISORY COUNCIL TO SUPPORT WORK OF HEALTHY MAINE PARTNERSHIPS.THE HEALTHY MAINE PARTNERSHIPS INSTITUTED PHASE 6 OF THE STRATEGIC PLANNING PROCESS OF THE COMMUNITY HEALTH IMPROVEMENT WHICH STARTED IN 2007. ACTION PLANS FOR 3 SEPARATE REGIONS WITHIN HEALTHY MAINE PARTNERSHIPS SERVICE AREA."},{"explanation":"PART VI, LINE 3: GOODALL HOSPITAL EMPLOYS A FINANCIAL COUNSELOR WHO ASSISTS AND EDUCATES PATIENTS AND THEIR FAMILIES ON FINANCIAL MATTERS CONCERNING THE HOSPITAL CHARITY CARE POLICY AND ELIGIBILITY FOR STATE AND FEDERAL PROGRAMS. THIS ASSISTANCE CAN BE A S SPECIFIC AS ASSISTING THE PATIENT AND/OR FAMILIES IN COMPLETING THE VARIOUS FORMS REQUIRED BY MEDICAID AND MEDICARE.POSTING OF THE FINANCIAL ASSISTANCE CONTACT INFORMATION IS PRESENT IN ADMISSIONS AREAS, EMERGENCY ROOMS, AND OTHER AREAS OF THE ORGANIZATIONS FACILITIES WHERE ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. PATIENT BILLS INCLUDE A SUMMARY OF THE POLICY ALONG WITH FINANCIAL ASSISTANCE CONTACT INFORMATION.GOODALL HOSPITAL WORKS WITH GOODALL'S SELF PAY PATIENTS ADVANCED PATIENT ADVOCACY PROGRAM THAT SCREEN FOR ALL INPATIENTS AND OUTPATIENTS THAT MEET APPROPRIATE CRITERIA. THIS PROGRAM EFFECTIVELY EDUCATE PATIENTS ABOUT THEIR COVERAGE OPTIONS, NAVIGATE COMPLEX PROGRAM CRITERIA AND ENROLL MORE UNINSURED IN PROGRAM(S) THAT BEST MATCH THEIR NEEDS.THE HOSPITAL'S SENIOR ADVOCATE PROGRAM PROVIDES FREE ADVICE AND SERVICES TO THE ELDERLY MEMBERS OF THE COMMUNITY. THIS PROGRAM IS DESIGNED TO BE A CENTRAL POINT OF ACCESS FOR SENIOR CITIZENS TO OBTAIN INFORMATION, RESOURCES AND ADVOCACY. PROGRAM RESOURCES INCLUDE, BUT ARE NOT LIMITED TO, MEDICARE, RETIREMENT PLANNING, HOUSING, FINANCIAL ASSISTANCE, INSURANCE COUNSELING, FRAUD PROTECTION, AS WELL AS COMPREHENSIVE ELIGIBILITY SCREENING FROM A HOST OF GOVERNMENT / STATE ASSISTANCE PROGRAMS AND OTHER LOCAL FUNDING SOURCES.GOODALLS PRESCRIPTION ASSISTANCE PROGRAM IS DESIGNED TO ASSIST THOSE WHO DO NOT QUALIFY FOR OTHER TRADITIONAL ASSISTANCE PROGRAMS SUCH AS MEDICARE D OR MAINECARE, BUT WHOSE FINANCIAL SITUATION QUALIFIES THEM TO RECEIVE SUPPORT. THE COORDINATOR SERVES AS A LIAISON BETWEEN THE HEALTHCARE PROVIDER, PHARMACEUTICAL COMPANIES AND THE PATIENT. THE GOALS OF THIS PROGRAM ARE TO ASSIST INDIVIDUALS WITHOUT PRESCRIPTION DRUG COVERAGE IN NAVIGATING THE SYSTEM, OBTAINING THEIR PRESCRIBED MEDICATIONS AND DEVELOPING LONG-TERM SOLUTIONS TOWARDS ACQUIRING MEDICATIONS IN THE FUTURE."},{"explanation":"PART VI, LINE 4: GOODALL HOSPITAL SERVES THE POPULATION OF WESTERN YORK COUNTY, MAINE. SANFORD IS THE TOWN WITH THE LARGEST POPULATION IN THE HOSPITAL'S SERVICE AREA, WITH A POPULATION OF APPROXIMATELY 21,000 WITH AN ELDERLY POPULATION RATE OF 15% AND FAMILIES REPRESENTING 64% OF THIS POPULATION, WITH 93% BEING WHITE CAUCASIAN.THE HOSPITAL'S MEDICAID VOLUME IS 24% AND IS AMONGST THE HIGHEST IN THE STATE AND REFLECTS THE HIGH PERCENTAGE OF FAMILIES WITH INCOME LESS THAN 100% OF THE FEDERAL POVERTY LEVEL. SANFORD'S POVERTY RATE IS 17%, WHILE THE STATE OF MAINE IS AT 12%. 72% OF SANFORD'S ELEMENTARY SCHOOL CHILDREN ARE ELIGIBLE TO RECEIVE FREE OR SUBSIDIZED MEALS.SANFORD'S UNEMPLOYMENT RATE OF 10% EXCEEDS THE STATE'S OVERALL UNEMPLOYMENT RATE OF 8%. SANFORD HAS BEEN DESIGNATED AS A MEDICALLY UNDERSERVICED AREA."},{"explanation":"PART VI, LINE 5: A MAJORITY OF THE ORGANIZATIONS GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATIONS PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF.OUR DIRECTORS/MANAGERS/COORDINATORS AND EMPLOYEES OF GOODALL HOSPITAL ARE ENCOURAGED TO PARTICIPATE IN THE COMMUNITIES ACTIVITIES AND SUPPORT GROUPS THAT BENEFIT THE COMMUNITY AT LARGE. EXAMPLES OF THESE ACTIVITIES ARE AS FOLLOWS:COLLABORATING WITH TOWN LIBRARY TO PRESENT EVENTS AROUND HEALTH AND SAFETY OF THE PERSONS. SUPPORT, INTRODUCE AND COACH FAMILIES TO PROGRAMS IN WHICH THEY CAN UNDERSTAND THEIR OWN HEALTH AND SAFETY, WHICH RESULT ON A FOCUS ON REDUCING PREVENTABLE ILLNESSES AND INJURIES, THUS REDUCING HEALTH CARE TREATMENT COSTS AND IMPROVING LIVES.LINKING FAMILIES WITH OTHER FAMILIES THAT ARE EXPERIENCING SIMILAR LIFE CIRCUMSTANCES THROUGH COMMUNITY EVENTS THAT INCLUDE THE PARENTS AND CHILDREN PARTICIPATION.LEAD SCREENING AND PREVENTION EDUCATION, TEST KIT MAILERS AND INFORMATION TO ALERT THE COMMUNITIES OF THE IMPORTANCE OF LEAD TESTING AND TREATMENT IF APPROPRIATE AT YOUNG AGES."},{"explanation":"PART VI, LINE 6: N/A"},{"explanation":"ME"}]},"ScheduleJ":{"benefits_and_procedures":{"housing_allowance_or_residence":true,"substantiation_required":true,"written_policy_travel_and_entertainment":true},"compensation_process":{"independent_consultant":true,"written_employment_contract":true,"compensation_survey_or_study":true,"board_or_committee_approval":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":false,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"PATRICIA APRILE","base_compensation_filing_org":243843,"bonus_filing_org":30000,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":2450,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":15323,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":291616,"total_compensation_related_orgs":0,"name":"PATRICIA APRILE"},{"person_name":"CHARLES 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Goodall proudly sponsors community organizations, school groups, civic organizations and special events (like the local baseball team). Goodall hospital sponsors two to four free education events each month of the year along with dozens of support groups. Goodall hospital also routinely participates in health fairs and business events, performing blood pressure checks, cholesterol screenings and CPR training. Goodall hospital's senior advocate provides free advice and services to elderly members of the community. Services include help with insurance and medical issues, as well as personal issues including tax information, finances and home needs.\n\nGoodall health partners consist of many physicians with multi-specialty services in different locations throughout york county. These physicians compliment the hospital in maintaining its mission to serve as a leader in improving the health and well-being of our community by serving the populous. These specialties include (but are not limited to) cardiology, ent, family practices, women' health, internal medicine, pediatrics, ortho and general surgery. The number of patients seen were 14,709 for a total number of visits of 54,019.\n\nGoodall hospital eldercare services provide long-term care, medical services and daycare to our senior citizens. Eldercare had admitted 303 residents for a total of 39,025 patient days. We continue to grow and adapt to the needs of our community with this service. Goodall hospital eldercare prides themselves by creating a home-like, comfortable environment for the residents and staff. The newton center for rehabilitation and nursing care promotes high quality care; with dedicated staff family educational and involvement make this program special.\n\nThe medical group consists of many physicians with multi-specialty services that extend goodall hospital's existing services to kennebunk, me. 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GOODALL HOSPITAL OFFERS A BROAD RANGE OF MEDICAL, SURGICAL, DIAGNOSTIC, CLINICAL AND REHABILITATION SERVICES, WELLNESS EDUCATION, SUPPORT GROUPS AND OTHER COMMUNITY OUTREACH PROGRAMS. GOODALL HOSPITAL HAS HAD 21,684 EMERGENCY ROOM VISITS, 48,669 RADIOLOGY PROCEDURES, 389,153 LABORATORY PROCEDURES, 67,687 THERAPY PROCEDURES, 190 INFANTS BORN AND 2,585 SURGERY CASES. GOODALL HOSPITAL PROVIDED $1,457,760 IN CHARITY CARE TO THE COMMUNITY. THIS INCLUDES PATIENTS WHO ARE UNDERINSURED OR THOSE WITHOUT ANY INSURANCE. IN ADDITION TO THE CHARITABLE CARE SERVICES, WE ARE CONTINUALLY ABSORBING ALL THE COSTS ASSOCIATED WITH PROVIDING THE COMMUNITY A VARIETY OF SPECIAL COMPLIMENTARY EDUCATIONAL AND INFORMATIONAL SERVICES. GOODALL PROUDLY SPONSORS COMMUNITY ORGANIZATIONS, SCHOOL GROUPS, CIVIC ORGANIZATIONS AND SPECIAL EVENTS (LIKE THE LOCAL BASEBALL TEAM). GOODALL HOSPITAL SPONSORS TWO TO FOUR FREE EDUCATION EVENTS EACH MONTH OF THE YEAR ALONG WITH DOZENS OF SUPPORT GROUPS. GOODALL HOSPITAL ALSO ROUTINELY PARTICIPATES IN HEALTH FAIRS AND BUSINESS EVENTS, PERFORMING BLOOD PRESSURE CHECKS, CHOLESTEROL SCREENINGS AND CPR TRAINING. GOODALL HOSPITAL'S SENIOR ADVOCATE PROVIDES FREE ADVICE AND SERVICES TO ELDERLY MEMBERS OF THE COMMUNITY. SERVICES INCLUDE HELP WITH INSURANCE AND MEDICAL ISSUES, AS WELL AS PERSONAL ISSUES INCLUDING TAX INFORMATION, FINANCES AND HOME NEEDS.","expense":52959453,"revenue":63567757},{"description":"GOODALL HEALTH PARTNERS CONSIST OF MANY PHYSICIANS WITH MULTI-SPECIALTY SERVICES IN DIFFERENT LOCATIONS THROUGHOUT YORK COUNTY. THESE PHYSICIANS COMPLIMENT THE HOSPITAL IN MAINTAINING ITS MISSION TO SERVE AS A LEADER IN IMPROVING THE HEALTH AND WELL-BEING OF OUR COMMUNITY BY SERVING THE POPULOUS. THESE SPECIALTIES INCLUDE (BUT ARE NOT LIMITED TO) CARDIOLOGY, ENT, FAMILY PRACTICES, WOMEN' HEALTH, INTERNAL MEDICINE, PEDIATRICS, ORTHO AND GENERAL SURGERY. 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GOODALL HOSPITAL, INC. HAS A CONTRACT FOR GOVERNMENT RELATIONS SERVICES WITH THE GRINNELL ASSOCIATES TO IDENTIFY, RESEARCH AND CHAMPION EFFORTS FOR APPROPRIATION FUNDING OPPORTUNITIES TO MEET THE HOSPITAL'S GOALS AND OBJECTIVES, INCLUDING FACILITY DEVELOPMENT, SYSTEM TECHNOLOGY ENHANCEMENTS, EQUIPMENT ACQUISITION, WELLNESS AND COMMUNITY HEALTH AND EMERGENCY PREPAREDNESS. INCLUDED IS AMOUNTS PAID AS PART OF DUES TO MHA/AHA FOR LOBBYIST ACTIVITIES."}]},"ScheduleD":{"endowment_funds":{"current_year":{"beginning_year_balance":17085103,"contributions":1898375,"investment_earnings_or_losses":2691423,"other_expenditures":7000,"end_year_balance":21667901},"current_year_minus1":{"beginning_year_balance":14720200,"contributions":642735,"investment_earnings_or_losses":1962857,"other_expenditures":240689,"end_year_balance":17085103},"board_designated_eoy_percentage":0.52,"permanent_endowment_eoy_percentage":0.48,"held_by_unrelated_organizations":true,"held_by_related_organizations":false},"land_buildings_equipment":{"land":{"other_cost_or_other_basis":2728106,"book_value":2728106},"buildings":{"other_cost_or_other_basis":43978411,"book_value":22162631,"depreciation":21815780},"leasehold_improvements":{"other_cost_or_other_basis":4521887,"book_value":2871902,"depreciation":1649985},"equipment":{"other_cost_or_other_basis":18902264,"book_value":3954126,"depreciation":14948138},"other_land_buildings":{"other_cost_or_other_basis":3279059,"book_value":2110661,"depreciation":1168398},"total_book_value":33827426},"securities":{"other_securities":[{"description":"ALTERNATIVE INVESTMENTS","book_value":2992034,"method_of_valuation":"F"},{"description":"BENEFICIAL INTEREST IN PERPETUAL TRUSTS","book_value":9468845,"method_of_valuation":"F"},{"description":"INVESTMENT IN REAL PROPERTY","book_value":2146648,"method_of_valuation":"F"}],"total_book_value":14607527},"other_assets":{"assets":[{"description":"INVESTMENTS IN SUBSIDIARIES & JOINT VENTURES","book_value":493126},{"description":"DEFERRED FINANCING COSTS","book_value":171184},{"description":"DUE FROM AFFILIATES","book_value":1671001},{"description":"TRUSTEE HELD FUNDS (BOND FUNDS)","book_value":1327303},{"description":"SYNERNET WORKERS' COMPENSATION CAPITAL CONTRIBUTION","book_value":39633},{"description":"CONTRIBUTION RECEIVABLE FROM REMAINDER TRUST","book_value":32933},{"description":"ESTIMATED SETTLEMENTS WITH MAINECARE","book_value":4688424},{"description":"INTANGIBLE ASSET - TMG GOODWILL","book_value":1347958},{"description":"INTANGIBLE ASSET - ORTHO MEDICAL RECORDS","book_value":17892},{"description":"HDG DUE FROM TEMP NET ASSETS","book_value":4344},{"description":"HDG CAPITAL RESERVE CASH","book_value":69088}],"total_book_value":9862886},"other_liabilities":{"liabilities":[{"description":"ESTIMATED SETTLEMENTS DUE TO THIRD-PARTY PAYORS","amount":791067}],"total_liability":791067},"net_assets_reconciliation":{"total_revenue":86515607,"total_expenses":86361069,"excess_or_deficit_for_year":154538,"net_unrealized_gains_losses_on_investments":102480,"other_amount":2778506,"total_adjustments":2880986,"excess_or_deficit_per_financial_statements":3035524},"revenue_reconciliation":{"total_revenue_audited_financial_statements":87805322,"net_unrealized_gains_investments":1289715,"revenue_not_reported":1289715,"revenue_subtotal":86515607,"revenue_not_reported_financial_statement":0,"total_revenue_per_990":86515607},"expense_reconciliation":{"total_expenses_audited_financial_statements":86361069,"expenses_not_reported":0,"expenses_subtotal":86361069,"expenses_not_reported_financial_statement":0,"total_expenses_per_990":86361069},"supplemental_information":[{"identifier":"DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:","explanation":"UNDER THE POLICY OF THE ORGANIZATION, THE ENDOWMENT ASSETS ARE INVESTED CONSERVATIVELY WITH THE INTENT OF PROVIDING A PREDICTABLE STREAM OF FUNDING TO THE ORGANIZATION FOR PURCHASES OF CAPITAL, EXPANSION PROJECTS AND TO SUPPLEMENT GENERAL OPERATIONS."},{"identifier":"DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:","explanation":"THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES FOOTNOTE PER THE HENRIETTA D. GOODALL HOSPITAL, INC. AND SUBSIDIARIES CONSOLIDATED FINANCIAL STATEMENTS: IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, THE ORGANIZATION ANNUALLY EVALUATES ITS TAX STATUS AND TAX POSITIONS TAKEN WITH RESPECT TO ITS OPERATIONS AND FINANCIAL POSITION."},{"identifier":"PART XI, LINE 8 - OTHER ADJUSTMENTS:","explanation":"RELEASES FROM TEMPORARILY RESTRICTED NET ASSETS -20,379. INCREASE IN BENEFICIAL INTEREST IN PERPETUAL TRUSTS 1,464,292. UNREALIZED GAIN ON SECURITIES 1,289,715. OTHER CHANGES IN NET ASSETS -3,686. RESTRICTED CONTRIBUTIONS 48,564."}]},"ScheduleH":{"policies":{"financial_assistance_policy":true,"written_policy":true,"policy_applied_to_all_hospitals":true,"fpg_reference_free_care":true,"free_care_percent_200":true,"fpg_reference_discounted_care":true,"discounted_care_percent_250":true,"free_or_discounted_care_medically_indigent":true,"financial_assistance_budget":true,"expenses_exceed_budget":false,"annual_community_benefit_report":true,"report_publicly_available":true},"bad_debt_medicare_collections":{"bad_debt_expense_reported":true,"bad_debt_expense":2469304,"bad_debt_expense_attributable_to_financial_assistance":710475,"reimbursed_by_medicare":12992147,"cost_of_care_reimbursed_by_medicare":14010714,"medicare_surplus_or_shortfall":-1018567,"cost_to_charge_ratio":true,"written_debt_collection_policy":true,"financial_assistance_provision":true},"community_benefit":{"financial_assistance_at_cost":{"total_community_benefit_expense":4858211,"net_community_benefit_expense":4858211,"total_expense_percentage":0.0563},"unreimbursed_medicaid":{"total_community_benefit_expense":16033775,"direct_offsetting_revenue":11097345,"net_community_benefit_expense":4936430,"total_expense_percentage":0.0572},"total_financial_assistance":{"total_community_benefit_expense":20891986,"direct_offsetting_revenue":11097345,"net_community_benefit_expense":9794641,"total_expense_percentage":0.1135},"community_health_services":{"total_community_benefit_expense":1046016,"direct_offsetting_revenue":841847,"net_community_benefit_expense":204169,"total_expense_percentage":0.0024},"total_other_benefits":{"total_community_benefit_expense":1046016,"direct_offsetting_revenue":841847,"net_community_benefit_expense":204169,"total_expense_percentage":0.0024},"total_community_benefits":{"total_community_benefit_expense":21938002,"direct_offsetting_revenue":11939192,"net_community_benefit_expense":9998810,"total_expense_percentage":0.1159}},"community_building":{"economic_development":{"total_community_benefit_expense":99204,"direct_offsetting_revenue":87947,"net_community_benefit_expense":11257,"total_expense_percentage":0.0001},"community_support":{"total_community_benefit_expense":62002,"direct_offsetting_revenue":54967,"net_community_benefit_expense":7035,"total_expense_percentage":0.0001},"coalition_building":{"total_community_benefit_expense":31001,"direct_offsetting_revenue":27483,"net_community_benefit_expense":3518,"total_expense_percentage":0.0},"health_improvement_advocacy":{"total_community_benefit_expense":102304,"direct_offsetting_revenue":90695,"net_community_benefit_expense":11609,"total_expense_percentage":0.0001},"workforce_development":{"total_community_benefit_expense":15501,"direct_offsetting_revenue":13742,"net_community_benefit_expense":1759,"total_expense_percentage":0.0},"total_community_building_activities":{"total_community_benefit_expense":310012,"direct_offsetting_revenue":274834,"net_community_benefit_expense":35178,"total_expense_percentage":0.0003}},"management_companies":[{"business_name_line1":"1 CANCER CARE CENTER OF YORK COUNTY","primary_activities":"SUPPORT AND PERFORM MEDICAL PROCEEDURES FOR CANCER PATIENTS","organization_profit_or_ownership_percentage":0.3333,"officers_profit_or_ownership_percentage":0.0,"physicians_profit_or_ownership_percentage":0.0,"name":"1 CANCER CARE CENTER OF YORK COUNTY"},{"business_name_line1":"2 GSM REALTOR INC","primary_activities":"REAL ESTATE HOLDING COMPANY","organization_profit_or_ownership_percentage":0.3333,"officers_profit_or_ownership_percentage":0.0,"physicians_profit_or_ownership_percentage":0.0,"name":"2 GSM REALTOR INC"},{"business_name_line1":"3 GOODALL HOSPITAL REAL ESTATE HOLDING CO LLC","primary_activities":"REAL ESTATE HOLDING COMPANY","organization_profit_or_ownership_percentage":1.0,"officers_profit_or_ownership_percentage":0.0,"physicians_profit_or_ownership_percentage":0.0,"name":"3 GOODALL HOSPITAL REAL ESTATE HOLDING CO LLC"},{"business_name_line1":"4 WATERBORO MEDICAL OFFICE BUILDING LLC","primary_activities":"REAL ESTATE HOLDING COMPANY","organization_profit_or_ownership_percentage":1.0,"officers_profit_or_ownership_percentage":0.0,"physicians_profit_or_ownership_percentage":0.0,"name":"4 WATERBORO MEDICAL OFFICE BUILDING LLC"},{"business_name_line1":"5 GOODALL HOSPITAL MEDICAL OFFICE BUILDING LLC","primary_activities":"REAL ESTATE HOLDING COMPANY","organization_profit_or_ownership_percentage":1.0,"officers_profit_or_ownership_percentage":0.0,"physicians_profit_or_ownership_percentage":0.0,"name":"5 GOODALL HOSPITAL MEDICAL OFFICE BUILDING LLC"},{"business_name_line1":"6 PINE TREE INSURANCE A RECIPROCAL RISK RETENTION GROUP","primary_activities":"PROVIDE MALPRACTICE INSURANCE FOR A GROUP OF HEALTH CARE PROVIDERS","organization_profit_or_ownership_percentage":0.2586,"officers_profit_or_ownership_percentage":0.0,"physicians_profit_or_ownership_percentage":0.0,"name":"6 PINE TREE INSURANCE A RECIPROCAL RISK RETENTION GROUP"}],"hospital_facility_count":10,"hospital_facilities":[{"facility_number":1,"business_name_line1":"HENRIETTA D GOODALL HOSPITAL INC","address_line1":"25 JUNE STREET","city":"SANFORD","state":"ME","zip":"04073","licensed_hospital":true,"general_medical_and_surgical":true,"emergency_room_24_hours":true,"name":"HENRIETTA D GOODALL HOSPITAL INC","address":"25 JUNE STREET, SANFORD, ME, 04073"},{"facility_number":2,"business_name_line1":"NEWTON CENTER (ELDER CARE)","address_line1":"35 JULY STREET","city":"SANFORD","state":"ME","zip":"04073","other_description":"NURSING HOME","name":"NEWTON CENTER (ELDER CARE)","address":"35 JULY STREET, SANFORD, ME, 04073"},{"facility_number":3,"business_name_line1":"GOODALL HEALTH PARTNERS","address_line1":"25 JUNE STREET","city":"SANFORD","state":"ME","zip":"04073","other_description":"PHYSICIAN PRACTICES","name":"GOODALL HEALTH PARTNERS","address":"25 JUNE STREET, SANFORD, ME, 04073"},{"facility_number":4,"business_name_line1":"WELLNESS CENTER","address_line1":"13 JULY STREET","city":"SANFORD","state":"ME","zip":"04073","other_description":"CLINIC","name":"WELLNESS CENTER","address":"13 JULY STREET, SANFORD, ME, 04073"},{"facility_number":5,"business_name_line1":"GOODALL HEALTH PARTNERS","address_line1":"10 GOODALL DRIVE","city":"EAST WATERBORO","state":"ME","zip":"04070","other_description":"PHYSICIAN PRACTICES","name":"GOODALL HEALTH PARTNERS","address":"10 GOODALL DRIVE, EAST WATERBORO, ME, 04070"},{"facility_number":6,"business_name_line1":"GOODALL HEALTH PARTNERS","address_line1":"272 COTTAGE STREET","city":"SANFORD","state":"ME","zip":"04073","other_description":"PHYSICIAN PRACTICES","name":"GOODALL HEALTH PARTNERS","address":"272 COTTAGE STREET, SANFORD, ME, 04073"},{"facility_number":7,"business_name_line1":"THE MEDICAL GROUP","address_line1":"2 LIVEWELL DRIVE","city":"KENNEBUNK","state":"ME","zip":"04043","other_description":"PHYSICIAN PRACTICES","name":"THE MEDICAL GROUP","address":"2 LIVEWELL DRIVE, KENNEBUNK, ME, 04043"},{"facility_number":8,"business_name_line1":"COMMUNITY SERVICES","address_line1":"15 DAIGLE STREET","city":"SANFORD","state":"ME","zip":"04073","other_description":"COMMUNITY PROGRAMS","name":"COMMUNITY SERVICES","address":"15 DAIGLE STREET, SANFORD, ME, 04073"},{"facility_number":9,"business_name_line1":"OCCUPATIONAL HEALTH SERVICES","address_line1":"2 LIVEWELL DRIVE","city":"KENNEBUNK","state":"ME","zip":"04043","other_description":"PHYSICIAN PRACTICES","name":"OCCUPATIONAL HEALTH SERVICES","address":"2 LIVEWELL DRIVE, KENNEBUNK, ME, 04043"},{"facility_number":10,"business_name_line1":"GOODALL HEALTH CLINICS","address_line1":"2 LIVEWELL DRIVE","city":"KENNEBUNK","state":"ME","zip":"04043","other_description":"CLINIC","name":"GOODALL HEALTH CLINICS","address":"2 LIVEWELL DRIVE, KENNEBUNK, ME, 04043"}],"facility_policies":[{"business_name_line1":"HENRIETTA D GOODALL HOSPITAL INC","facility_number":1,"name":"HENRIETTA D GOODALL HOSPITAL INC"}],"supplemental_information":[{"explanation":"PART I, LINE 6A: PARTNERS FOR HEALTHIER COMMUNITIES HAS COLLABORATED WITH YORK DISTRICT HEALTHY MAINE PARTNERSHIPS, THE GREATER YORK COUNTY UNITED WAY, YORK COUNTY HEAD START, AND THE GREATER YORK COUNTY YMCA TO GUIDE A COUNTY-WIDE COMMUNITY NEEDS ASSESSMENT PROCESS UTILIZING MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP). THE ASSESSMENT REPORTS WERE SHARED AT VARIOUS COMMUNITY FORUMS."},{"explanation":"PART I, LINE 7: GOODALL HOSPITAL EMPLOYS A FINANCIAL COUNSELOR WHO ASSISTS AND EDUCATES PATIENTS AND THEIR FAMILIES ON FINANCIAL MATTERS CONCERNING THE HOSPITAL CHARITY CARE POLICY AND ELIGIBILITY FOR STATE AND FEDERAL PROGRAMS. THIS ASSISTANCE CAN BE AS SPECIFIC AS ASSISTING THE PATIENT AND/OR FAMILIES IN COMPLETING THE VARIOUS FORMS REQUIRED BY MEDICAID AND MEDICARE. THE HOSPITAL'S SENIOR ADVOCATE PROGRAM PROVIDES FREE ADVICE AND SERVICES TO ELDERLY MEMBERS OF THE COMMUNITY. THESE SERVICES INCLUDE ASSISTANCE WITH INSURANCE AND MEDICAL ISSUES, TAX INFORMATION, PERSONAL FINANCES AND HOME NEEDS. THE SENIOR ADVOCATE HAS EXTENSIVE KNOWLEDGE OF THE ISSUES FACING SENIORS AND CAN HELP WITH ASSESSMENT OF CURRENT NEEDS AND PROVIDE REFERRALS TO EXISTING SERVICES.GOODALL HOSPITAL ALSO PROVIDES A PRESCRIPTION ASSISTANCE PROGRAM CALLED RX ASSIST. THE PROGRAM IS DESIGNED TO ASSIST THOSE WHO DO NOT QUALIFY FOR TRADITIONAL ASSISTANCE PROGRAMS SUCH AS MEDICARE D OR MAINECARE."},{"explanation":"COMMUNITY SUPPORT WAS ACHIEVED BY THE DIRECTOR OF PARTNERS FOR HEALTHIER COMMUNITIES CO-CHAIRING AND PARTICIPATING ON NUMEROUS WORKGROUPS/COMMITTEES WITHIN THE YORK COUNTY. THESE COMMITTEES WORKED WITH PARTICIPATION IN MANY EDUCATION SESSIONS WITHIN THE COMMUNITY BY PROVIDING CONFIDENTIALLY FOR INDIVIDUALS PARTICIPATING IN HEALTH RELATED PROMOTIONS. ALSO, PHC HAS BEEN ACTIVE IN ACTING AS A SPOKESPERSON FOR THE CONTINUED SUPPORT OF THE 211 PROGRAM AS IT PURSUES EXPANSION WITH ON-LINE ASSESSMENT. PHC HAS CONDUCTED ASSESSMENT OF GAPS IN SUPPORT GROUP RESOURCES AND WORKED WITH 211 TO UPDATE THE DATABASE. STROKE HAS BEEN IDENTIFIED AS A GAP TO ADDRESS."},{"explanation":"ENVIRONMENTAL IMPROVEMENTS ARE A VERY IMPORTANT ASPECT OF THE WORKINGS OF PARTNERS FOR HEALTHIER COMMUNITIES THROUGH THE LEAD POISONING PREVENTION SUPPLIES/EDUCATION THAT THE ORGANIZATION OFFERS AND ITS PARTICIPATION IN COMMUNITY EFFORTS. PHC CONTRIBUTED TO THE IMPLEMENTATION OF \"MOOSE TRAILS\" ON SIDEWALKS IN DOWNTOWN SANFORD TO PROMOTE SAFE PATHS FOR WALKING AS WELL AS BIKING TO SCHOOL. PHC PARTNERED WITH THE SANFORD YMCA TO LAUNCH AN INDOOR WALKING LOOP AT WAL-MART AS WELL AS APPLICABLE EDUCATION. PHC EDUCATED 300 BUSINESSES AND 11 RESTAURANTS ON THE NEW TOBACCO LAWS. PHC PROVIDED ASSISTANCE ON MAKING NECESSARY POLICY AND ENVIRONMENTAL CHANGES TO SUPPORT NEW REQUIREMENTS."},{"explanation":"PARTNERS FOR HEALTHIER COMMUNITIES WORKED WITH COMMUNITY ADVISORS TO CREATE A VISION FOR MOBILIZING AN ELEVEN TOWN SERVICE AREA. BASED ON THIS CONVERSATION, PHC HAS WORKED TO MOBILIZE OR PARTNER WITH EXISTING TASKFORCES IN 3 REGIONS OF THE SERVICE AREA. RECENT MONTHS HAVE BEEN SPENT RECRUITING ADVISORY BOARD MEMBERS.PARTNERS FOR HEALTHIER COMMUNITIES HAS COLLABORATED WITH YORK DISTRICT HEALTHY MAINE PARTNERSHIPS, THE GREATER YORK COUNTY UNITED WAY, YORK COUNTY HEAD START, AND THE GREATER YORK COUNTY YMCA TO GUIDE A COUNTY-WIDE COMMUNITY NEEDS ASSESSMENT PROCESS UTILIZING MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP). THE ASSESSMENT REPORTS WERE SHARED AT VARIOUS COMMUNITY FORUMS. PARTNERS FOR HEALTHIER COMMUNITIES HAVE FACILITATED STRATEGIC PLANNING PROCESSES IN THE SANFORD, WATERBORO, AND SACOPEE VALLEY COMMUNITIES. THE HMP DIRECTOR HAS DEDICATED 40 HOURS TO THIS COMPONENT OF THE COMMUNITY NEEDS PROCESS. THE COMMUNITIES ARE CURRENTLY IN THE ACTION PLANNING PHASE.PARTNERS FOR HEALTHIER COMMUNITIES IS COLLABORATING WITH THE TOWN OF SANFORD AND SAFE SCHOOLS HEALTHY SANFORD TO MOBILIZE THE SAFE AND HEALTHY SANFORD COALITION. AS A RESULT, THE TOWN WAS AWARDED A DRUG FREE COMMUNITIES GRANT OF $625,000 OVER A 5 YEAR PERIOD TO ADDRESS YOUTH SUBSTANCE ABUSE PREVENTION EFFORTS. PHC PARTICIPATED IN 8 PARENTAL/STUDENT INFORMATION NIGHTS RELATED TO SUBSTANCE ABUSE PREVENTION. THE HMP PREVENTION COORDINATOR HAS CONTRIBUTED 32 HOURS TO GRANT WRITING AND PLANNING IN THE SANFORD COMMUNITY AS WELL AS SERVING AS A LEADER IN SECURING THE DRUG FREE COMMUNITIES GRANT.PARTNERS FOR HEALTHIER COMMUNITIES HAS CONDUCTED ASSESSMENT OF GAPS IN SUPPORT GROUP RESOURCES AND WORKED WITH 211 TO UPDATE DATABASE. STROKE HAS BEEN IDENTIFIED AS A GAP TO ADDRESS."},{"explanation":"COMMUNITY HEALTH IMPROVEMENTS HAVE LEAD GOODALL TO PARTNER WITH YORK DISTRICT HEALTHY MAINE PARTNERSHIPS AND YORK COUNTY COMMUNITY ACTION TO COORDINATE TRAINING OF ALL YORK COUNTY HEAD START SITES ON THE 5-2-1-0 PHYSICAL ACTIVITY AND NUTRITION MODEL. GOODALL CONTINUED TO PROVIDE TECHNICAL ASSISTANCE TO SITES WITHIN THE SERVICE AREA. COMMUNITY HEALTH IMPROVEMENTS WILL LEAD GOODALL IN THE PURSUIT OF WORKING WITH YORK DISTRICT ENGAGED 40 YOUTH IN THE ANNUAL STICKER SHOCK CAMPAIGN TO AFFIX 25,000 STICKERS AT 36 STORES THROUGHOUT THE COMMUNITY TO INFORM ADULTS OF THE CONSEQUENCES ASSOCIATED WITH PURCHASING ALCOHOL FOR MINORS.PARTNERS FOR HEALTHIER COMMUNITIES FUNDED 2 $250 MINI-GRANTS TO AREA YOUTH GROUPS TO WORK ON ANTI-TOBACCO MESSAGING AND ADVOCACY PROJECTS. PHC STAFF WORKED WITH THE GROUPS TO DETERMINE PROJECT AND PROVIDED EDUCATION AND RESOURCES.PHC COORDINATED PRESENTATION BY DISTRICT TOBACCO COORDINATOR FOR 4 YOUTH GROUPS IN THE SANFORD SCHOOL DISTRICT. COORDINATED 8 CLASSES AT NO CHARGE FOR A TOBACCO CESSATION PROGRAM FOR THE COMMUNITY WITH 24 INDIVIDUALS COMPLETING.THE HMP DIRECTOR CONTRIBUTED TO EDUCATING PHYSICIAN PRACTICES AND/OR PATIENTS ON HEALTHY WEIGHT AWARENESS RESOURCES.THE HMP DIRECTOR CONDUCTED 1 COMMUNITY PRESENTATION RELATED TO SIGNS AND SYMPTOMS OF HEART ATTACK AND STROKE.AS A LET'S GO 5-2-1-0 DISSEMINATION PARTNER, PHC HAS PROVIDED LET'S GO CHILDCARE TOOLKITS TO DAYCARE PROVIDERS AND PEDIATRIC OFFICES, PHC HAS ALSO CONDUCTED 3 TRAININGS FOR CHILDCARE PROVIDERS, ATTENDED QUARTERLY STAKEHOLDERS MEETINGS, ENGAGED SANFORD SCHOOL DISTRICT IN REGISTERING AS \"READY\" 2 SITES FOR THE UPCOMING SCHOOL YEAR.PHC PARTNERED WITH SANFORD DOWNTOWN LEGACY TO LAUNCH DOUBLE YOUR EBT VALUE FOR FRUIT AND VEGGIE PURCHASES. PHC COLLABORATED WITH YORK DISTRICT PUBLIC HEALTH COUNCIL AND YORK COUNTY EMERGENCY MANAGEMENT TO LAUNCH WELL CHECK REGISTRY.PHC COORDINATED AN OUTREACH PRESENTATION TO YORK DISTRICT SUPERINTENDENTS. AS A RESULT, EACH HEALTHY MAINE PARTNERSHIP WILL BE MEETING ONE-ON-ONE WITH SCHOOL DISTRICTS TO DETERMINE HOW TO BEST COORDINATE PREVENTION EFFORTS ACROSS ALL SCHOOLS IN THE COUNTY. PHC WORKED WITH AN AREA FOOD PANTRY TO CREATE HEALTH RELATED INFORMATION PACKETS FOR CLIENTS AND ALSO ASSISTED WITH PLANNING A COMMUNITY OPEN HOUSE.THE HEALTH PREVENTION COORDINATOR CONTRIBUTED 40 HOURS TO COORDINATING THE DEVELOPMENT OF BRIDGE TO HOME HEALTH LITERACY PROGRAM WITH ROTARY, GOODALL HOSPITAL, AND LITERACY VOLUNTEERS. THE HEALTH PREVENTION COORDINATOR COORDINATED AND/OR PARTICIPATED IN THE MANY PARENTAL INFORMATION NIGHTS RELATED TO SUBSTANCE ABUSE PREVENTION INCLUDING IN PARTNERING WITH THE SANFORD AND YORK COUNTY SHERIFF DEPARTMENT IN CONDUCTING COMPLIANCES WITH ALCOHOL SALES."},{"explanation":"PARTNERS FOR HEALTHIER COMMUNITIES PROVIDED WORKSITE WELLNESS TRAINING WITH THE WABAN ORGANIZATION AS WELL AS HOSTED \"SAFE AND RESPONSIBLE BEVERAGE SELLER / SERVER TRAINING\" PROGRAMS THROUGHOUT THE YEAR."},{"explanation":"PART III, LINE 4: FOOTNOTE CONCERNING BAD DEBTS: MANAGEMENT MONITORS AND EVALUATES ITS ALLOWANCE FOR DOUBTFUL ACCOUNTS TO ENSURE THAT RECEIVABLES ARE STATED AT THEIR NET REALIZABLE VALUE. THE COSTING METHODOLOGY CONSISTS OF APPLYING A COST TO CHARGE RATIO TO THE RECORDED PROVISION FOR BAD DEBT (REPRESENTING UNCOLLECTED CHARGES) AND CHARITY CARE REVENUES BASED ON COST REPORT."},{"explanation":"PART III, LINE 8: THE COSTING METHODOLOGY CONSISTS OF APPLYING A COST TO CHARGE RATIO TO INPATIENT AND OUTPATIENT REVENUES BASED ON MEDICARE COST REPORT.THE COMPUTED SHORTFALL HAS NOT BEEN INCLUDED IN COMMUNITY BENEFIT."},{"explanation":"PART VI, LINE 2: GOODALL HOSPITAL'S BOARD OF TRUSTEES IS COMPRISED OF A DIVERSE GROUP OF COMMUNITY MEMBERS. THE BOARD OF TRUSTEES PROVIDES INSIGHT AND DIRECTION TO THE HOSPITAL. PARTNERS FOR HEALTHIER COMMUNITIES HAVE FACILITATED STRATEGIC PLANNING PROCESSES IN THE SANFORD, WATERBORO, AND SACOPEE VALLEY COMMUNITIES. THE HMP DIRECTOR HAS DEDICATED 40 HOURS TO THIS COMPONENT OF THE COMMUNITY NEEDS PROCESS. THE HMP PREVENTION COORDINATOR HAS DEDICATED 12 HOURS TO THE PROCESS. THE HMP HEALTH PROMOTION COORDINATOR HAS DEDICATED 12 HOURS TO THE PROCESS. THE COMMUNITIES ARE CURRENTLY IN THE ACTION PLANNING PHASE.PHC HAS WORKED WITH COMMUNITY ADVISORS TO CREATE A VISION FOR MOBILIZING AN ELEVEN TOWN SERVICE AREA. BASED ON THIS CONVERSATION, PHC HAS WORKED TO MOBILIZE OR PARTNER WITH EXISTING TASKFORCES IN 3 REGIONS OF THE SERVICE AREA. RECENT MONTHS HAVE BEEN SPENT RECRUITING ADVISORY BOARD MEMBERS.PHC IS COLLABORATING WITH THE TOWN OF SANFORD AND SAFE SCHOOLS HEALTHY SANFORD TO MOBILIZE THE SAFE AND HEALTHY SANFORD COALITION. AS A RESULT, THE TOWN WAS AWARDED A DRUG FREE COMMUNITIES GRANT OF $625,000 OVER A 5 YEAR PERIOD TO ADDRESS YOUTH SUBSTANCE ABUSE PREVENTION EFFORTS.THE HMP PREVENTION COORDINATOR HAS CONTRIBUTED 32 HOURS TO GRANT WRITING AND PLANNING IN THE SANFORD COMMUNITY AND ALSO SERVED AS A LEADER IN SECURING THE DRUG FREE COMMUNITIES GRANT.PHC CONDUCTED AN ASSESSMENT OF GAPS IN SUPPORT GROUP RESOURCES AND WORKED WITH 211 TO UPDATE THE DATABASE. STROKE HAS BEEN IDENTIFIED AS A GAP TO ADDRESS."},{"explanation":"PART VI, LINE 3: GOODALL HOSPITAL EMPLOYS A FINANCIAL COUNSELOR WHO ASSISTS AND EDUCATES PATIENTS AND THEIR FAMILIES ON FINANCIAL MATTERS CONCERNING THE HOSPITAL CHARITY CARE POLICY AND ELIGIBILITY FOR STATE AND FEDERAL PROGRAMS. THIS ASSISTANCE CAN BE AS SPECIFIC AS ASSISTING THE PATIENT AND/OR FAMILIES IN COMPLETING THE VARIOUS FORMS REQUIRED BY MEDICAID AND MEDICARE. THE HOSPITAL'S SENIOR ADVOCATE PROGRAM PROVIDES FREE ADVICE AND SERVICES TO ELDERLY MEMBERS OF THE COMMUNITY. THESE SERVICES INCLUDE ASSISTANCE WITH INSURANCE AND MEDICAL ISSUES, TAX INFORMATION, PERSONAL FINANCES AND HOME NEEDS. THE SENIOR ADVOCATE HAS EXTENSIVE KNOWLEDGE OF THE ISSUES FACING SENIORS AND CAN HELP WITH ASSESSMENT OF CURRENT NEEDS AND PROVIDE REFERRALS TO EXISTING SERVICES. COMMON TYPES OF ASSISTANCE, IN ADDITION TO ADVOCACY, MAY INCLUDE: MEDICARE D ENROLLMENT; ADVANCE DIRECTIVE PLANNING; ASSISTANCE AND EDUCATION IN PREVENTING FRAUD, EXPLOITATION, AND ABUSE; CONNECTION TO RESOURCES FOR TRANSPORTATION, HOME HEALTH CARE, MEALS, ETC. THE SENIOR ADVOCATE PROGRAM RECEIVED 2,232 INQUIRIES FOR ASSISTANCE THROUGHOUT THE YEAR WITH THE FOLLOWING BREAKDOWN BY CONCERN TYPE (MEDICARE D 20%, INSURANCE 20%, FINANCE ASSIST 15%, OTHER 45%). THE OTHER CONCERN TYPES INCLUDE THE FOLLOWING SUBJECT AREAS (POA/GUARDIANSHIP, FUEL ASSISTANCE, DENTAL, VISION, VA BENEFITS, TRANSPORTATION, HOUSING, SOCIAL SECURITY, DISABILITY, PAPERWORK, DME AND MEDICAL SUPPLIES, SNOW REMOVAL, PLACEMENT, HOME CARE, HOME REPAIR, FOOD RESOURCES, ADV. DIRECTIVES, ETC.). 107 FAMILIES WERE PROVIDED INFORMATION BY THE MAINE FAMILIES PROGRAM ON 144 COMMUNITY EVENTS AND AREA RESOURCES FOR A TOTAL OF 529 REFERRALS.MFYC HELD THE FOLLOWING EVENTS TO HELP LINK FAMILIES WITH OTHER FAMILIES THAT ARE EXPERIENCING SIMILAR LIFE CIRCUMSTANCES WITH RAISING CHILDREN. BREASTFEEDING SUPPORT, NUTRITION, SHAKEN BABY SYNDROME PREVENTION, HOME SAFETY AND LEAD POISONING RISK. THIS PROGRAM PROVIDED 1,377 VISITS WITH 129 FAMILIES IN THE COMMUNITY HEALTH IMPROVEMENT SERVICES, AND SERVES TO CREATE A NATURAL SUPPORT SYSTEM FOR YOUNG FAMILIES.RXASSIST PROGRAM - THE PRESCRIPTION ASSISTANCE PROGRAM PROVIDES HELP TO THOSE WHO CURRENTLY DO NOT HAVE PRESCRIPTION COVERAGE AND HAVE DIFFICULTY AFFORDING THEIR MEDICINES. THE PROGRAM IS DESIGNED TO ASSIST THOSE WHO DO NOT QUALIFY FOR OTHER TRADITIONAL ASSISTANCE PROGRAMS SUCH AS MEDICARE D OR MAINE CARE, BUT WHOSE FINANCIAL SITUATION QUALIFIES THEM TO RECEIVE SUPPORT. FREE OR LOW-COST PRESCRIPTION DRUGS CAN BE OBTAINED DIRECTLY FROM PHARMACEUTICAL COMPANIES IF ELIGIBILITY GUIDELINES ARE MET. THE HOSPITAL RECEIVED 214 APPLICATION REQUESTS FOR SUBMISSION TO THE APPROPRIATE PHARMACEUTICAL PRESCRIPTION ASSISTANCE PROGRAMS, COMPLETED 824 CLIENT CONTACTS, PROCESSED 1645 PRESCRIPTIONS, AND SAVED $836,513 FOR CLIENTS SERVED THROUGH THIS PROGRAM, DURING THE YEAR."},{"explanation":"PART VI, LINE 4: GOODALL HOSPITAL SERVES THE POPULATION OF WESTERN YORK COUNTY, MAINE. SANFORD IS THE TOWN WITH THE LARGEST POPULATION IN THE HOSPITAL'S SERVICE AREA, WITH A POPULATION OF APPROXIMATELY 21,000 WITH AN ELDERLY POPULATION RATE OF 15% AND FAMILIES REPRESENTING 64% OF THIS POPULATION, WITH 93% BEING WHITE CAUCASIAN.THE HOSPITAL'S MEDICAID VOLUME IS 24% AND IS AMONGST THE HIGHEST IN THE STATE AND REFLECTS THE HIGH PERCENTAGE OF FAMILIES WITH THE INCOME LESS THAN 100% OF THE FEDERAL POVERTY LEVEL. SANFORD'S POVERTY RATE IS 17%, WHILE THE STATE OF MAINE IS AT 12%. 72% OF SANFORD'S ELEMENTARY SCHOOL CHILDREN ARE ELIGIBLE TO RECEIVE FREE OR SUBSIDIZED MEALS.SANFORD'S UNEMPLOYMENT RATE OF 10% EXCEEDS THE STATE'S OVERALL UNEMPLOYMENT RATE OF 8%. SANFORD HAS BEEN DESIGNATED AS A MEDICALLY UNDERSERVICED AREA."},{"explanation":"PART VI, LINE 6: GOODALL HOSPITAL PROVIDES NUMEROUS EDUCATIONAL CLASSES FOR THE COMMUNITIES IT SERVICES. THE ORGANIZATION PREPARES A QUARTERLY FLYER CALLED THE \"COMMUNITY EDUCATION CALENDAR\". THIS LISTING PROVIDES THE EDUCATIONAL SEMINARS THAT ARE OPEN FOR FREE PUBLIC PARTICIPATION. THESE SEMINARS ARE HELD ON MOST EVENINGS (FOR EASE OF COMMUNITY PARTICIPATION) AND ARE TYPICALLY 1 1/2 HOURS IN DURATION. THE SEMINARS ARE LED BY KNOWLEDGEABLE GOODALL PROFESSIONALS WHO ARE TRAINED AND EDUCATED IN THE SPECIFIC AREAS. THE EVENTS INCLUDE THE FOLLOWING AREAS: SPORTS MEDICINE, ALCOHOL AWARENESS, FUN WITH FRUITS & VEGGIES, WATER AEROBICS, WEIGHT MANAGEMENT, MEDICATION REVIEWS, DIABETES, BLOOD PRESSURE CHECKS AND MANY MORE."},{"explanation":"PART VI, LINE 7: N/A"},{"explanation":"ME"}]},"ScheduleJ":{"compensation_process":{"independent_consultant":true,"written_employment_contract":true,"compensation_survey_or_study":true,"board_or_committee_approval":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":false,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"DARLENE STROMSTAD","base_compensation_filing_org":356547,"bonus_filing_org":60000,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":2278,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":11357,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":430182,"total_compensation_related_orgs":0,"name":"DARLENE STROMSTAD"},{"person_name":"PATRICIA 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GOODALL HOSPITAL, INC. THE ORIGINAL AMOUNT OF THE LOAN WAS $7,330,000 AND AS OF MAY 31, 2011, THE REMAINING BALANCE ON THE LOANS WERE $4,623,278.","amount":4623278,"sharing_of_revenues":false,"name":"MARK MICKERIZ"},{"person_name":"WEBER SHILL","relationship":"FORMER OWNER OF TMG","description":"WEBER SHILL HAS ONE OUTSTANDING LOAN WITH HENRIETTA D. GOODALL HOSPITAL INC. FOR THE PURCHASE OF THE MEDICAL GROUP. THE ORIGINAL AMOUNT OF THE LOAN WAS $1,835,248 AND AS OF MAY 31, 2011, THE REMAINING BALANCE OF THE LOAN WAS $1,405,483.","amount":1405483,"sharing_of_revenues":false,"name":"WEBER SHILL"},{"person_name":"WILLIAM FRANK","relationship":"CHAIR OF THE FINANCE COMMITTEE","description":"GOODALL HOSPITAL CONTRACTS WITH DR. 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Goodall hospital's, inc.'s mission is to serve as a leader in improving the health and well-being of its community. Henrietta d. Goodall hospital, inc. Owns and operates h. D. Goodall hospital, inc. (acute care hospital), goodall health partners (a multi-specialty physicial and surgeon group), the medical group (a mult-specialty physician and surgeon group, goodall outpatient clinic (a facility where a variety of outpatient services are performed), goodall outpatient services-waterboro and goodall eldercare services (a long term care facility) in york county. York county consists of 18 towns and cities located on the southern maine coast with a population of over 200,000. Henrietta d. Goodall hospital, inc. Furthers its mission as a leader in improving the health and well-being of the community and provides access to needed healthcare services 365 days a year, 24 hours a day.","primary_activities":"Goodall hospital is a 58 bed hospital which strives to meet the health care needs of individuals and families throughout york county. Goodall hospital offers a broad range of medical, surgical, diagnostic, clinical and rehabilitation services, wellness education, support groups and other community outreach programs. Goodall hospital had 21,394 emergency rooms visits, 46,963 radiology procedures, 371,628 laboratory procedures, 149 infants born, and 2,506 surgery cases. Goodall hospital provided 1,729,454 in charity care to the community. This includes patients who are underinsured or those without any insurance. In addition to the charitable care services, we are continually absorbing all the costs (continued on schedule o) associated with providing the community with a variety of special complimentary educational and informational services. Goodall proudly sponsors community organizations, school groups, civic organizations and special events (like the local baseball team). Goodall hospital sponsors two to four free education events each month of the year along with dozens of support groups. Goodall hospital also routinely participates in health fairs and business events, performing blood pressure checks, cholesterol screenings and CPR training. Goodall hospital's senior advocate provides free advice and services to elderly members of the community. Services include help with insurance and medical issues, as well as personal issues including tax information, finances and home needs.\n\nGoodall health partners consists of many physicians with multi-specialty services in different locations throughout york county. These physicians compliment the hospital in maintaining its missions to serve as a leader in improving the health and well-being of our community by serving the populous. These specialties include (but are not limited to) cardiology, ear nose and throat, family practices, women's health, internal medicine, pediatrics, ortho and general surgery. Goodall health partners provided 44,569 in charity care to the community. The number of patients seen were 21,413 for a total number of visits of 60,122.\n\nGoodall hospital eldercare services provide long-term care, medical services and daycare to our senior citizens. Eldercare had a total of 39,238 patient days. We continue to grow and adapt to the needs of our community with this service. Goodall hospital eldercare prides themselves by creating a home-like, comfortable environment for the residents and staff. The newton center for rehabilitation and nursing care promotes high quality care; with dedicated staff, family education and involvement make this program special. Goodall hospital eldercare services provided 14,456 in charity care to the community.\n\nThe medical group consists of many physicians with multi-specialty services that extend goodall hospital's existing services to kennebunk, me. These physicians complement the hospital in maintaining its mission to serve as a leader in improving the health and well-being of our community. These services include (but are not limited to) full service primary care, women's health, gastroenterology, pulmonary medicine, orthopedics and pain management. The medical group provided 12,846 in charity care to the community. The number of patients seen were 10,855 for a total number of 27,633 patient days.\n\nHenrietta d. Goodall hospital's, inc.'s mission is to serve as a leader in improving the health and well-being of its community. Henrietta d. Goodall hospital, inc. Owns and operates h. D. Goodall hospital, inc. (acute care hospital), goodall health partners (a multi-specialty physicial and surgeon group), the medical group (a mult-specialty physician and surgeon group, goodall outpatient clinic (a facility where a variety of outpatient services are performed), goodall outpatient services-waterboro and goodall eldercare services (a long term care facility) in york county. York county consists of 18 towns and cities located on the southern maine coast with a population of over 200,000. Henrietta d. Goodall hospital, inc. Furthers its mission as a leader in improving the health and well-being of the community and provides access to needed healthcare services 365 days a year, 24 hours a day.\n\nAssociated with providing the community with a variety of special complimentary educational and informational services. Goodall proudly sponsors community organizations, school groups, civic organizations and special events (like the local baseball team). Goodall hospital sponsors two to four free education events each month of the year along with dozens of support groups. Goodall hospital also routinely participates in health fairs and business events, performing blood pressure checks, cholesterol screenings and CPR training. Goodall hospital's senior advocate provides free advice and services to elderly members of the community. Services include help with insurance and medical issues, as well as personal issues including tax information, finances and home needs.","year":2012,"name":"HENRIETTA D GOODALL HOSPITAL INC","phone":"2074907337","website":"WWW.GOODALLHOSPITAL.ORG","type":"990","principal_officer":"PARTICIA APRILE","year_formation":1927,"state_legal_domicile":"ME","total_volunteers":197,"tax_period_begin":"2012-06-01T00:00:00","tax_period_end":"2013-05-31T00:00:00","address":"25 JUNE STREET, SANFORD, ME, 04073, USA","city":"SANFORD","state":"ME","country":"USA","zip_code":"04073"},"Governance":{"501c3 determination":true,"Number of voting members":19,"Number of independent voting members":11,"Number of employees total":1099,"Total Gross UBI":222387,"Net unrelated business taxable income":-62174,"Number of employees":1099,"Prohibited tax shelter transactions":false,"Taxable party notification":false,"Funds to pay premiums":false,"Premiums Paid":false,"Family or business relationship":false,"Delegation of management duties":false,"Conflict of interest policy":true,"Whistle blower policy":true,"Compensation process for CEO":true,"Compensation process for other employees":true,"Changes to organizing documents":true,"Material diversion or misuse":false,"Members or stockholders":false,"Election of board members":false,"Decisions subject to approval":false,"Minutes of governing body":true,"Local chapters":true,"Form 990 provided to governing body":true,"Document retention policy":true,"Investment in joint venture":false,"Independent audit financial statements":false,"Consolidated audit financial statements":true,"Accountant compile or review":false,"Financial statements audited by independent accountant":true,"Audit committee":true,"Federal grant audit required":true,"Federal grant audit performed":true,"Audited financial statements consolidated":true,"Political activities":false,"Donor advised funds":false,"Conservation easements":false,"Collections of art":false,"School":false,"Hospital":true,"Foreign activities":false,"Foreign office":false,"Gaming":false,"Fundraising activities":false,"Professional fundraising":false,"Loan to officer or DQP":false,"Grant to related person":false,"Business relationship through family member":false,"Business relationship with organization":true,"Transfers to exempt non-charitable organization":false},"Revenues":{"value":83744402,"Contributions":{"value":2300781,"Other contributions":523854,"Grant revenue":1776927},"Program revenue":{"value":78738132,"Total revenue":{"value":78738132,"VARIOUS":78738132},"Unrelated business revenue":222387},"Investment income":{"value":849234,"Investment income total":563752,"Net investment gain":285482},"Other revenues":{"value":1856255,"Other total":2196885,"Net rental income":-340630}},"Expenses":{"value":83665205,"Grant expense":{"value":0},"Total professional fundraising expense":{"value":0},"Benefits paid to members":{"value":0},"Salaries":{"value":50155652,"Current officers":641501,"Other salaries and wages":39869149,"Other employee benefits":6922888,"Payroll taxes":2722114},"Other expenses":{"value":33509553,"Legal":245222,"Accounting":102577,"Lobbying services":13125,"Other services":7331537,"Advertising":194071,"Office expenses":82827,"Information technology":490750,"Occupancy":1442117,"Travel":14198,"Conferences and meetings":122518,"Interest":817718,"Depreciation and depletion":3511091,"Insurance":921617,"Itemized Expenses":{"value":16270659,"VARIOUS":16270659},"All other expenses":1949526}},"Assets":{"value":85817795,"Non-interest bearing cash":5277,"Savings and temp cash investments":2455400,"Accounts receivable":10344259,"Other net note and loans":851677,"Inventories for sale or use":1161471,"Prepaid expenses deferred charges":1015873,"Land, building, equipment":32013524,"Investments publicly traded":12893054,"Investments other":14032253,"Other assets":11045007},"Liabilities":{"value":34104463,"Accounts payable, accrued":13061335,"Tax exempt bond liabilities":8889806,"Secured mortgages and notes payable":10933682,"Other liabilities":1219640},"Fund balance":{"value":51713332},"Form990Details":{"program_service_accomplishments":[{"description":"GOODALL HOSPITAL IS A 58 BED HOSPITAL WHICH STRIVES TO MEET THE HEALTH CARE NEEDS OF INDIVIDUALS AND FAMILIES THROUGHOUT YORK COUNTY. GOODALL HOSPITAL OFFERS A BROAD RANGE OF MEDICAL, SURGICAL, DIAGNOSTIC, CLINICAL AND REHABILITATION SERVICES, WELLNESS EDUCATION, SUPPORT GROUPS AND OTHER COMMUNITY OUTREACH PROGRAMS. GOODALL HOSPITAL HAD 21,394 EMERGENCY ROOMS VISITS, 46,963 RADIOLOGY PROCEDURES, 371,628 LABORATORY PROCEDURES, 149 INFANTS BORN, AND 2,506 SURGERY CASES. GOODALL HOSPITAL PROVIDED 1,729,454 IN CHARITY CARE TO THE COMMUNITY. THIS INCLUDES PATIENTS WHO ARE UNDERINSURED OR THOSE WITHOUT ANY INSURANCE. IN ADDITION TO THE CHARITABLE CARE SERVICES, WE ARE CONTINUALLY ABSORBING ALL THE COSTS (CONTINUED ON SCHEDULE O) ASSOCIATED WITH PROVIDING THE COMMUNITY WITH A VARIETY OF SPECIAL COMPLIMENTARY EDUCATIONAL AND INFORMATIONAL SERVICES. GOODALL PROUDLY SPONSORS COMMUNITY ORGANIZATIONS, SCHOOL GROUPS, CIVIC ORGANIZATIONS AND SPECIAL EVENTS (LIKE THE LOCAL BASEBALL TEAM). GOODALL HOSPITAL SPONSORS TWO TO FOUR FREE EDUCATION EVENTS EACH MONTH OF THE YEAR ALONG WITH DOZENS OF SUPPORT GROUPS. GOODALL HOSPITAL ALSO ROUTINELY PARTICIPATES IN HEALTH FAIRS AND BUSINESS EVENTS, PERFORMING BLOOD PRESSURE CHECKS, CHOLESTEROL SCREENINGS AND CPR TRAINING. GOODALL HOSPITAL'S SENIOR ADVOCATE PROVIDES FREE ADVICE AND SERVICES TO ELDERLY MEMBERS OF THE COMMUNITY. SERVICES INCLUDE HELP WITH INSURANCE AND MEDICAL ISSUES, AS WELL AS PERSONAL ISSUES INCLUDING TAX INFORMATION, FINANCES AND HOME NEEDS.","expense":49658152,"revenue":63058668},{"description":"GOODALL HEALTH PARTNERS CONSISTS OF MANY PHYSICIANS WITH MULTI-SPECIALTY SERVICES IN DIFFERENT LOCATIONS THROUGHOUT YORK COUNTY. THESE PHYSICIANS COMPLIMENT THE HOSPITAL IN MAINTAINING ITS MISSIONS TO SERVE AS A LEADER IN IMPROVING THE HEALTH AND WELL-BEING OF OUR COMMUNITY BY SERVING THE POPULOUS. THESE SPECIALTIES INCLUDE (BUT ARE NOT LIMITED TO) CARDIOLOGY, EAR NOSE AND THROAT, FAMILY PRACTICES, WOMEN'S HEALTH, INTERNAL MEDICINE, PEDIATRICS, ORTHO AND GENERAL SURGERY. GOODALL HEALTH PARTNERS PROVIDED 44,569 IN CHARITY CARE TO THE COMMUNITY. THE NUMBER OF PATIENTS SEEN WERE 21,413 FOR A TOTAL NUMBER OF VISITS OF 60,122.","expense":10005865,"revenue":8723782},{"description":"GOODALL HOSPITAL ELDERCARE SERVICES PROVIDE LONG-TERM CARE, MEDICAL SERVICES AND DAYCARE TO OUR SENIOR CITIZENS. ELDERCARE HAD A TOTAL OF 39,238 PATIENT DAYS. WE CONTINUE TO GROW AND ADAPT TO THE NEEDS OF OUR COMMUNITY WITH THIS SERVICE. GOODALL HOSPITAL ELDERCARE PRIDES THEMSELVES BY CREATING A HOME-LIKE, COMFORTABLE ENVIRONMENT FOR THE RESIDENTS AND STAFF. THE NEWTON CENTER FOR REHABILITATION AND NURSING CARE PROMOTES HIGH QUALITY CARE; WITH DEDICATED STAFF, FAMILY EDUCATION AND INVOLVEMENT MAKE THIS PROGRAM SPECIAL. GOODALL HOSPITAL ELDERCARE SERVICES PROVIDED 14,456 IN CHARITY CARE TO THE COMMUNITY.","expense":6629612,"revenue":7821962},{"description":"THE MEDICAL GROUP CONSISTS OF MANY PHYSICIANS WITH MULTI-SPECIALTY SERVICES THAT EXTEND GOODALL HOSPITAL'S EXISTING SERVICES TO KENNEBUNK, ME. THESE PHYSICIANS COMPLEMENT THE HOSPITAL IN MAINTAINING ITS MISSION TO SERVE AS A LEADER IN IMPROVING THE HEALTH AND WELL-BEING OF OUR COMMUNITY. THESE SERVICES INCLUDE (BUT ARE NOT LIMITED TO) FULL SERVICE PRIMARY CARE, WOMEN'S HEALTH, GASTROENTEROLOGY, PULMONARY MEDICINE, ORTHOPEDICS AND PAIN MANAGEMENT. THE MEDICAL GROUP PROVIDED 12,846 IN CHARITY CARE TO THE COMMUNITY. THE NUMBER OF PATIENTS SEEN WERE 10,855 FOR A TOTAL NUMBER OF 27,633 PATIENT DAYS.","expense":5673646,"revenue":4139990}],"program_service_revenue_detail":[{"business_code":"900099","description":"NET PATIENT SERVICE REVENUE","total_revenue":77793830},{"business_code":"900099","description":"MEDICARE MEANINGFUL USE","total_revenue":721915},{"business_code":"621500","description":"NET PATIENT SERVICE 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04048"}],"officers_directors_key_employees":[{"title":"TRUSTEE","average_hours_per_week":41.0,"average_hours_per_week_related_org":1.0,"reportable_comp_from_org":492596,"reportable_comp_from_related_orgs":0,"other_compensation":24340,"individual_trustee_or_director":true},{"title":"TRUSTEE","average_hours_per_week":41.0,"average_hours_per_week_related_org":1.0,"reportable_comp_from_org":474462,"reportable_comp_from_related_orgs":0,"other_compensation":24013,"individual_trustee_or_director":true},{"title":"TRUSTEE","average_hours_per_week":1.0,"average_hours_per_week_related_org":40.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":459254,"other_compensation":25652,"individual_trustee_or_director":true},{"title":"TRUSTEE","average_hours_per_week":1.0,"average_hours_per_week_related_org":40.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":303808,"other_compensation":25758,"individual_trustee_or_director":true},{"title":"TRUSTEE","average_hours_per_week":1.0,"average_hours_per_week_related_org":40.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":268489,"other_compensation":25895,"individual_trustee_or_director":true},{"title":"TRUSTEE","average_hours_per_week":1.0,"average_hours_per_week_related_org":40.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":229602,"other_compensation":24610,"individual_trustee_or_director":true},{"title":"TRUSTEE","average_hours_per_week":5.0,"average_hours_per_week_related_org":1.0,"reportable_comp_from_org":19525,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"TRUSTEE","average_hours_per_week":1.0,"average_hours_per_week_related_org":1.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"TRUSTEE","average_hours_per_week":1.0,"average_hours_per_week_related_org":1.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"TRUSTEE","average_hours_per_week":1.0,"average_hours_per_week_related_org":1.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"TRUSTEE","average_hours_per_week":1.0,"average_hours_per_week_related_org":1.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"CHAIRPERSON","average_hours_per_week":1.0,"average_hours_per_week_related_org":1.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true,"officer":true},{"title":"VICE-CHAIRPE","average_hours_per_week":1.0,"average_hours_per_week_related_org":2.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true,"officer":true},{"title":"TRUSTEE","average_hours_per_week":1.0,"average_hours_per_week_related_org":1.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"TRUSTEE","average_hours_per_week":1.0,"average_hours_per_week_related_org":1.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"TREASURER","average_hours_per_week":1.0,"average_hours_per_week_related_org":1.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true,"officer":true},{"title":"SECRETARY","average_hours_per_week":1.0,"average_hours_per_week_related_org":2.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true,"officer":true},{"title":"TRUSTEE","average_hours_per_week":1.0,"average_hours_per_week_related_org":1.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"TRUSTEE","average_hours_per_week":1.0,"average_hours_per_week_related_org":1.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"PRESIDENT/CE","average_hours_per_week":49.0,"average_hours_per_week_related_org":1.0,"reportable_comp_from_org":396254,"reportable_comp_from_related_orgs":0,"other_compensation":17311,"officer":true},{"title":"CFO","average_hours_per_week":40.0,"average_hours_per_week_related_org":0.0,"reportable_comp_from_org":215795,"reportable_comp_from_related_orgs":0,"other_compensation":12141,"officer":true},{"title":"PHYSICIAN","average_hours_per_week":40.0,"average_hours_per_week_related_org":0.0,"reportable_comp_from_org":352468,"reportable_comp_from_related_orgs":0,"other_compensation":22550,"highest_compensated_employee":true},{"title":"PHYSICIAN","average_hours_p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GOODALL GOODALL HOSPITAL IS A MEMBER OF THE MAINE HOSPITAL ASSOCIATION (MHA), THE AMERICAN HOSPITAL ASSOCIATION (AHA), AND THE MAINE HEALTHCARE ASSOCIATION (MEHCA). 18.80% OR 6,789 OF THE DUES PAID TO MHA, 23.65% OR 4,020 OF THE DUES PAID TO AHA, AND 31.00% OR 2,315 OF THE DUES PAID TO MEHCA ARE AVAILABLE FOR LOBBYING."}]},"ScheduleD":{"endowment_funds":{"current_year":{"beginning_year_balance":19488835,"contributions":1714897,"investment_earnings_or_losses":2998927,"other_expenditures":1495981,"end_year_balance":22706678},"current_year_minus1":{"beginning_year_balance":21667901,"contributions":466220,"investment_earnings_or_losses":-1610061,"other_expenditures":1035225,"end_year_balance":19488835},"current_year_minus2":{"beginning_year_balance":17085103,"contributions":1898375,"investment_earnings_or_losses":2691423,"other_expenditures":7000,"end_year_balance":21667901},"current_year_minus3":{"beginning_year_balance":14720200,"contributions":642735,"investment_earnings_or_losses":1962857,"other_expenditures":240689,"end_year_balance":17085103},"board_designated_eoy_percentage":0.54,"permanent_endowment_eoy_percentage":0.46,"held_by_unrelated_organizations":false,"held_by_related_organizations":false},"land_buildings_equipment":{"land":{"other_cost_or_other_basis":2728106,"book_value":2728106},"buildings":{"other_cost_or_other_basis":47028708,"book_value":21479011,"depreciation":25549697},"leasehold_improvements":{"other_cost_or_other_basis":4549746,"book_value":2417671,"depreciation":2132075},"equipment":{"other_cost_or_other_basis":20449773,"book_value":4078138,"depreciation":16371635},"other_land_buildings":{"other_cost_or_other_basis":3333690,"book_value":1310598,"depreciation":2023092},"total_book_value":32013524},"securities":{"other_securities":[{"description":"BENEFICIAL INT. 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TAX YEARS FROM 2009 THROUGH THE CURRENT YEAR ARE OPEN FOR EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES."},{"identifier":"SUPPLEMENTAL FINANCIAL INFORMATION","form_and_line_reference":"SCHEDULE D, PAGE 4, PART XIII","explanation":"PART V, LINE IV: UNDER THE POLICY OF THE ORGANIZATION, THE ENDOWMENT ASSETS ARE INVESTED CONSERVATIVELY WITH THE INTENT OF PROVIDING A PREDICTABLE STREAM OF FUNDING TO THE ORGANIZATION FOR PURCHASES OF CAPITAL, EXPANSION PROJECTS AND TO SUPPLEMENT GENERAL 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D GOODALL HOSPITAL INC"}],"other_health_care_facility_count":9,"other_health_care_facilities":[{"business_name_line1":"NEWTON CENTER (ELDER CARE)","address_line1":"35 JULY STREET","city":"SANFORD","state":"ME","zip":"04073","facility_type":"NURSING HOME","name":"NEWTON CENTER (ELDER CARE)","address":"35 JULY STREET, SANFORD, ME, 04073"},{"business_name_line1":"GOODALL HEALTH PARTNERS","address_line1":"25 JUNE STREET","city":"SANFORD","state":"ME","zip":"04073","facility_type":"PHYSICIAN PRACTICES","name":"GOODALL HEALTH PARTNERS","address":"25 JUNE STREET, SANFORD, ME, 04073"},{"business_name_line1":"WELLNESS CENTER","address_line1":"13 JULY STREET","city":"SANFORD","state":"ME","zip":"04073","facility_type":"CLINIC","name":"WELLNESS CENTER","address":"13 JULY STREET, SANFORD, ME, 04073"},{"business_name_line1":"GOODALL HEALTH PARTNERS","address_line1":"10 GOODALL DRIVE","city":"EAST WATERBORO","state":"ME","zip":"04070","facility_type":"PHYSICIAN PRACTICES","name":"GOODALL HEALTH PARTNERS","address":"10 GOODALL DRIVE, EAST WATERBORO, ME, 04070"},{"business_name_line1":"GOODALL HEALTH PARTNERS","address_line1":"272 COTTAGE STREET","city":"SANFORD","state":"ME","zip":"04073","facility_type":"PHYSICIAN PRACTICES","name":"GOODALL HEALTH PARTNERS","address":"272 COTTAGE STREET, SANFORD, ME, 04073"},{"business_name_line1":"THE MEDICAL GROUP","address_line1":"2 LIVEWELL DRIVE","city":"KENNEBUNK","state":"ME","zip":"04043","facility_type":"PHYSICIAN PRACTICES","name":"THE MEDICAL GROUP","address":"2 LIVEWELL DRIVE, KENNEBUNK, ME, 04043"},{"business_name_line1":"COMMUNITY SERVICES","address_line1":"15 DAIGLE STREET","city":"SANFORD","state":"ME","zip":"04073","facility_type":"COMMUNITY PROGRAMS","name":"COMMUNITY SERVICES","address":"15 DAIGLE STREET, SANFORD, ME, 04073"},{"business_name_line1":"OCCUPATIONAL HEALTH SERVICES","address_line1":"2 LIVEWELL DRIVE","city":"KENNEBUNK","state":"ME","zip":"04043","facility_type":"CLINIC","name":"OCCUPATIONAL HEALTH SERVICES","address":"2 LIVEWELL DRIVE, KENNEBUNK, ME, 04043"},{"business_name_line1":"GOODALL HEALTH CLINICS","address_line1":"2 LIVEWELL DRIVE","city":"KENNEBUNK","state":"ME","zip":"04043","facility_type":"CLINIC","name":"GOODALL HEALTH CLINICS","address":"2 LIVEWELL DRIVE, KENNEBUNK, ME, 04043"}],"supplemental_information":[{"form_and_line_reference":"PART I LINE 7","explanation":"THE COSTING METHODOLOGY FOR THE AMOUNTS REPORTED IN PART I LINE 7 OF THE SCHEDULE H IS BASED ON A RATIO OF PATIENT CARE COST TO CHARGES THIS COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 RATIO OF PATIENT CARE COSTTO CHARGES PROVIDED IN THE INSTRUCTIONS FOR SCHEDULE H"},{"form_and_line_reference":"PART III LINE 4","explanation":"HENRIETTA D GOODALL HOSPITAL DOES NOT HAVE A SPECIFIC FOOTNOTE IN THE FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE HENRIETTA D GOODALL HOSPITAL REPORTS ACCOUNTS RECEIVABLE FOR SERVICES RENDERED NET OF ALLOWANCES FOR CONTRACTUAL ADJUSTMENTS THIRD PARTY REIMBURSING AGENCIES FREE CARE AND BAD DEBTS A BAD DEBT ALLOWANCE IS ESTABLISHED FOR ACCOUNTS THE HOSPITAL BELIEVES WILL BECOME UNCOLLECTIBLE THE ALLOWANCE IS ESTABLISHED BY EXAMINING HISTORICAL DATA AGING TRENDS OF COMMERCIAL INSURANCE AND SELFPAY BALANCES AND ECONOMIC TRENDS THE OFFSET TO THE ALLOWANCE ACCOUNT IS TO BAD DEBT EXPENSE ON THE STATEMENT OF OPERATIONS RECOVERIES ON ACCOUNTS PREVIOUSLY WRITTEN OFF ARE ACCOUNTED FOR ON A CASH BASIS AND ARE APPLIED DIRECTLY TO THE PROVISION FOR BAD DEBTS ON THE STATEMENT OF OPERATIONS AMOUNTS WRITTEN OFF OR RECOVERED FROM BAD DEBTS DURING THE YEAR ARE CHARGED AGAINST THE ALLOWANCE ACCOUNT ON THE BALANCE SHEET BAD DEBT EXPENSE REPRESENTS HEALTHCARE SERVICES HENRIETTA D GOODALL HOSPITAL HAS PROVIDED WITHOUT COMPENSATION AS A TAX EXEMPT HOSPITAL HENRIETTA D GOODALL HOSPITAL PROVIDES NECESSARY PATIENT CARE REGARDLESS OF THE PATIENTS ABILITY TO PAY FOR THE SERVICES A PORTION OF HENRIETTA D GOODALL 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 HENRIETTA D GOODALL 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 HOSPITALS 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 LEVELS THEY DO NOT QUALIFY FOR FREE CARE BY PROVIDING NECESSARY HEALTHCARE SERVICES TO THOSE INDIVIDUALS WHO FAIL TO APPLY FOR FINANCIAL ASSISTANCE OR WHO ARE EXPERIENCING PERSONAL OR ECONOMIC CIRCUMSTANCES HENRIETTA D GOODALL HOSPITAL BELIEVES THAT BAD DEBT EXPENSE SHOULD BE INCLUDED AS A COMMUNITY BENEFIT"},{"form_and_line_reference":"PART III LINE 8","explanation":"MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST TO CHARGE RATIO HENRIETTA D GOODALL HOSPITAL BELIEVES THAT THE MEDICARE SHORTFALL SHOULD BE INCLUDED AS A COMMUNITY BENEFIT BECAUSE GOODALL HOSPITAL HAS A CLEAR MISSION COMMITTMENT TO SERVING ELDERLY PATIENTS AND ADULTS WITH DISABILITIES THROUGH THE PROVISION OF SPECIFIC SUBSIDIZED PROGRAMS DEVELOPED TO HELP IMPROVE THE HEALTH STATUS OF THESE PATIENTS IF THESE CRITICAL SUBSIDIZED PROGRAMS WERE NOT PROVIDED BY H D GOODALL HOSPITAL THEY WOULD BECOME THE OBLIGATION OF THE FEDERAL GOVERNMENT"},{"form_and_line_reference":"PART VI","explanation":"GOODALL HOSPITALS BOARD OF TRUSTEES IS MADE UP OF A DIVERSE GROUP OF COMMUNITY MEMBERS THE BOARD OF TRUSTEES REQUIRES A THOROUGH COMMUNITY NEEDS ASSESSMENT ON BEHALF OF THE ORGANIZATION AND DIRECTS THE ORGANIZATION TO ANALYZE AND RESPOND TO THE CURRENT NEEDS ASSESSMENT MAINEHEALTH ALSO PARTICIPATES IN VARIOUS INITIATIVES TO HELP SUPPORT AND PROVIDE UPDATES TO COMMUNITY NEEDS ASSESSMENT PLANNING SOME OF THESE INITIATIVES INCLUDE CLINICAL STARTEGIC PLANNING FINANCIAL 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 THE CURRENT COMMUNITY NEEDS ASSESSMENT WAS OBTAINED THROUGH PARTICIPATING WITH MAINEHEALTH GOODALLSS PARENT COMPANY AND ITS PARTNERS IN THE ONEMAINE HEALTH COLLABORATIVE EASTERN MAINE HEALTH SYSTEM AND MAINEGENERAL HEALTH THE ONEMAINE HEALTH COMMUNTIY NEEDS ASSESSMENT REPORT WAS RELEASED IN MARCH 2011 THE REPORT IS A COMPREHENSIVE COMPILATION AND ANALYSIS CONTAINING PRIMARY AND SECONDARY HEALTH DATA SOURCES THE REPORT CONTAINS 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 PLANS CALL FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT TO BE REPLICATED EVERY THREE YEARS MAINEHEALTH WILL HOLD COMMUNITY FORUMS IN PARTNERSHIP WITH EACH MEMBERAND AFFILIATE HOSPITAL IN ORDER TO INCREASE UNDERSTANDING AND USE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND TO INFORM IDENTIFICATION AND ACTION ON LOCAL COMMUNITYBASED HEALTH PRIORITIES"},{"form_and_line_reference":"PART VI","explanation":"GOODALL HOSPITAL EMPLOYS A FINANCIAL COUNSELOR WHO ASSISTS AND EDUCATES PATIENTS AND THEIR FAMILIES ON FINANCIAL MATTERS CONCERNING THE HOSPITAL CHARITY CARE POLICY AND ELIGIBILITY FOR STATE AND FEDERAL PROGRAMS THIS ASSISTANCE CAN BE AS SPECIFIC AS ASSISTING THE PATIENT ANDOR FAMILIES IN COMPLETING THE VARIOUS FORMS REQUIRED BY MEDICAID AND MEDICARE POSTING OF THE FINANCIAL ASSISTANCE CONTACT INFORMATION IS PRESENT IN ADMISSION AREAS EMERGENCY ROOMS AND OTHER AREAS OF THE ORGANIZATIONS FACILITIES WHERE ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT PATIENT BILLS INCLUDE A SUMMARY OF THE POLICY ALONG WITH FINANCIAL ASSITANCE CONTACT INFORMATION GOODALL HOSPITAL WORKS WITH GOODALLSS SELF PAY PATIENTS ADVANCED PATIENT ADVOCACY PROGRAM THAT SCREEN FOR ALL INPATIENT AND OUTPATIENTS THAT MEET THE APPROPRIATE CRITERIA THIS PROGRAM EFFECTIVELY EDUCATES PATIENTS ABOUT THEIR COVERAGE OPTIONS NAVIGATE COMPLEX PROGRAM CRITERIA AND ENROLL MORE UNINSURED IN PROGRAMS THAT BEST MATCH THEIR NEEDS THE HOSPITALS SENIOR ADVOCATE PROGRAM PROVIDES FREE ADVICES AND SERVICES TO THE ELDERLY MEMBERS OF THE COMMUNITY THIS PROGRAM IS DESIGNED TO BE A CENTRAL POINT OF ACCESS FOR SENIOR CITIZENS TO OBTAIN INFORMATION RESOURCES AND ADVOCACY PROGRAM RESOURCES INCLUDE BUT ARE NOT LIMITED TO MEDICARE RETIREMENT PLANNING HOUSING FINANCIAL ASSISTANCE INSURANCE COUNSELING FRAUD PROTECTION AS WELL AS COMPREHENSIVE ELIGIBLITY SCREENING FROM A HOST OF GOVERNMENT STATE ASSISTANCE PROGRAMS AND OTHER LOCAL FUNDING SOURCES GOODALLS PRESCRIPTION ASSISTANCE PROGRAM IS DESIGNED TO ASSIST THOSE WHO DO NOT QUALIFY FOR OTHER TRADITIONAL ASSISTANCE PROGRAMS SUCH AS MEDICARE PART D OR MAINECARE BUT WHOSE FINANCIAL SITUATION QUALIFIES THEM TO RECEIVE SUPPORT THE COORDINATOR SERVES AS A LIASON BETWEEN THE HEALTHCARE PROVIDER PHARMACEUTICAL COMPANIES AND THE PATIENT THE GOALS OF THIS PROGRAM ARE TO ASSIST INDIVIDUALS WITHOUT PRESCRIPTION DRUG COVERAGE IN NAVIGATING THE SYSTEM OBTAINING THEIR PRESCRIBED MEDICATIONS AND DEVELOPING LONGTERM SOLUTIONS TOWARDS ACQUIRING MEDICATIONS IN THE FUTURE"},{"form_and_line_reference":"PART VI","explanation":"GOODALL HOSPITAL SERVICES THE POPULATION OF WESTERN YORK COUNTY MAINE SANFORD IS THE TOWN WITH THE LARGEST POPULATION IN THE HOSPITALS SERVICE AREA WITH A POPULATION OF APPROXIMATELY 21000 WITH AN ELDERLY POPULATION RATE OF 15 AND FAMILIES REPRESENTING 64 OF THIS POPULATION WITH 93 BEING CAUCASIAN THE HOSPITALS MEDICAID VOLUME IS 18 AND IS AMONGST THE HIGHEST IN THE STATE AND REFLECTS THE HIGH PERCENTAGE OF FAMILIES WITH INCOME LESS THAN 100 OF THE FEDERAL POVERTY LEVEL SANFORDS POVERTY RATE IS 17 WHILE THE STATE OF MAINE IS AT 12 72 OF SANFORDS ELEMENTARY SCHOOL CHILDREN ARE ELIGIBLE TO RECEIVE FREE OR SUBSIDIZED MEALS"},{"form_and_line_reference":"PART VI","explanation":"A MAJORITY OF THE ORGANIZATIONS GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATIONS PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION NOR FAMILY MEMBERS THEREOF OUR DIRECTORSMANAGERSCOORDINATORS AND EMPLOYEES OF GOODALL HOSPITAL ARE ENCOURAGED TO PARTICIPATE IN THE COMMUNITYS ACTIVIES AND SUPPORT GROUPS THAT BENEFIT THE COMMUNITY AT LARGE EXAMPLES OF THESE ACTIVITIES ARE AS FOLLOWS COLLABORATING WITH THE TOWN LIBRARY TO PRESENT EVENTS AROUND HEALTH AND LITERACY OF THE PERSONS SUPPORT INTRODUCE AND COACH FAMILIES TO PROGRAMS IN WHICH THEY CAN UNDERSTAND THEIR OWN HEALTH AND SAFETY WHICH RESULT ON A FOCUS ON REDUCING PREVENTABLE ILLNESSES AND INJURIES THUS REDUCING HEALTHCARE TREATMENT COSTS AND IMPROVING LIVES LINKING FAMILIES WITH OTHER FAMILIES THAT ARE EXPERIENCING SIMILAR LIFE CIRCUMSTANCES THROUGH COMMUNITY EVENTS THAT INCLUDE THE PARENT AND CHILD PARTICIPATION LEAD SCREENING AND PREVENTION EDUCATION TEST KIT MAILERS AND INFORMATION TO ALERT THE COMMUNITIES OF THE IMPORTANCE OF LEASE TESTING AND TREATMENT IF APPROPRIATE AT YOUNG AGES"},{"form_and_line_reference":"PART VI","explanation":"MAINEHEALTH IS A NOTFORPROFIT FAMILY OF LEADING HIGHQUALITY PROVIDERS AND OTHER HEALTHCARE ORGANIZATIONS WORKING TOGETHER SO THEIR COMMUNITIES ARE THE HEALTHIEST IN AMERICA RANKED AMONG THE NATIONS TOP 100 INTEGRATED HEALTHCARE DELIVERY NETWORKS MAINEHEALTH IS GOVERNED BY A BOARD OF TRUSTEES CONSISTING OF COMMUNITY AND BUSINESS LEADERS FROM ITS SOUTHERN CENTRAL AND WESTERN REGIONAL SERVICE AREAS THE COLLABORATION OF MAINEHEALTH MEMBERS MAKES IT POSSIBLE TO OFFER A EXTENSIVE RANGE OF CLINICAL INTEGRATION AND COMMUNITY HEALTH PROGRAMS MANY AIMED AT IMPROVING ACCESS TO PREVENTATIVE AND PRIMARY CARE SERVICES MAINEHEALTH INCLUDES THE FOLLOWING MEMBER ORGANIZATIONS LINCOLN COUNTY HEALTHCARE MAINE MEDICAL CENTER MAINE MENTAL HEALTH PARTNERS SPRING HARBOR HOSPITAL PEN BAY HEALTHCARE PEN BAY MEDICAL CENTER SOUTHERN MAINE MEDICAL CENTER HENRIETTA D GOODALL HOSPITAL WALDO COUNTY HEALTHCARE WALDO COUNTY GENERAL HOSPITAL WESTERN MAINE HEALTH CARE STEPHENS MEMORIAL HOSPITAL HOMEHEALTH VISITING NURSES OF SOUTHERN MAINE MAINE PHYSICIAN HOSPITAL ORGANIZATION NORDX LABS SYNERNET MAINEHEALTH ACCOUNTABLE CARE ORGANIZATION AND MAINEHEALTH CARDIOLOGY AFFILIATES OF MAINEHEALTH INCLUDE MAINEGENERAL MEDICAL CENTER MID COAST HOSPITAL NEW ENGLAND REHABILITATION HOSPITAL OF PORTLAND AND ST MARYS REGIONAL HOSPITAL"},{"form_and_line_reference":"PART VI","explanation":"MAINE"},{"form_and_line_reference":"PART V LINE 3","explanation":"OVER 3100 YORK DISTRICT RESIDENTS PARTICIPATED IN THIS PROCESS EITHER BY RESPONDING TO A COUNTYWIDE SURVEY ANDOR PARTICIPATING IN COMMUNITY MEETINGS TO IDENTIFY KEY HEALTH ISSUES AND COMMUNITY CONCERNS THIS INFORMATION WAS COLLECTED TO INFORM THE DEVELOPMENT OF COMMUNITY HEALTH IMPROVEMENT PLAN THAT MAXIMIZES RESOURCES TAKES INTO ACCOUNT UNIQUE CIRCUMSTANCES AND NEEDS AND FORMS EFFECTIVE PARTNERSHIPS FOR STRATEGIC ACTION"},{"form_and_line_reference":"PART V LINE 5C","explanation":"THE ASSESSMENT WAS ALSO MADE AVAILABLE THROUGH OTHER NONHOSPITAL FACILITIES AND ON THE WEB HTTPWWWCTBHORGDOCUMENTSYORKDISTRICTSTRATEGICPLANAPRIL2011PDF"},{"form_and_line_reference":"PART V LINE 20D","explanation":"THE HOSPITAL USES COST AS THE BASIS FOR MARKUP THE MARKUP TO CHARGE INCLUDES DIFFERING PERCENTAGES BASED ON A TIER COSTING SYSTEM"}]},"ScheduleJ":{"compensation_process":{"compensation_committee":true,"independent_consultant":true,"written_employment_contract":true,"compensation_survey_or_study":true,"board_or_committee_approval":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":false,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"JOHN THOMPSON DO","title":"TRUSTEE","base_compensation_filing_org":492596,"deferred_compensation_filing_org":2500,"nontaxable_benefits_filing_org":21840,"total_compensation_filing_org":516936,"name":"JOHN THOMPSON 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FORGUES","title":"CFO","base_compensation_filing_org":195795,"bonus_filing_org":20000,"deferred_compensation_filing_org":2046,"nontaxable_benefits_filing_org":10095,"total_compensation_filing_org":227936,"name":"DANIEL D FORGUES"},{"person_name":"PETER L CLARK DO","title":"PHYSICIAN","base_compensation_filing_org":352468,"deferred_compensation_filing_org":2500,"nontaxable_benefits_filing_org":20050,"total_compensation_filing_org":375018,"name":"PETER L CLARK DO"},{"person_name":"JONATHAN P SHILL MDPHD","title":"PHYSICIAN","base_compensation_filing_org":312533,"bonus_filing_org":20000,"deferred_compensation_filing_org":3750,"nontaxable_benefits_filing_org":2979,"total_compensation_filing_org":339262,"name":"JONATHAN P SHILL MDPHD"},{"person_name":"NINA SHERVIN MD","title":"PHYSICIAN","base_compensation_filing_org":327988,"deferred_compensation_filing_org":2500,"nontaxable_benefits_filing_org":6278,"total_compensation_filing_org":336766,"name":"NINA SHERVIN MD"},{"person_name":"STEVEN E 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Goodall hospital's, inc.'s mission is to serve as a leader in improving the health and well-being of its community. Henrietta d. Goodall hospital, inc. Owns and operates h. D. Goodall hospital, inc. (acute care hospital), goodall health partners (a multi-specialty physicial and surgeon group), the medical group (a mult-specialty physician and surgeon group, goodall outpatient clinic (a facility where a variety of outpatient services are performed), goodall outpatient services-waterboro and goodall eldercare services (a long term care facility) in york county. York county consists of 18 towns and cities located on the southern maine coast with a population of over 200,000. Henrietta d. Goodall hospital, inc. Furthers its mission as a leader in improving the health and well-being of the community and provides access to needed healthcare services 365 days a year, 24 hours a day.","primary_activities":"Goodall hospital is a 58 bed hospital which strives to meet the health care needs of individuals and families throughout york county. Goodall hospital offers a broad range of medical, surgical, diagnostic, clinical and rehabilitation services, wellness education, support groups and other community outreach programs. Goodall hospital had 21,394 emergency rooms visits, 46,963 radiology procedures, 371,628 laboratory procedures, 149 infants born, and 2,506 surgery cases. Goodall hospital provided 1,729,454 in charity care to the community. This includes patients who are underinsured or those without any insurance. In addition to the charitable care services, we are continually absorbing all the costs (continued on schedule o) associated with providing the community with a variety of special complimentary educational and informational services. Goodall proudly sponsors community organizations, school groups, civic organizations and special events (like the local baseball team). Goodall hospital sponsors two to four free education events each month of the year along with dozens of support groups. Goodall hospital also routinely participates in health fairs and business events, performing blood pressure checks, cholesterol screenings and CPR training. Goodall hospital's senior advocate provides free advice and services to elderly members of the community. Services include help with insurance and medical issues, as well as personal issues including tax information, finances and home needs.\n\nGoodall health partners consists of many physicians with multi-specialty services in different locations throughout york county. These physicians compliment the hospital in maintaining its missions to serve as a leader in improving the health and well-being of our community by serving the populous. These specialties include (but are not limited to) cardiology, ear nose and throat, family practices, women's health, internal medicine, pediatrics, ortho and general surgery. Goodall health partners provided 44,569 in charity care to the community. The number of patients seen were 21,413 for a total number of visits of 60,122.\n\nGoodall hospital eldercare services provide long-term care, medical services and daycare to our senior citizens. Eldercare had a total of 39,238 patient days. We continue to grow and adapt to the needs of our community with this service. Goodall hospital eldercare prides themselves by creating a home-like, comfortable environment for the residents and staff. The newton center for rehabilitation and nursing care promotes high quality care; with dedicated staff, family education and involvement make this program special. Goodall hospital eldercare services provided 14,456 in charity care to the community.\n\nThe medical group consists of many physicians with multi-specialty services that extend goodall hospital's existing services to kennebunk, me. These physicians complement the hospital in maintaining its mission to serve as a leader in improving the health and well-being of our community. These services include (but are not limited to) full service primary care, women's health, gastroenterology, pulmonary medicine, orthopedics and pain management. The medical group provided 12,846 in charity care to the community. The number of patients seen were 10,855 for a total number of 27,633 patient days.\n\nHenrietta d. Goodall hospital's, inc.'s mission is to serve as a leader in improving the health and well-being of its community. Henrietta d. Goodall hospital, inc. Owns and operates h. D. Goodall hospital, inc. (acute care hospital), goodall health partners (a multi-specialty physicial and surgeon group), the medical group (a mult-specialty physician and surgeon group, goodall outpatient clinic (a facility where a variety of outpatient services are performed), goodall outpatient services-waterboro and goodall eldercare services (a long term care facility) in york county. York county consists of 18 towns and cities located on the southern maine coast with a population of over 200,000. Henrietta d. Goodall hospital, inc. Furthers its mission as a leader in improving the health and well-being of the community and provides access to needed healthcare services 365 days a year, 24 hours a day.\n\nAssociated with providing the community with a variety of special complimentary educational and informational services. Goodall proudly sponsors community organizations, school groups, civic organizations and special events (like the local baseball team). Goodall hospital sponsors two to four free education events each month of the year along with dozens of support groups. Goodall hospital also routinely participates in health fairs and business events, performing blood pressure checks, cholesterol screenings and CPR training. Goodall hospital's senior advocate provides free advice and services to elderly members of the community. 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GOODALL HOSPITAL ALSO ROUTINELY PARTICIPATES IN HEALTH FAIRS AND BUSINESS EVENTS, PERFORMING BLOOD PRESSURE CHECKS, CHOLESTEROL SCREENINGS AND CPR TRAINING. GOODALL HOSPITAL'S SENIOR ADVOCATE PROVIDES FREE ADVICE AND SERVICES TO ELDERLY MEMBERS OF THE COMMUNITY. SERVICES INCLUDE HELP WITH INSURANCE AND MEDICAL ISSUES, AS WELL AS PERSONAL ISSUES INCLUDING TAX INFORMATION, FINANCES AND HOME NEEDS.","expense":49658152,"revenue":63058668},{"description":"GOODALL HEALTH PARTNERS CONSISTS OF MANY PHYSICIANS WITH MULTI-SPECIALTY SERVICES IN DIFFERENT LOCATIONS THROUGHOUT YORK COUNTY. THESE PHYSICIANS COMPLIMENT THE HOSPITAL IN MAINTAINING ITS MISSIONS TO SERVE AS A LEADER IN IMPROVING THE HEALTH AND WELL-BEING OF OUR COMMUNITY BY SERVING THE POPULOUS. THESE SPECIALTIES INCLUDE (BUT ARE NOT LIMITED TO) CARDIOLOGY, EAR NOSE AND THROAT, FAMILY PRACTICES, WOMEN'S HEALTH, INTERNAL MEDICINE, PEDIATRICS, ORTHO AND GENERAL SURGERY. 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TAX YEARS FROM 2009 THROUGH THE CURRENT YEAR ARE OPEN FOR EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES."},{"identifier":"SUPPLEMENTAL FINANCIAL INFORMATION","form_and_line_reference":"SCHEDULE D, PAGE 4, PART XIII","explanation":"PART V, LINE IV: UNDER THE POLICY OF THE ORGANIZATION, THE ENDOWMENT ASSETS ARE INVESTED CONSERVATIVELY WITH THE INTENT OF PROVIDING A PREDICTABLE STREAM OF FUNDING TO THE ORGANIZATION FOR PURCHASES OF CAPITAL, EXPANSION PROJECTS AND TO SUPPLEMENT GENERAL 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D GOODALL HOSPITAL INC"}],"other_health_care_facility_count":9,"other_health_care_facilities":[{"business_name_line1":"NEWTON CENTER (ELDER CARE)","address_line1":"35 JULY STREET","city":"SANFORD","state":"ME","zip":"04073","facility_type":"NURSING HOME","name":"NEWTON CENTER (ELDER CARE)","address":"35 JULY STREET, SANFORD, ME, 04073"},{"business_name_line1":"GOODALL HEALTH PARTNERS","address_line1":"25 JUNE STREET","city":"SANFORD","state":"ME","zip":"04073","facility_type":"PHYSICIAN PRACTICES","name":"GOODALL HEALTH PARTNERS","address":"25 JUNE STREET, SANFORD, ME, 04073"},{"business_name_line1":"WELLNESS CENTER","address_line1":"13 JULY STREET","city":"SANFORD","state":"ME","zip":"04073","facility_type":"CLINIC","name":"WELLNESS CENTER","address":"13 JULY STREET, SANFORD, ME, 04073"},{"business_name_line1":"GOODALL HEALTH PARTNERS","address_line1":"10 GOODALL DRIVE","city":"EAST WATERBORO","state":"ME","zip":"04070","facility_type":"PHYSICIAN PRACTICES","name":"GOODALL HEALTH PARTNERS","address":"10 GOODALL DRIVE, EAST WATERBORO, ME, 04070"},{"business_name_line1":"GOODALL HEALTH PARTNERS","address_line1":"272 COTTAGE STREET","city":"SANFORD","state":"ME","zip":"04073","facility_type":"PHYSICIAN PRACTICES","name":"GOODALL HEALTH PARTNERS","address":"272 COTTAGE STREET, SANFORD, ME, 04073"},{"business_name_line1":"THE MEDICAL GROUP","address_line1":"2 LIVEWELL DRIVE","city":"KENNEBUNK","state":"ME","zip":"04043","facility_type":"PHYSICIAN PRACTICES","name":"THE MEDICAL GROUP","address":"2 LIVEWELL DRIVE, KENNEBUNK, ME, 04043"},{"business_name_line1":"COMMUNITY SERVICES","address_line1":"15 DAIGLE STREET","city":"SANFORD","state":"ME","zip":"04073","facility_type":"COMMUNITY PROGRAMS","name":"COMMUNITY SERVICES","address":"15 DAIGLE STREET, SANFORD, ME, 04073"},{"business_name_line1":"OCCUPATIONAL HEALTH SERVICES","address_line1":"2 LIVEWELL DRIVE","city":"KENNEBUNK","state":"ME","zip":"04043","facility_type":"CLINIC","name":"OCCUPATIONAL HEALTH SERVICES","address":"2 LIVEWELL DRIVE, KENNEBUNK, ME, 04043"},{"business_name_line1":"GOODALL HEALTH CLINICS","address_line1":"2 LIVEWELL DRIVE","city":"KENNEBUNK","state":"ME","zip":"04043","facility_type":"CLINIC","name":"GOODALL HEALTH CLINICS","address":"2 LIVEWELL DRIVE, KENNEBUNK, ME, 04043"}],"supplemental_information":[{"form_and_line_reference":"PART I LINE 7","explanation":"THE COSTING METHODOLOGY FOR THE AMOUNTS REPORTED IN PART I LINE 7 OF THE SCHEDULE H IS BASED ON A RATIO OF PATIENT CARE COST TO CHARGES THIS COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 RATIO OF PATIENT CARE COSTTO CHARGES PROVIDED IN THE INSTRUCTIONS FOR SCHEDULE H"},{"form_and_line_reference":"PART III LINE 4","explanation":"HENRIETTA D GOODALL HOSPITAL DOES NOT HAVE A SPECIFIC FOOTNOTE IN THE FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE HENRIETTA D GOODALL HOSPITAL REPORTS ACCOUNTS RECEIVABLE FOR SERVICES RENDERED NET OF ALLOWANCES FOR CONTRACTUAL ADJUSTMENTS THIRD PARTY REIMBURSING AGENCIES FREE CARE AND BAD DEBTS A BAD DEBT ALLOWANCE IS ESTABLISHED FOR ACCOUNTS THE HOSPITAL BELIEVES WILL BECOME UNCOLLECTIBLE THE ALLOWANCE IS ESTABLISHED BY EXAMINING HISTORICAL DATA AGING TRENDS OF COMMERCIAL INSURANCE AND SELFPAY BALANCES AND ECONOMIC TRENDS THE OFFSET TO THE ALLOWANCE ACCOUNT IS TO BAD DEBT EXPENSE ON THE STATEMENT OF OPERATIONS RECOVERIES ON ACCOUNTS PREVIOUSLY WRITTEN OFF ARE ACCOUNTED FOR ON A CASH BASIS AND ARE APPLIED DIRECTLY TO THE PROVISION FOR BAD DEBTS ON THE STATEMENT OF OPERATIONS AMOUNTS WRITTEN OFF OR RECOVERED FROM BAD DEBTS DURING THE YEAR ARE CHARGED AGAINST THE ALLOWANCE ACCOUNT ON THE BALANCE SHEET BAD DEBT EXPENSE REPRESENTS HEALTHCARE SERVICES HENRIETTA D GOODALL HOSPITAL HAS PROVIDED WITHOUT COMPENSATION AS A TAX EXEMPT HOSPITAL HENRIETTA D GOODALL HOSPITAL PROVIDES NECESSARY PATIENT CARE REGARDLESS OF THE PATIENTS ABILITY TO PAY FOR THE SERVICES A PORTION OF HENRIETTA D GOODALL 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 HENRIETTA D GOODALL 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 HOSPITALS 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 LEVELS THEY DO NOT QUALIFY FOR FREE CARE BY PROVIDING NECESSARY HEALTHCARE SERVICES TO THOSE INDIVIDUALS WHO FAIL TO APPLY FOR FINANCIAL ASSISTANCE OR WHO ARE EXPERIENCING PERSONAL OR ECONOMIC CIRCUMSTANCES HENRIETTA D GOODALL HOSPITAL BELIEVES THAT BAD DEBT EXPENSE SHOULD BE INCLUDED AS A COMMUNITY BENEFIT"},{"form_and_line_reference":"PART III LINE 8","explanation":"MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST TO CHARGE RATIO HENRIETTA D GOODALL HOSPITAL BELIEVES THAT THE MEDICARE SHORTFALL SHOULD BE INCLUDED AS A COMMUNITY BENEFIT BECAUSE GOODALL HOSPITAL HAS A CLEAR MISSION COMMITTMENT TO SERVING ELDERLY PATIENTS AND ADULTS WITH DISABILITIES THROUGH THE PROVISION OF SPECIFIC SUBSIDIZED PROGRAMS DEVELOPED TO HELP IMPROVE THE HEALTH STATUS OF THESE PATIENTS IF THESE CRITICAL SUBSIDIZED PROGRAMS WERE NOT PROVIDED BY H D GOODALL HOSPITAL THEY WOULD BECOME THE OBLIGATION OF THE FEDERAL GOVERNMENT"},{"form_and_line_reference":"PART VI","explanation":"GOODALL HOSPITALS BOARD OF TRUSTEES IS MADE UP OF A DIVERSE GROUP OF COMMUNITY MEMBERS THE BOARD OF TRUSTEES REQUIRES A THOROUGH COMMUNITY NEEDS ASSESSMENT ON BEHALF OF THE ORGANIZATION AND DIRECTS THE ORGANIZATION TO ANALYZE AND RESPOND TO THE CURRENT NEEDS ASSESSMENT MAINEHEALTH ALSO PARTICIPATES IN VARIOUS INITIATIVES TO HELP SUPPORT AND PROVIDE UPDATES TO COMMUNITY NEEDS ASSESSMENT PLANNING SOME OF THESE INITIATIVES INCLUDE CLINICAL STARTEGIC PLANNING FINANCIAL 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 THE CURRENT COMMUNITY NEEDS ASSESSMENT WAS OBTAINED THROUGH PARTICIPATING WITH MAINEHEALTH GOODALLSS PARENT COMPANY AND ITS PARTNERS IN THE ONEMAINE HEALTH COLLABORATIVE EASTERN MAINE HEALTH SYSTEM AND MAINEGENERAL HEALTH THE ONEMAINE HEALTH COMMUNTIY NEEDS ASSESSMENT REPORT WAS RELEASED IN MARCH 2011 THE REPORT IS A COMPREHENSIVE COMPILATION AND ANALYSIS CONTAINING PRIMARY AND SECONDARY HEALTH DATA SOURCES THE REPORT CONTAINS 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 PLANS CALL FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT TO BE REPLICATED EVERY THREE YEARS MAINEHEALTH WILL HOLD COMMUNITY FORUMS IN PARTNERSHIP WITH EACH MEMBERAND AFFILIATE HOSPITAL IN ORDER TO INCREASE UNDERSTANDING AND USE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND TO INFORM IDENTIFICATION AND ACTION ON LOCAL COMMUNITYBASED HEALTH PRIORITIES"},{"form_and_line_reference":"PART VI","explanation":"GOODALL HOSPITAL EMPLOYS A FINANCIAL COUNSELOR WHO ASSISTS AND EDUCATES PATIENTS AND THEIR FAMILIES ON FINANCIAL MATTERS CONCERNING THE HOSPITAL CHARITY CARE POLICY AND ELIGIBILITY FOR STATE AND FEDERAL PROGRAMS THIS ASSISTANCE CAN BE AS SPECIFIC AS ASSISTING THE PATIENT ANDOR FAMILIES IN COMPLETING THE VARIOUS FORMS REQUIRED BY MEDICAID AND MEDICARE POSTING OF THE FINANCIAL ASSISTANCE CONTACT INFORMATION IS PRESENT IN ADMISSION AREAS EMERGENCY ROOMS AND OTHER AREAS OF THE ORGANIZATIONS FACILITIES WHERE ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT PATIENT BILLS INCLUDE A SUMMARY OF THE POLICY ALONG WITH FINANCIAL ASSITANCE CONTACT INFORMATION GOODALL HOSPITAL WORKS WITH GOODALLSS SELF PAY PATIENTS ADVANCED PATIENT ADVOCACY PROGRAM THAT SCREEN FOR ALL INPATIENT AND OUTPATIENTS THAT MEET THE APPROPRIATE CRITERIA THIS PROGRAM EFFECTIVELY EDUCATES PATIENTS ABOUT THEIR COVERAGE OPTIONS NAVIGATE COMPLEX PROGRAM CRITERIA AND ENROLL MORE UNINSURED IN PROGRAMS THAT BEST MATCH THEIR NEEDS THE HOSPITALS SENIOR ADVOCATE PROGRAM PROVIDES FREE ADVICES AND SERVICES TO THE ELDERLY MEMBERS OF THE COMMUNITY THIS PROGRAM IS DESIGNED TO BE A CENTRAL POINT OF ACCESS FOR SENIOR CITIZENS TO OBTAIN INFORMATION RESOURCES AND ADVOCACY PROGRAM RESOURCES INCLUDE BUT ARE NOT LIMITED TO MEDICARE RETIREMENT PLANNING HOUSING FINANCIAL ASSISTANCE INSURANCE COUNSELING FRAUD PROTECTION AS WELL AS COMPREHENSIVE ELIGIBLITY SCREENING FROM A HOST OF GOVERNMENT STATE ASSISTANCE PROGRAMS AND OTHER LOCAL FUNDING SOURCES GOODALLS PRESCRIPTION ASSISTANCE PROGRAM IS DESIGNED TO ASSIST THOSE WHO DO NOT QUALIFY FOR OTHER TRADITIONAL ASSISTANCE PROGRAMS SUCH AS MEDICARE PART D OR MAINECARE BUT WHOSE FINANCIAL SITUATION QUALIFIES THEM TO RECEIVE SUPPORT THE COORDINATOR SERVES AS A LIASON BETWEEN THE HEALTHCARE PROVIDER PHARMACEUTICAL COMPANIES AND THE PATIENT THE GOALS OF THIS PROGRAM ARE TO ASSIST INDIVIDUALS WITHOUT PRESCRIPTION DRUG COVERAGE IN NAVIGATING THE SYSTEM OBTAINING THEIR PRESCRIBED MEDICATIONS AND DEVELOPING LONGTERM SOLUTIONS TOWARDS ACQUIRING MEDICATIONS IN THE FUTURE"},{"form_and_line_reference":"PART VI","explanation":"GOODALL HOSPITAL SERVICES THE POPULATION OF WESTERN YORK COUNTY MAINE SANFORD IS THE TOWN WITH THE LARGEST POPULATION IN THE HOSPITALS SERVICE AREA WITH A POPULATION OF APPROXIMATELY 21000 WITH AN ELDERLY POPULATION RATE OF 15 AND FAMILIES REPRESENTING 64 OF THIS POPULATION WITH 93 BEING CAUCASIAN THE HOSPITALS MEDICAID VOLUME IS 18 AND IS AMONGST THE HIGHEST IN THE STATE AND REFLECTS THE HIGH PERCENTAGE OF FAMILIES WITH INCOME LESS THAN 100 OF THE FEDERAL POVERTY LEVEL SANFORDS POVERTY RATE IS 17 WHILE THE STATE OF MAINE IS AT 12 72 OF SANFORDS ELEMENTARY SCHOOL CHILDREN ARE ELIGIBLE TO RECEIVE FREE OR SUBSIDIZED MEALS"},{"form_and_line_reference":"PART VI","explanation":"A MAJORITY OF THE ORGANIZATIONS GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATIONS PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION NOR FAMILY MEMBERS THEREOF OUR DIRECTORSMANAGERSCOORDINATORS AND EMPLOYEES OF GOODALL HOSPITAL ARE ENCOURAGED TO PARTICIPATE IN THE COMMUNITYS ACTIVIES AND SUPPORT GROUPS THAT BENEFIT THE COMMUNITY AT LARGE EXAMPLES OF THESE ACTIVITIES ARE AS FOLLOWS COLLABORATING WITH THE TOWN LIBRARY TO PRESENT EVENTS AROUND HEALTH AND LITERACY OF THE PERSONS SUPPORT INTRODUCE AND COACH FAMILIES TO PROGRAMS IN WHICH THEY CAN UNDERSTAND THEIR OWN HEALTH AND SAFETY WHICH RESULT ON A FOCUS ON REDUCING PREVENTABLE ILLNESSES AND INJURIES THUS REDUCING HEALTHCARE TREATMENT COSTS AND IMPROVING LIVES LINKING FAMILIES WITH OTHER FAMILIES THAT ARE EXPERIENCING SIMILAR LIFE CIRCUMSTANCES THROUGH COMMUNITY EVENTS THAT INCLUDE THE PARENT AND CHILD PARTICIPATION LEAD SCREENING AND PREVENTION EDUCATION TEST KIT MAILERS AND INFORMATION TO ALERT THE COMMUNITIES OF THE IMPORTANCE OF LEASE TESTING AND TREATMENT IF APPROPRIATE AT YOUNG AGES"},{"form_and_line_reference":"PART VI","explanation":"MAINEHEALTH IS A NOTFORPROFIT FAMILY OF LEADING HIGHQUALITY PROVIDERS AND OTHER HEALTHCARE ORGANIZATIONS WORKING TOGETHER SO THEIR COMMUNITIES ARE THE HEALTHIEST IN AMERICA RANKED AMONG THE NATIONS TOP 100 INTEGRATED HEALTHCARE DELIVERY NETWORKS MAINEHEALTH IS GOVERNED BY A BOARD OF TRUSTEES CONSISTING OF COMMUNITY AND BUSINESS LEADERS FROM ITS SOUTHERN CENTRAL AND WESTERN REGIONAL SERVICE AREAS THE COLLABORATION OF MAINEHEALTH MEMBERS MAKES IT POSSIBLE TO OFFER A EXTENSIVE RANGE OF CLINICAL INTEGRATION AND COMMUNITY HEALTH PROGRAMS MANY AIMED AT IMPROVING ACCESS TO PREVENTATIVE AND PRIMARY CARE SERVICES MAINEHEALTH INCLUDES THE FOLLOWING MEMBER ORGANIZATIONS LINCOLN COUNTY HEALTHCARE MAINE MEDICAL CENTER MAINE MENTAL HEALTH PARTNERS SPRING HARBOR HOSPITAL PEN BAY HEALTHCARE PEN BAY MEDICAL CENTER SOUTHERN MAINE MEDICAL CENTER HENRIETTA D GOODALL HOSPITAL WALDO COUNTY HEALTHCARE WALDO COUNTY GENERAL HOSPITAL WESTERN MAINE HEALTH CARE STEPHENS MEMORIAL HOSPITAL HOMEHEALTH VISITING NURSES OF SOUTHERN MAINE MAINE PHYSICIAN HOSPITAL ORGANIZATION NORDX LABS SYNERNET MAINEHEALTH ACCOUNTABLE CARE ORGANIZATION AND MAINEHEALTH CARDIOLOGY AFFILIATES OF MAINEHEALTH INCLUDE MAINEGENERAL MEDICAL CENTER MID COAST HOSPITAL NEW ENGLAND REHABILITATION HOSPITAL OF PORTLAND AND ST MARYS REGIONAL HOSPITAL"},{"form_and_line_reference":"PART VI","explanation":"MAINE"},{"form_and_line_reference":"PART V LINE 3","explanation":"OVER 3100 YORK DISTRICT RESIDENTS PARTICIPATED IN THIS PROCESS EITHER BY RESPONDING TO A COUNTYWIDE SURVEY ANDOR PARTICIPATING IN COMMUNITY MEETINGS TO IDENTIFY KEY HEALTH ISSUES AND COMMUNITY CONCERNS THIS INFORMATION WAS COLLECTED TO INFORM THE DEVELOPMENT OF COMMUNITY HEALTH IMPROVEMENT PLAN THAT MAXIMIZES RESOURCES TAKES INTO ACCOUNT UNIQUE CIRCUMSTANCES AND NEEDS AND FORMS EFFECTIVE PARTNERSHIPS FOR STRATEGIC ACTION"},{"form_and_line_reference":"PART V LINE 5C","explanation":"THE ASSESSMENT WAS ALSO MADE AVAILABLE THROUGH OTHER NONHOSPITAL FACILITIES AND ON THE WEB HTTPWWWCTBHORGDOCUMENTSYORKDISTRICTSTRATEGICPLANAPRIL2011PDF"},{"form_and_line_reference":"PART V LINE 20D","explanation":"THE HOSPITAL USES COST AS THE BASIS FOR MARKUP THE MARKUP TO CHARGE INCLUDES DIFFERING PERCENTAGES BASED ON A TIER COSTING SYSTEM"}]},"ScheduleJ":{"compensation_process":{"compensation_committee":true,"independent_consultant":true,"written_employment_contract":true,"compensation_survey_or_study":true,"board_or_committee_approval":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":false,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"JOHN THOMPSON DO","title":"TRUSTEE","base_compensation_filing_org":492596,"deferred_compensation_filing_org":2500,"nontaxable_benefits_filing_org":21840,"total_compensation_filing_org":516936,"name":"JOHN THOMPSON 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FORGUES","title":"CFO","base_compensation_filing_org":195795,"bonus_filing_org":20000,"deferred_compensation_filing_org":2046,"nontaxable_benefits_filing_org":10095,"total_compensation_filing_org":227936,"name":"DANIEL D FORGUES"},{"person_name":"PETER L CLARK DO","title":"PHYSICIAN","base_compensation_filing_org":352468,"deferred_compensation_filing_org":2500,"nontaxable_benefits_filing_org":20050,"total_compensation_filing_org":375018,"name":"PETER L CLARK DO"},{"person_name":"JONATHAN P SHILL MDPHD","title":"PHYSICIAN","base_compensation_filing_org":312533,"bonus_filing_org":20000,"deferred_compensation_filing_org":3750,"nontaxable_benefits_filing_org":2979,"total_compensation_filing_org":339262,"name":"JONATHAN P SHILL MDPHD"},{"person_name":"NINA SHERVIN MD","title":"PHYSICIAN","base_compensation_filing_org":327988,"deferred_compensation_filing_org":2500,"nontaxable_benefits_filing_org":6278,"total_compensation_filing_org":336766,"name":"NINA SHERVIN MD"},{"person_name":"STEVEN E 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