2019-08-07T06:52:19-07:00 2018-09-30 990 2017-10-01 010527066 EASTERN MAINE HEALTHCARE SYSTEMS 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 43 Whiting Hill Road Brewer ME 04412 454071307 false false 5247 X www.emhs.org X 1999 ME EMHS,a supporting organization for healthcare affiliates, maintains and improves the health and well-being of the people of Maine through a well-organized network of local health care providers who together offer high quality, cost-effective services to their communities. 19 17 1189 17 5205425 -456790 2151456 489109 135692714 158325150 3577689 5741056 281523 347295 141703382 164902610 0 0 91394550 95038130 0 0 75028108 86659161 166422658 181697291 -24719276 -16794681 688214356 741405150 366969296 431650595 321245060 309754555 X EMHS,a supporting organization for healthcare affiliates, maintains and improves the health and well-being of the people of Maine through a well-organized network of local health care providers who together offer high quality, cost-effective services to their communities. false false 178331244 158332542 Carried on supporting functions essential to Eastern Maine Medical Center, The Aroostook Medical Center, Inland Hospital, Acadia Hospital Corp., Sebasticook Valley Hospital, Charles A Dean Memorial Hospital, Mercy Hospital, Maine Coast Memorial Hospital, and Blue Hill Memorial Hospital. EMHS performed standardization of practices, strategic planning, and capital allocation functions. EMHS board established and oversees the charity care policy of the 9 hospitals which is applied uniformly to all of the hospitals. EMHS hospitals provided cumulative charity care of $28,010,883 (at cost) and other uncompensated care of $44,006,673 (at cost) for a total uncompensated care of $72,017,556. The EMHS hospitals had a Medicare shortfall of $129,520,478 and a Medicaid shortfall of $53,041,010. In Schedule O please see the following excerpt from the EMHS Annual Report to the Community for details of community benefit projects at EMHS members: See Schedule O 178331244 true true false true false false false false false true true false false true true true false true false false false false false false false false false false false true true false false false false false false false false true true false false false false true true true true false false true 146 0 true 1189 true true true false false false false false false 0 false false false false false false false false false false X 19 17 true true true false true true true true true false true true true true true true true true true true true true ME X X X John J Doyle 2079739081 43 Whiting Hill Rd Brewer ME 04412 Mary M Hood President & CEO 50.00 0.00 X X 958052 0 284585 Gavin Ducker Board Member 0.50 40.00 X 0 315264 46315 Michael L McInnis Board Member 1.20 0.00 X 0 0 0 Stephen B Rich AIA Brd Mbr/V-Chair 2.30 0.00 X X 0 0 0 Kathy Corey Board Member 1.10 0.00 X 0 0 0 David L Small Board Member 1.10 0.00 X 0 0 0 Lynn M Lombard Board Member 1.00 0.00 X 0 0 0 Daniel P Thornton Board Member 1.30 0.00 X 0 0 0 Joyce B Hedlund EdD Board Member 1.10 0.00 X 0 0 0 John D Lafayette III Board Member 1.30 0.00 X 0 0 0 Barry D McCrum Brd Mbr/Chair 1.80 0.00 X X 0 0 0 Michael S Pancoe MD Board Member 1.00 0.00 X 0 0 0 Anne Perry Board Member 0.80 0.00 X 0 0 0 John L Simpson Board Member 1.20 0.00 X 0 0 0 Charles E Hewett PhD Board Member 1.00 0.00 X 0 0 0 Marianne Lynch Esq Board Member 0.90 0.00 X 0 0 0 Julie Dawson Williams Board Member 1.00 0.00 X 0 0 0 Peter StJohn Board Member 1.30 0.00 X 0 0 0 James Donnelly Board Member 0.80 0.00 X 0 0 0 Paula Theriault VP,NursingInfo 50.00 0.00 X 148741 0 40223 John D Dalton Sr. V.P.,Inland 50.00 0.00 X 318276 0 39798 Jason Tankel VP-Compliance & 50.00 0.00 X 193643 0 43363 Jennifer Fogel VP,Nursing Info 50.00 0.00 X 0 0 0 Ali Worster VP, HR-East 50.00 0.00 X 110495 0 16669 Teresa P Vieira Sr. VP-SVH&CAD 50.00 0.00 X 281377 0 77423 Helen Thompson VP-CIO 50.00 0.00 X 0 0 0 Greg LaFrancois Sr VP-TAMC 50.00 0.00 X 286242 0 1592 Lisa Harvey-McPhersonRN VP Govnment Rel 50.00 0.00 X 254453 0 66681 Glenn Martin Esq SVP GenCnsl/Sec 50.00 0.00 X 445839 0 94023 Donna Russell-Cook FACHE SrVP-Pres.EMMC 50.00 50.00 X 213828 253660 35935 Matthew Weed SVP,Chief Strat 50.00 0.00 X 412407 0 83824 Anthony J Filer Sr.VP&Treasurer 50.00 0.00 X 496014 0 29454 Scott Oxley SrVP-Pres AHC 50.00 50.00 X 65827 225838 51015 Carrie Lee Arsenault VP-OperBHL 50.00 0.00 X 208108 0 36596 Lori Dunivan VP, NursingInfo 50.00 0.00 X 0 0 0 Bonnie Smith VP,Nursing Info 50.00 0.00 X 0 0 0 Claire DeSelle VP,Inno&Perf Im 50.00 0.00 X 232342 0 24510 Michael F Whelan VP,Facilities 50.00 0.00 X 298219 0 34092 Christine Worthen VP,ContrNegotia 50.00 0.00 X 0 0 0 Richard Cowan VP,IS Infrastru 50.00 0.00 X 33560 0 4779 Mike Smith VP/CPO,EMHSF 50.00 0.00 X 14134 0 0 Miles Theeman VP,Special Proj 50.00 0.00 X 66330 0 2653 Steve Howell VP & Asst Treas 50.00 0.00 X 603879 0 780 Yoosuf Joe Siddiqui VP-HR, NW 50.00 0.00 X 133259 0 36242 Michael P Donahue Sr VP, BHL 50.00 0.00 X 379179 0 38431 Paul Bolin VP & Chief HRO 50.00 0.00 X 336066 0 47158 Peter Close VP-HR,Operation 50.00 0.00 X 213334 0 21651 Michele Lauria MD VP-CMIO 50.00 0.00 X 417678 0 37511 Steve Berkowitz MD Sr.VP & CPE 50.00 0.00 X 371500 0 0 Colleen Hilton VP, VNA/Hospice 50.00 0.00 X 240765 0 72237 Edward Gilkey VP,SrPhysicExec 50.00 0.00 X 37361 0 1433 Kyle L Johnson VP & CIO 50.00 0.00 X 395807 0 91979 Catherine MacLaren VP-HR, Talent 50.00 0.00 X 174294 0 21518 Margaret Stavitz VP-RevenueCycle 50.00 0.00 X 214111 0 20210 John Ronan Sr VP-BHMH&MCMH 50.00 0.00 X 318408 0 68824 George Eaton VP-Depty GenCou 50.00 0.00 X 240632 0 37335 Jeffrey Doran VP-Clinical Srv 50.00 0.00 X 345407 0 27487 John J Doyle VP,Finance 50.00 0.00 X 358323 0 96463 Eric R Hafener VP-Compl/Privac 50.00 0.00 X 68844 0 645 Amy Cotton VP-Chief Pt Off 50.00 0.00 X 174712 0 45796 April Giard VP-CNIO 50.00 0.00 X 237479 0 47222 Timothy J Dentry Sr.VP & COO 50.00 0.00 X 524052 0 86105 Teri Hohentanner VP-IS Applicati 50.00 0.00 X 294721 0 27719 Jeffrey A Sanford VP-Finance,Beac 50.00 0.00 X 265125 0 32779 Iyad Sabbagh MD VP-CQO 50.00 0.00 X 356054 0 50637 Tori Gaetani VP Nursing&PCS 50.00 0.00 X 158424 0 40137 Claus Hamann VP,PopHlth,BHL 50.00 0.00 X 378787 0 26001 Charles Therrien SrVP,Mercy 50.00 0.00 X 390996 0 68973 Daniel B Coffey SrVP,AHC 50.00 0.00 X 444996 0 46583 Richard W Freeman MD SrVP,CTO 50.00 0.00 X 585251 0 24816 Deborah C Johnson SrVP,EMMC 50.00 0.00 X 452592 0 44229 Howard Jones Med Dir, Occ Hlth 50.00 0.00 X 312782 0 48675 David A Valcik CIO,EMHC/BHMH 50.00 0.00 X 243734 0 31254 Nancy Bender Former VP Chief PSO,Clinical Perfor 50.00 0.00 X 138549 0 18750 Michael R Crowley Former VP,President EMHSF 50.00 0.00 X 130056 0 23351 Gregory G Howat Former VP, HR-East EMMC 50.00 0.00 X 229955 0 43611 George A Pelissier Former VP, Supply Chain 50.00 0.00 X 131796 0 25771 Robert A Thompson Former SrVP,CMO 50.00 0.00 X 112938 0 14745 Karen Rossbach Former Int VP&Controller 50.00 0.00 X 201114 0 37402 Jean Mellett Former VP-Capital Planning 50.00 0.00 X 183698 0 45559 Deborah M Sanford Former VP-Patient Admin 0.00 50.00 X 0 257943 34044 Glenda E Dwyer Former VP, Operations 0.00 50.00 X 0 277853 25920 15834545 1330558 2523513 169 true true false Cerner Corporation PO Box 959156 St Louis MO 631959156 Software Support 10265387 Accenture LLP PO Box 70629 Chicago IL 606730629 Consulting Services 2263042 Infor US Inc NW 7418 PO Box 1450 Minneapolis MN 554857418 Software Support 2094225 Cerner Health Services Inc PO Box 959167 St Louis MO 631959167 Software Support 1525965 BE Smith Dept 300 PO Box 219241 Kansas City MO 641219241 Consulting Services 1365389 70 407244 81865 489109 Exempt Affiliate Rental 532000 3579519 3579519 Occupational Health Servi 621400 101910 101910 Supply Chain Services 423000 131250 131250 Supporting Org Revenue 561000 154512471 149314438 5198033 158325150 1047627 1047627 0 0 605846 283926 321920 321920 7392 314528 293578200 288884771 4693429 4693429 4693429 0 0 0 Fitness Center Fees 713940 25375 25375 25375 164902610 153127117 5205425 6080959 X 0 0 0 0 14615851 14615851 0 61381640 61381640 4857776 4857776 8462362 8462362 5720501 5720501 2231890 2231890 3131015 3131015 230814 230814 0 0 176541 176541 35990252 35990252 1314952 1314952 2979045 2974827 4218 24513424 24513424 0 4262328 4262328 736327 736327 0 414967 414967 2750850 2750850 0 5957324 5957324 98706 98706 Dues & Subscriptions 1312971 1312971 Medical Supplies Expense 248390 248390 Repairs & Maintenance 96842 96842 Taxes & Licensing 72728 72728 139795 139795 181697291 178331244 3366047 0 57691099 0 9791702 57749648 294676 72820 18095525 44968249 0 0 212564331 211746541 0 4714594 8361908 162209817 71094929 52597129 91114888 0 0 0 0 332465300 327391096 688214356 741405150 27111772 91264585 20611 86205 187037449 186398350 77870537 77164229 74928927 76737226 366969296 431650595 X 321203844 309711988 17816 19167 23400 23400 321245060 309754555 688214356 741405150 X -16794681 -716047 6020223 X false true X true false X X 14 Eastern Maine Medical Center 010211501 3 false 78256883 0 EMMC Auxiliary 010377901 10 false 1126 0 Acadia Hospital Corp 010459837 3 false 4968695 0 Acadia Healthcare Inc 223183888 10 false 237894 0 CA Dean Memorial Hospital 043341666 3 false 1152485 0 Inland Hospital 010217211 3 false 5186978 0 Lakewood 010421234 3 false 553989 0 Sebasticook Valley Health 010263628 3 false 2572257 0 Blue Hill Memorial Hospital 010227195 3 false 2946208 0 Maine Coast Memorial Hospital 010198331 3 false 4569795 0 The Aroostook Medical Center 010372148 3 false 5907748 0 Mercy Hospital 010211534 3 false 16867677 0 VNA Home Health & Hospice 010246804 10 false 1817174 0 Restoration Healthcare LLC 352449986 10 false 27160 0 14 125066069 0 false false false false false false false false false false false false false false false false Part IV, Section A, Line 1: Description Of How Supported Organizations Are Desigated The supporting organizations of EMHS consist of the related organizations which are Section 509(a)(1) and 509(a)(2) organizations and their controlled subsidiaries that are also Section 509(a)(1) and 509(a)(2) organization. EMHS is the parent organization of these related organizations. See Schedule A, Part1, Line 12 for listing of organizations. Part IV, Section C, Line 1: Control Or Management Of Supported Orgs. The Eastern Maine Healthcare Systems Restated Articles of Incorporation and Bylaws have tightly integrated the supported organization and EMHS board governance structure into a unified and cohesive governance system in which the EMHS board has ultimate authority over the supported organizations with respect to nearly all governance domains. Thus, Eastern Maine Healthcare Systems board authority goes far beyond traditional powers of appointment and reserved powers of approval typical of many healthcare system governance models and actually vests authority in the Eastern Maine Healthcare Systems board to initiate and direct action on the part of any one or more supported organizations, in essence acting itself as the supported organization board, thus establishing the presence of common supervision or control among the governing bodies of all organizations involved. Type II supporting organization status for Eastern Maine Healthcare Systems was confirmed by the IRS on March 8, 2016, in response to a request filed on form 8940 on September 28, 2015. false false false true false false false false true 22199 true 3699 true 48494 74392 false false Part II-B, Line 1i - Other Activities Description ACTIVITIES: STATE LEGISLATURELD 1715 An Act To Ensure Rural Patient Populations Receive Safe and Effective Health CareLD 1707 An Act To Reduce the Cost of Care Resulting from Blood-borne Infectious DiseasesLD 1771 An Act To Stabilize Vulnerable FamiliesLD 1712 An Act Regarding Health Care Ombudsman ServicesLD 1774 An Act To Reduce Child Poverty by Leveraging Investments in Families for TomorrowLD 1857 An Act To Implement the Recommendations of the Commission To Streamline Veterans' Licensing and Certification Regarding Licensed Practical NursesLD 1430 An Act To Develop a Statewide Resource and Referral Center and Develop Hub-and-spoke Models To Improve Access, Treatment and Recovery for Those with Substance Use DisorderLD 1866 An Act To Increase Youth Mental Health Awareness in SchoolsLD 1889 An Act To Increase Safety for Maine Citizens by Amending the Definition of XLikelihood of Serious Harm" in the Laws Governing Mental Health and Hospitalization To Include Consideration of a Person's Potential for Future Serious HarmFederal Advocacy 2018 Issues: Veterans Health Care, Hospitals, Affordable Care Act, Home Care & Hospice , 340B, Accountable Care Organizations, Medicare, Medicaid, TelemedicineNon-deductible portion of dues 49761 1550 2338 48973 48022 200 3801 2262 49761 45804 4164 1946 48022 47810 400 -355 2051 45804 41425 5300 2829 1744 47810 0.40120 0.59880 false true true 2163230 2163230 41542351 20011153 21531198 208853 63092 145761 63566458 44866489 18699969 54728925 6154195 48574730 91114888 Board designated funded depreciation 199637127 Board designated funds - other 77520220 Funds Held by Bond Trustee 2277056 Interest in net assets held at EMHSF 42567 Investment in subsidiaries 7803550 Org costs & other long term investments 2695335 Self-Insurance Funds Held by Trustee 37415241 327391096 Accrued Post Retirement Benefits 19533194 Accrued Self Insurance Reserves 57131692 Liability Under Cap Lease Obligation 72340 76737226 X 297573014 -716047 133102525 132386478 165186536 -283926 -283926 164902610 315083742 283926 283926 314799816 -133102525 -133102525 181697291 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 Income TaxesEMHS, 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. Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990 Reimbursement of expenses reclass to exp $XXX-XX-XXXX Contractual Allowance reclass to exp $0 Part XII, Line 2d: Other expenses and losses per audited F/S Rental Expenses reclass to Line 6b $283926 X true true X X X X X true true false false false false false false false false Amy Cotton VP-Chief Pt Off 165866 6614 2232 17628 28168 220508 Anthony J Filer Sr.VP&Treasurer 491229 4785 29454 525468 April Giard VP-CNIO 225113 9494 2872 16476 30746 284701 Carrie Lee Arsenault VP-OperBHL 192282 8007 7819 15900 20696 244704 Catherine MacLaren VP-HR, Talent 166209 6378 1707 11350 10168 195812 Charles Therrien SrVP,Mercy 373011 14688 3297 57900 11073 459969 Claire DeSelle VP,Inno&Perf Im 220314 8327 3701 14236 10274 256852 Claus Hamann VP,PopHlth,BHL 335383 12335 31069 15094 10907 404788 Colleen Hilton VP, VNA/Hospice 226756 10183 3826 49111 23126 313002 Daniel B Coffey SrVP,AHC 332376 19486 93134 32000 14583 491579 David A Valcik CIO,EMHC/BHMH 224708 9304 9722 18276 12978 274988 Deborah C Johnson SrVP,EMMC 269402 24233 158957 32000 12229 496821 Deborah M Sanford Former VP-Patient Admin 238021 8364 11558 20963 13081 291987 Donna Russell-Cook FACHE SrVP-Pres.EMMC 212900 238909 12589 928 2162 1977 5098 12722 16138 228527 274896 Gavin Ducker Board Member 290570 21213 3481 15523 30792 361579 George A Pelissier Former VP, Supply Chain 87490 8340 35966 16846 8925 157567 George Eaton VP-Depty GenCou 223672 9134 7826 16277 21058 277967 Glenda E Dwyer Former VP, Operations 260519 8489 8845 12258 13662 303773 Glenn Martin Esq SVP GenCnsl/Sec 420922 18282 6635 72657 21366 539862 Greg LaFrancois Sr VP-TAMC 284100 2142 1592 287834 Gregory G Howat Former VP, HR-East EMMC 129787 10169 89999 25826 17785 273566 Howard Jones Med Dir, Occ Hlth 299677 7637 5468 18650 30025 361457 Iyad Sabbagh MD VP-CQO 341527 12742 1785 19404 31233 406691 Jason Tankel VP-Compliance & 179767 6879 6997 12775 30588 237006 Jean Mellett Former VP-Capital Planning 176064 4954 2680 18657 26902 229257 Jeffrey A Sanford VP-Finance,Beac 240639 8884 15602 20609 12170 297904 Jeffrey Doran VP-Clinical Srv 328199 12033 5175 5400 22087 372894 John D Dalton Sr. V.P.,Inland 291240 13963 13073 21300 18498 358074 John J Doyle VP,Finance 339306 13200 5817 67664 28799 454786 John Ronan Sr VP-BHMH&MCMH 296810 10372 11226 57946 10878 387232 Karen Rossbach Former Int VP&Controller 188674 9449 2991 17721 19681 238516 Kyle L Johnson VP & CIO 377196 14648 3963 70887 21092 487786 Lisa Harvey-McPhersonRN VP Govnment Rel 239654 9837 4962 55955 10726 321134 Margaret Stavitz VP-RevenueCycle 200651 5769 7691 7587 12623 234321 Mary M Hood President & CEO 898292 51886 7874 262793 21792 1242637 Matthew Weed SVP,Chief Strat 385941 13097 13369 53984 29840 496231 Michael F Whelan VP,Facilities 286602 6523 5094 2976 31116 332311 Michael P Donahue Sr VP, BHL 301696 57851 19632 25306 13125 417610 Michael R Crowley Former VP,President EMHSF 114065 6953 9038 16406 6945 153407 Michele Lauria MD VP-CMIO 397509 16245 3924 14715 22796 455189 Nancy Bender Former VP Chief PSO,Clinical Perfor 109416 9916 19217 9962 8788 157299 Paul Bolin VP & Chief HRO 318091 7834 10141 15626 31532 383224 Paula Theriault VP,NursingInfo 134935 3799 10007 12703 27520 188964 Peter Close VP-HR,Operation 201740 7759 3835 16178 5473 234985 Richard W Freeman MD SrVP,CTO 188359 20685 376207 23950 866 610067 Robert A Thompson Former SrVP,CMO 25830 22796 64312 13250 1495 127683 Scott Oxley SrVP-Pres AHC 65208 210489 11582 619 3767 1338 22658 7192 19827 74357 268323 Steve Berkowitz MD Sr.VP & CPE 371500 371500 Steve Howell VP & Asst Treas 568801 35078 780 604659 Teresa P Vieira Sr. VP-SVH&CAD 265527 11711 4139 54131 23292 358800 Teri Hohentanner VP-IS Applicati 278716 9777 6228 16531 11188 322440 Timothy J Dentry Sr.VP & COO 520499 3553 73500 12605 610157 Tori Gaetani VP Nursing&PCS 149731 5822 2871 10820 29317 198561 Yoosuf Joe Siddiqui VP-HR, NW 126867 4753 1639 8038 28204 169501 Part I, Line 1a: Relevant information in regards to selections on 1a. The following received a wellness program incentive:Paul Bolin, officer $500Daniel Coffey, highest compensated employee 225Claire Deselle, officer 500Michael Donahue, officer 500George Eaton, officer 390Claus Hamann, officer 55Colleen Hilton, officer 15Mary M. Hood, board member/officer 15Michele Lauria, officer 195 Jean Mellett, former officer 500Scott Oxley, officer 125 John Ronan, officer 329Donna Russell-Cook, officer 70Jeffrey Sanford, officer 195 Jason Tankel, officer 500 The EMHS Total Health VP is a comprehensive on-line wellness program available for all full- and part-time benefit eligible employees and their spouses/domestic partners. A Me Hlth&Higher Educ Facil 010314384 56042RFJ6 2016-07-01 189730059 Finance & Refinance Project false false false A 196003998 8599384 1915040 177062082 8427492 false false false true A false false false false false true A false true 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 contributions from EMHS Philanthropy totaling $6,273,939.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. Tracy Ronan fam mem of officer 125015 compensation false Kristin Martin fam mem of officer 87990 compensation false Mary Hood officer=brd member 211192 AHA membership dues false Schedule L, Part V Supplemental Information Mary M. Hood, officer is trustee of Vizient New England which EMHS purchases consulting and group purchasing services.Tracy Ronan is the spouse of an officer and is an employee of Eastern Maine Healthcare Systems.Kristin Martin is the spouse of an officer and is an employee of Eastern Maine Healthcare Systems.Mary M. Hood, officer is trustee of American Hospital Association which EMHS pays membership dues and participates with policy, legislative and regulatory advocacy. Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: 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. OTHER PROGRAM SERVICES 5: 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.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. OTHER PROGRAM SERVICES 6: 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 7: 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. OTHER PROGRAM SERVICES 8: 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 integrated with the oncology practice so the physicians had a ver Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Charles E. Hewitt, board member, Scott Oxley, officer, and George Eaton, officer are board members of Bangor Savings Bank. James Donnelly is an employee of Bangor Savings Bank.Mary M. Hood, board member/officer, and James Donnelly, board member, are board members of University of Maine Systems board.Mary M. Hood, board member/officer and Charles Therrien, officer are board members of Maine Hospital Association (MHA) and John Dalton, officer is, committee member of MHA Public Policy Council. Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company Explanation: Eastern Maine Healthcare Systems (EMHS) has entered into administrative and management service contracts with BE Smith under which employees provide for the positions of Interim VP, Assistant Treasurer (part-year), and Interim VP, Chief Information Officer (part-year). EMHS has also entered into administrative and management service contracts with Steven Berkowitz, MD for the position of Interim Sr VP/Chief Physician Executive. Steve Howell, Interim VP, Assistant Treasurer, was employed by BE Smith for part of the year. He provides services as Interim VP to EMHS for FY2018. His CY2017 compensation and benefits received from BE Smith for services provided to EMHS is $527,120. His position as Interim VP Assistant Treasurer has leadership responsibility for EMHS's financial management policies, operations and systems including direct supervisory responsibility for treasury.Helen Thompson, Interim VP, Chief Information Officer, is employed by BE Smith. She provides services as Interim VP to EMHS for part of the year of FY2018. She did not receive CY2017 compensation and benefits for services provided to EMHS.Her position as Interim VP, Chief Information Officer has leadership responsibility of information technology (IT) strategy and the computer systems required to support the System. The position provides IT oversight, expertise and leadership to ensure the efficiency and accuracy of technology along with responsibility of IT department budget and contracts.Steven Berkowitz, MD, Interim Sr VP, Chief Physician Executive provides services as Interim Sr VP to EMHS for FY2018. His CY2017 compensation and benefits received from BE Smith for services provided to EMHS is $371,500. His position as Interim Sr VP, Chief Physician Executive has leadership responsibility for the Systems physicians and overall clinical vision. The position provides medical oversight, expertise and leadership to ensure the delivery of affordable quality healthcare services. Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents Amended Article IX (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 IX (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 Eastern Maine Healthcare Systems (EMHS) is a Maine nonprofit corporation organized with at least 125 and not more than 250 individual members representing the geographic area served by its subsidiary corporations. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body Each year at the organizations annual meeting, the members elect replacements for those members and those directors whose terms are expiring, subject to the concurring action of the board of directors. If the board does not approve the slate of members or directors elected by the members themselves, the meeting is adjourned and the nominating committee of the board is charged with nominating a new slate. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders Approval of the members is required to ratify any amendment adopted by the Board of Directors to the Articles of Incorporation or the Bylaws changing the number, geographic distribution, qualifications, organization or election of members; or changing the election of Directors; or to ratify any merger, consolidation or dissolution of the Corporation. Form 990, Part VI, Line 11b: Form 990 Review Process Form 990 is reviewed by the Assistant System Controller and System Controller. It is 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 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 Senior Vice 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 EMHS President/CEO and EMHS Executive Performance Management Committee.On an annual basis, the compensation ranges are compared to the updated survey information. The hiring manager 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 Eastern Maine Healthcare Systems 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 Increases Adjustment to Apply Recognition Provisions of FASB Statement = $1111916 Other Changes In Net Assets Or Fund Balances - Other Increases Contributions of Capital from Acadia Hospital = $526285 Other Changes In Net Assets Or Fund Balances - Other Increases Contributions of Capital from Blue Hill Memorial Hospital = $285539 Other Changes In Net Assets Or Fund Balances - Other Increases Contributions of Capital from CADean Hospital = $122838 Other Changes In Net Assets Or Fund Balances - Other Increases Contributions of Capital from Eastern Maine Medical Center = $6118560 Other Changes In Net Assets Or Fund Balances - Other Increases Contributions of Capital from Inland Hospital = $644683 Other Changes In Net Assets Or Fund Balances - Other Increases Contributions of Capital from Maine Coast Memorial Hospital = $605676 Other Changes In Net Assets Or Fund Balances - Other Increases Contributions of Capital from Mercy Hospital = $1563455 Other Changes In Net Assets Or Fund Balances - Other Increases Contributions of Capital from Sebasticook Valley Hospital = $302078 Other Changes In Net Assets Or Fund Balances - Other Increases Contributions of Capital from The Aroostook Medical Center = $942077 Other Changes In Net Assets Or Fund Balances - Other Increases Contributions of Capital from VNA = $301260 Other Changes In Net Assets Or Fund Balances - Other Decreases Contributions of Capital to EMHS Foundation = -$42464 Other Changes In Net Assets Or Fund Balances - Other Decreases Interest in Beacon Health = -$6463738 Other Changes In Net Assets Or Fund Balances - Other Increases Interest in Net Assets Held at EMHS Foundation = $2058 WorkHealth LLC 43 Whiting Hill Road Brewer ME 04412 474315094 Provide Healthcare Services ME -1410293 -4087187 EMHS Beacon Health LLC 43 Whiting Hill Road Brewer ME 04412 452967056 Accountable care organization ME 3480233 1779547 EMHS Beacon Rural Health LLC 43 Whiting Hill Road Brewer ME 04412 474483187 Accountable care organization ME EMHS Beacon Health ACO Holdings LLC 43 Whiting Hill Road Brewer ME 04412 364903784 Accountable care organization ME EMHS Eastern Maine Medical Center EMMC PO Box 404 489 State Street Bangor ME 044020404 010211501 Provide healthcare services ME 501(c)(3) 3 Eastern Maine Healthcare Systems 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 Suite 400 Brewer ME 04412 010391038 Provide services to elderly ME 501(c)(3) PF EMHS true Rosscare Nursing Homes Inc 43 Whiting Hill Road Suite 400 Brewer ME 04412 010430751 Operation of nursing homes ME 501(c)(3) 10 Rosscare true Acadia Hospital Corp AHC 43 Whiting Hill Road Brewer ME 04412 010459837 Provide healthcare services ME 501(c)(3) 3 EMHS 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 EMHS Foundation 43 Whiting Hill Road Suite 400 Brewer ME 04412 222514163 Raise & manage funds for exempt orgs ME 501(c)(3) 12 Type II EMHS true Norumbega Medical Specialists LTD 43 Whiting Hill Road Suite 400 Brewer ME 04412 010465231 Provide patient care & education ME 501(c)(3) 10 EMMC true Inland Hospital 200 Kennedy Memorial Drive Waterville ME 04901 010217211 Provide healthcare services ME 501(c)(3) 3 EMHS true Lakewood 220 Kennedy Memorial Drive Waterville ME 04901 010421234 Provide skilled & long term nursing care ME 501(c)(3) 3 Inland Hospital 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 St Presque Isle ME 047690151 010372148 Provide healthcare services ME 501(c)(3) 3 EMHS true Horizons Health Services PO Box 151 140 Academy St 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 Restoration Health LLC 43 Whiting Hill Road Brewer ME 04412 352449986 Provide mental & behavioral health srvs ME 501(c)(3) 10 AHI true Sebasticook Valley Family Practice Assoc 447 North Main Street Pittsfield ME 04967 010357854 Provide patient care ME 501(c)(3) 10 SVH 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 hlth and hospice srvs ME 501(c)(3) 10 EMHS true Me Coast Regional Hlth FacilitiesMCMH 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 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 -2425157 12645057 1.00000 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 Clinical 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 1.00000 true true false false false false false false false false false true true true false false true true false true Eastern Maine Medical Center EMMC a 3356196 FMV Eastern Maine Medical Center EMMC l 78584454 FMV Eastern Maine Medical Center EMMC m 84270 FMV Eastern Maine Medical Center EMMC p 321865 FMV Eastern Maine Medical Center EMMC q 74353694 FMV Eastern Maine Medical Center EMMC s 11932843 FMV Rosscare s 293553 FMV Acadia Hospital Corp AHC l 5012627 FMV Acadia Hospital Corp AHC q 6794723 FMV Acadia Hospital Corp AHC s 526285 FMV Acadia Healthcare Inc AHI l 253668 FMV Acadia Healthcare Inc AHI q 1403323 FMV EMHS Foundation l 294971 FMV Inland Hospital l 5187905 FMV Inland Hospital q 7157859 FMV Inland Hospital s 971397 FMV Lakewood l 554952 FMV Lakewood q 871495 FMv CA Dean Memorial Hospital l 1157968 FMV CA Dean Memorial Hospital q 2317439 FMV CA Dean Memorial Hospital s 265851 FMV Sebasticook Valley Health SVH l 2593919 FMV Sebasticook Valley Health SVH q 4323220 FMV Sebasticook Valley Health SVH s 302078 FMV The Aroostook Medical Center TAMC k 54177 FMV The Aroostook Medical Center TAMC l 5983465 FMV The Aroostook Medical Center TAMC q 11997904 FMV The Aroostook Medical Center TAMC s 1780205 FMV Blue Hill Memorial Hospital l 2946470 FMV Blue Hill Memorial Hospital q 4392153 FMV Blue Hill Memorial Hospital s 360211 FMV Mercy Hospital l 16989923 FMV Mercy Hospital q 17710272 FMV Mercy Hospital s 1847314 FMV VNA Home Health & Hospice a 81296 FMV VNA Home Health & Hospice l 1884374 FMV VNA Home Health & Hospice q 5554477 FMV VNA Home Health & Hospice s 301260 FMV Me Coast Regional Hlth FacilitiesMCMH l 4571946 FMV Me Coast Regional Hlth FacilitiesMCMH q 8264236 FMV Me Coast Regional Hlth FacilitiesMCMH s 1059911 FMV Meridian Mobile Health LLC l 533389 FMV Meridian Mobile Health LLC q 791604 FMV M Drug LLC a 72548 FMV M Drug LLC l 2476151 FMV M Drug LLC p 307532 FMV M Drug LLC q 1094747 FMV Alliance Health Documentation LLC l 87918 FMV Affiliated Healthcare Systems AHS s 2425159 FMV Affiliated Healthcare Management k 150791 FMV Affiliated Healthcare Management l 437943 FMV Affiliated Healthcare Management q 332626 FMV Affiliated Laboratory Inc a 32255 FMV Affiliated Laboratory Inc l 1738631 FMV Affiliated Laboratory Inc m 168879 FMV Affiliated Laboratory Inc q 2741445 FMV