Navigating the Course 2017 Annual Report MID COAST–PARKVIEW HEALTH www.midcoastparkviewhealth.com Letter from the President As 2017 comes to a close, we recognize that the complexities within the world of healthcare have grown astronomically. Having spent much of this year navigating the new waters of this ever-changing environment, Mid Coast–Parkview Health has focused inward, continuously looking for ways to improve quality and lower costs for our patients. While much rests on the outcomes of national legislation, no matter what transpires, Mid Coast– Parkview Health is charting a course for local success. Even with the persistent growth of uncompensated expenses for services provided to those unable to pay—an amount that has doubled within the past five years—we remain positive that sustainable solutions are founded within our organization. Mid Coast–Parkview Health is now a fully integrated and dynamic healthcare system that has become a regional referral center for healthcare services. We have implemented innovative solutions involving strategic partnerships, initiatives, and programs focused on improving quality and patient- centered care. Through these continued efforts, we have made significant advances toward our mission of caring for the health of our community. We are nearing the completion of a $6.2 million renovation at our Parkview Campus, where we celebrate the expansion of primary care services in our region and the opening of a brand new Center for Community Health & Wellness. Already these new state-of-the-art facilities are helping our patients and community members prevent disease and restore health and well-being. By focusing on these foundations of health, we are actively working to bring down costs of healthcare in our region. We are so thankful for the trust that our community has granted us, from our dedicated physicians, nurses, and entire staff to our generous donors, loyal patients, volunteers, and gracious community leaders. Wishing you the best of health, Lois N. Skillings President and Chief Executive Officer Mid Coast–Parkview Health Leadership Team Lois N. Skillings, RN Scott D. Mills, MD President and Chief Executive Officer Vice President, Medical Staff Administration and Kristin Anthony, RN Chief Medical Officer Vice President, Nursing and Patient Care Services Robert N. McCue Vice President, Finance and ON THE COVER: Coleen Farrell, SPHR Chief Financial Officer Vice President, Human Resources Douglas’s Story Randee Reynolds Joe Grant Vice President, Community Health When Douglas Richmond moved Vice President, Operations to Maine, he established an and Systems architecture practice in downtown Brunswick and purchased a home on Water Street overlooking the Androscoggin River. He enjoyed Board of Directors the countless outdoor activities that Maine had to offer, including Mid Coast–Parkview Health a newfound interest in rowing. Mid Coast Hospital · Mid Coast Senior Health Center · As his passion for rowing grew, he CHANS Home Health & Hospice established a small community rowing group, which has since Sherrie Bergman Patrick Keaney, MD, evolved into a 20-person club, plus President, Medical Staff Pamela Bowerman high school crews. But when Douglas John Moncure was diagnosed with Parkinson’s Charles Bridge, Secretary Disease (PD), the symptoms began Daniel Morgenstern, MD Lenora Burke to impact his lifestyle, and he had to John G. Morse, IV give up rowing due to his instability. Cynthia Bush, President, Hospital Auxiliary Matthew Orlando Under the medical oversight of Mid Coast Medical Group–Neurology, Robert Cundiff Dean Paterson Douglas took part in Mid Coast Bob Davis, Chairperson Barbara Reinertsen Hospital programs designed to support PD patients. He worked with John Farnham Sandra Morrell Rooney, Mid Coast Hospital Rehabilitation to Vice Chairperson complete the Lee Silverman Voice Rollin Fessenden Treatment (LSVT) BIG program, Katarina Sawtelle, MD, Ted Huskins which helps to alleviate symptoms by Vice President, Medical Staff focusing on movement and exercise. Glenn Hutchinson, Treasurer Dugan Shipway In December 2016, Douglas became Connie Jones Lloyd Van Lunen, MD a founding member of the Rock Steady Boxing Mid Coast program, a joint partnership between Mid Coast Honorary Board Hospital and the Landing YMCA. A year later, he has attended all but one David Flaherty Richard A. Morrell weekly class and has seen significant William F. King, Jr. improvement in his symptoms. With assistance, Douglas is now able to get his rowing scull into the water, and on any given Saturday can be found Cover: Douglas Richmond rowing on the Androscoggin River, fall 2017. gliding along the Androscoggin. A Year in Numbers community members participated in 51 $ cooking classes led by 125,000 Mid Coast Hospital’s raised by the Mid Coast Hospital Auxiliary 182SNAP-Ed Nutrition Educator. at fundraisers held throughout the year. babies delivered in Mid Coast Mid Coast–Parkview Health Hospital 458 Volunteers contributed more than Maternity Care. 607 46,600 hours of time. teachers, parents, and adults trained at 7 patients and Youth Mental Health residents received First Aid Trainings. care from Mid 127 Coast Geriatric’s providers at Mid Coast Senior Health Center. 366 golfers participated in Mid Coast Hospital’s , TH 18patients seen at the884 Mid Coast Walk-In 24 Annual Golf Fore! Clinic Downtown at Brunswick Station. Health Classic, raising 134 in support of $ 55,562 community health. people screened for skin cancer at Mid Coast Hospital’s Skin Cancer Screening, people attended a CHANS 129 with positive Home Health & Hospice 87 findings. 86 Grief Support Group. $ , 11 300 raised by the Mid Coast Hospital cycling , team in support of the American Lung 7patients000 served by the Mid Coast Hospital Paramedic Association’s 33rd Annual Trek Across Maine. Interceptor Service since it was founded in 1997. 2017 Financial Report Sources Fiscal 2016 Fiscal 2017 Net patient service revenue $ 202,280,350 $ 212,812,402 Less provision for uncollectible accounts (12,898,318) (15,012,163) Net amounts received by Mid Coast Hospital, CHANS Home Health & Hospice, and Mid Coast Senior Health $ 189,382,032 $ 197,800,239 Center for services rendered to patients, clients, and residents Contributions, earnings on investments, and other $ 9,861,529 $ 8,081,998 revenue from activities not directly related to patient care Total sources of funds $ 199,243,561 $ 205,882,237 Uses Salaries, wages, and employee benefits $ 116,451,370 $ 119,359,368 Supplies and purchased services $ 60,495,747 $ 63,839,780 Fees paid to physicians $ 6,419,180 $ 6,324,286 Estimated cost of this year’s use of property and $ 6,681,908 $ 6,938,163 equipment Revenue tax $ 2,987,380 $ 3,079,585 Interest expense $ 1,808,763 $ 1,429,305 Investments in capital replacements, new technology, and a general strengthening of Mid Coast–Parkview Health’s $ 4,399,213 $ 4,911,750 financial position as we continue to lead the way in providing quality healthcare to the Midcoast community Total uses of funds $ 199,243,561 $ 205,882,237 Selected Statistics Mid Coast Hospital Inpatient admissions 5,507 5,531 Outpatient visits (includes Mid Coast Medical Group) 402,850 416,287 CHANS Home Health & Hospice, total visits 38,491 39,075 Mid Coast Senior Health Center, resident days 32,556 31,658 $21 Amount of $ healthcare 20.9 $18.7 services $14 provided at Mid $15.4 $13.6 Coast Hospital $12.0 to those $7 $9.3 unable to pay. MILLIONS $0 2012 2013 2014 2015 2016 2017 YEAR Delivering Exceptional Quality Justin’s Story In order to fulfill an essential Locally known as the “fly car,” role on the all-volunteer public the Paramedic Interceptor safety team, Justin completed his Service provides a community- EMT certification soon after. All based vehicle, called MC1, but a few months into adulthood, staffed with a paramedic who Justin was now responsible for provides additional support to the lives and safety of not only local EMS crews on an as-needed the town’s residents, but also basis. Working together, Mid the multitude of visitors that Coast Hospital and communities frequent the town’s popular like Georgetown increase beaches each summer. access to life saving services that improve patient outcomes. Geographically located far from the nearest hospital, even minor As a young EMT, Justin was medical situations have the mentored by the highly trained, As the Fire Chief in Georgetown, potential to become a disaster in professional paramedics Maine, Justin LoDolce is Georgetown’s remote areas. who staff MC1. As he grew committed to providing high professionally, he returned to quality care and safety to school to complete his Fire residents. With a population Science degree, and in 2015, of 1,500, many of the people he became a paramedic. At 29 he serves are relatives, “It’s about providing years old, Justin is now the Fire neighbors, and friends he has the absolute best Chief overseeing both the Fire known since childhood. care for the people of Department and Emergency Upon graduating high school, Georgetown.” Medical Services with a roster Justin began classes at Southern of 28 part-time volunteers. Maine Community College, While the call volume is able to afford just one class While his training prepared manageable, it is unpredictable. at a time. He worked on the him for what should happen, Justin often relies on MC1 as fuel docks at the boat yard to Justin quickly discovered that his number-one backup. help pay for school. Quickly the body does not always recognized for his hard work Now in its 20th year, the follow the textbook. Whether and can-do attitude, Justin was Paramedic Interceptor Service tending to a surfer knocked recruited to the Georgetown has become an integrated part unconscious by a blow to the Fire Department at age 18. of the Georgetown community. head or a senior in cardiac The service fills gaps and arrest, one thing is always supports the efforts of the local consistent – having the support crew.