TY 2014 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) CHRISTOPHER PERKINS........................................................................ PRESIDENT	2.00 .......................	X	X		0	0	0
(2) L JOSEPH CLARK........................................................................ VICE PRESIDENT	2.00 .......................	X	X		0	0	0
(3) JEFFREY LLOYD........................................................................ TREASURER	2.00 .......................	X	X		0	0	0
(4) DONNA FINLEY........................................................................ DIRECTOR	2.00 .......................	X			0	0	0
(5) MICHAEL CURRAN MD........................................................................ DIRECTOR	50.00 .......................	X			446,551	0	0
(6) WILLIAM LANEY........................................................................ DIRECTOR	2.00 .......................	X			0	0	0
(7) MICHAEL LAMBKE MD........................................................................ DIRECTOR	50.00 .......................	X			234,867	0	0
(8) JOHN WITHERSPOON........................................................................ DIRECTOR	2.00 .......................	X			0	0	0
(9) GINA GOMEZ MD........................................................................ DIRECTOR	50.00 .......................	X			266,114	0	0
(10) RICHARD D WILLETT........................................................................ CEO/SECRETARY	50.00 .......................		X		353,290	0	0
(11) DANA C KEMPTON........................................................................ ASSOCIATE DIRECTOR	50.00 .......................		X		263,080	0	0
(12) TIRUNELLAI R SHANKAR........................................................................ SURGEON	50.00 .......................			X	341,293	0	0
(13) AMIR BAIG MD........................................................................ ANESTHESIOLOGIST	50.00 .......................			X	333,643	0	0
(14) JOHN COMIS MD........................................................................ ER PHYSICIAN	50.00 .......................			X	499,877	0	0
(15) MANJUNATH BANNUR MD........................................................................ ER PHYSICIAN	50.00 .......................			X	304,293	0	0
(16) WINOAH HENRY MD........................................................................ GASTROENTEROLOGIST	50.00 .......................			X	431,909	0	0

(A) Name and business address	(B) Description of services	(C) Compensation
VISTA STAFFING SOLUTIONS 275 EAST 200 SOUTH SALT LAKE CITY,UT84111	CLINICAL STAFFING	1,132,072
MAINEGENERAL HEALTH 33 STONE STREET AUGUSTA,ME04330	CLINICAL STAFFING	681,417
DAHL-CHASE DIAGNOSTIC SERVICES 417 STATE STREET BANGOR,ME04401	LAB TESTING	496,380
QUEST DIAGNOSTIC INC 5763 COLLECTION CENTER DR CHICAGO,IL60693	LAB TESTING	475,840
COMPHEALTH PO BOX 972651 DALLAS,TX75297	CLINICAL STAFFING	419,341
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 14

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ....
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............
4	Benefits paid to or for members ....
5	Compensation of current officers, directors, trustees, and key employees ....	1,563,902	947,532	616,370
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages ....	35,751,785	31,576,686	4,175,099
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	1,356,845	1,138,393	218,452
9	Other employee benefits .......	6,861,532	5,756,825	1,104,707
10	Payroll taxes ...........	2,474,217	2,075,868	398,349
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	65,326	524	64,802
c	Accounting ...........	83,960	25,848	58,112
d	Lobbying ...........	9,590		9,590
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	277,254	14,386	262,868
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ....	5,646,871	5,439,871	207,000
12	Advertising and promotion ....	155,010		155,010
13	Office expenses .......	7,545,565	6,870,068	675,497
14	Information technology ......	3,148,201	972,436	2,175,765
15	Royalties ..
16	Occupancy ...........	1,975,734	1,772,622	203,112
17	Travel ............	102,076	99,360	2,716
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	211,921	178,932	32,989
20	Interest ...........	1,060,844	909,143	151,701
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	3,565,095	2,814,619	750,476
23	Insurance ..............	777,555	632,667	144,888
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	BAD DEBT EXPENSE	8,321,678	8,321,678
b	EQUIPMENT & MAINTENANCE	2,145,103	1,729,076	416,027
c	MEDICAID PROVIDER TAX	1,574,204	1,574,204
d	PHARMACEUTICALS	1,572,689	1,572,689
e	All other expenses	1,249,747	1,070,788	178,959
25	Total functional expenses. Add lines 1 through 24e	87,496,704	75,494,215	12,002,489	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	1,474,138	1	4,169,519
2	Savings and temporary cash investments .........	9,541,144	2	6,265,751
3	Pledges and grants receivable, net ...........		3
4	Accounts receivable, net .............	10,717,369	4	11,813,892
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
			5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
			6
7	Notes and loans receivable, net .............	486,469	7	494,653
8	Inventories for sale or use ..............	1,508,274	8	1,545,444
9	Prepaid expenses and deferred charges ..........	131,158	9	167,866
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	75,096,612
b	Less: accumulated depreciation .....	10b	48,296,588	27,087,478	10c	26,800,024
11	Investments—publicly traded securities ..........	50,310,530	11	52,365,408
12	Investments—other securities. See Part IV, line 11 .....		12
13	Investments—program-related. See Part IV, line 11 .....		13
14	Intangible assets ...............		14
15	Other assets. See Part IV, line 11 ...........	735,969	15	680,622
16	Total assets. Add lines 1 through 15 (must equal line 34)......	101,992,529	16	104,303,179
	17	Accounts payable and accrued expenses .........	8,165,135	17	8,622,520
18	Grants payable .................		18
19	Deferred revenue ................		19
20	Tax-exempt bond liabilities .............		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..	22,350,718	23	21,536,247
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	6,280,437	25	16,500,700
26	Total liabilities. Add lines 17 through 25.........	36,796,290	26	46,659,467
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	64,116,694	27	56,566,045
28	Temporarily restricted net assets ...........	1,079,545	28	1,077,667
29	Permanently restricted net assets ...........		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	65,196,239	33	57,643,712
34	Total liabilities and net assets/fund balances ........	101,992,529	34	104,303,179

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

REDINGTON-FAIRVIEW GENERAL HOSPITAL

Employer identification number

01-0284446

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations .............................

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2014

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2013 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2014. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2013. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2014

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2013 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2014 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2013 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2014. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2013. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2014

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Schedule A (Form 990 or 990-EZ) 2014

Page 5

Part IV

Supporting Organizations (continued)

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2014

Page 6

Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1. Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6
7	Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2014

Page 7

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2014 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2014	(iii) Distributable Amount for 2014
1 Distributable amount for 2014 from Section C, line 6
2 Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2014 distributable amount
i Carryover from 2009 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2014 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2014 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2015. Add lines 3j and 4c.
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......
e From 2014.......

Schedule A (Form 990 or 990-EZ) (2014)

Schedule A (Form 990 or 990-EZ) 2014

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Name of the organization

REDINGTON-FAIRVIEW GENERAL HOSPITAL

Employer identification number

01-0284446

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 2

Name of organization REDINGTON-FAIRVIEW GENERAL HOSPITAL

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 3

Name of organization REDINGTON-FAIRVIEW GENERAL HOSPITAL

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 4

Name of organization
REDINGTON-FAIRVIEW GENERAL HOSPITAL

Employer identification number

01-0284446

Part III

Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

REDINGTON-FAIRVIEW GENERAL HOSPITAL

Employer identification number

01-0284446

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2014

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(a) Filing organization's totals	(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......	9,590	9,590
c	Total lobbying expenditures (add lines 1a and 1b) ...................	9,590	9,590
d	Other exempt purpose expenditures ........................	87,487,114	87,487,114
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............	87,496,704	87,496,704
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.	1,000,000	1,000,000
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................	250,000	250,000
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................	0	0
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................	0	0
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................		Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) Total

2a	Lobbying nontaxable amount	1,000,000	1,000,000	1,000,000	1,000,000	4,000,000

b	Lobbying ceiling amount (150% of line 2a, column(e))					6,000,000

c	Total lobbying expenditures	9,178	9,617	10,270	9,590	38,655

d	Grassroots nontaxable amount	250,000	250,000	250,000	250,000	1,000,000

e	Grassroots ceiling amount (150% of line 2d, column (e))					1,500,000

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2014

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Total. Add lines 1c through 1i ...............................

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation

Schedule C (Form 990 or 990EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

REDINGTON-FAIRVIEW GENERAL HOSPITAL

Employer identification number

01-0284446

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2014

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII .......

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....
b	Contributions ........
c	Net investment earnings, gains, and losses
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	375,711		375,711
b	Buildings ................	42,485,846	22,267,122	20,218,724
c	Leasehold improvements ............
d	Equipment ................	32,235,055	26,029,466	6,205,589
e	Other .................
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				26,800,024

Schedule D (Form 990) 2014

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes
LIABILITY FOR PENSION BENEFITS		8,217,708
ESTIMATED THIRD PARTY SETTLEMENTS		8,282,992







Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		16,500,700
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2014

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	77,589,656
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	-2,852,910
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................			2e	-2,852,910
3	Subtract line 2e from line 1.....................			3	80,442,566
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b	8,321,678
c	Add lines 4a and 4b.......................			4c	8,321,678
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	88,764,244

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	79,175,026
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d......................			2e	0
3	Subtract line 2e from line 1.....................			3	79,175,026
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b	8,321,678
c	Add lines 4a and 4b.......................			4c	8,321,678
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	87,496,704

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART X, LINE 2:	SCHEDULE D - PART X: THE HOSPITAL IS EXEMPT FROM TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MANAGEMENT EVALUATED THE HOSPITAL'S TAX POSITIONS AND CONCLUDED THAT THE HOSPITAL HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRED ADJUSTMENT TO THE FINANCIAL STATEMENTS. THE HOSPITAL HAS PROCESSES PRESENTLY IN PLACE TO ENSURE THE MAINTENANCE OF ITS TAX-EXEMPT STATUS; TO IDENTIFY AND REPORT UNRELATED INCOME AS NECESSARY; DETERMINE ITS FILING AND TAX OBLIGATIONS IN JURISDICTIONS FOR WHICH IT HAS NEXUS; AND TO REVIEW OTHER MATTERS THAT MAY BE CONSIDERED TAX POSITIONS. THE HOSPITAL IS SUBJECT TO U.S. FEDERAL AND STATE EXAMINATIONS BY TAX AUTHORITIES FOR YEARS ENDING JUNE 30, 2012 THROUGH 2015.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 8,321,678.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 8,321,678.

Schedule D (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the TreasuryInternal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

REDINGTON-FAIRVIEW GENERAL HOSPITAL

Employer identification number

01-0284446

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

If "Yes," did the organization make it available to the public? ..............

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..	1,161,372		1,161,372	1.330 %
b	Medicaid (from Worksheet 3, column a) ....
c	Costs of other means-tested government programs (from Worksheet 3, column b) .
d	Total Financial Assistance and Means-Tested Government Programs .	1,161,372		1,161,372	1.330 %
Other Benefits		2,004,117		2,004,117	2.290 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	2,004,117		2,004,117	2.290 %
f	Health professions education (from Worksheet 5) ..
g	Subsidized health services (from Worksheet 6) ..	18,463,178	8,801,353	9,661,825	11.040 %
h	Research (from Worksheet 7)
i	Cash and in-kind contributions for community benefit (from Worksheet 8)
j	Total. Other Benefits ..	20,467,295	8,801,353	11,665,942	13.330 %
k	Total. Add lines 7d and 7j .	21,628,667	8,801,353	12,827,314	14.660 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014

Schedule H (Form 990) 2014

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

4,229,182

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

28,315,750

Enter Medicare allowable costs of care relating to payments on line 5.....

28,663,587

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-347,837

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2014

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	REDINGTON-FAIRVIEW GENERAL HOSPITAL 46 FAIRVIEW AVENUE PO BOX 468 SKOWHEGAN,ME04976 WWW.RFGH.NET 38095	X

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	REDINGTON-FAIRVIEW GENERAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C..........

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 14

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public? ..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): HTTPS://WWW.RFGH.NET/PORTALS/0/PDFS/COMMUNITY%20HEALTH%

Other website (list url): SEE COMPLETE URL IN PART VI

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 14

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

Yes

If "Yes" (list url): HTTPS://WWW.RFGH.NET/PORTALS/0/WORKPLAN%20UPDATE%20COMMUNITY%20%20ASSESSMEN

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	REDINGTON-FAIRVIEW GENERAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 150.000000000000%
and FPG family income limit for eligibility for discounted care of 225.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	REDINGTON-FAIRVIEW GENERAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.........

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ................................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
REDINGTON-FAIRVIEW GENERAL HOSPITAL	PART V, SECTION B, LINE 5: HOW THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY AND IDENTIFY THE PERSONS THE HOSPITAL CONSULTED:THE ORIGINAL SOURCE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT IS THE SOMERSET COUNTY HEALTH COLLABORATIVE WHICH IS COMPOSED OF MANY COMMUNITY ORGANIZATIONS SUCH AS THE POLICE DEPARTMENT, SMALL BUSINESSES, RELIGIOUS GROUPS, BEHAVIORAL HEALTH GROUPS, SCHOOL SYSTEMS, AND OTHER RESOURCE GROUPS. AT THE REGIONAL LEVEL, SOMERSET PUBLIC HEALTH HAS TWO REPRESENTATIVES THAT PARTICIPATE ON THE CENTRAL DISTRICT GROUP WHERE COLLABORATION WITH OTHER HEALTH SYSTEMS OCCURS.
REDINGTON-FAIRVIEW GENERAL HOSPITAL	PART V, SECTION B, LINE 6A: OTHER HOSPITALS INCLUDED IN CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENT:THE 2014 COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN COLLABORATION WITH EASTERN MAINE HEALTHCARE SYSTEMS.
REDINGTON-FAIRVIEW GENERAL HOSPITAL	PART V, SECTION B, LINE 11: HOW THE HOSPITAL FACILITY IS ADDRESSING THE SIGNIFICANT NEEDS.....:SEE ATTACHED RFGH 2015 COMMUNITY HEALTH ANNUAL NEEDS ASSESSMENT & WORKPLAN AND RFGH 2012-2015 COMMUNITY HEALTH WORKPLAN
REDINGTON-FAIRVIEW GENERAL HOSPITAL	PART V, SECTION B, LINE 22D: HOW HOSPITAL DETERMINED THE MAXIMUM AMOUNTS THAT CAN BE CHARGED FAP-ELIGIBLE INDIVIDUALS:ALL ACCOUNT GUARANTORS WHO EXPRESS AN INABILITY TO PAY FOR SERVICES ARE SCREENED FOR ELIGIBILITY FOR FINANCIAL ASSISTANCE USING AN APPLICATION AND GUIDELINES ESTABLISHED BY THE HOSPITAL. UNDER THESE GUIDELINES, ELIGIBLE APPLICANTS MAY QUALIFY FOR 100% CHARITY CARE OR DISCOUNTED CHARGES RANGING FROM 25% TO 100%.
PART V, SECTION B, LINE 11	HOW THE HOSPITAL FACILITY IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA AND ANY SUCH NEEDS THAT ARE NOT BEING ADDRESSED TOGETHER WITH THE REASONS WHY SUCH NEEDS ARE NOT BEING ADDRESSED.THE INTENT OF THE COMMUNITY HEALTH ASSESSMENT IS TO USE IT AS A PLANNING TOOL TO ASSIST IN INITIATING STRATEGIC INITIATIVES TO MEET THE NEEDS OF CITIZENS WHOSE HEALTH NEED ARE AT RISK IN OUR COMMUNITY. COMMUNITY HEALTH STRIVES TO PROMOTE HEALTHY BEHAVIORS THROUGH THE SERVICES PROVIDED. RFGH WORKS IN COLLABORATION WITH NUMEROUS ORGANIZATIONS AND COMMUNITY PARTNERS TO WORK ON PREVENTATIVE HEALTH SERVICES IN OUR COMMUNITY. ASSESSMENTS COMPLETED:-"OVER THE PAST EIGHT YEARS, RFGH HAS WORKED TO IMPROVE THE APPROACHES TO THE COMMUNITY ASSESSMENT. ASSESSMENTS WERE COMPLETED IN 2007, 2010, 2012, 2013, AND 2014.-"IN ADDITION, SOMERSET PUBLIC HEALTH, AS PART OF THEIR HEALTHY MAINE PARTNERSHIP WORK, COMPLETED A MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) ASSESSMENT PROCESS IN 2011 AS PART OF THE STRATEGIC APPROACH TO COMMUNITY HEALTH IMPROVEMENT. "BEARING THE FRUITS OF OUR LABOR" IS AN EVALUATION FRAMEWORK FOR SOMERSET PUBLIC HEALTH WAS COMPLETED IN 2013.-"A SOMERSET COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN AUGUST 2014 BY EASTERN MAINE HEALTHCARE SYSTEMS WITH RFGH AS A PARTNERING HOSPITAL.-"IN 2014 RFGH STRATEGIZED OUR HEALTHY COMMUNITY GOALS AS LISTED BELOW: * TO PROMOTE HEALTHY BEHAVIORS (PROMOTE NUTRITION AND WEIGHT STATUS, PROMOTE PHYSICAL ACTIVITY AND FITNESS, REDUCE TOBACCO USE AND REDUCE USE OF ALCOHOL AND OTHER DRUGS) * TO PROMOTE HEALTHY AND SAFE COMMUNITIES (IMPROVE ENVIRONMENTAL HEALTH, INCREASE VACCINATIONS, PREVENT INJURIES, AND PROMOTE EDUCATIONAL AND COMMUNITY BASED PROGRAMS) * TO IMPROVE SYSTEMS (ACCESS TO PRIMARY CARE, SPECIALTY CARE AND EMERGENCY CARE) IMPROVE MATERNAL, INFANT AND CHILD CARE, IMPROVE HEALTH COMMUNICATION AND TECHNOLOGY, IMPROVE PUBLIC HEALTH INFRASTRUCTURE) * TO PREVENT, REDUCE AND MANAGE DISEASES AND DISORDERS (CANCER, CARDIOVASCULAR/HEART DISEASE AND STROKE, CHRONIC DISEASES, INFECTIOUS DISEASES, PULMONARY AND RESPIRATORY HEALTH)"PARTICIPATED IN THE MAINE SHARED CHNA STAKEHOLDER NEEDS ASSESSMENT - 2015.2015 COMMUNITY HEALTH ANNUAL NEEDS ASSESSMENT REPORT & COMMUNITY HEALTH WORK PLAN IS ATTACHED.

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2014

Page

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 7:	METHODOLOGY USED TO ESTIMATE FINANCIAL ASSISTANCE AT COST:CHARITY CARE WRITE-OFFS ARE RECORDED AT GROSS CHARGES. IN ORDER TO COMPUTE THE COST OF THESE SERVICES, THE HOSPITAL ADJUSTED BOTH GROSS CHARGES AND EXPENSES BY EXCLUDING THE GROSS CHARGES AND EXPENSES ASSOCIATED WITH SUBSIDIZED HEALTH SERVICES REPORTED IN SCHEDULE H PART I LINE 7G AND CALCULATED A RATIO OF COST-TO-CHARGES. THE RESULTING RATIO OF 50.82% WAS APPLIED TO THE GROSS CHARGES PERTAINING TO CHARITY CARE WRITE-OFFS.METHODOLOGY USED TO ESTIMATE COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS:THESE COMMUNITY BENEFIT EXPENSES REPRESENT THE ACTUAL EXPENDITURES OF OPERATING THE SOMERSET PUBLIC HEALTH COLLABORATIVE WHICH SERVES MOST OF MAINE'S SOMERSET COUNTY.
PART I, LINE 7G:	METHODOLOGY USED TO ESTIMATE SUBSIDIZED HEALTH SERVICES:THESE COMMUNITY BENEFIT EXPENSES REPRESENT THE DIRECT AND INDIRECT COSTS OF OPERATING PHYSICIAN PRACTICES WHICH OPERATE WITH REVENUES THAT ARE INSUFFICIENT TO COVER THE OVERALL COSTS. INDIRECT COSTS ARE CALCULATED USING AN ALLOCATION METHOD SIMILAR TO MEDICARE COST REPORT METHODS OF ALLOCATING OVERHEAD COSTS.
PART III, LINE 2:	BAD DEBT EXPENSEBAD DEBT WRITE-OFFS ARE RECORDED AT GROSS CHARGES. IN ORDER TO COMPUTE THE COST OF THESE SERVICES, THE HOSPITAL ADJUSTED BOTH GROSS CHARGES AND EXPENSES BY EXCLUDING THE GROSS CHARGES AND EXPENSES ASSOCIATED WITH SUBSIDIZED HEALTH SERVICES REPORTED IN SCHEDULE H PART I LINE 7G AND CALCULATED A RATIO OF COST-TO-CHARGES. THE RESULTING RATIO OF 50.82% WAS APPLIED TO THE GROSS CHARGES PERTAINING TO BAD DEBT WRITE-OFFS.
PART III, LINE 4:	FOOTNOTE DESCRIBING BAD DEBTSNOTE 2 - CONCENTRATION OF CREDIT RISKIN FULFILLING ITS CHARITABLE MISSION, THE HOSPITAL GRANTS CREDIT WITHOUT COLLATERAL TO THEIR PATIENTS, MANY OF WHOM ARE INSURED UNDER THIRD-PARTY PAYOR AGREEMENTS. AT JUNE 30, 2015 AND 2014, NET ACCOUNTS RECEIVABLE RELATING TO PATIENTS WITHOUT INSURANCE WAS 23.2% AND 24.0%, RESPECTIVELY.ACCOUNTS RECEIVABLE ARE STATED AT THE AMOUNT THAT MANAGEMENT EXPECTS TO COLLECT. MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS THROUGH A CHARGE TO THE CONSOLIDATED STATEMENT OF OPERATIONS AND A CREDIT TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON ITS ASSESSMENT OF THE CURRENT STATUS OF INDIVIDUAL ACCOUNTS. BALANCES THAT ARE STILL OUTSTANDING AFTER MANAGEMENT HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE ALLOWANCE ACCOUNT AND A CREDIT TO ACCOUNTS RECEIVABLE.IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, THE HOSPITAL DEDUCTED ITS PROVISION FOR UNCOLLECTABLE ACCOUNTS OF $7,322,462 AND $6,554,465 FOR THE YEARS ENDED JUNE 30, 2015 AND 2014 RESPECTIVELY FROM REVENUE.ACCOUNTS RECEIVABLE AT JUNE 30, 2015 AND 2014 ARE COMPRISED OF THE FOLLOWING:_______________________________________2015__________________2014 PATIENT ACCOUNTS___________________$20,891,479______________$19,107,740ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS(4,228,298)____________(3,640,921)ALLOWANCE FOR CONTRACTUAL ALLOWANCES(4,849,288)____________(4,749,449)ACCOUNT RECEIVABLE - NET__________$ 11,813,893_____________$10,717,370
PART III, LINE 8:	MEDICARE SHORTFALL METHOD OF CALCULATING:MEDICARE COSTS WERE OBTAINED FROM THE FILED MEDICARE COST REPORT. THE COSTS ARE BASED ON MEDICARE ALLOWABLE COSTS AS REPORTED ON WORKSHEET B. INPATIENT MEDICARE COSTS ARE CALCULATED BASED UPON A COMBINATION OF ALLOWABLE COST PER DAY MULTIPLIED BY MEDICARE DAYS FOR ROUTINE SERVICES PLUS A COST-TO-CHARGE RATIO MULTIPLIED BY MEDICARE CHARGES BY ANCILLARY DEPARTMENT. OUTPATIENT COST IS CALCULATED BASED ON A COST-TO-CHARGE RATIO MULTIPLIED BY MEDICARE CHARGES BY ANCILLARY DEPARTMENT.
PART III, LINE 9B:	THE HOSPITAL'S COLLECTION POLICY CONTAINS THE GUIDELINES FOR FINANCIAL ASSISTANCE, AND CONTAINS PROVISIONS FOR HOSPITAL STAFF TO EXTEND TO QUALIFIED PATIENTS WHO WOULD LIKELY MEET SLIDING SCALE FEE CRITERIA THE OPPORTUNITY TO APPLY FOR DISCOUNTED CARE. HOSPITAL RESOURCES ARE MADE AVAILABLE TO PATIENTS REQUIRING ASSISTANCE IN COMPLETING APPLICATIONS. PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY ARE PROVIDED DISCOUNTS RANGING FROM 25% TO 100% OF CHARGES. ONCE QUALIFIED PATIENTS MAY BE EXTENDED REDUCED FEE FOR HEALTH CARE SERVICES RECEIVED IN THE FUTURE. ALL PATIENTS ARE ASKED TO REAPPLY ANNUALLY TO THE SLIDING FEE PROGRAM. OUTSIDE COLLECTION AGENCIES CONTRACTED WITH THE HOSPITAL MUST SPECIFY THEIR STANDARDS AND SCOPE OF PRACTICES, ALL OF WHICH MUST BE IN COMPLIANCE WITH THE COLLECTION POLICY.
PART VI, LINE 2:	NEEDS ASSESSMENT: DESCRIBE HOW THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES, IN ADDITION TO ANY CHNAS REPORTED.REDINGTON-FAIRVIEW GENERAL HOSPITAL OPERATES SOMERSET PUBLIC HEALTH (SPH), A PROGRAM WHOSE PURPOSE IS TO PROTECT AND IMPROVE THE QUALITY OF LIFE AND HEALTH OF ALL GREATER SOMERSET COUNTY RESIDENTS. SPH PROVIDES PLANNING AND EVALUATION OF BOTH LONG AND SHORT RANGE STRATEGIES FOR ESSENTIAL PUBLIC HEALTH SERVICES. SPH INVOLVES CITIZENS IN DEVELOPING AND CARRYING OUT CHRONIC DISEASE PREVENTION THROUGH VARIOUS INITIATIVES. SPH MOBILIZES BOTH PUBLIC AND PRIVATE RESOURCES IN SUPPORT OF THESE INITIATIVES AND COORDINATES EFFORTS THROUGHOUT THE COMMUNITY. BY WORKING WITH CITIZENS, SPH SERVES AS ADVOCATES ON MATTERS OF POLICIES THAT AFFECT HEALTH STATUS, WHILE PROMOTING INSTITUTIONAL IMPROVEMENT AND DESIRABLE CHANGES IN SOCIAL POLICY AND ENVIRONMENTAL CHANGE. SPH IMPLEMENTS PROGRAMS FINANCED THROUGH GRANTS, OR DELEGATES IMPLEMENTATION TO OTHER AGENCIES. SPH ALSO IDENTIFIES AND PURSUES OTHER AVAILABLE FUNDS DEEMED IMPORTANT FOR THE HEALTH OF CITIZENS. IN ITS WORK TO IMPROVE AND PROTECT PUBLIC HEALTH AND REDUCE CHRONIC DISEASE, SPH FOCUSES ITS EFFORTS AND FUNDING ON SUBSTANCE ABUSE AND TOBACCO PREVENTION, PHYSICAL ACTIVITY AND NUTRITION PROMOTION, AND WORKSITE WELLNESS.
PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:REDINGTON-FAIRVIEW GENERAL HOSPITAL PROVIDES THE FOLLOWING INFORMATION IN THE FIRST BILL THAT EACH PATIENT RECEIVES:REDINGTON-FAIRVIEW GENERAL HOSPITAL46 FAIRVIEW AVENUEPO BOX 468SKOWHEGAN, ME 04976207-474-5121CATEGORY A & B SLIDING FEE SCALEREDINGTON-FAIRVIEW GENERAL HOSPITAL (RFGH) FOLLOWS MAINE STATE LAW AND PROVIDES FREE HOSPITAL SERVICE TO THOSE INDIVIDUALS WHO CANNOT AFFORD TO PAY UNDER CATEGORY A FREE CARE. RFGH HAS A SLIDING FEE SCALE (CATEGORY B) AND OTHER PROGRAMS AVAILABLE WHICH MAY PROVIDE HOSPITAL SERVICES AT A REDUCED AMOUNT TO THOSE INDIVIDUALS WHO CANNOT AFFORD TO PAY. IF YOU BELIEVE YOU QUALIFY FOR ASSISTANCE, YOU MAY COMPLETE AN APPLICATION AT THE PATIENT ACCOUNTS OFFICE, LOCATED AT 22 JONES STREET-THE WHITE BUILDING IN THE BACK PARKING LOT OF THE HOSPITAL. THE PATIENT ACCOUNTS OFFICE IS OPEN FROM 7:30AM TO 3:00 PM MONDAY THROUGH FRIDAY. IF YOU WOULD LIKE TO SPEAK TO A REPRESENTATIVE REGARDING THE APPLICATION PROCESS AND/OR WOULD LIKE TO MAKE AN APPOINTMENT TO COMPLETE THE APPLICATION PROCESS, PLEASE CALL 858 - 8367 TO COMPLETE THE APPLICATION PROCESS YOU (OR YOUR DESIGNEE) WILL NEED TO PRESENT AND PROVIDE PROOF OF INCOME TO DETERMINE YOUR ELIGIBILITY FOR ASSISTANCE, INCLUDING THE FOLLOWING: YOUR MOST RECENT FEDERAL INCOME TAX RETURN, IF YOU DO NOT FILE TAXES YOU WILL HAVE TO SIGN A DOCUMENT STATING YOU DO NOT FILE INCOME TAXES. YOUR LAST THREE MONTHS WAGE STUBS OR A SIGNED STATEMENT FROM YOUR EMPLOYER VERIFYING YOUR GROSS EARNINGS FOR THE LAST THREE MONTHS. A LIST OF ALL INCOME FROM STOCKS, BONDS, INTEREST INCOME ON SAVINGS ACCOUNTS, ANNUITIES, AND RENTAL INCOME.YOU WILL ALSO BE ASKED TO OBTAIN A DENIAL LETTER FROM THE STATE OF MAINE IF YOU ARE NOT ELIGIBLE FOR MAINECARE ASSISTANCE. {NOTE: THIS DENIAL LETTER IS ONLY GOOD FOR THIRTY (30) DAYS.}TO BE ELIGIBLE FOR FREE CARE (CATEGORY A) OR THE RFGH SLIDING FEE (CATEGORY B), YOUR FAMILY INCOME MUST BE BELOW THE FOLLOWING LEVELS. THE HOSPITAL WILL CONSIDER THE HIGHEST INCOME LEVEL AVAILABLE BASED ON THE NUMBER OF DEPENDENTS THAT YOU HAVE (SEE THE TABLES BELOW). IF YOU DO NOT QUALIFY FOR FREE CARE (CATEGORY A), YOU ARE ALLOWED TO ASK FOR A FAIR HEARING. THE STATE DEPARTMENT OF HUMAN SERVICES WILL TELL YOU HOW TO APPLY FOR A FAIR HEARING. IN ADDITION, RFGH WILL PROVIDE YOU WITH A FINAL DETERMINATION OF YOUR ELIGIBILITY FOR ASSISTANCE WITHIN FIVE (5) WORKING DAYS OF YOUR REQUEST. IF YOU DO NOT QUALIFY FOR A FULL 100% RFGH DISCOUNT (CATEGORY B), A MONTHLY PAYMENT PLAN WILL BE CALCULATED BY THE PATIENT ACCOUNTS REPRESENTATIVE. DURING THE DETERMINATION OF YOUR PAYMENT PLAN YOU WILL ALSO NEED TO HAVE INFORMATION ABOUT YOUR HOUSEHOLD EXPENSES AVAILABLE. YOU WILL NEED TO SIGN A PAYMENT AGREEMENT CONTRACT AND FAITHFULLY COMPLETE YOUR PAYMENT PORTION IN ORDER TO RECEIVE THE NEGOTIATED DISCOUNT. SERVICES THAT ARE NOT MEDICALLY NECESSARY ARE NOT ELIGIBLE FOR FREE OR DISCOUNTED CARE AND YOU WILL BE REQUIRED TO PAY FOR THEM BEFORE SERVICES ARE RENDERED.CATEGORY AFREE CARE @ 100%FAMILY SIZE ANNUAL INCOME1_______17,6552_______23,8953_______30,1354_______36,3755_______42,6156_______48,8557_______55,0958_______61,335FOR EACH ADDITIONAL PERSON, ADD $6,240 ANNUALLY.CATEGORY B RFGH SLIDING FEE SCALEDISCOUNT 100% 75% 50% 25% INCOME INCOME INCOME INCOME FAMILY SIZE TO TO TO TO1_____________28,248________32,014_______35,781_______39,5472_____________34,072________37,838_______41,605_______45,3713_____________39,896________43,662_______47,429_______51,1954_____________45,720________49,486_______53,253_______57,0195_____________51,544________55,310_______59,077_______62,8436_____________57,368________61,134_______64,901_______68,6677_____________63,192________66,958_______70,725_______74,4918_____________69,016________72,782_______76,549_______80,315 FOR EACH ADDITIONAL PERSON, ADD $5,824 ANNUALLY
PART VI, LINE 4:	COMMUNITY INFORMATION:REDINGTON-FAIRVIEW GENERAL HOSPITAL IS AN INDEPENDENT 25-BED CRITICAL ACCESS HOSPITAL LOCATED IN SKOWHEGAN, MAINE. THE HOSPITAL PROVIDES HEALTH CARE TO MORE THAN 51,000 RESIDENTS LIVING IN SOMERSET COUNTY, MAINE. ITS PRIMARY SERVICE AREA EXTENDS FROM SKOWHEGAN TO THE CANADIAN BORDER. A STATE OF THE ART MEDICAL OFFICE BUILDING ADJACENT TO THE HOSPITAL PROVIDES EASY ACCESS TO PRIMARY AND SPECIALTY CARE. A MEDICAL STAFF OF MORE THAN 40 PHYSICIANS SKILLED IN A VARIETY OF FIELDS, AND APPROXIMATELY 650 FULL AND PART-TIME PROFESSIONAL AND TECHNICAL EMPLOYEES ENSURE THE DELIVERY OF PROGRESSIVE HEALTH AND MEDICAL SERVICES.
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTH:THE HOSPITAL IS LOCATED IN A MEDICALLY UNDERSERVED AREA. CONSEQUENTLY, THE HOSPITAL MAINTAINS AN OPEN MEDICAL STAFF. IN ADDITION TO THE PROGRAMS OUTLINED IN OTHER AREAS OF THE FORM 990, THE HOSPITAL OPERATES A FITNESS FACILITY WHICH OPERATES AT A LOSS. THE FITNESS FACILITY OPERATES MANY PROGRAMS WHICH PROMOTES WELLNESS. OTHER WELLNESS PROGRAMS ARE ALSO PROVIDED THROUGH THE INDOOR POOL THAT THE HOSPITAL OPERATES AT A LOSS. THE POOL PROMOTES WELLNESS AMONG INDIVIDUALS WHO WOULD NOT BE ABLE TO OTHERWISE EXERCISE (DISABLED INDIVIDUALS WITH CHRONIC PAIN, MS AND OTHER DEBILITATING DISEASES). THE HOSPITAL ALSO OPERATES SOMERSET PUBLIC HEALTH, A PROGRAM WHOSE PURPOSE IS TO PROTECT AND IMPROVE THE QUALITY OF LIFE AND HEALTH OF ALL GREATER SOMERSET COUNTY RESIDENTS.

Schedule H (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

REDINGTON-FAIRVIEW GENERAL HOSPITAL

Employer identification number

01-0284446

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Yes

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2014

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1MICHAEL CURRAN MDDIRECTOR	(i) (ii)	349,267 ............................... 0	82,857 ............................... 0	14,427 ............................... 0	0 ............................... 0	0 ............................... 0	446,551 ............................... 0	0 ............................... 0
2MICHAEL LAMBKE MDDIRECTOR	(i) (ii)	175,998 ............................... 0	47,453 ............................... 0	11,416 ............................... 0	0 ............................... 0	0 ............................... 0	234,867 ............................... 0	0 ............................... 0
3GINA GOMEZ MDDIRECTOR	(i) (ii)	237,710 ............................... 0	10,386 ............................... 0	18,018 ............................... 0	0 ............................... 0	0 ............................... 0	266,114 ............................... 0	0 ............................... 0
4RICHARD D WILLETTCEO/SECRETARY	(i) (ii)	331,713 ............................... 0	0 ............................... 0	21,577 ............................... 0	0 ............................... 0	0 ............................... 0	353,290 ............................... 0	0 ............................... 0
5DANA C KEMPTONASSOCIATE DIRECTOR	(i) (ii)	244,209 ............................... 0	0 ............................... 0	18,871 ............................... 0	0 ............................... 0	0 ............................... 0	263,080 ............................... 0	0 ............................... 0
6TIRUNELLAI R SHANKARSURGEON	(i) (ii)	246,936 ............................... 0	79,157 ............................... 0	15,200 ............................... 0	0 ............................... 0	0 ............................... 0	341,293 ............................... 0	0 ............................... 0
7AMIR BAIG MDANESTHESIOLOGIST	(i) (ii)	316,302 ............................... 0	0 ............................... 0	17,341 ............................... 0	0 ............................... 0	0 ............................... 0	333,643 ............................... 0	0 ............................... 0
8JOHN COMIS MDER PHYSICIAN	(i) (ii)	484,625 ............................... 0	0 ............................... 0	15,252 ............................... 0	0 ............................... 0	0 ............................... 0	499,877 ............................... 0	0 ............................... 0
9MANJUNATH BANNUR MDER PHYSICIAN	(i) (ii)	290,340 ............................... 0	0 ............................... 0	13,953 ............................... 0	0 ............................... 0	0 ............................... 0	304,293 ............................... 0	0 ............................... 0
10WINOAH HENRY MDGASTROENTEROLOGIST	(i) (ii)	360,598 ............................... 0	57,870 ............................... 0	13,441 ............................... 0	0 ............................... 0	0 ............................... 0	431,909 ............................... 0	0 ............................... 0

Schedule J (Form 990) 2014

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Return Reference

Explanation

PART I, LINE 5

PHYSICIANS EMPLOYED BY THE HOSPITAL PARTICIPATE IN AN INCENTIVE BASED COMPENSATION PROGRAM. THE PROGRAM IS BASED UPON A REVENUE TARGET WHICH WILL PRODUCE A TARGET COMPENSATION LEVEL, WHICH IS BASED ON BOTH LOCAL AND NATIONAL BENCHMARK INFORMATION. IN ORDER TO ALIGN THE PHYSICIAN WITH THE CHARITABLE MISSION OF THE HOSPITAL THE PROGRAM IS BASED ON THE HOSPITAL'S ACTUAL CHARGES, SO THAT THE PHYSICIAN WILL HAVE AN INCENTIVE TO TAKE ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE SUM OF ALL CHARGES FOR SERVICES PERFORMED BY THE PHYSICIAN IS TABULATED ON A QUARTERLY BASIS. THAT TABULATION IS THEN DIVIDED BY THE REVENUE TARGET, WHICH IS MULTIPLIED TIMES THE TARGET COMPENSATION LEVEL. IF A PHYSICIAN'S ACTUAL COMPENATION IS LESS THAN THE CALULATED SALARY, THE PHYSICIAN WILL RECIEVE A BONUS PAYMENT THAT RECOGNIZES THE PHYSICIAN'S CONTIRBUTION TO THE HOSPITAL'S ACHIEVEMENT OF IT'S CHARITABLE MISSION TO PROVIDE HEALTH SERVICES FOR THE BENEFIT OF THE COMMUNITY.

Schedule J (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization
REDINGTON-FAIRVIEW GENERAL HOSPITAL

Employer identification number
01-0284446

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	MAINE HEALTH & HIGHER EDUCATION FACILITY AUTHORITY	01-0314384	560425V80	11-01-2007	72,040,461	REPLACEMENT OF TWO BOILERS, PURCHASE OF A BACK-UP GENERATOR		X		X	X
B	MAINE HEALTH & HIGHER EDUCATION FACILITY AUTHORITY	01-0314384	560427JA5	06-24-2010	108,030,000	BOND REFINANCING	X			X	X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .
2 Amount of bonds legally defeased . . . . . . . . . . .
3 Total proceeds of issue . . . . . . . . . . . . . .	23,882,032		4,202,585
4 Gross proceeds in reserve funds . . . . . . . . . . . .	1,513,579		390,171
5 Capitalized interest from proceeds . . . . . . . . . . .
6 Proceeds in refunding escrows . . . . . . . . . . . .	4,439,445		4,439,445
7 Issuance costs from proceeds . . . . . . . . . . . .	304,303		47,690
8 Credit enhancement from proceeds . . . . . . . . . . .
9 Working capital expenditures from proceeds . . . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . . .	23,577,729
11 Other spent proceeds . . . . . . . . . . . . . .
12 Other unspent proceeds . . . . . . . . . . . . . .
13 Year of substantial completion . . . . . . . . . . . .
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .		X		X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X	X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2014

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .
6 Total of lines 4 and 5 . . . . . . . . . . . . .
7 Does the bond issue meet the private security or payment test? . . . . .		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .		X	X
b Exception to rebate? . . . . . . . .		X		X
c No rebate due? . . . . . . . .	X			X
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed . . . . . .
3 Is the bond issue a variable rate issue? . . . .		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X
b Name of provider . . . . . . . . .
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was the hedge terminated? . . . . . .

Schedule K (Form 990) 2014

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X
b Name of provider . . . . . . . . .
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation

Schedule K (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

REDINGTON-FAIRVIEW GENERAL HOSPITAL

Employer identification number

01-0284446

Return Reference	Explanation
FORM 990, PART I, LINE 1	REDINGTON-FAIRVIEW GENERAL HOSPITAL'S MISSION IS TO DEVELOP, PROVIDE, AND FACILITATE QUALITY, SAFE, COMPREHENSIVE, COST-EFFECTIVE HEALTH SERVICES FOR THE PEOPLE WE SERVE. WE AFFIRM A COMMITMENT TO MAINTAIN OUR UNIQUE COMMUNITY HOSPITAL IDENTITY, OFFERING PERSONALIZED SERVICES.
FORM 990, PART III, LINE 1	REDINGTON-FAIRVIEW GENERAL HOSPITAL'S MISSION IS TO DEVELOP, PROVIDE, AND FACILITATE QUALITY, SAFE, COMPREHENSIVE, COST-EFFECTIVE HEALTH SERVICES FOR THE PEOPLE WE SERVE. WE AFFIRM A COMMITMENT TO MAINTAIN OUR UNIQUE COMMUNITY HOSPITAL IDENTITY, OFFERING PERSONALIZED SERVICES.
FORM 990, PART VI, SECTION B, LINE 11	PRIOR TO FILING THE FORM 990, THE HOSPITAL'S CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER REVIEWED THE FILING IN DETAIL WITH THE HOSPITAL BOARD. THE BOARD FOUND THE REPORT TO BE COMPREHENSIVE AND COMPLETE AND SUPPORTED ITS FILING AS REVIEWED.
FORM 990, PART VI, SECTION B, LINE 12C	ANNUALLY THE CONFLICT OF INTERESTS DISCLOSURE IS REVIEWED WITH THE MEMBERS OF THE BOARD AND DIRECTORS, WHO THEN SIGN THE DISCLOSURE
FORM 990, PART VI, SECTION B, LINE 15A	SEE SCHEDULE J
FORM 990, PART VI, SECTION C, LINE 19	REDINGTON FAIRVIEW GENERAL MAKE ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST
FORM 990, PART XI, LINE 9:	INCREASE IN TEMPORARILY RESTRICTED ASSETS -1,878. EFFECT OF ASC 715 -5,965,279.
SCHEDULE H, PART V, SECTION B, LINE 11	2015 COMMUNITY HEALTH ANNUAL NEEDS ASSESSMENT REPORT & COMMUNITY HEALTH WORK-PLAN RFGH MISSION - TO DEVELOP, PROVIDE, AND FACILITATE HIGH QUALITY, COMPREHENSIVE, COST-EFFECTIVE HEALTH SERVICES FOR THE PEOPLE WE SERVE. WE AFFIRM A COMMITMENT TO MAINTAIN OUR UNIQUE COMMUNITY HOSPITAL IDENTITY, OFFERING PERSONALIZED SERVICES. RFGH COMMUNITY ENGAGEMENT STRATEGIES COMMUNITY HEALTH IMPROVEMENT - DIRECTLY, OR IN COLLABORATION WITH OTHERS, IDENTIFY AND PROVIDE HEALTH, PREVENTION AND EDUCATION SERVICES THROUGHOUT THE COMMUNITY. OFFER COMMUNITY EDUCATION, DISEASE PREVENTION AND WELLNESS INITIATIVES BASED ON COMMUNITY NEED. PUBLIC HEALTH INFRASTRUCTURE DEVELOPMENT - AS A MEMBER AND FISCAL AGENT FOR SOMERSET PUBLIC HEALTH, RFGH WORKS COLLABORATIVELY WITH REGIONAL HEALTH AND WELLNESS PROVIDERS TO DELIVER PUBLIC HEALTH SERVICES. INTRODUCTION & BRIEF HISTORY THE INTENT OF THE COMMUNITY HEALTH ASSESSMENT IS TO USE IT AS A PLANNING TOOL TO ASSIST IN INITIATING STRATEGIC INITIATIVES TO MEET THE NEEDS OF CITIZENS WHOSE HEALTH NEED ARE AT RISK IN OUR COMMUNITY. COMMUNITY HEALTH STRIVES TO PROMOTE HEALTHY BEHAVIORS THROUGH THE SERVICES PROVIDED. RFGH WORKS IN COLLABORATION WITH NUMEROUS ORGANIZATIONS AND COMMUNITY PARTNERS TO WORK ON PREVENTATIVE HEALTH SERVICES IN OUR COMMUNITY. ASSESSMENTS COMPLETED: " OVER THE PAST EIGHT YEARS RFGH HAS WORKED TO IMPROVE THE APPROACHES TO THE COMMUNITY ASSESSMENT. ASSESSMENTS WERE COMPLETED IN 2007, 2010, 2012, AND 2013. " IN ADDITION, SOMERSET PUBLIC HEALTH, PREVIOUSLY KNOWN AS SOMERSET HEART HEALTH AND LATER AS GREATER SOMERSET PUBLIC HEALTH COLLABORATIVE, AS PART OF THEIR HEALTHY MAINE PARTNERSHIP WORK, COMPLETED A MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) ASSESSMENT PROCESS IN 2011 AS PART OF THE STRATEGIC APPROACH TO COMMUNITY HEALTH IMPROVEMENT. "BEARING THE FRUITS OF OUR LABOR" IS AN EVALUATION FRAMEWORK FOR SOMERSET PUBLIC HEALTH WAS COMPLETED IN 2013. " A SOMERSET COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN AUGUST 2014 (EMHS) WITH RFGH AS PARTNERING HOSPITAL. " IN 2014 RFGH STRATEGIZED OUR HEALTHY COMMUNITY GOALS AS LISTED BELOW: " TO PROMOTE HEALTHY BEHAVIORS (PROMOTE NUTRITION AND WEIGHT STATUS, PROMOTE PHYSICAL ACTIVITY AND FITNESS, REDUCE TOBACCO USE AND REDUCE USE OF ALCOHOL AND OTHER DRUGS) " TO PROMOTE HEALTHY AND SAFE COMMUNITIES (IMPROVE ENVIRONMENTAL HEALTH, INCREASE VACCINATIONS, PREVENT INJURIES, AND PROMOTE EDUCATIONAL AND COMMUNITY BASED PROGRAMS) " TO IMPROVE SYSTEMS (ACCESS TO PRIMARY CARE, SPECIALTY CARE AND EMERGENCY CARE) IMPROVE MATERNAL, INFANT AND CHILD CARE, IMPROVE HEALTH COMMUNICATION AND TECHNOLOGY, IMPROVE PUBLIC HEALTH INFRASTRUCTURE) " TO PREVENT, REDUCE AND MANAGE DISEASES AND DISORDERS (CANCER, CARDIOVASCULAR/ HEART DISEASE AND STROKE, CHRONIC DISEASES, INFECTIOUS DISEASES, PULMONARY AND RESPIRATORY HEALTH) " PARTICIPATED IN THE MAINE SHARED CHNA STAKEHOLDER NEEDS ASSESSMENT - 2015 MOVING FORWARD WITH ASSESSMENT AND EVALUATION MOVING FORWARD IN 2015 - 2016, RFGH, SOMERSET PUBLIC HEALTH AND OTHERS ARE WORKING IN SOMERSET COUNTY AND KENNEBEC COUNTY TO SHARE INFORMATION IN THE COMMUNITY AND TO HAVE THE COMMUNITY PROVIDE THEIR INPUT ON PRIORITIES AS WE MOVE FORWARD. THE HOSPITALS IN MAINE HAVE COME TOGETHER TO DO THEIR NEEDS ASSESSMENTS. THE SHARED HOSPITAL NEEDS ASSESSMENT PLANNING PROCESS (SHNAPP) WILL HAVE DISTRICT LEVEL (KENNEBEC AND SOMERSET COUNTIES) INDICATORS (USING SECONDARY DATA) WHICH WILL BE PROVIDED TO THE DISTRICTS IN EARLY NOVEMBER. THE DATA WILL BE PACKAGED TO HIGHLIGHT EACH DISTRICT'S PRIORITY HEALTH ISSUES. "BEARING THE FRUITS OF OUR LABORS" IS THE EVALUATION FRAMEWORK OF SOMERSET PUBLIC HEALTH (FORMALLY KNOWN AS GREATER SOMERSET PUBLIC HEALTH COLLABORATIVE). THE NEXT UPDATE WILL BE AVAILABLE IN SEPTEMBER OF 2015 FOR THE SEPTEMBER 14 ANNUAL MEETING WHERE THE DIRECTOR OF THE HEALTH INDEX INITIATIVE AT MAINE MEDICAL SHALL PRESENT OUR COUNTY HEALTH RANKING INFORMATION AS WELL AS WHAT QUALITATIVE DATA FROM THE SHNAPP FOR OUR COUNTY THAT IS AVAILABLE. THE GOAL: NEXT STEPS FOR CHANGING OUR HEALTH STATUS. IN AUGUST, 2015 RFGH BEGAN TO SEEK OUR DIRECT COMMUNITY MEMBERS INPUT THROUGH A SURVEY THAT ASKS INDIVIDUALS TO RATE HEALTH ISSUES BASED ON HOW THEY FEEL THEY IMPACT THEIR OVERALL HEALTH. TO DATE, JUST OVER 100 SURVEYS HAVE BEEN COLLECTED. WE WILL CONTINUE THE SURVEYING PROCESS WITH EACH SUPPORT GROUP AND COMMUNITY OUTREACH PROGRAM AS APPLICABLE AS A MEANS OF COLLECTING MEANINGFUL INFORMATION FROM OUR COMMUNITY. THE FOLLOWING CHARTS GIVE A PICTURE OF WHAT THE FIRST 100 WHO COMPLETED THE SURVEY HAD TO SAY. MUCH OF THE NEEDS ASSESSMENTS FROM 2007 - 2013 HAVE FOCUSED ON CHRONIC DISEASES. CHRONIC DISEASES INCLUDE CARDIOVASCULAR DISEASES (HEART AND STROKE), CANCER, CHRONIC RESPIRATORY DISEASES, DIABETES, AND BONE AND JOINT DISORDERS SUCH AS ARTHRITIS AND OSTEOPOROSIS. "CHRONIC DISEASE" MAY ALSO BE INCLUSIVE OF ORAL DISEASE AND MENTAL DISORDERS; HOWEVER, RFGH ASSISTS THE COMMUNITY WITH THESE SERVICES THROUGH REFERRALS RATHER THAN DIRECT SERVICE. CAUSES OF CHRONIC DISEASES MAY HAVE UNDERLYING SOCIOECONOMIC, CULTURAL, POLITICAL AND ENVIRONMENTAL DETERMINANTS. VERY OFTEN THERE ARE COMMON MODIFIABLE RISK FACTORS, NON-MODIFIABLE RISK FACTORS, AND INTERMEDIATE RISK FACTORS THAT LEAD TO THE MAIN CHRONIC DISEASES OF HEART DISEASE STROKE, CANCER, DIABETES, AND CHRONIC RESPIRATORY DISEASE. PHYSICAL INACTIVITY, POOR NUTRITION AND TOBACCO USE MODIFIABLE RISK FACTORS MOST INDIVIDUALS CAN ADJUST IN THEIR DAILY LIFE AND OUR COMMUNITY HEALTH PROGRAMMING CAN HAVE AN IMPACT UPON. INTERMEDIATE RISK FACTORS ARE THOSE UNHEALTHY LIFESTYLES THAT ULTIMATELY SHOW UP AS HEALTH CONCERNS IN INDIVIDUALS SUCH AS ELEVATED BLOOD PRESSURE, CHOLESTEROL, OR GLUCOSE LEVEL OR BEING OVERWEIGHT / OBESE. THE THINGS WE ARE UNABLE TO CHANGE ARE AGE AND HEREDITY (NON-MODIFIABLE RISK FACTORS). DEMOGRAPHICS / SOCIOECONOMIC: RFGH SERVICES MOST OF SOMERSET COUNTY. HEALTH STATUS IS IMPACTED BY DISPARITIES SUCH AS INCOME, EDUCATION LEVELS, AND ACCESS TO MEDICAL CARE. ACCORDING TO THE NATIONAL "HEALTH RANKINGS" IN 2015, PUBLISHED BY THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE. SOMERSET COUNTY CURRENTLY RANKS 16 OUT OF 16 FOR HEALTH OUTCOMES AND 15 OUT OF 16 FOR HEALTH FACTORS. THE HEALTH RANKINGS LOOK AT HEALTH OUTCOMES TO SEE HOW HEALTHY A COUNTY IS AND AT HEALTH FACTORS WHICH INFLUENCE THE HEALTH OF A COUNTY. MEASURES USED ARE MORTALITY, MORBIDITY, HEALTH BEHAVIORS, ACCESS TO CARE, QUALITY OF CARE, INCOME, EDUCATION, COMMUNITY SAFETY, AND ENVIRONMENT. REPORTED IN THE 2015 HEALTH RANKINGS ARE THE FOLLOWING STATISTICS: SOMERSET COUNTY HAS A POPULATION OF 51,706, 25% OF CHILDREN IN 2015 ARE LIVING IN POVERTY, 18.3% OF SOMERSET COUNTY ARE 65 YEARS OF AGE OR OLDER AS COMPARED TO 14% IN 2008. VIOLENT CRIMES IN SOMERSET COUNTY ARE 107, LOWER THAN MAINE AT 123 AND THE NATIONAL MEDIUM AT 199. WELLNESS & HEALTH STATUS INDICATORS THE ONE INDICATOR THAT HAS DATA FOR YEARS 2003, 2010, 2012 AND 2015 TO TREND OVER TIME IS % WHO REPORT HEALTH FAIR TO POOR . ACCESS TO CARE ACCESS TO CARE CONTRIBUTES TO ONE'S HEALTH STATUS. BARRIERS TO ACCESS TO CARE MAY INCLUDE TRANSPORTATION, COST, EDUCATION, LACK OF USUAL SOURCE OF CARE, LACK OF INSURANCE, CHILD CARE, OR OTHER BARRIERS MAY EXIST. THE PERCENT OF UNINSURED UNDER THE AGE OF 65 WITHOUT HEALTH INSURANCE IN 2013 REMAINED AT 13 (NO CHANGE IN THE PAST TEN YEARS) ACCORDING TO "BEARING THE FRUITS OF OUR LABOR". CHRONIC DISEASE (S) CHRONIC DISEASES INCLUDE CARDIOVASCULAR DISEASES (HEART AND STROKE), CANCER, CHRONIC RESPIRATORY DISEASES, DIABETES, AND BONE AND JOINT DISORDERS SUCH AS ARTHRITIS AND OSTEOPOROSIS. TOBACCO USE AND EXPOSURE TO TOBACCO, POOR NUTRITION, AND SEDENTARY LIFESTYLE OR PHYSICALLY INACTIVITY ARE THE TOP THREE HEALTH BEHAVIOR RISK FACTORS AFFECTING PEOPLE. THESE RISK FACTORS AFFECT ALL OF THE CHRONIC DISEASES: DIABETES, CARDIOVASCULAR HEALTH, CANCER, CHRONIC LUNG DISEASE AND OTHER HEALTH ISSUES AS WELL AND FREQUENTLY START IN ONE'S YOUTH. THOSE WITH ARTHRITIS THAT ARE INACTIVE OR OVERWEIGHT TEND TO BE MORE SYMPTOMATIC (HAVE INCREASED PAIN AND ARE NOT AS ABLE TO MOVE WITH AS MUCH EASE). BETWEEN 2003 AND 2010 SOMERSET COUNTY WAS ABLE TO DROP THE RATE OF CURRENT ADULT SMOKERS FROM 31% TO 26%. WE ARE WORKING HARD TO DECREASE THIS RATE WITH TOBACCO FREE POLICIES IMPLEMENTED IN MUNICIPALITIES, EDUCATION IN THE SCHOOL SYSTEMS, OTHER SUPPORT PROGRAMS, AS WELL AS ADDITIONAL INITIATIVES WITH RETAILERS.
COMMUNITY HEALTH WORK PLAN CONTINUED:	NUTRITION AND WEIGHT: SEDENTARY LIFESTYLE, OVERWEIGHT AND OBESITY, AND SMOKING ARE RISK FACTORS FOR MOST OF THE CHRONIC DISEASES. REPORTED IN MAINE HEALTH REPORT, MAINE'S ADULT OBESITY RATES HAVE NEARLY DOUBLED IN THE PAST 16 YEARS. DATA SOURCES VARY SLIGHTLY SOURCE TO SOURCE, BUT THE TAKE HOME MESSAGE IS MAINERS AND AMERICANS ARE TRENDING TO THE OVERWEIGHT AND OBESITY RANGES. ACCORDING TO THE CDC DATA, THE COUNTY'S OBESITY RATE (BMI >30)DOUBLED IN JUST TEN YEARS FROM 2003 - 2013 AND IS STILL ON THE INCREASE. NOTE: THE CDC SOURCES HAVE CAUTIONED THAT CHANGES HAVE BEEN MADE IN AN EFFORT TO IMPROVE THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM THAT AFFECT THE OBESITY PREVALENCE ESTIMATES AND THEREFORE DATA COLLECTED FOR 2010 AND PRIOR CAN NOT BE COMPARED TO LATER DATA. CARDIOVASCULAR HEALTH CARDIOVASCULAR DISEASE REFERS TO A GROUP OF DISEASES AND CONDITIONS AFFECTING THE HEART AND BLOOD VESSELS. ACCORDING TO THE MAINE CARDIOVASCULAR HEALTH AND DIABETES PLAN (2011 - 2020) HEART DISEASE IS THE 2ND LEADING CAUSE OF DEATH IN MAINE WITH STROKE THE 4TH LEADING CAUSE OF DEATH. RISKS OF HEART DISEASE AND STROKE ARE 2-4 TIMES GREATER IN PEOPLE WITH DIABETES. ACCORDING TO THE CDC, ABOUT 1 OF 3 U.S. ADULTS-OR ABOUT 70 MILLION PEOPLE-HAVE HIGH BLOOD PRESSURE. ONLY ABOUT HALF (52%) OF THESE PEOPLE HAVE THEIR HIGH BLOOD PRESSURE UNDER CONTROL. THIS COMMON CONDITION INCREASES THE RISK FOR HEART DISEASE AND STROKE, 2ND OF THE LEADING CAUSES OF DEATH FOR AMERICANS. IN LOOKING AT THE DATA FROM 2003 TO 2013, THERE HAS BEEN NO CHANGE IN THOSE BEING TOLD THEY HAVE HIGH CHOLESTEROL. IT REMAINS AT 32%. RESPIRATORY HEALTH / PULMONARY DISEASE RESPIRATORY HEALTH INCLUDES DISEASES SUCH AS CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) AND ASTHMA. AS WITH OTHER CHRONIC DISEASES, RISK FACTORS INCLUDE SMOKING AND SEDENTARY LIFESTYLE. IN ADDITION, EXPOSURE TO NOXIOUS PARTICLES OR GASES, RECURRENT INFECTIONS, GENETIC FACTORS AND DIET MAY BE ADDITIONAL RISK FACTORS FOR COPD. RESPIRATORY HEALTH INCLUDES DISEASES SUCH AS CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), PNEUMONIA AND ASTHMA. ASTHMA IS A CHRONIC DISEASE THAT AFFECTS THE LUNGS AND AIRWAYS. THERE IS NO CURE BUT IT CAN BE CONTROLLED. ACCORDING TO THE MAINE CENTER FOR DISEASE CONTROL AND PREVENTION, IN 2010 ONE IN 15 (6.5%) OF CHILDREN UNDER THE AGE OF 18 IN HAVE ASTHMA AND ONE IN 10 (10.8%) ADULTS HAVE ASTHMA IN CENTRAL DISTRICT (SOMERSET AND KENNEBEC COUNTIES. ASTHMA ACCOUNTED FOR > 100 ED VISITS AND FOR > 100 HOSPITALIZATIONS. CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) IS A CHRONIC INFLAMMATORY LUNG DISEASE THAT CAUSES OBSTRUCTED AIRFLOW FROM THE LUNGS. ACCORDING TO NATIONAL INSTITUTE OF HEALTH (2010), COPD IS THE 3RD LEADING CAUSE OF DEATH IN THE UNITED STATES, IS RESPONSIBLE FOR 1.5 MILLION ED VISITS AND 726,000 HOSPITALIZATIONS PER YEAR ACROSS THE US AND HAS A COST (DIRECT AND INDIRECT) OF AN ESTIMATED $49.9 BILLION. COPD IS A DISEASE THAT IS CAUSED BY LONG-TERM EXPOSURE TO IRRITATING GASES OR PARTICULATE MATTER, MOST OFTEN FROM CIGARETTE SMOKE. MOST PEOPLE WITH COPD CAN ACHIEVE GOOD SYMPTOM CONTROL AND QUALITY OF LIFE WITH PROPER MANAGEMENT, AS WELL AS REDUCED RISK OF OTHER ASSOCIATED CONDITIONS. THE MOST CURRENT DATA IN SOMERSET COUNTY AVAILABLE IS FROM 2010 AND IS 7.9%. THE CENTRAL DISTRICT IMPROVEMENT PLAN OF 2010 CALLED FOR REDUCING THE CURRENT RATE OF ADMISSIONS FOR COPD FROM 181 / 1000,000 IN KENNEBEC AND SOMERSET COUNTIES COMBINED TO 91 (A 50% REDUCTION) IN THE HOPES OF SAVING AN ESTIMATED $1,153,255 BY 2015. THE 2015 INFORMATION HAS NOT YET BEEN RELEASED. DIABETES DIABETES IS A DISEASE THAT AFFECTS THE WAY THE BODY USES FOOD. IT IS CHARACTERIZED BY THE INABILITY TO PRODUCE OR PROPERLY USE INSULIN, A HORMONE THAT HELPS CONTROL BLOOD SUGAR LEVELS. EVERY MINUTE A PERSON'S BLOOD SUGAR IS HIGHER THAN IT SHOULD BE, THE DISEASE DAMAGES THE NERVOUS AND CIRCULATORY SYSTEMS, LEADING TO BLINDNESS, AMPUTATIONS AND INCREASING DISABILITY. DIABETES IS A DISEASE THAT VERY FREQUENTLY CAN BE CONTROLLED. CAREFUL MANAGEMENT OF DIABETES MAKES IT POSSIBLE FOR DIABETICS TO LEAD ACTIVE AND LONG LIVES. RISK FACTORS INCLUDE BEING OVERWEIGHT, PHYSICAL INACTIVITY, AND A FAMILY HISTORY OF DIABETES. COMPLICATIONS OF DIABETES MAY INCLUDE HEART DISEASE, KIDNEY DISEASE, EYE DISEASE, NERVE DISEASE, ATHEROSCLEROSIS, STROKE, BONE OR GUM INFECTIONS, AND BIRTH DEFECTS IN BABIES BORN TO DIABETIC MOTHERS. ACCORDING TO THE SOMERSET COUNTY HEALTH RANKINGS (2015) 88% DIABETIC MONITORING (SAME AS MAINE ) - 2010 ADULTS DIAGNOSED WITH TYPE 2 DIABETES 11 %. CANCER CANCER IS A TERM USED FOR DISEASES IN WHICH ABNORMAL CELLS DIVIDE WITHOUT CONTROL AND CAN INVADE OTHER TISSUES. CANCER CELLS CAN SPREAD TO OTHER PARTS OF THE BODY THROUGH THE BLOOD AND LYMPH SYSTEMS. CANCER IS NOT JUST ONE DISEASE, BUT MANY DISEASES. THERE ARE MORE THAN 100 KINDS OF CANCER. EARLY DETECTION THROUGH SCREENING (FINDING CANCER OR PRE-CANCEROUS CHANGES BEFORE IT CAN GROW AND SPREAD INTO LATE-STAGE DISEASE) MAKES A DIFFERENCE IN HEALTH OUTCOMES FOR MANY CANCERS. NOT ONLY DOES IT SAVE LIVES, PROVIDE QUALITY OF LIFE, IT ALSO SAVES BILLIONS OF DOLLARS OF HEALTHCARE TREATMENT COSTS. OSTEOARTHRITIS IS CHARACTERIZED BY THE BREAKDOWN OF THE JOINT'S CARTILAGE. THE BREAKDOWN OF CARTILAGE CAUSES THE BONES TO RUB AGAINST EACH OTHER, CAUSING STIFFNESS, PAIN AND LOSS OF MOVEMENT IN THE JOINT. RHEUMATOID ARTHRITIS) IS A CHRONIC DISEASE, MAINLY CHARACTERIZED BY INFLAMMATION OF THE LINING, OR SYNOVIUM, OF THE JOINTS. IT CAN LEAD TO LONG-TERM JOINT DAMAGE, RESULTING IN CHRONIC PAIN, LOSS OF FUNCTION AND DISABILITY. IN DECEMBER OF 2014 THE CDC ESTIMATED THAT AN ESTIMATED 52.5 MILLION US ADULTS REPORTED THAT THEIR DOCTOR TOLD THEM THEY HAD ARTHRITIS. AS OUR NATION'S POPULATION AGES, THE PREVALENCE IS EXPECTED TO INCREASE. IN ADDITION, 294,000 U.S. CHILDREN UNDER AGE 18 (OR 1 IN 250 CHILDREN) HAVE BEEN DIAGNOSED WITH ARTHRITIS OR ANOTHER RHEUMATOLOGIC CONDITION. PRIOR ESTIMATES RANGED FROM 80,000 TO 290,000, DEPENDING ON THE DEFINITION OF ARTHRITIS, AGE RANGE AND METHODS USED TO FIND CASES. MANY AFFLICTED WITH THIS DISEASE HAVE LIMITATIONS IN THEIR ABILITY TO DO PHYSICAL ACTIVITY, HAVE WORK LIMITATIONS, AND HAVE SOCIAL PARTICIPATION LIMITATIONS. ACTION: RFGH AND SPH WILL WORK WITH MAINE HOSPITALS AND THE SHARED HOSPITAL NEEDS ASSESSMENT PLANNING PROCESS (SHNAPP) TO DEVELOP STATE AND DISTRICT LEVEL (KENNEBEC AND SOMERSET COUNTIES) INDICATORS (USING SECONDARY DATA). THE DATA WILL BE PACKAGED TO HIGHLIGHT EACH DISTRICT'S PRIORITY HEALTH ISSUES. IMPROVEMENT INITIATIVES ARE TO REDUCE ADMISSION RATES, LONG AND SHORT TERM COMPLICATION RATES, PROPER MANAGEMENT AND APPROPRIATE TREATMENT OF DISEASES. IN ADDITION, CARRY OUT THE INITIATIVES IN THE COMMUNITY HEALTH WORKPLAN.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

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SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

REDINGTON-FAIRVIEW GENERAL HOSPITAL

Employer identification number

01-0284446

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) SOMERSET FITNESS CENTER INC PO BOX 3158 SKOWHEGAN,ME04976 01-0524417	FITNESS ACTIVITIES FOR MEMBERS	ME	308,552	100,383	REDINGTON FAIRVIEW GENERAL HOSPITAL

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) REDINGTON MEMORIAL HOSPITAL ASSN PO BOX 468 SKOWHEGAN,ME04976 01-0211154	SOLE SUPPORTING ORGANIZATION OF RFGH	ME	501 C (3)	11 (D)	N/A		No
(2) FAIRVIEW HOSPITAL INC PO BOX 468 SKOWHEGAN,ME04976 01-0222130	SOLE SUPPORTING ORGANIZATION OF RFGH	ME	501 C (3)	11 (D)	N/A		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2014

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) SOMERSET SPORTS & FITNESS CENTER 6 COMMERCE DRIVE SKOWHEGAN,ME04976 01-0524417	FITNESS CENTER	ME	RFGH				100.000 %		No

Schedule R (Form 990) 2014

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) REDINGTON MEMORIAL HOSPITAL ASSOCIATION	C	518,133	CASH RECEIVED
(2) FAIRVIEW HOSPITAL INC	C	42,945	CASH RECEIVED
(3) REDINGTON MEMORIAL HOSPITAL ASSOCIATION	H	9,730	CASH RECEIVED
(4) REDINGTON MEMORIAL HOSPITAL ASSOCIATION	K	178,208	CASH RECEIVED

Schedule R (Form 990) 2014

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2014

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2014

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: SEE SCHEDULE O
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	9
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	6
5	Total number of individuals employed in calendar year 2014 (Part V, line 2a) ......	5	764
6	Total number of volunteers (estimate if necessary) .............	6	27
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	1,981,712	3,001,533
9	Program service revenue (Part VIII, line 2g) .........	77,566,822	82,127,247
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	1,272,066	3,344,706
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	268,405	290,758
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	81,089,005	88,764,244
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	45,468,399	48,008,281
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	36,835,768	39,488,423
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	82,304,167	87,496,704
19	Revenue less expenses. Subtract line 18 from line 12.......	-1,215,162	1,267,540
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	101,992,529	104,303,179
21	Total liabilities (Part X, line 26).............	36,796,290	46,659,467
22	Net assets or fund balances. Subtract line 21 from line 20.....	65,196,239	57,643,712

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 42,499,980 including grants of $ ) (Revenue $ 55,687,918 )
	RFGH PROVIDES 24 HOUR SEVEN DAY A WEEK EMERGENCY SERVICES. THESE SERVICES INCLUDE AN EMERGENCY DEPARTMENT STAFFED WITH PHYSICIANS 24 HOURS A DAY AS WELL AS AN AMBULANCE SERVICE WHICH OPERATES 24 HOURS A DAY. DURING FISCAL 2015, RFGH HAD 24,246 EMERGENCY DEPARTMENT VISITS AND 3,772 AMBULANCE RUNS. IN ADDITION TO EMERGENCY SERVICES, THE HOSPITAL PROVIDES A FULL RANGE OF SERVICES, RADIOLOGY, C.T., ULTRASOUND, NUCLEAR MEDICINE, BLOOD BANK, PATHOLOGY, CARDIOLOGY AND LABORATORY SERVICES. IN TOTAL, THESE SERVICES TREATED APPROXIMATELY 57,416 PATIENTS.

4b	(Code: ) (Expenses $ 18,463,178 including grants of $ ) (Revenue $ 8,801,353 )
	RFGH OPERATES A NUMBER OF PHYSICIAN OFFICES IN ORDER TO BETTER SERVE THE RESIDENTS OF SOMERSET COUNTY. DURING FISCAL 2015, THESE PHYSICIAN SPECIALTIES INCLUDED INTERNAL MEDICINE,ENDOCRINOLOGY,GENERAL SURGERY, ORTHOPEDICS, PEDIATRICS,FAMILY MEDICINE,OBSTETRICS GASTROENTEROLOGY AND NEUROLOGY. DURING FISCAL 2015, THESE PHYSICIAN SPECIALTIES SERVED 13,890 PATIENTS WHO TOTALLED 57,271 VISITS AT THESE OFFICES.

4c	(Code: ) (Expenses $ 12,596,462 including grants of $ ) (Revenue $ 17,928,734 )
	RFGH IS LICENSED AS A CRITICAL ACCESS HOSPITAL OPERATING 25 BEDS. RFGH EMPLOYS HOSPITALISTS WHO ARE PHYSICIANS DEDICATED TO THE TREATMENT OF INPATIENTS. INPATIENT SERVICES INCLUDE MEDICAL AND SURGICAL, SPECIAL CARE, OBSTETRICS AND PEDIATRICS. DURING FISCAL 2015, RFGH PROVIDED INPATIENT SERVICES TO 1,505 PATIENTS WHO STAYED 4,865 PATIENT DAYS. MEDICARE AND MEDICAID PATIENTS REPRESENTED 74% OF RFGH'S INPATIENTS.

	(Code: ) (Expenses $ 1,934,595 including grants of $ ) (Revenue $ 1,761,160 )
	REDINGTON-FAIRVIEW GENERAL HOSPITAL OPERATES SOMERSET PUBLIC HEALTH, A PROGRAM WHOSE PURPOSE IS TO PROTECT AND IMPROVE THE QUALITY OF LIFE AND HEALTH OF ALL GREATER SOMERSET COUNTY RESIDENTS.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 1,934,595 including grants of $ ) (Revenue $ 1,761,160 )
4e	Total program service expenses75,494,215

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	3,474,917	0	0

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d
e	Government grants (contributions)1e		824,156

f	All other contributions, gifts, grants, and similar amounts not included above1f		2,177,377

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			3,001,533
			Business Code
2a	NET PATIENT REVENUE		622110	82,127,247	82,127,247
b
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			82,127,247
3	Investment income (including dividends, interest, and other similar amounts).......			3,344,706			3,344,706
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss).......
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory
b	Less: cost or other basis and sales expenses
c	Gain or (loss)
d	Net gain or (loss)..........
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a	CAFETERIA		622110	267,115			267,115
b	OTHER MISCELLANEOUS		622110	23,643	23,643
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			290,758
12	Total revenue. See Instructions......			88,764,244	82,150,890	0	3,611,821


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			1,474,138	1	4,169,519
2	Savings and temporary cash investments .........			9,541,144	2	6,265,751
3	Pledges and grants receivable, net ...........				3
4	Accounts receivable, net .............			10,717,369	4	11,813,892
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net .............			486,469	7	494,653
8	Inventories for sale or use ..............			1,508,274	8	1,545,444
9	Prepaid expenses and deferred charges ..........			131,158	9	167,866
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	75,096,612
b	Less: accumulated depreciation .....	10b	48,296,588	27,087,478	10c	26,800,024
11	Investments—publicly traded securities ..........			50,310,530	11	52,365,408
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 .....				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			735,969	15	680,622
16	Total assets. Add lines 1 through 15 (must equal line 34)......			101,992,529	16	104,303,179
17	Accounts payable and accrued expenses .........			8,165,135	17	8,622,520
18	Grants payable .................				18
19	Deferred revenue ................				19
20	Tax-exempt bond liabilities .............				20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..			22,350,718	23	21,536,247
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			6,280,437	25	16,500,700
26	Total liabilities. Add lines 17 through 25.........			36,796,290	26	46,659,467
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			64,116,694	27	56,566,045
28	Temporarily restricted net assets ...........			1,079,545	28	1,077,667
29	Permanently restricted net assets ...........				29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			65,196,239	33	57,643,712
34	Total liabilities and net assets/fund balances ........			101,992,529	34	104,303,179