2018-08-03T10:27:22-07:00 2017-09-30 990 2016-09-25 010227195 BLUE HILL MEMORIAL HOSPITAL INC BLUE 2073742836 57 WATER STREET BLUE HILL ME 04614 John J Doyle EMHS VP of Finance 2018-08-03 false 2016 2022-09-23 18:48:47Z John Doyle 82069281 false false X www.bhmh.org X 1924 ME Blue Hill Memorial Hospital is dedicated to improving the health and wellness of our communities by providing primary and specialty health care of outstanding quality and caring for our patients with respect and compassion. 14 10 375 110 0 496705 594477 60755190 65327234 -82619 1506036 -3915 202309 61165361 67630056 9500 2500 0 24378886 25417196 0 0 35748201 39569442 60136587 64989138 1028774 2640918 39386944 17223658 12097947 10237626 27288997 6986032 X Blue Hill Memorial Hospital is dedicated to improving the health and wellness of our communities by providing primary and specialty health care of outstanding quality and caring for our patients with respect and compassion. false false 59343647 2500 65530867 See Schedule O 851078 Medicare shortfalls (at cost) 27,426 persons served. 499178 Charity care provided (at cost) 329 persons served. 60693903 true true false true false false false false false true true false false true true true false true false false true false false false false false true true false false true false false false false false false false false false false false false false false false false true true true false false true 60 0 true 375 true false false false false false false false false 0 false false false false false false false false false false X 14 10 false false true false true true true true true false false true true true true true true true false false ME X X X John J Doyle 2079739081 43 Whiting Hill Road Brewer ME 04412 H Francis Wanning Trustee 2.00 0.00 X 0 0 0 Charles J Hatfield II Trustee 2.00 0.00 X 0 0 0 Barbara Fleck Trustee 2.00 0.00 X 0 0 0 Richard Littlefield MD Ex-Officio 50.00 0.00 X 179145 0 24282 Lisa Billings-Lindsey DO Chief of Staff 50.00 0.00 X 175360 0 30711 Sally N Mills Chairman-Pt Yr 2.00 0.00 X X 0 0 0 Ed Volkein Trustee 2.00 0.00 X 0 0 0 Edward Clayton Trustee 2.00 0.00 X 0 0 0 M Michelle Hood EMHS Ex-Officio 2.00 50.00 X X 0 885839 271712 Scott Gray Vice Chair 2.00 0.00 X X 0 0 0 James Schatz Trustee 2.00 0.00 X 0 0 0 Scott Miller Trustee 2.00 0.00 X 0 0 0 John Ronan SVP & President 25.00 25.00 X X 132031 132033 51928 Gordon Stewart Chairman-Pt Yr 2.00 0.00 X X 0 0 0 Anthony Filer Treasurer 2.00 50.00 X 0 177610 2704 Mike Murnik CMO 50.00 0.00 X 270979 0 35417 Ardelle Bigos CNO 25.00 25.00 X 114399 114399 27354 Paul Bolin VP & Chief HRO 2.00 50.00 X 0 197240 42346 Glenn Martin Secretary 2.00 50.00 X 0 368621 90480 Wendy Jones VP of Finance 25.00 25.00 X 75812 75811 29256 Mark Hankinson VP-Operations 25.00 25.00 X 71809 71809 16825 Kathy Lirakis VP-CNO 50.00 0.00 X 132056 0 11637 Surapaneni Ramanadha Rao Surgeon 50.00 0.00 X 531902 0 10148 Dennis Desilvey Physician 50.00 0.00 X 284230 0 45163 Ronald Prokopius Physician 50.00 0.00 X 340496 0 43303 Kathleen J Ober Physician 50.00 0.00 X 324560 0 29905 Amy Tan Surgeon 50.00 0.00 X 292265 0 43538 Constance Barrett Former VP/CNO 0.00 50.00 X 0 105043 8896 2925044 2128405 815605 33 true true false Nurse Anesthesia of Maine 141 N Main Street Brewer ME 04412 Anesthesia Svcs 724245 Blue Water Emergency Partners 14 Maine St Brunswick ME 04011 Physician Fees 327114 Vista Staffing Solutions Inc File 50834 Los Angeles CA 900740834 Physician Fees 170347 Siemens Medical Solutions PO Box 120001 Dallas TX 753120733 Software Support 113716 4 27553 566924 23010 594477 Cafeteria 722210 110808 110808 Exempt Affiliate Rental 532000 5500 5500 Patient Care Service 621990 65210926 65210926 65327234 250933 250933 0 0 12200 13524 -1324 -1324 -1324 15675736 5068 14419619 6082 1256117 -1014 1255103 1255103 0 0 0 Meaningful Use 621990 203633 203633 203633 67630056 65420059 1615520 2500 2500 0 0 0 1316320 1067885 248435 0 19051053 17827713 1223340 981749 918378 63371 2923729 2727862 195867 1144345 1070478 73867 0 0 13058 13058 0 0 10770 10770 4261907 2661186 1600721 89545 30016 59529 1380479 1231590 148889 1359235 1262933 96302 0 690647 557507 133140 60067 42506 17561 0 94147 89478 4669 73322 73287 35 0 804992 595525 209467 484334 469676 14658 Contractual Allowances 22863459 22863459 Medical Supplies 3447180 3447180 Provision for uncollectible ac 1605766 1605766 Charity Care 873002 873002 1457532 1275976 181556 64989138 60693903 4295235 0 171554 12204 2463380 16 0 6736567 5881114 0 0 0 227613 178600 278771 366805 30075458 22100250 7481807 7975208 0 0 0 0 22027252 2809711 39386944 17223658 8272187 5888382 3825760 4349244 12097947 10237626 X 25027072 4390379 488957 688759 1772968 1906894 27288997 6986032 39386944 17223658 X 2640918 -1183400 -21760483 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false 6288 6288 64982850 64989138 1000000 250000 false 1000000 1000000 1000000 1000000 4000000 6000000 7166 8967 6099 6288 28520 250000 250000 250000 250000 1000000 1500000 708759 8347 79381 21540 774947 685325 38755 15321 708759 710139 -5736 19078 685325 692891 2350 27731 12833 710139 558201 109376 25314 692891 0.00390 0.99610 false true true 601486 601486 11987035 8938755 3048280 2810 2810 15776554 12743830 3032724 1707573 414855 1292718 7975208 Assets whose use is limited 30953 Beneficial Interest in Perpetual Trusts 1288667 Board Designated Funds-Other 157430 Org costs & other long term investments 25675 Permanently Donor Restricted Funds 618227 Temporarily Donor Restricted Funds 688759 2809711 Amounts due to Related Org 1939256 Capital Lease Obligation 513 Deferred Compensation 2409475 4349244 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 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. Central America/Caribbean 0 0 Investment 0 false false true false false false true true true X true X true false false false true true 329 499178 499178 0.01260 13535 13535 0.00030 329 512713 512713 0.01290 5 3659 229990 229990 0.00580 2 25839 25839 0.00070 7 3659 255829 255829 0.00650 7 3988 768542 768542 0.01940 1 16 18804 18804 0.00050 1 15978 15978 0.00040 2 16 34782 34782 0.00090 true 920032 14328297 15179375 -851078 X true true 1 1 Blue Hill Memorial Hospital 57 Water Street Blue Hill ME 04614 www.bhmh.org 38155 X X X X Blue Hill Memorial Hospital 1 false false true X X X X X X X X X 16 true true true true X https://bhmh.org/ X www.emhs.org/Community-Benefit/CHNA.aspx X true 16 true http://www.emhs.org/Community-Benefit/CHNA/ false false true X 150.0000 250.0000 false true X X X true X See Part V, Line 16i-j for URL X See Part V, Line 16i-j for URL X See Part V, Line 16i-j 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 10, 2015 Hancock County Shared CHNA Community Engagement Input Forum and provided valuable feedback on the Shared CHNA.Details about organizations:State Government - representation from DHHS (low income, medically underserved); Non-profit hospitals - Maine Coast Memorial Hospital, Blue Hill Memorial Hospital, Mount Desert Island Hospital providing services to MaineCare populations (medically underserved); Healthy Acadia and Healthy Peninsula provide individuals with health supports and coordination of education and prevention services. Non-profit agency- SAGE and GLSEN: provide advocacy and services for LGBT community. Beth Wright provides resources and care for individuals and families with cancer in both counties. Birch Bay and Hancock County Hospice/Home Care provide services for seniors and aging population (low income). Hancock County EMA provides emergency management to all of Hancock County towns. 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 Affordable Housing - Another option outside of our venue to deliver, plus outside agencies are working on this problem. We have less of an ability to impact this than the chosen priorities. Hunger/Food Insecurity - Many agencies are currently working on this and providing for those in need. We do participate monthly in Simmering Pot and food pantry. We already have community programs in place so this is less of a priority for us.Preventative Screenings - All of the preventive screenings are actually included in many of the priorities that we chose and the fully loaded visit will cover all of the categories listed. Some of the chosen priorities address preventative screenings and education.Inconvenience - We have opened our family practice clinics mornings, evenings and Saturdays. The transportation priority should also help cover this issue.Out of Pocket Costs Associated with Insurance Plans - Our navigator investigation should help identify alternatives for people to have affordable care. This is related to lack of insurance, which we have chosen as a priority. Part V, Line 13b - Criteria For Providing Discounted Care If Not FPG Due to software glitch, this is in reference to Part V, Line 14 Explain Method for Applying for Financial Assistance - See Part VI, Additional Information for explanation. Part V, Line 16i - Other Means Hospital Facility Publicized the Policy Response for 16a, 16b, 16c (list url) ishttps://bhmh.org/For-Patients.aspx under Financial Assistance Blue Hill Family Medicine 65 Water Street Blue Hill ME 04614 Physician Offices Blue Hill Orthopedics 65 Water Street Blue Hill ME 04614 Physician Offices Blue Hill Specialty Services 65 Water Street Blue Hill ME 04614 Physician Offices Blue Hill Womens Healthcare 65 Water Street Blue Hill ME 04614 Physician Offices Castine Community Health Services 102 Court Street Castine ME 04421 Physician Offices Island Family Medicine 354 Airport Road Stonington ME 04681 Physician Offices Blue Hill Cardiovascular Medicine 65 Water Street Blue Hill ME 04614 Physician Offices Blue Hill Memorial Hospital Rehabiliation Services 58 Main Street Bucksport ME 04416 Physician Offices Blue Hill Urology 58 Main Street Bucksport ME 04416 Physician Offices Part I, Line 6a - Related Organization Community Benefit Report The Blue Hill Memorial Hospital 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 $1,605,766 of bad debt expense, $873,002 of charity care, $22,863,459 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 methology 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 BHMH. An account may be reconsidered for charity care at any time when new information is available about a patients inability to pay. Part VI - Patient Education of Eligibility for Assistance We have information available through our Web site, have financial counselors at the hospital, and equip our primary care practices with this information. In addition we have discharge planning personnel, including a licensed clinical social worker, who provide more extensive assistance to patients with complex financial issues. Further, our financial counselor screens our patients (using Hospital services) and personally meets with anyone listed as self-pay to help identify if financial assistance is needed. Part VI - Community Information Blue Hill Memorial Hospital (BHMH) is a 25 bed critical access hospital located in Blue Hill, Maine. As our mission states, we are dedicated to improving the health and wellness of our communities by providing primary and specialty health care of outstanding quality and caring for our patients with respect and compassion. BHMH has three primary care clinics located in the rural communities of Deer Isle/Stonington (population 2,500), Castine (population 1,366), and Blue Hill (population 2,686). The hospital offers many specialty services including Orthopedics, Cardiology, Urology, and Womens Health. The 24 hour emergency room is staffed by physicians and serves approximately 5,000 patients per year. BHMH has a very strong swing bed program allowing patients to be cared for close to home.Our community outreach efforts, as well as the services we deliver within our hospital and practices, are shaped by our communitys needs. We work closely with patients to identify programs that will cover their healthcare costs. When no coverage is available, there are assistance programs to help ensure that every patient has access to medically necessary care. Part VI - Community Building Activities Blue Hill Memorial Hospital's community building activities include blood drives, community meals, blood pressure clinics, an educational presence at local fairs and festivals, annual Women's Wellness Fair, ongoing work with local schools, and special events such as our annual Fun Run. Our providers also assist with outreach by giving educational sessions on topics such as men's health, cardiology, and heartburn. We provide tours and "hands on" experiences to local young school children in our emergency, radiology and rehabilitation departments and offer independent study programs for high school students. Part VI - Explanation Of How Organization Furthers Its Exempt Purpose We partner with many local community health and wellness organizations, including Healthy Peninsula, Healthy Acadia, At Home Downeast, YMCA and Healthy Island Project, to promote the health of our community. These partnerships are for the benefit of our community. Part VI - Affilated Health Care System Roles and Promotion 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. Part VI - States Where Community Benefit Report Filed 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, BHMH is disclosing the following information with respect to Section 501(r) issues that were discovered during the 2017 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. BHMH obtained information about the requirements and sought to implement them accordingly, but later identified some compliance gaps due to the detailed nature of the regulations.The issues were discovered in fiscal year 2017 during an internal audit of BHMHs compliance with Sections 501(r)(3-4). The correction of these issues did not result in any changes to our overall processes and, therefore, BHMH has not identified any persons directly affected by these issues. All individuals would have been in the same position had these issues not occurred.To ensure full compliance with Section 501(r) regulations, EMHS Community Health and Revenue Cycle Departments perform routine reviews to assure BHMH is in compliance with Section 501(r). In addition, EMHS continues to engage EMHS Internal Audit to review BHMHs compliance with Section 501(r).Specific issues and corrections:1. Approval of the Community Health Needs Assessment (CHNA) and Implementation Strategy a. Requirement: The CHNA must be documented in a written report that is adopted for the hospital facility by an authorized body of the hospital facility. An authorized body of the hospital facility also must adopt an implementation strategy to meet the community health needs identified through the CHNA on or before the 15th day of the fifth month after the end of such taxable year. b. Condition: While the Board minutes and related meeting materials retained for BHMH demonstrated the Boards intent to approve both the CHNA and implementation strategy, the Board vote(s) as documented in the minutes did not clearly demonstrate that the Board approved both items. c. Corrective Action: A resolution was passed by BHMHs Board to clarify the Boards intent to approve the CHNA and implementation strategy. d. Date Corrected: BHMH: July 27, 20172. Information in the FAP regarding Amounts Generally Billed (AGB) a. Requirement: The FAP must include the method the hospital facility uses to determine the amounts generally billed to individuals who have insurance covering emergency or other medically necessary care and must state the AGB percentages or explain how members of the public may readily obtain such percentages.b. Condition: While the Plain Language Summary (PLS) indicated that AGB will be calculated using the look-back method, based on actual past claims paid to the hospital by Medicare and by other private insurers, the FAP did not adequately explain the method used to determine AGB, state the AGB percentages or explain how members of the public may readily obtain the AGB percentages (and these AGB percentages also were not otherwise readily available). c. Corrective Action: The FAP was updated to explain the method used to determine AGB. The FAP was also updated to state To request a free written description of how EMHS calculates the AGB or to find out the actual AGB for a particular EMHS hospital, please contact (207) 973-6473 or (207) 973-4483 or on the Web at http://emhs.org/Billing-help.aspx. BHMHs AGB percentage was added to this Web site. d. Date Corrected: These revisions to the FAP were approved by EMHS Leadership in Fiscal Year 2017 and the EMHS Board of Directors at its October 4, 2017 meeting. The updated FAP was widely publicized upon approval by the EMHS Board of Directors. The AGB percentages were added to the EMHS Web site in January 2018.3. Presumptive eligibilitya. Requirement: The FAP must include whether and under what circumstances prior FAP-eligibility determinations are used for presumptive eligibility.b. Condition: The FAP explained that approved applications from one EMHS Member Organization will be honored at another EMHS Member Organization, but did not fully describe the circumstances under which prior FAP-eligibility determinations are used for presumptive eligibility.c. Corrective Action: The FAP has been updated to fully describe whether and under what circumstances prior-FAP eligibility determinations are used for presumptive eligibility. d. Date Corrected: These revisions to the FAP were approved by EMHS Leadership on May 1, 2018 and the revised FAP has been widely publicized. 4. Emergency Medical Care Language in the FAPa. Requirement: A written policy must be established to require that care will be provided, without discrimination, for emergency medical conditions to individuals regardless of whether they are FAP-eligible.b.Condition: It was and is BHMHs practice to provide care for emergency conditions to individuals regardless of whether they are FAP-eligible; however, upon review of BHMHs FAP it was determined that this practice was not explicitly stated.c. Corrective Action: The FAP was updated to explicitly state that EMHS Hospitals will provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility for assistance under the FAP and as required under the EMHS Emergency Medical Care Policy. d. Date Corrected: These revisions to the FAP were approved by EMHS Leadership in Fiscal Year 2017 and the EMHS Board of Directors at its October 4, 2017 meeting. The updated FAP was widely publicized upon approval by the EMHS Board of Directors. 5. Billing and Collection Practicesa. Requirement: The FAP (or separate billing and collection policy) must include information on the actions the hospital will take to collect outstanding balances, including the reasonable efforts made to determine FAP eligibility. This information must be widely publicized along with the FAP.b. Condition: The billing and collection practices were adequately described in the Billing and Collections Policy which was referenced in the widely publicized FAP. However, the Billing and Collections Policy itself was not widely publicized.c. Corrective Action: The required billing and collection practices were added to the FAP. d. Date Corrected: These revisions to the FAP were approved by EMHS Leadership in Fiscal Year 2017 and the EMHS Board of Directors at its October 4, 2017 meeting. The updated FAP was widely publicized upon approval by the EMHS Board of Directors. 6. Widely Publicized a. Requirement: In order to ensure the FAP is widely publicized , a hospital must take several actions, one of which is to include a conspicuous written notice on billing statements that notifies and informs recipients about the availability of financial assistance under the hospital facilitys FAP and includes the telephone number of the hospital facility office or department that can provide information about the FAP and FAP application process and the direct Web site address (or URL) where copies of the FAP, FAP application form and plain language summary of the FAP may be obtained.b. Condition: While BHMHs billing statements included a conspicuous written notice to notify recipients about the availability of financial assistance, telephone numbers to the department that can provide more information about financial assistance, and the EMHS billing help Web site address, the billing statements did not clearly state the FAP documents could be obtained from the Web site address provided.c. Corrective Action: Billing statements were updated in Fiscal Year 2017 to clarify that certain FAP-related documents may be obtained from the Web site address provided on the statement. In Fiscal Year 2018, BHMH made additional revisions to further clarify the language included on the billing statements.d. Date Corrected: June 15, 2017 with additional revisions made in Fiscal Year 2018.7. PLSa. Requirement: The PLS must include certain information, including a statement of the availability of translations of the FAP, FAP application form and PLS in other languages, and a statement that a FAP-eligible individual will not be charged more than AGB for emergency or other medically necessary care.b. Condition: While the PLS met most of the requirements of the regulation, it did not include a statement of the availability of translations of the FAP, FAP application form and PLS in other languages, and also did not clearly state that a FAP-eligible individual will not be charged more than AGB for emergency or other medically necessary care.c. Corrective Action: The PLS was updated to include a statement of the availability of translations of the FAP, FAP application form and PLS in other languages, and to clearly state that a FAP-eligible individual will not be charged more than AGB for emergency or other medically necessary care. d. Date Corrected: After the revisions to the FAP were approved by EMHS Leadersh X true true false true false false false false false false false false Amy Tan Surgeon 289699 175 2391 15900 27638 335803 Anthony Filer Treasurer 57283 120327 2704 180314 Ardelle Bigos CNO 102411 102410 5000 5000 6988 6989 1722 1723 11955 11954 128076 128076 Constance Barrett Former VP/CNO 86173 11934 6936 2106 6790 113939 Dennis Desilvey Physician 276478 175 7577 23850 21313 329393 Glenn Martin Secretary 362009 6612 69889 20591 459101 John Ronan SVP & President 120061 120062 6018 6019 5952 5952 20827 20827 5137 5137 157995 157997 Kathleen J Ober Physician 320731 175 3654 17253 12652 354465 Lisa Billings-Lindsey DO Chief of Staff 173249 902 1209 9179 21532 206071 M Michelle Hood EMHS Ex-Officio 870512 15327 250857 20855 1157551 Mark Hankinson VP-Operations 66521 66520 3842 3843 1446 1446 3862 3861 4551 4551 80222 80221 Mike Murnik CMO 250492 18898 1589 9711 25706 306396 Paul Bolin VP & Chief HRO 192976 4264 13113 29233 239586 Richard Littlefield MD Ex-Officio 177307 88 1750 15818 8464 203427 Ronald Prokopius Physician 307599 30175 2722 15900 27403 383799 Surapaneni Ramanadha Rao Surgeon 524929 175 6798 10148 542050 Wendy Jones VP of Finance 69754 69753 4639 4639 1419 1419 5410 5409 9218 9219 90440 90439 Part I, Line 1a: Relevant information in regards to selections on 1a. The following received a wellness program incentive:Lisa Billings-Lindsey, director $157Dennis Desilvey, highest compensated employee 322Mark Hankinson, officer 407Kathy Lirakis, officer 357Mike Murnik, officer 147John Ronan, director/officer 275Amy Tan, highest compensated employee 357The benefit is available for all employees. Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: Medicare shortfalls (at cost) 27,426 persons served. OTHER PROGRAM SERVICES 5: Please see the following excerpt from the EMHS Annual Report to the Community for details of community benefit projects at Blue Hill Memorial Hospital.Coming together is a beginning; keeping together is progress; working together is success. The man who spoke these words understood the value of teamwork. He embraced technology in a way that nobody else had before him. His vision, passion, and innovation revolutionized the world. He made it possible for families to feel more connected despite living long distances apart. In many ways, EMHS shares the same goals championed 100 years ago by industrialist and automaker, Henry Ford.Like Ford, we know that we are succeeding by working together. Our new integrated, systemwide electronic health record (EHR) will allow all our hospitals, primary care practices, and other members within the EMHS family to share information seamlessly. Using this system, we can collaborate more effectively and improve patient care.By mass-producing the automobile, Ford helped rural Americans feel connected. We are connecting people through technology, too. People who live in rural communities can talk one-on-one through a computer screen with doctors who may be several states away, thanks to our investments in telemedicine. Patients have access to specialists that would have been out of reach without this technology.Ford was an innovator. We too are embracing innovation in the way we deliver care. Our partnership with Dana-Farber Cancer Institute affords opportunities for cancer patients to access clinical trials closer to home at our Lafayette Family Cancer Center in Brewer. We are using paramedics to make routine house calls in our rural communities to perform wellness checks. This service is helping patients avoid trips to the hospital or doctors office while getting compassionate care in the comfort of their own homes.Of course, all of these initiatives require dedicated people who are committed to teamwork. Its the very reason why we take extraordinary measures to recruit and retain our employees. We have added a new nurse residency program, which is already showing signs of success in addressing a critical statewide nursing shortage and providing our nurses the tools they need to thrive. By working together, we can continue to do great things.To borrow another line from Henry Ford, If everyone is moving forward together, then success takes care of itself. In the pages that follow are numerous testaments to the innovative spirit underscoring many successes this past year throughout our system. While the hard work will continue, we are pleased to share with you the progress we are making towards achieving our vision to be a nationally recognized model of excellence in healthcare.M. Michelle Hood, FACHEEMHS President and CEOBarry McCrumEMHS Board ChairCONNECTING WORLD CLASS CARETerry White longs for the day that she can return to the sandy shores of Myrtle Beach to feel the warm Carolina sunshine on her face and the ocean waves splashing upon her feet. She has plans to go back to visit family and wont let cancer slow her down. My journey is not over just because I have this disease, Terry said. It doesnt mean life doesnt go on. I definitely have a lot of life to live.Terry was diagnosed with breast cancer a decade ago. I was 38 when I found a lump in my breast in the shower one morning and immediately called my primary care physician. Unfortunately, the cancer became metastatic, meaning it spread to other parts of her body. I went from being a survivor to a lifer because I live with cancer every day, and Ill live with it every day until the end, she said. Terry has gone through several treatments of radiation and chemotherapy over the years.During a recent visit to EMMC Cancer Care at the Lafayette Family Cancer Center in Brewer, she was comfortably dressed in jeans and a maroon blouse, and wore a hat on her head. Because the cancer spread to the bone marrow in her leg, she wore a knee brace to alleviate pain. Whats remarkable about Terry is how she projects a positive attitude. A powerful storm that day was toppling trees and knocking down power lines outsideit wasnt enough to stop her from making the 30-minute ride to the treatment center from her home in Pittsfield or to diminish her optimism. Research today has given us treatments that are light years ahead of what we used to have, she said.Terry is hopeful because she is taking part in a clinical trial thanks to a collaborative partnership between Dana-Farber Cancer Institute in Boston and EMMC Cancer Care. She is taking an experimental drug under the coordinated care of her medical team in Brewer and the Dana-Farber specialists in Boston. The treatment I come for is administered by a syringe. I dont have to sit there for four hours waiting for this to be over and waiting for the side effects, she said.Eric Winer, MD, is chief clinical strategy officer at Dana-Farber and director of the Breast Oncology Center. He and other members of the Dana-Farber team visited EMMC Cancer Care last fall for a tour. Dana-Farber only partners with cancer centers that already deliver excellent care, Dr. Winer said. The goal of the collaborative for Dana-Farber is to extend its reach and bring clinical trials to people living in rural areas. When people participate in clinical trials, the hope is that they will do better than they might with standard care, but no matter what, they are contributing to the future of cancer care, he said.The staff at EMMC Cancer Care also benefits by being in the collaborative. They have more educational opportunities and access to medical specialists at Dana-Farber for rapid consultation on complex cases. Dana-Farber clinical care is provided in Boston and this collaborative brings their expertise to the heart of Maine, explained Thomas Openshaw, MD, medical director, Oncology Research at EMMC Cancer Care. The staff at EMMC and Dana-Farber have a firm resolve to help not only current patients, but also future patients to live better lives. Our whole goal is to try to cure whatever patients can be cured, and thats a large proportion of patients, and for the others to give them the best and the longest life that they can have, Dr. Winer said.That seems to be working for Terry White, whos already making travel plans to Myrtle Beach. It gives you a reason to go through what youre going through. Weve got to learn from it for the future, she said, adding, I want to be healthy for my family, I want to participate in life with my family and my friends, and continue to enjoy life.CONNECTING WITH TECHNOLOGYCharles A. Dean Memorial Hospital (CA Dean) in Greenville sits along the scenic shores of Moosehead Lake, one of Maines most treasured natural resources. Its a peaceful, idyllic spot that draws tourists from far and away who are eager to get away from the hustle and bustle of their daily grind. But beneath the hum of motorboats cruising along Moosehead Lake in the summer, or the snowmobiles skirting across its icy surface in winter; beneath the laughter of kids splashing in the water on a hot August day or pulling a trophy trout through the ice on a frigid February morning, there is a rural health problem that those visitors do not see. To be fair, it affects communities throughout Maine but has been more problematic in those towns and hamlets tucked far away from urban centers.There is very little rural mental health period, explains Joseph Babbitt, MD, an emergency room physician and hospitalist at CA Dean. Historically people in rural communities have had to travel hours to access psychiatric services. If they showed up at any rural hospital emergency room with a mental health crisis, they had to wait hours for an evaluation. Youve got an emotionally unstable patient who is in a very disruptive emergency waiting room environment, waiting 18 hours to have a mental health professional come assess them. That doesnt help anyone, Dr. Babbitt said.But technology is bridging the gap and allowing those who live in rural communities to have the same access to psychiatric services as their urban counterparts. Telemedicine is a medium that connects a patient with a practitioner via a screen, explained Gavin Ducker, MD, chief medical officer at Inland Hospital in Waterville.Inland Hospital and CA Dean use telemedicine to provide psychiatric services to patients through Acadia Hospital, which offers telepsychiatry services to 15 rural emergency departments and 12 rural primary care practices across the state. CA Dean uses telemedicine for behavioral health in its emergency department. Inland does, too, but also offers the service through its primary care practices. Our goal has been to deliver the care on site, in a place theyre familiar with, comfortable with, and would feel more relaxed, and hopefully in a more timely manner. Telemedicine has allow Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents Amended Article IV (Officers), Section 5 (President) - to remove President as the chief executive officer of the Corporation.Amended Article IV (Officers), Section 7 (Treasurer & Assistant Treasurer) - to change the title of Chief Financial Officer to VP of Finance.Amended Article V (Committees), Section 7 (Governance Committee) to change the title President/CEO to President.Amended Article V (Committees), Section 10 (Finance Committee) to change the title of Chief Financial Officer to Assistant Treasurer.Amended Article VIII (Fiduciary Duty; Prohibited Transactions; Divided Loyalty; Independence), Section 5 (Independent Trustees), Subsection (a) and Subsection (b) to change the reference to interim chief executive officer to President. Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Blue Hill Memorial 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 Blue Hill Memorial Hospital. 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 arms 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 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 arms length transactions. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management The SVP & President of Blue Hill Memorial 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 & Approval Process for Officers & Key EmployeesCompensation of other officers and key employees of the organization is established by the Human Resources department who utilizes external market research to establish compensation ranges for specific positions. The compensation of officers and key employees are reviewed by the BHMH President/SVP, President and the VP of Human Resources.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 Blue Hill Memorial 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 Increases Change in net assets held @ EMHS Foundation = $388418 Other Changes In Net Assets Or Fund Balances - Other Decreases Equity transfer to exempt subsidiary-EMHSF = -$297168 Other Changes In Net Assets Or Fund Balances - Other Decreases Post Retirement Health Benefit FAS 158 = -$37130 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfer to exempt parent - Eastern Maine Healthcare Systems = -$21814603 SCHEDULE H PART VI SUPPLEMENTAL INFORMATION Continuation of Disclosure in accordance with Revenue Procedure 2015-21:Schedule H, Part V Facility Information, Section B Facility Policies and Practices8. PLS Eligibility Requirementsa. Requirement: The PLS must include certain information, including a brief description of the eligibility requirements and assistance offered under the FAP.b. Condition: Although patients from any state could be eligible to receive financial assistance under the FAP, the PLS indicated that financial assistance or free care was only available for medically necessary or emergency care services received by Maine residents. c. Corrective Action: The PLS was updated to indicate that non-Maine residents were eligible to receive financial assistance or free care for emergency care services. d. Date Corrected: After the revisions to the FAP were approved by EMHS Leadership in Fiscal Year 2017 and the EMHS Board of Directors at its October 4, 2017 meeting, the PLS was updated and was widely publicized in October 2017. 9. Translationsa. Requirement: To widely publicize its FAP, a hospital facility must accommodate all significant populations that have limited English proficiency (LEP) by translating its FAP, FAP application form and PLS into the primary language(s) spoken by such populations.b. Condition: While the FAP, FAP application and PLS were translated into the primary languages spoken by the populations served by BHMH, the instructions to the FAP application and the title and one paragraph of the Provider List attached to the FAP (i.e., the list of providers covered by the hospital's FAP) were not translated into these languages.c. Corrective Action: The FAP application instructions and the applicable language on the Provider List were translated into the required languages.d. Date Corrected: After the revisions to the FAP were approved by EMHS Leadership in Fiscal Year 2017 and the EMHS Board of Directors at its October 4, 2017 meeting, the FAP application instructions and Provider List were updated and were widely publicized in October 2017. Eastern Maine Healthcare Real Estate 43 Whiting Hill Road Brewer ME 04412 010391036 Leases real estate ME 501(c)(2) EMHS true Eastern Maine Healthcare System 43 Whiting Hill Road Brewer ME 04412 010527066 Supporting organization for healthcare affiliates ME 501(c)(3) 12 Type II NA true Acadia Hospital Corp AHC 43 Whiting Hill Road Brewer ME 04412 010459837 Provide healthcare services ME 501(c)(3) 3 EMHS true Acadia Healthcare Inc AHI 43 Whiting Hill Road Brewer ME 04412 223183888 Provide healthcare services ME 501(c)(3) 10 AHC true Meadow Wood LLC 43 Whiting Hill Road Brewer ME 04412 272935243 Provide patient care ME 501(c)(3) 10 AHI 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 Medical Center Auxiliary 43 Whiting Hill Road Brewer ME 04412 010377901 Fund raising for exempt Eastern Maine Medical Center ME 501(c)(3) 10 EMMC true Norumbega Medical Specialists LTD 43 Whiting Hill Road Ste 400 Brewer ME 04412 010465231 Provide patient care & 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 organizations ME 501(c)(3) 12 Type II 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 Home Inc 43 Whiting Hill Road Ste 400 Brewer ME 04412 010430751 Operation of nursing homes ME 501(c)(3) 10 Rosscare 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 and long-term nursing care ME 501(c)(3) 3 Inland Hospital true CA Dean Memorial Hospital Pritham Ave 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 Sebasticook Valley Family Practice Assoc 447 North Main Street Pittsfield ME 04967 010357854 Provide patient care ME 501(c)(3) 10 SVH 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 TAMC Title Corp PO Box 151 140 Academy Street Presque Isle ME 047690151 010389226 Real estate holding company ME 501(c)(2) TAMC 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 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 Mercy Health System of Maine 144 State Street Portland ME 04101 010484074 Supporting org for healthcare affiliates ME 501(c)(3) 12 Type III Func Int 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 Maine Coast Healthcare Corporation 50 Union Street Ellsworth ME 04605 223176167 Provide dental services ME 501(c)(3) 12 Type II EMHS true Lifestage 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 EMHS false false Beacon Rural Health LLC 43 Whiting Hill Road Brewer ME 04412 474483187 Accountable care organization ME EMHS false false 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. 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