Rumford Hospital

“Business relationship: peter chalke, jeff brickman, r. David frum, philippe morissette, and david thompson have a business relationship through their employment with a related organization.”

“Members or stockholders: the member of the corporation shall be central maine healthcare corporation, a corporation duly organized under the laws of the state of maine. The member shall have the right to (a) approve the election of members of the board of directors, (b) remove members of the board of directors, and (c) approve certain decisions of the board of directors, as detailed in the bylaws of the corporation. There shall be nine (9) directors of the corporation who shall be entitled to vote one (1) of the nine (9) voting directors shall be appointed by the member, and the balance of voting directors shall be elected by the board of directors.”

“Form 990 review process: all affiliated form 990's and applicable schedules are prepared by an independent public accounting firm in cooperation with the finance department. The completed returns are reviewed with the vice president of finance then with the cfo following that review; they are presented to the finance committee of the central maine healthcare board of directors, which has representatives from all affiliated boards. Once this review is completed, any necessary changes are made and the final return is presented to its respective board with the finance committee member taking and answering questions. A finance department representative, knowledgeable of the return, is available to assist during presentations, if requested by the finance committee member. In the event that the next board meeting is not scheduled until after the filing date, the final return is mailed to all board members and the presentation occurs at the next scheduled board meeting.”

“Executive compensation review: central maine healthcare (cmhc), a related organization, has established and follows a deliberative transparent process which meets irs regulations for "rebuttable" presumption of reasonableness. A standing executive compensation committee (ecc), comprised of independent members of board leadership, exists to undertake the process of determining compensation for the chief executive officer, chief financial officer, chief medical officer, president of central maine medical center, physician practice executive, and president of rumford and bridgton hospitals. The process guidelines and authority of the ecc are set out in the executive compensation philosophy and responsibilities charter which was approved by the cmhc board. The entire cmhc board participates in the annual performance evaluation of each executive, including a review of accomplishments relative to goals and objectives derived from the strategic plan. The ecc reviews the results of the annual performance evaluation and appropriate comparability data based on several factors recommended by an independent executive compensation consultant, who specializes in not-for-profit hospitals and health systems, and our attorneys. Factors used in determining comparability to the organization include size, geography, organizational complexity, facility type, ownership type, and any other factors deemed relevant by the committee, its consultants, or its attorneys. Using this information, the ecc annually reviews the executives' compensation to determine if modification to base salary is warranted, and reviews the executives' accomplishments to determine if any variable pay is to be awarded. The entire process is then documented contemporaneously with the decision-making process and approved thereafter in accordance with the requirements of the irs. The compensation paid to key employees is reviewed by the vice president of human resources and organizational development. During the review process, the central maine healthcare compensation manager provides market data on comparable positions for comparative groups of healthcare organizations that are appropriately similar in terms of their revenue, geographic location, number of employees, number of staffed hospital beds, etc. Human resources provides at a minimum four sets of comparability data from the most recent national healthcare specific compensation surveys (e.g. Watson & wyatt, sullivan & cotter, the hay group, mercer, etc) for reference. These surveys report pay rate data that is typically aged less than 6 months. Central maine healthcare and affiliates strive to pay at the market average or slightly above it for key employees. Once the compensation manager and the vice president of human resources and organizational development have finalized recommendations based on this empirical data, they are presented to the presidents of each hospital that supervise the key employees, and the ceo of central maine healthcare, for review, edits, and approval. This process typically occurs during that last month of fiscal year in preparation for the next fiscal year central maine healthcare documents the basis for its determination of key employees' compensation and maintains this contemporaneously substantiated material in the human resources department.”

“Monitoring compliance with conflict of interest policy: officers and directors complete an annual conflict of interest statement which is reviewed by the chairman of the board and conforms to the conditions contained within the corporation's bylaws, which meet or exceed the current irs reporting thresholds. In areas of conflict by the chairman, the vice-chairman reviews. Additionally, as part of the annual form 990 preparation process, a separate questionnaire is provided, which includes distribution to key employees, covering reporting areas of loans, grants, business relationships, and other conflicts. These questionnaires are reviewed by the finance department for reportable items for the form 990. In the case of a possible conflict, the board would review the situation and take actions deemed appropriate for the possible or actual conflicts of members of the board or the executive officers. In the case of key employees, the review and actions taken would be performed by their direct supervisor.”

“Public disclosure: the organization's governing documents and conflict of interest policy are available upon request in the organization's administrative offices. The financial statements of the organization are included in the most recently filed form 990 and provided, upon request, in that format unless the specific request deems a different format more appropriate.”

“Board member compensation: no board members receive compensation for their duties as directors. Peter chalke was employed as president of central maine healthcare corporation until 9/16, at which point jeff brickman became president. Their compensated time is spent in that capacity.”

“Common paymaster: rumford hospital is a tax exempt organization which files its payroll forms and reports with the irs and dol on a consolidated basis under its parent, central maine healthcare corporation, using the parent's ein. This includes form 941's, w-2's and other related filings.”

“Other changes in net assets: $ 1,097 change in beneficial interest of perpetual trust”

“Description:purchased labor total fees:4546490”

“Description:labor services total fees:2348635”

“Description:outside services total fees:1407065”

“Description:purchased services total fees:700007”

“Description:professional fees total fees:50601”

“Description:consulting total fees:17168”