2019-08-07T07:11:37-07:00 2018-09-30 990 2017-10-01 010459837 Eastern Maine Healthcare Systems AHC Acadia Hospital Corp AHC EAST 2079739081 43 Whiting Hill Road Brewer ME 04412 John J Doyle NLH VP of Finance 2019-08-07 false 2017 2019-02-21 02:37:17Z John J Doyle 114937683 false false 5247 X www.acadiahospital.org X 1987 ME The primary mission and significant activities of Acadia Hospital are the provision of inpatient and outpatient psychiatric and mental health services to children, adolescents, and adults. 15 11 783 11 0 70393 225641 198991 112377775 114563972 -60108 64024 208582 110696 112751890 114937683 0 0 42128949 41371663 0 0 57147330 70121672 99276279 111493335 13475611 3444348 28873084 31382165 22803279 22351038 6069805 9031127 X The primary mission and significant activities of Acadia Hospital are the provision of inpatient and outpatient psychiatric and mental health services to children, adolescents, and adults. false false 102448901 114674472 Acadia's 36-bed adult inpatient service provided 11,852 patient days of care to 891 patients. Patients are referred primarily from a large, nine county area of northern, eastern, and central Maine. Acadia's 32-bed child and adolescent inpatient service provided 10,388 patient days of care to 575 patients. Patients are referred from as the State of Maine. The adult outpatient clinic provided the following number of patient encounters: 16,685 - intensive outpatient program; 24,278 medication management; 16,373 therapy and 3,975 geriatric. 102448901 true true false true false false false false false true true false false false true true false true false false false false false false false false true true false false true true false false false false false true false false false false false false false false false true true true false false true 60 0 true 783 true true true false false false false false false 0 false false false false false false false false false false X 15 11 true false true false true true true true true false false true true true true true true true true false ME X X X John J Doyle 2079739081 43 Whiting Hill Road Brewer ME 04412 James H Breece PhD Trustee/Chair 2.00 0.00 X X 0 0 0 Allan D Currie MD Trustee 0.50 10.00 X 0 22739 0 Craig Hadley CPA Trustee 0.50 0.00 X 0 0 0 Judith A Horan Trustee 0.50 0.00 X 0 0 0 Betsy MacGregor-Webb PhD Trustee 0.50 0.00 X 0 0 0 Charles T McHugh MD Trustee 0.50 0.00 X 0 0 0 Richard Rosen Trustee 0.50 0.00 X 0 0 0 Anne E Pooler EdD Trustee/Chair 2.00 0.00 X X 0 0 0 Scott Oxley SVP, President 50.00 0.00 X X 291666 0 51015 Kara Hay Trustee/Vice Ch 0.50 0.00 X X 0 0 0 Sandra L Rothera Esquire Trustee 0.50 0.00 X 0 0 0 Teresa Willett Steele RN PhD Trustee 0.50 0.00 X 0 0 0 Shirar Patterson Trustee 0.50 0.00 X 0 0 0 James E Rogers Jr Trustee 0.50 0.00 X 0 0 0 Mary Michelle Hood Ex-Officio 0.50 50.00 X X 0 958052 284585 Anthony Ng MD VP/CMO 50.00 0.00 X X 345277 0 47644 Sarah Smiley Trustee 0.50 0.00 X 0 0 0 Glenn Martin Esq Secretary 2.00 50.00 X 0 445839 94023 Wayne Stellar PMHNP VP, NPCS 50.00 0.00 X 203926 0 42200 Marie K Suitter VP, Finance 50.00 0.00 X 213072 0 47948 Anthony Filer Treasurer 2.00 50.00 X 0 496014 29454 Paul Bolin VP, CHRO 0.50 50.00 X 0 336066 47158 Brent Scobie VP, CSQ 50.00 0.00 X 140622 0 42383 Joshua P Newman Psychiatrist 40.00 0.00 X 277256 0 42116 Mahdieh Bodaghi Psychiatrist 40.00 0.00 X 323906 0 14389 Mark R Allen Medical Director 40.00 0.00 X 289991 0 23414 Clifford Singer Chief Geriatrics 40.00 0.00 X 287808 0 33077 Timothy F Rockcress Psychiatrist 40.00 0.00 X 285340 0 21300 Daniel B Coffey Former SVP, President 50.00 0.00 X 444996 0 46583 3103860 2258710 867289 46 true true false Massachusetts General Hospital PO Box 3662 Boston MA 021143682 Physician Services 558820 American Mobile Nurse DBA AMN Healthcare Inc 2735 Collection Center Drive Chicago IL 60693 RN Services 356982 Securitas Security Services USA Inc PO Box 403412 Atlanta GA 303843412 Security Services 203405 Nurse Anesthesia of Maine 141 N Main St STE 205 Brewer ME 04412 CRNA Services 132140 Locumtenanscom PO Box 405547 Atlanta GA 303845547 Physician Services 127584 7 101 96370 102520 93 198991 Cafeteria/Dietary 722210 168338 168338 Patient Care Services 621990 114395634 114395634 114563972 61524 61524 0 0 0 2500 2500 2500 2500 0 0 0 Meaningful Use 621990 110500 110500 Miscellaneous 812900 196 196 110696 114937683 114506134 232558 0 0 0 0 1425753 822052 603701 0 30024905 26720208 3304697 1668290 1469521 198769 6089317 5338351 750966 2163398 1899767 263631 0 4536 4536 9056 9056 3435 3435 0 3408 3408 5069029 2349273 2719756 81603 3664 77939 1258166 1001224 256942 2204317 1957098 247219 0 596029 443541 152488 113232 90122 23110 0 177479 158926 18553 176387 175440 947 0 912814 688632 224182 370735 329165 41570 Contractual Allowances 34938485 34938485 Charity Care 18128249 18128249 Prov Uncollectible Acct 4104258 4104258 Taxes and Licenses 1150403 1134123 16280 820051 693394 126657 111493335 102448901 9044434 0 8310290 15587645 0 0 9669761 5693839 10806 7806 0 24396 19407 128921 111035 194127 196945 32735432 23929793 9520858 8805639 0 0 0 0 1013925 959849 28873084 31382165 8566519 9547007 4998 4115236 2788246 10116526 10015785 22803279 22351038 X 5613299 8598662 190404 163963 266102 268502 6069805 9031127 28873084 31382165 X 3444348 -483026 X false true X true false X false false false false false false false false false false true 11741 11741 false false Part II-B, Line 1i - Other Activities Description Non deductible portion of dues and coalition lobbying fees. 415576 2400 11904 16417 413463 394598 4100 31732 14854 415576 258564 142800 35977 42743 394598 230720 39200 -2779 8577 258564 202431 21670 13854 7235 230720 0.04050 0.95950 false true true 447123 447123 16311845 10955924 5355921 13068207 10425846 2642361 2908257 2548023 360234 8805639 Deferred Liab-Post Retirement Benefits 9969298 Liability Under Cap Lease Obligation 46487 10015785 X Part V, Line 4: Intended uses of the endowment fund. Endowment funds are designated for purposes that align within this organization's exempt purpose. Part X : FIN48 Footnote EMHS, its hospitals, and certain other affiliates have been determined by the Internal Revenue Service to be tax-exempt charitable organizations as described in Section 501(c)(3) or 501(c)(2) of the Internal Revenue Code (the Code) and, accordingly, are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Accordingly, no provision for federal income taxes has been recorded in the accompanying consolidated financial statements for these organizations.Tax-exempt charitable organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the Financial Accounting Standards Board (FASB), assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. The System has evaluated its tax position taken or expected to be taken on income tax returns and concluded the impact to be not material.Certain of the System's affiliates are taxable entities. Deferred taxes related to these entities are based on the difference between the financial statement and tax basis of assets and liabilities using enacted tax rates in effect in the years the differences are expected to reverse. The deferred tax assets and liabilities for these entities are not material. true true true X true X true true true false true true 822 7952817 7952817 0.14640 148309 148309 0.00270 822 8101126 8101126 0.14910 5 23576 88844 88844 0.00160 8 86 111431 111431 0.00210 3 288 1369 1369 16 23950 201644 201644 0.00370 16 24772 8302770 8302770 0.15280 2 200 5481 5481 0.00010 2 200 5481 5481 0.00010 true 1866164 9694871 15863799 -6168928 X true true 1 1 Acadia Hospital Corp 268 Stillwater Avenue Bangor ME 04401 www.acadiahospital.org 38093 X Acadia Hospital Corp 1 false false true X X X X X X X X X 16 true true true true X See Part V, Line 16j for URL X See Part V, Line 16j for URL X true 16 true See Part V, Line 16j for URL false false true X 150.0000 250.0000 X true true X X X true X see Part V, Line 16j for URL X see Part V, Line 16j for URL X see Part V, Line 16j for URL X X X X X X X true X false X X X X true X false false Part V, Line 5 - Account Input from Persons Who Represent the Community The Maine Shared CHNA research team conducted a statewide survey among stakeholders to identify and prioritize significant health issues in communities across the state. The survey, coordinated with the Maine CDC, engaged public health expertise throughout the process. The survey was administered using a snowball approach where stakeholder agencies agreed to send the surveys to their members and stakeholders for participation. 1,639 people, representing more than 80 organizations and businesses in Maine, completed the survey. Respondents represented health care agencies, public health agencies, law enforcement, municipalities, schools, local businesses, social service agencies, and nongovernmental organizations. In addition to the stakeholder survey, each county conducted a number of community engagement opportunities (forums) to ensure broad interests of the local community were represented; Obtain stakeholder input on identifying significant health needs based on review of shared CHNA data; Solicit stakeholder feedback on prioritizing significant health needs, and; Identify local assets and resources that potentially may address local health priorities. The local forums were conducted in collaboration with the Maine CDC to solicit input from individuals representing populations with health disparities. The following organizations were in attendance at the November 18, 2015 Penobscot County Shared CHNA Community Engagement Input Forum and provided valuable feedback on the Shared CHNA:Details about organizations: Local and State Government (low income, medically underserved) - representation from DHHS, City of Bangor, Town of Glenburn, Town of Hampden; Non-profit hospitals (medically underserved through free and low cost care) Acadia Hospital, Eastern Maine Medical Center, Mayo Regional Hospital, Penobscot Valley Hospital; Hospital System, EMHS, St. Joseph Healthcare providing services to MaineCare populations (low income); FQHC Penobscot Community Health Care (low income, medically underserved); College/University UM Center of Community Inclusion, Center of Aging, Cooperative Extension; Community Health Coalition United Way of Eastern Maine (low income, medically underserved), Bangor Region Public Health and Wellness, a division of Bangor Health and Community Services Department, A Local Healthy Maine Partnership, Partnership for a Healthy Northern Penobscot; Not for profit agencies Bangor Y, Bangor Area Homeless Shelter (low income, medically underserved), Community Health and Counseling Services, Big Brothers Big Sisters of Mid-Maine, Eastern Area Agency on Aging, Old Town YMCA; Health Equity Alliance, Wellspring, Inc.; Minorities Penobscot Nation Health Department (minorities). Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs Assessment The Shared CHNA was conducted through the Maine Shared Health Needs Assessment Planning Process (SHNAPP) a collaborative effort among Maines four largest health-care systems Central Maine Healthcare, Eastern Maine Healthcare Systems (EMHS), MaineGeneral Health, MaineHealth and the Maine Center for Disease Control and Prevention, an office of the Maine Department of Health and Human Services (DHHS). EMHS member organizations participating in the Shared CHNA included Acadia Hospital, Blue Hill Memorial Hospital, Charles A. Dean Memorial Hospital, Eastern Maine Medical Center, Inland Hospital, Maine Coast Memorial Hospital, Mercy Hospital, Sebasticook Valley Health, and TAMC. Part V, Line 11 - Explanation of Needs Not Addressed and Reasons Why Non-selected priorities:Issues Preventing Access to CareBrief explanation why they were not included:Currently do not have the capacity to address this priority at this time. Part V, Line 13h - Other Factors Used in Determing Amounts Charged Patients Income Level Part V, Line 16j - Other Means Hospital Facility Publicized the Policy Response for 7a (list URL) is https://northernlighthealth.org/Acadia-HospitalResponse for 7b (list URL) is https://northernlighthealth.org/Community-Health-Needs-Assessment-2016-CHNA-ReportsResponse for 10a (list URL) is https://northernlighthealth.org/Community-Health-Needs-Assessment-2016-CHNA-Reports/Community-Health-Strategy16j. Response for 16a, 16b, 16c (list url) is https://northernlighthealth.org/Acadia-Hospital under "Bill Pay & Financial Assistance." Part I, Line 6a - Related Organization Community Benefit Report The Acadia Hospital Corporation community benefit report is contained in an annual community benefit report prepared by Eastern Maine Healthcare Systems which is the parent organization of all related organizations. Part I, Line 7 - Explanation of Costing Methodology Ratio of Patient Care Cost-to-Charges is used in calculations. Part I, Line 7, Column F - Explanation of Bad Debt Expense $4,104,258 of bad debt expense, $18,128,249 of charity care, $34,938,485 of contractual allowances is included on Form 990, Part IX, line 25, column (A). Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense The costing methodology used to determine the amount is cost to charge ratio. Part III, Line 4 - Bad Debt Expense Patient and trade accounts receivable are stated at the amount management expects to collect from outstanding balances. Management provides for probable uncollectible amounts through a charge to earnings and a valuation allowance 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 valuation allowance and the applicable patient accounts receivable. Credit is extended without collateral. Part III, Line 8 - Explanation Of Shortfall As Community Benefit Medicare losses should be treated as a community benefit because the losses are incurred in performing an important public service, and Maine hospitals experience one of the lowest Medicare reimbursement rates in the country. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients All account guarantors who express an inability to pay inpatient and outpatient services will be screened for eligibility for charity care using an application and guidelines established by Acadia Hospital. An account may be reconsidered for charity care at any time when new information is available about a patients inability to pay. Part VI, Line 3 - Patient Education of Eligibility for Assistance Acadia Hospital utilizes a full time patient counselor to inform and educate patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs and under the organization's financial assistance policy. Part VI, Line 4 - Community Information The primary mission of Acadia Hospital is to empower people to improve their lives. Acadia Hospital is a non-profit acute care psychiatric hospital offering many different services to all Maine residents, with a particular focus on the Greater Bangor Region. Part VI, Line 5 - Promotion of Community Health Acadia Hospitals board is comprised of persons who reside in the hospitals primary service area. All board members are volunteers and work closely with Acadia administrative leadership on governance of the organization, in order to serve the interests of the communities it serves. In compliance with Maine non-profit regulations, at least 51 percent of trustees are not financially interested persons and the majority of trustees are deemed independent status. Surplus funds are used to support charity care and to fund certain mental health services that are not self-funding.Acadia also features a Citizens Advisory Council comprised of individuals in the community who have an interest in learning more about mental health and substance abuse, and also have an interest in knowing more about Acadia Hospital and serving as advocates for its mission in the community. The hospital does a lot of work with public outreach in an effort to educate people about mental health and substance abuse, particularly with youth. Acadia continues to offer its CARES (Child-Adolescent Resources and Educational Series) campaign, which features short educational videos on topics such as: suicide prevention, bullying, eating disorders, anxiety, substance abuse, LGBTQ youth and resiliency. Additionally, Acadia supports community events such as the Out of Darkness, Steps for Souls, and Alzheimers walks. Part VI, Line 6 - Affilated Health Care System The 2016 Shared Community Health Needs Assessment conducted by EMHS (Eastern Maine Healthcare Systems) in collaboration with several member/affiliated hospitals and the many public health and community organizations across the state. The Shared Community Health Needs Assessment informs initiatives to promote community health across the system as well as within each member hospitals local service area. Each member hospital adopted a local implementation strategy and community health improvement plan, tailored to meet local needs.Acadia Hospital is the regional referral psychiatric hospital providing psychiatric and mental health services to all members of EMHS and other non-affiliated hospitals in the region via a combination of in-person and tele-health technology. Part VI, Line 7 - States Filing of Community Benefit Report N/A Part VI - Additional Information Disclosure in accordance with Revenue Procedure 2015-21:Part V Facility Information, Section B Facility Policies and PracticesIn accordance with Revenue Procedure 2015-21, Northern Light Acadia Hospital (Acadia Hospital) is disclosing the following information with respect to Section 501(r) issues that were discovered during the 2018 tax year and how these have been corrected to satisfy 501(r) requirements.For all items:A good-faith effort was made to implement the requirements of the Section 501(r) regulations. Acadia Hospital obtained information about the requirements and sought to implement them accordingly, but later identified some compliance gaps.The issues were discovered in fiscal year 2018 during an internal audit of Acadia Hospitals compliance with Sections 501(r). To ensure full compliance with Section 501(r) regulations, Northern Light Healths Community Health and Revenue Cycle Departments perform routine reviews to assure Acadia Hospital is in compliance with Section 501(r). In addition, Northern Light Health continues to engage Northern Light Health Internal Audit to review Acadia Hospitals compliance with Section 501(r).Specific issues and corrections:1. Incorrect calculation of Amounts Generally Billed (AGB)a. Requirement: A hospital facility may determine AGB for any emergency or other medically necessary care it provides to a FAP-eligible individual by multiplying the hospital facilitys gross charges for the care by one or more percentages of gross charges (AGB percentage(s)). A hospital facility using this method must calculate its AGB percentage(s) at least annually by dividing the sum of the amounts of all of its claims for emergency and other medically necessary care that have been allowed by health insurers during a prior 12-month period by the sum of the associated gross charges for those claims.b. Condition: Acadia Hospital incorrectly calculated the AGB because it did not use actual amounts allowed by health insurers or associated gross charges in its calculation of AGB. Instead, Acadia Hospital used adjusted net patient revenue divided by adjusted gross patient revenue in calculating the AGB.c. Corrective Action: In response, Acadia Hospital recalculated the AGB using the required data and retroactively adjusted its AGB for FY 2017 and 2018 to the correct percentage. Acadia Hospital has identified 657 patient accounts affected by the correction and to date has corrected 492 accounts and has adjusted $2,697 in order to restore each affected individual to the position in which he or she would have been had the failure not have occurred. Of this total adjustment amount, $1,111 was actually required to be refunded to the individual; the remainder was in the form of accounting adjustments only. At this time Acadia Hospital has 165 accounts remaining to be corrected with an anticipated total adjustment of $5,741. d. Date Corrected: The new AGB was calculated in December 2018 and for 501(r) compliance purposes Acadia Hospital applied the correct AGB to all patient accounts as of the beginning of October 2018. By October 1, 2019, Acadia Hospital expects to restore each remaining affected individual to the position in which he or she would have been had the failure not have occurred.2. Widely Publicizeda. Requirement: In order to ensure the FAP is widely publicized, a hospital must take several actions, one of which is to make the FAP, FAP application form and a plain language summary of the FAP widely available on a Web site.b. Condition: On October 22, 2018, it was discovered that the link from Acadia Hospitals Billing Help Web page did not map correctly to the Northern Light Health Financial Assistance page.c. Corrective Action: Northern Light Health Information Technology was contacted to resolve the mapping issue. Northern Light Health has since established a monthly review of all FAP-related mapping to verify functionality.d. Date Corrected: October 30, 2018. X true true false true false false false false false false false false Anthony Filer Treasurer 491229 4785 29454 525468 Anthony Ng MD VP/CMO 330172 12895 2210 15873 31771 392921 Brent Scobie VP, CSQ 132512 5000 3110 11752 30631 183005 Clifford Singer Chief Geriatrics 280537 414 6857 19152 13925 320885 Daniel B Coffey Former SVP, President 332376 19486 93134 32000 14583 491579 Glenn Martin Esq Secretary 420922 18282 6635 72657 21366 539862 Joshua P Newman Psychiatrist 269086 414 7756 11107 31009 319372 Mahdieh Bodaghi Psychiatrist 282107 414 41385 13280 1109 338295 Marie K Suitter VP, Finance 200691 7928 4453 37118 10830 261020 Mark R Allen Medical Director 288060 414 1517 4611 18803 313405 Mary Michelle Hood Ex-Officio 898292 51886 7874 262793 21792 1242637 Paul Bolin VP, CHRO 318091 7834 10141 15626 31532 383224 Scott Oxley SVP, President 275697 11582 4387 23997 27018 342681 Timothy F Rockcress Psychiatrist 284926 414 21300 306640 Wayne Stellar PMHNP VP, NPCS 192341 6690 4895 21295 20905 246126 Part I, Line 1a: Relevant information in regards to selections on 1a. The following received a wellness program incentive:Mark R. Allen, highest compensated employee $500Scott A. Oxley, director/officer $125 Wayne Steller, officer $500Marie K. Suitter, officer $500Brent W. Scobie, officer $125Daniel B. Coffey, former officer $225The benefit is available for all employees. A Maine Health and Higher Educational Facilities Authority 010314384 560427GW0 2010-04-22 13522505 to refund 1998 issue false false true A 8625000 15948483 1513225 4280000 121118 10034140 2010 false true true true A false false false false false true A false false false NA false NA false false A true Part VI Part II, line 3, column A, does not equal Part I, line A, column E as a result of other sources of funds from DSF-Interest, DSF-Principal, and DSRF balance totaling $2,425,978.Part IV, line 2c, column A - 5/15/2018 - Date of Rebate Computation.Part IV, line 7 - The issuer (MHHEFA) has established written procedures to monitor the requirements of Section 148. The organization has entered into a tax regulatory agreement with the issuer that requires the organization to comply with the requirements of Section 148. The organization is working to establish its own written procedures to monitor such requirements. Brent Scobie Employee Educational Loan X 9996 5496 false false true Wayne Stellar Employee Educational Loan X 18811 2310 false false true 7806 Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: Provided mental health services regardless of ability to pay. Provided other uncompensated care (at cost) of $1,866,164.Please see the following excerpt from the EMHS Annual Report to the Community for details of community benefit projects at EMHS members:A New DayIn Maine, we have a tradition of leading the way and using our common sense and Yankee ingenuity to make life better for ourselves, our families, and our communities. It appears in our state motto Dirigo from the Latin word for I lead. We were the first state to elect a woman, Margaret Chase Smith, to both houses of Congress. We are home to the countrys first veterans hospital, and we are the first state to greet a new day as the rays of the sun touch our easternmost peaks and shores before any other place across the continental United States.The light of a new day symbolizes a rebirth or an awakening. And this renewed purpose to make healthcare work for people across our great state is what we are experiencing as we embrace our new name-Northern Light Health.In the pages of this years annual report, you will see examples of how we are rolling up our sleeves to raise quality through innovation, teamwork, and efficiency. We have fostered new clinical relationships with Massachusetts General Hospital, a world-class medical research hospital. We are using population health data in new ways to be smarter about how we deliver care. And we have created new programs that bring healthier locally-sourced foods to our hospitals while supporting the hard-working farmers and fishermen who make up the very core of our identity here in Maine.We are working to make healthcare more accessible and straightforward while also making great strides to reduce our costs and improve our operating margins. We are finding new ways to guide our patients and deliver care based on the needs of each person. Its a New Day in Maine. We invite you to join us on this new journey.M. Michelle Hood, FACHENorthern Light Health President and CEOBarry McCrumNorthern Light Health Board ChairA New LightWelcome to Northern Light HealthOpen up, give me a big ahhh, Sheena Whittaker, MD, a pediatrician at Northern Light Pediatrics in Ellsworth asks of her 12-year old patient, Ellis, as she shines a light in his mouth. They are in a pediatrics exam room where Ellis is getting a check up. The windows allow in a generous amount of light; the walls are warm yellow and decorated with Dr. Seuss decals like the Cat in the Hat. Dr. Whittaker wears many hats too. Not only is she a pediatrician, but she is also the senior physician executive for Northern Light Maine Coast Hospital in Ellsworth.Medicine is very controlled, and its very scientific and careful, and it should be; but kids bring a fun aspect to it, Dr. Whittaker explains. If we can fortify children to be strong mentally, physically, emotionally, and psychologically, were going to produce stronger, kinder, healthier children, a better adult population, and a stronger community. OTHER PROGRAM SERVICES 5: Dr. Whittaker may be based at Maine Coast Hospital, but she is part of Northern Light Health, formerly Eastern Maine Healthcare Systems. In addition to changing its name, Northern Light Health has re-identified its priorities and is becoming more integrated across the entire system which spans from Portland to Presque Isle and Greenville to Blue Hill.Dr. Whittaker sees the move to Northern Light Health as a step in the right direction that helps improve patient care. Being united medically means we have resources from the whole Northern Light Health system. Whether were at Northern Light Maine Coast, Northern Light Blue Hill, or Northern Light Eastern Maine Medical Center, we have access to all of the specialty services easily, consecutively, consistently. So, it doesnt matter which hospital a patient walks into, they are receiving the best medical care they possibly can get, explains Dr. Whittaker.Michelle Hood, FACHE, president and CEO of Northern Light Health, and Matt Weed, senior vice president and chief strategy officer have not only worked to implement this new brand identity but to spread the message of what it means beyond the name change. They also called on leaders and front line employees throughout the system to help.At Northern Light Health, we want to make healthcare work for everyone, whether thats an individual or a community. Were going to roll up our sleeves and bring a lot of energy and enthusiasm to our continuing work, explains Michelle. Were raising the bar and that is a simple but substantive way of saying we cant rest. Were always looking for a better way to do things. Our system is very broad not just in geography but in the types of services that we offer, and we want to meet people where they are.Northern Light Health is accomplishing this by making investments in telemedicine, converting to one unified electronic health record system that links all member hospitals together, and creating new clinical relationships with world-class organizations like Massachusetts General Hospital and Dana Farber Cancer Institute.A rebrand to Northern Light Health spans timeit celebrates how far we as a system have come, but it also creates a single shared starting line for where we need to go next, Matt explains. As chief strategy officer, Matt was instrumental in the rebranding effort which was a necessary evolution as healthcare in America is moving toward integrated systems. This in part is driven by economics and financial sustainabilityin all states including Maine, the healthcare industry is being required to coordinate expertise in a way that avoids unnecessary costs.Businesses, governments, and individual consumers are looking to contract with systems for their healthcare needs because this is how they will get the highest quality at the lowest cost. More importantly still, Matt feels that what people want is to know that when the need arises, they or their loved one will receive competent, compassionate care.This is the brand promise, concludes Matt. Its what our neighbors and our family members and a person were meeting for the first time can expect when they come to our physicians and to our hospitals, and when they interact with any other person or service in the system. If were not doing it perfectly today, were motivated and driven by the brand promise to improve; and if we are doing it perfectly today, the brand promise says we wake up and do it again tomorrow. OTHER PROGRAM SERVICES 6: A New FocusOncology Pharmacy Management ProgramLori Boynton is at her happiest at home in her backyard, a spacious spread of land in Lamoine with barns, a paddock, and animals. She finds a shady spot on a sunny summer day to feed afternoon snacks to her donkey, Clementine, and her mule, Mr. Tibbs. She cracks a smile and laughs as Clementine quickly scoffs down a fresh carrot. Im the beast of burden. They dont do any work at all, she laughs, I do all the work and thats my therapy which has been awesome.To look at Lori, with her thick wavy brown hair and healthy complexion, its hard to imagine that just months ago she was battling cancer and undergoing chemotherapy and radiation treatments.Its such a shocking thing when you hear you have cancer, and I just thought its going to be stage one, itll be no problem; it was actually stage three! It makes you think much differently about your time here, she says.Lori was diagnosed with stage III colon cancer in October 2017 and would undergo treatments through May 2018. She had to go to Northern Light Cancer Care for radiation treatments but was able to take oral chemotherapy medication at home. Having already started on chemotherapy treatments at the hospital, Lori knew how it made her feel.Youre kind of in the cloud. Its kind of foggy for lack of a better word. Before, I could multi-task and I could just keep things going in my brain and then it was gone!What Lori was experiencing is not uncommon, explains Sheila Pascual, MD, who was Loris oncologist, A lot of literature has been written about what they call chemo brain or brain fog and its a neural-cognitive dysfunction where theres a decline or deficit in memory, learning new things, attention.Lori might have been worried about trying to keep track of her medications, appointments, bills, and daily chores, except that she was an outpatient in Northern Light Pharmacys Oncology Pharmacy Management Program and she had help keeping track of it all. A team of pharmacists, nurses, and financial patient advocates occupy a room on the first floor of the Lafayette Family Cancer Institute. They spend their time on the phone with patients, helping them with everything from finding discount drugs to managing their medications, and coordinating care with their medical team.Before this program was implemented, patients had no local source to obtain these medications and were forced to go through national mail order specialty pharmacies that were not Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et James Breece, trustee/officer is an employee of University of Maine System and Mary M. Hood, trustee/officer is a board member of University of Maine System. Betsy MacGregor-Webb, trustee is superintendent of the Bangor Public School System, which provides school services to child and adolescent patients at Acadia Hospital. Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents Amended Article X (General Provisions), Section 3 (Fiscal Year) to change the end of the fiscal year of the Corporation from the last Saturday in September to September 30. Amended Article X (General Provisions), Section 4 (Bonding) to remove the Bonding section in its entirety and replace it with: Fidelity Coverage. The Corporation shall maintain appropriate fidelity coverage protecting the Corporation from losses caused by the fraudulent or dishonest acts of individuals handling or directing the use of corporate funds. Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Acadia Hospital (the "Corporation") is a Maine nonprofit corporation. Eastern Maine Healthcare Systems ("EMHS"), also a Maine nonprofit corporation, is the sole voting corporate member of the Corporation. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body Each year at their annual meeting, the directors elect replacements for those directors whose terms are expiring. Election of directors is subject to ratification by the EMHS Board of Directors. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders The EMHS President has authority to appoint and remove the SVP, President of the Corporation. EMHS also has joint and superior authority to approve, disapprove or initiate action with respect to the following matters: I. amendments to the corporations Articles of Incorporation or Bylaws;II. changes in legal form of organization of the Corporation;III. election of the Directors/Trustees of the Corporation;IV. action concerning the Corporations operating budget and capital expenditures;V. the Corporations acquisition of assets or assumption of liabilities of an unaffiliated third party;VI. transfer of 5% or more of the assets of the Corporation;VII. financing transactions concerning the Corporation; VIII. merger, consolidation, sale, lease, mortgage, pledge or other disposition of all or substantially all assets of the Corporation; IX. add or revise a health care service of the Corporation;X. discontinue or close a health care service of the Corporation;XI. action concerning the Corporations role in the EMHS Strategic Plan;XII. action concerning the Corporations participation in key strategic affiliations with third parties not affiliated with EMHS; andXIII. dissolution of the Corporation. Form 990, Part VI, Line 11b: Form 990 Review Process Form 990 is reviewed by the VP of Finance of Acadia Hospital/Acadia Healthcare, Inc. It is also provided to each board member either electronically or in hard copy with an opportunity to ask questions prior to filing with the IRS. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts The organization requests updates of potential conflicts and relationships from the officers and Board members on an annual basis. The request requires disclosure of all business relationships, board memberships, and family relationships. A database is maintained that is compared to payroll records and the accounts payable vendor list to identify any potential conflicts of interest. Transactions are reviewed for reasonableness as an arm's length transaction. The first agenda item for board meetings and board committee meetings is for members to declare any conflict of interest with upcoming agenda items or deliberations. At any point when consideration is being given to purchase/contract with a party in interest, the member with the conflict is either excused from the discussion and consideration process or abstains from voting on the matter. All transactions identified with parties in interest are disclosed within the Form 990. All are deemed to be arm's length transactions. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management The SVP, President of Acadia Hospital and the system President/CEO (President) who serves on the board ex-officio are employed by the system parent, Eastern Maine Healthcare Systems (EMHS). The EMHS Executive Performance Management Committee (the Committee) is responsible to monitor and evaluate the performance of the EMHS President, to set compensation of the EMHS President, and to review recommendations of the EMHS President with respect to compensation of the SVP, President of the direct subsidiaries, and other direct reports to the President. The Committee is comprised entirely of independent Directors per EMHS bylaws.Process:The Committee meets regularly throughout the fiscal year at the discretion of the Committee chair as well as on call of the Chair of the EMHS board. In carrying out its duties pursuant to the Bylaws, the Committee:-Assures that the executive compensation program is administered in a manner consistent with the EMHS executive compensation philosophy.-Reviews and updates the EMHS executive compensation philosophy which serves as the foundation on which all current and future executive compensation decisions are made.-Assures that value of compensation provided by EMHS does not exceed the value of services provided by the executive.-Reviews annual incentive compensation criteria for eligible executives, as defined by the EMHS President.-Reviews periodic compensation survey information and provides expert input to proposed changes to the executive compensation program.-Assures that a formal and timely performance management system is in place for executives.-Reviews incentive compensation criteria scoring and associated pay schedules for officers and key employees.-Provides any public statements regarding executive compensation practices at EMHS deemed appropriate.-Maintains minutes of the meetings and communicates actions to the EMHS Board of Directors.To accomplish this, the committee uses an external consultant with access to comparative data from independent sources and include national as well as regional data points. The EMHS President reviews all direct report compensation actions with the committee. In addition, the EMHS President ensures that any subsidiary policies and practices governing executive compensation are consistent with the committee's philosophy and practices statement. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees Compensation of other officers and key employees of the organization is established by the Human Resources department who utilize external market research to establish compensation ranges for specific positions. The compensation of officers and key employees are reviewed by the Acadia SVP, President and Acadia Executive Committee.On an annual basis, the compensation ranges are compared to the updated survey information. The Human Resources department will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Acadia Hospital makes its governing documents, conflict of interest policy and financial statements available to the public upon request. Other Changes In Net Assets Or Fund Balances - Other Decreases Net Change in Funds Held at Affiliates = -$20804 Other Changes In Net Assets Or Fund Balances - Other Increases Post Retirement Health Benefit FAS158 = $66813 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfer to exempt parent-Eastern Maine Healthcare Systems = -$526285 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfer to exempt subsidiary - EMHSF = -$2750 Eastern Maine Healthcare Systems EMHS 43 Whiting Hill Road Brewer ME 04412 010527066 Supporting org for healthcare affiliates ME 501(c)(3) 12 Type II N/A true Eastern Maine Medical Center EMMC PO Box 404 489 State Street Bangor ME 044020404 010211501 Provide healthcare services ME 501(c)(3) 3 EMHS true Eastern Maine Healthcare Real Estate 43 Whiting Hill Road Brewer ME 04412 010391036 Leases real estate ME 501(c)(2) EMHS true Rosscare 43 Whiting Hill Road Ste 400 Brewer ME 04412 010391038 Provide services to elderly ME 501(c)(3) PF EMHS true Rosscare Nursing Homes Inc 43 Whiting Hill Road Ste 400 Brewer ME 04412 010430751 Operation of nursing homes ME 501(c)(3) 10 Rosscare true Eastern Maine Medical Center Auxiliary 43 Whiting Hill Road Brewer ME 04412 010377901 Fund raising for exempt EMMC ME 501(c)(3) 10 EMMC true Acadia Healthcare Inc AHI 43 Whiting Hill Road Brewer ME 04412 223183888 Provide healthcare services ME 501(c)(3) 10 AHC true Norumbega Medical Specialists LTD 43 Whiting Hill Road Ste 400 Brewer ME 04412 010465231 Provide patient care and education ME 501(c)(3) 10 EMMC true EMHS Foundation 43 Whiting Hill Road Ste 400 Brewer ME 04412 222514163 Raise and manage funds for exempt orgs ME 501(c)(3) 12 Type II EMHS true Inland Hospital 200 Kennedy Memorial Drive Waterville ME 04901 010217211 Provide healthcare services ME 501(c)(3) 3 EMHS true CA Dean Memorial Hospital Pritham Avenue PO Box 1129 Greenville ME 044411129 043341666 Provide healthcare services ME 501(c)(3) 3 EMHS true Sebasticook Valley Health SVH 447 North Main Street Pittsfield ME 04967 010263628 Critical care hospital ME 501(c)(3) 3 EMHS true The Aroostook Medical Center TAMC PO Box 151 140 Academy Street Presque Isle ME 047690151 010372148 Provide healthcare services ME 501(c)(3) 3 EMHS true Horizons Health Services PO Box 151 140 Academy Street Presque Isle ME 047690151 010504393 Provide patient care ME 501(c)(3) 3 TAMC true Blue Hill Memorial Hospital 57 Water Street Blue Hill ME 046145231 010227195 Provide healthcare services ME 501(c)(3) 3 EMHS true Lakewood 220 Kennedy Memorial Drive Waterville ME 04901 010421234 Provide skilled and long-term nursing care ME 501(c)(3) 3 Inland Hospital true Sebasticook Valley Family Practice Assoc 447 North Main Street Pittsfield ME 04967 010357854 Provide patient care ME 501(c)(3) 10 SVH true Restoration Health LLC 43 Whiting Hill Road Brewer ME 04412 352449986 Provide mental & behavioral hlth srvs ME 501(c)(3) 10 AHI true Mercy Hospital 144 State Street Portland ME 04101 010211534 Provide healthcare services ME 501(c)(3) 3 EMHS true VNA Home Health & Hospice 50 Foden Road South Portland ME 04106 010246804 Provide home health and hospice services ME 501(c)(3) 10 EMHS true WorkHealth LLC 43 Whiting Hill Road Brewer ME 04412 474315094 Provide healthcare services ME 501(c)(3) 12 Type II EMHS true Maine Coast Regional Health Facilities 50 Union Street Ellsworth ME 04605 010198331 Provide healthcare services ME 501(c)(3) 3 EMHS true Maine Coast Medical Realty 50 Union Street Ellsworth ME 04605 010390918 Lease medical facilities ME 501(c)(3) 12 Type I MCMH true Lifestages Physician Services LLC 50 Foden Road South Portland ME 04106 821043752 Provide home health and hospice services ME 501(c)(3) 10 VNA true Beacon Health LLC 43 Whiting Hill Road Brewer ME 04412 452967056 Accountable care organization ME 501(c)(3) 12 Type II EMHS true Beacon Rural Health LLC 43 Whiting Hill Road Brewer ME 04412 474483187 Accountable care organization ME 501(c)(3) 12 Type II EMHS true Beacon Health ACO Holdings LLC 43 Whiting Hill Road Brewer ME 04412 364903784 Accountable care organization ME 501(c)(3) 12 Type II EMHS true LTC LLC 43 Whiting Hill Road Brewer ME 04412 010211501 Operation of nursing homes ME 501(c)(3) 3 EMMC true Meridian Mobile Health LLC 43 Whiting Hill Road Brewer ME 04412 010512673 Ambulance ME AHS false false M Drug LLC 43 Whiting Hill Road Brewer ME 04412 272175482 Pharmacy ME AHS false false Alliance Health Documentation LLC 43 Whiting Hill Road Brewer ME 04412 462751855 Transcription ME AHS false false Affiliated Healthcare Systems AHS 43 Whiting Hill Road Brewer ME 04412 010385322 Holding co. ME EMHS C true Affiliated Healthcare Management 43 Whiting Hill Road Brewer ME 04412 010349339 Hlthcr mgmt ME AHS C true Affiliated Laboratory Inc 43 Whiting Hill Road Brewer ME 04412 010381283 Clinicl lab ME AHS C true Affiliated Materiel Services 43 Whiting Hill Road Brewer ME 04412 010381189 Purchasing ME AHS C true Maine Coast Physician Affiliates 50 Union Street Ellsworth ME 04605 010479952 Patient Care ME MCMH C true Beacon Direct 43 Whiting Hill Road Brewer ME 04412 371864965 Healthcare self-funded TPA ME EMHS C true false false false false false false false false false false false true true false false true false true true Eastern Maine Healthcare Systems EMHS m 4968695 FMV Eastern Maine Healthcare Systems EMHS p 6794723 FMV Eastern Maine Healthcare Systems EMHS r 526285 FMV Eastern Maine Medical Center EMMC l 438822 FMV Eastern Maine Medical Center EMMC m 257186 FMV Eastern Maine Medical Center EMMC p 104467 FMV Acadia Healthcare Inc AHI l 871774 FMV Acadia Healthcare Inc AHI m 428016 FMV EMHS Foundation m 95144 FMV EMHS Foundation s 96370 FMV Affiliated Laboratory Inc m 54275 FMV