Millinocket Regional Hospital

“The executive committee is composed of the president of the board as an ex officio member and chairman, and two or more additional trustees. The president shall be entitled to vote as a member of the executive committee. When the board is not in session, the executive committee shall have and exercise the power and authority of the board to transact all regular business of the corporation, subject to any prior limitations imposed by the board or by statute. In particular, the executive committee shall not have authority to amend the articles of incorporation, adopt a plan of merger or consolidation, recommend to the trustees the sale or other disposition of all or substantially all of the property and assets of the corporation other than in the usual course of business, recommend to the trustees voluntary dissolution of the corporation or revocation of such dissolution, or amend the bylaws of the corporation.”

“Prior to the document's filing, the organization's finance department reviews the initial draft. After any necessary changes, the organization's board members are presented with a copy. The finalized document is subject to the board's approval.”

“Each board member is required to sign a conflict of interest disclosure form on an annual basis. In connection with any actual or possible conflicts of interest, an interested individual must disclose the existence of his or her conflict annually and whenever the conflict arises for action at a meeting. After receiving all annual attestations, the ceo will provide the signed statements to the hospital's attorney for review. After review, the attorney will determine if a conflict exists and inform the ceo and board chair of the conflicted individuals. There is a listing of board, medical staff and manager conflicts available at all meetings for reference. The agenda for every board, medical staff or department meeting will clearly list the discussion items that require action during the meeting. At the beginning of the meeting, the president will ask the members to review the list of action items and declare whether or not they have a conflict. All conflicted members will be required to excuse themselves and leave the room during the discussion and vote. If the board or committee has reasonable cause to believe that a member has failed to disclose actual or possible conflicts of interest, it shall inform the member of the basis for such belief and afford the member an opportunity to explain the alleged failure to disclose.”

“The organization works with an independent compensation consultant to determine appropriate compensation levels. The organization's executive committee reviews data used to determine compensation for its respective members. Any compensation related changes must be approved by the board of directors or the executive board.”

“The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.”

“The return is being amended to include the audited financial statements and to reflect changes made to the financial statements after the return was originally filed. Changes made to this amended return are as follows: form 990 part ix, statement of functional expense line 7a and 7b, other salaries and wages decreased $73,750 line 9a and 9b, other employee benefits increased $73,750 form 990 part x, balance sheet - the following lines increased by $4,300,000 due to an other receivable/payable adjustment: line 4, accounts receivable, net line 16, total assets line 17, accounts payable and accrued expenses line 26, total liabilities line 34, total liabilities and net assets/fund balances schedule h has been updated due to changes to calculations resulting from an amended medicare cost report. The following lines of schedule h have been modified: part i line 7b, medicaid column (c)decreased $81 column (e) decreased $81 part i line 7g, subsidized health services column (c) increased $23,536 column (d) increased $16,030 column (e) increased $7,506 part iii, section b, medicare: line 5 medicare revenue increased $66,441 line 6 medicare allowable costs increased $67,329 line 7 medicare shortall increased $888”

“During the year the following new services were offered by mrh: gastroenterology - 7/1/16 neurology - 9/6/16 pulmonology - 9/6/16 sleep medicine - 9/6/16 endocrinology - 1/1/17 rheumatology - 1/1/17”

“Outside services: program service expenses 19,330. Management and general expenses 0. Fundraising expenses 0. Total expenses 19,330. Purchased services: program service expenses 2,080,057. Management and general expenses 623,470. Fundraising expenses 0. Total expenses 2,703,527. Service contracts: program service expenses 452,081. Management and general expenses 19,073. Fundraising expenses 0. Total expenses 471,154. Other professional fees: program service expenses 1,098,930. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,098,930.”

“The finance committee recommends and the board of trustees selects the independent accountant for the audit.”