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EASTERN MAINE HEALTHCARE SYSTEMS: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
EASTERN MAINE HEALTHCARE SYSTEMS (EIN 01-0372148)
Tax period
2016-09-25 to 2017-09-30
Filed
2018-08-03
IRS object ID
201812159349301206
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-08-03T12:09:52-07:00ReturnTs
Tax Period End2017-09-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2016-09-25TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN010372148EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1EASTERN MAINE HEALTHCARE SYSTEMS TAMCBusinessNameLine1Txt
Business Name Line2THE AROOSTOOK MEDICAL CENTER TAMCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlEASTBusinessNameControlTxt
Phone2079739081PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 151AddressLine1Txt
CityPRESQUE ISLECityNm
State AbbreviationMEStateAbbreviationCd
ZIP04769ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJohn J DoylePersonNm
Person TitleEMHS VP of FinancePersonTitleTxt
Signature2018-08-03SignatureDt
Discuss With Paid PreparerfalseDiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJohn J DoylePrincipalOfficerNm
Gross Receipts$323,198,522GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Group Exemption5247GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.TAMC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1981FormationYr
Legal Domicile StateMELegalDomicileStateCd
Activity Or MissionTHE MISSION OF THE AROOSTOOK MEDICAL CENTER IS TO RESTORE, MAINTAIN, AND IMPROVE THE HEALTH OF OUR FRIENDS AND NEIGHBORS IN A COMPASSIONATE AND PROFESSIONAL ENVIRONMENT.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee1181TotalEmployeeCnt
Total Volunteers104TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$1,109,211PYContributionsGrantsAmt
CY Contributions Grants$508,237CYContributionsGrantsAmt
PY Program Service Revenue$276,898,703PYProgramServiceRevenueAmt
CY Program Service Revenue$305,102,148CYProgramServiceRevenueAmt
PY Investment Income$84,125PYInvestmentIncomeAmt
CY Investment Income-$333,008CYInvestmentIncomeAmt
PY Other Revenue$178,204PYOtherRevenueAmt
CY Other Revenue$5,874,375CYOtherRevenueAmt
PY Total Revenue$278,270,243PYTotalRevenueAmt
CY Total Revenue$311,151,752CYTotalRevenueAmt
PY Grants And Similar Paid$17,500PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$33,500CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$77,242,898PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$82,654,695CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$212,115,300PYOtherExpensesAmt
CY Other Expenses$226,766,667CYOtherExpensesAmt
PY Total Expenses$289,375,698PYTotalExpensesAmt
CY Total Expenses$309,454,862CYTotalExpensesAmt
PY Revenues Less Expenses-$11,105,455PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,696,890CYRevenuesLessExpensesAmt
Total Assets BOY$80,435,491TotalAssetsBOYAmt
Total Assets EOY$77,839,817TotalAssetsEOYAmt
Total Liabilities BOY$59,359,370TotalLiabilitiesBOYAmt
Total Liabilities EOY$55,444,923TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$21,076,121NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$22,394,894NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF THE AROOSTOOK MEDICAL CENTER IS TO RESTORE, MAINTAIN, AND IMPROVE THE HEALTH OF OUR FRIENDS AND NEIGHBORS IN A COMPASSIONATE AND PROFESSIONAL ENVIRONMENT.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$273,802,752ExpenseAmt
Grant$33,500GrantAmt
Revenue$310,926,001RevenueAmt
DescPROVISION OF ACUTE & SUBACUTE HOSPITAL CARE RELATED TO OUTPATIENT CLINICS AND HEALTH CARE SERVICES. SERVED 30,897 PATIENT DAYS OF ROUTINE SERVICES AND 80,119 OUTPATIENTS. PROVIDED SERVICES REGARDLESS OF ABILITY TO PAY AS WELL AS EDUCATION AND PROMOTION OF HEALTH. PROVIDED OTHER UNCOMPENSATED CARE (AT COST) OF $2,537,022.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$13,516,692ExpenseAmt
DescMEDICARE SHORTFALLS (AT COST). 78,165 PERSONS SERVEDDesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$2,597,407ExpenseAmt
DescMEDICAID SHORTFALLS (AT COST). 25,425 PERSONS SERVEDDesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$1,239,350TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses$291,156,201TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (true)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document148IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1181EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldMEStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJohn J DoylePersonNm
Phone2079739081PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line143 Whiting Hill RoadAddressLine1Txt
CityBrewerCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04412ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
RICHARD DUNCAN
Trustee1.000.00Yes (X)$0$0$0
CAROL BELL
Trustee/ViceChr1.000.00Yes (X)$0$0$0Yes (X)
DAVID WEED MD
VP Med Staff50.000.00Yes (X)$543,567$0$25,869
M MICHELLE HOOD
President EMHS1.0050.00Yes (X)$0$885,839$271,712Yes (X)
HOLLY JOHNSON
Trustee1.000.00Yes (X)$0$0$0
JOSEPH LALLANDE
Trustee1.000.00Yes (X)$0$0$0
ALAN LANDEEN
Trustee1.000.00Yes (X)$0$0$0
LYNN LOMBARD
Trustee1.000.00Yes (X)$0$0$0
GENE LYNCH
Trustee1.000.00Yes (X)$0$0$0
PETER ST JOHN
Trustee1.000.00Yes (X)$0$0$0
JANE TOWLE
Trustee1.000.00Yes (X)$0$0$0
BARRY MCCRUM
Trustee1.000.00Yes (X)$0$0$0
SERGIO LEMA-GUTIERREZ MD
Pres. Med Staff50.000.00Yes (X)$254,522$0$32,467
SCOTT VIOLETTE
Trustee1.000.00Yes (X)$0$0$0
STEVE ST PIERRE
Trustee/Chair1.000.00Yes (X)$0$0$0Yes (X)
GLENDA DWYER
Interim Preside50.000.00Yes (X)$240,039$0$23,286Yes (X)
MAURA KELLY
VP of Finance50.000.00$220,738$0$17,797Yes (X)
ANTHONY FILER
Sr VP/CFO/Treas1.0050.00$0$177,611$2,703Yes (X)
GREGORY LAFRANCOIS
SVP, President50.000.00$34,708$0$198Yes (X)
GLENN MARTIN
VP/Gen Csl/Sec1.0050.00$0$368,621$90,480Yes (X)
JAY REYNOLDS MD
CMO/CCO50.000.00$257,070$0$40,352Yes (X)
ROGER PELLI DO
CMIO50.000.00$275,806$0$31,259Yes (X)
ROLAND JOY
VP Pat Care Svc50.000.00$203,062$0$24,748Yes (X)
YOOSUF SIDDIQUI
VP HR/NW1.0050.00$0$126,727$32,816Yes (X)
JOY BARRESI SAUCIER
VP Strategy/Com50.000.00$141,797$0$11,269Yes (X)
NARAYANA PRASANNA
Otolaryngologist40.000.00$670,290$0$4,259Yes (X)
NATHAN UEBELHOER
Physician40.000.00$571,001$0$929Yes (X)
ARJUN SOOD
Oncologist40.000.00$560,023$0$13,768Yes (X)
RICHARD LEIDINGER
Urology40.000.00$544,836$0$29,217Yes (X)
MARK A BILLINGTON
Surgeon40.000.00$542,226$0$17,476Yes (X)
SYLVIA S GETMAN
Sr VP & President40.000.00$180,719$0$29,188Yes (X)
JAMES E MCKENNEY
VP Support Services40.000.00$123,063$0$22,635Yes (X)
C BRUCE SANDSTROM
VP of Finance0.0040.00$54,177$250,119$18,135Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,417,644TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,808,917TotReportableCompRltdOrgAmt
Total Other Compensation$740,563TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K119IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
COMPHEALTH INC
PO BOX 972651DALLASTX753972651PHYSCN FEES-LOCUMS$1,511,855
AMERICAN MOBILE NURSE DBA
2735 COLLECTION CENTER DRIVECHICAGOIL60693TEMP STAFF$1,364,518
HUDSON STAFFING PLLC
4625 NADINE LNFRANKLINTN37064TEMP STAFF$1,105,625
AROOSTOOK MRI LLC
PO BOX 6600NEWPORT BEACHCA92658CONTRACTED SERVICES$558,459
FRESH AIR LLC
43 HIGH STREETCARIBOUME04736AIR AMBULANCE$492,176
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K20CntrctRcvdGreaterThan100KCnt
Related Organizations$307,619RelatedOrganizationsAmt
All Other Contributions$200,618AllOtherContributionsAmt
Noncash Contributions$20,558NoncashContributionsAmt
Total Contributions$508,237TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria722210$419,789$419,789
LiveSafe Revenue624200$227,774$227,774
Program Service621990$304,454,585$304,454,585
FieldValueIRS element (for citing)
Total Program Service Revenue$305,102,148TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$252,367TotalRevenueColumnAmt
Exclusion$252,367ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$25,037RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$69,695RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$44,658RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$44,658TotalRevenueColumnAmt
Related Or Exempt Func Income-$44,658RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$11,281,370SecuritiesAmt
Other$2,148OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$11,868,893SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$587,523SecuritiesAmt
Other$2,148OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$585,375TotalRevenueColumnAmt
Exclusion-$585,375ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$158,704GrossSalesOfInventoryAmt
Cost Of Goods Sold$108,182CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$50,522TotalRevenueColumnAmt
Exclusion$50,522ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
340B Revenue621990$5,574,514$5,574,514
Meaningful Use621990$289,000$289,000
Misc Revenue900099$4,997$4,997
FieldValueIRS element (for citing)
Other Revenue Total$5,868,511OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$311,151,752TotalRevenueColumnAmt
Related Or Exempt Func Income$310,506,212RelatedOrExemptFuncIncomeAmt
Exclusion$137,303ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$33,500TotalAmt
Program Services$33,500ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,378,554TotalAmt
Program Services$1,688,722ProgramServicesAmt
Management And General$689,832ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$66,242,432TotalAmt
Program Services$59,270,691ProgramServicesAmt
Management And General$6,971,741ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,819,210TotalAmt
Program Services$1,628,381ProgramServicesAmt
Management And General$190,829ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,298,023TotalAmt
Program Services$7,442,292ProgramServicesAmt
Management And General$855,731ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,916,476TotalAmt
Program Services$3,505,651ProgramServicesAmt
Management And General$410,825ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$33,970TotalAmt
Management And General$33,970ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$25,154TotalAmt
Management And General$25,154ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$14,560,482TotalAmt
Program Services$9,613,789ProgramServicesAmt
Management And General$4,946,693ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$115,241TotalAmt
Program Services$82ProgramServicesAmt
Management And General$115,159ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,513,749TotalAmt
Program Services$1,671,433ProgramServicesAmt
Management And General$842,316ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,945,773TotalAmt
Program Services$2,624,140ProgramServicesAmt
Management And General$321,633ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,743,531TotalAmt
Program Services$2,061,349ProgramServicesAmt
Management And General$682,182ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$527,063TotalAmt
Program Services$391,792ProgramServicesAmt
Management And General$135,271ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$32,951TotalAmt
Program Services$13,292ProgramServicesAmt
Management And General$19,659ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$825,111TotalAmt
Management And General$825,111ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,903,877TotalAmt
Program Services$3,117,704ProgramServicesAmt
Management And General$786,173ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,763,814TotalAmt
Program Services$1,725,755ProgramServicesAmt
Management And General$38,059ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
CONTRACTUAL ALLOWANCES$166,349,292$166,349,292
MEDICAL SUPPLIES EXPENSE$15,624,561$15,624,561
PROVISION FOR BAD DEBTS$6,323,279$6,323,279
Charity Care$5,020,903$5,020,903

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,457,916TotalAmt
Program Services$3,049,593ProgramServicesAmt
Management And General$408,323ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$309,454,862TotalAmt
Program Services$291,156,201ProgramServicesAmt
Management And General$18,298,661ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,715BOYAmt
EOY$3,740EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,882,787BOYAmt
EOY$100EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$20,576,569BOYAmt
EOY$25,218,635EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$640,432BOYAmt
EOY$649,349EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,084,926BOYAmt
EOY$2,198,408EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,337,376BOYAmt
EOY$1,405,780EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$92,546,263LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$57,755,497LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$37,772,988BOYAmt
EOY$34,790,766EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$16,136,698BOYAmt
EOY$13,573,039EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$80,435,491BOYAmt
EOY$77,839,817EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$33,152,188BOYAmt
EOY$28,952,892EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$50,905BOYAmt
EOY$6,695EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$26,156,277BOYAmt
EOY$26,485,336EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$59,359,370BOYAmt
EOY$55,444,923EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$14,051,974BOYAmt
EOY$15,158,148EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,299,974BOYAmt
EOY$4,512,573EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,724,173BOYAmt
EOY$2,724,173EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$21,076,121BOYAmt
EOY$22,394,894EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$80,435,491BOYAmt
EOY$77,839,817EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,696,890ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$430,210NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$808,327OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed Section4955 TaxfalseForm4720FiledSection4955TaxInd
Correction MadefalseCorrectionMadeInd
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$18,347OtherActivitiesAmt
Total Lobbying Expenditures$18,347TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1i - Other Activities DescriptionFormAndLineReferenceDesc
ExplanationNon-deductible portion of dues.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,203,458BeginningYearBalanceAmt
Investment Earnings Or Losses$365,752InvestmentEarningsOrLossesAmt
Other Expenditures$609,560OtherExpendituresAmt
Administrative Expenses$17,950AdministrativeExpensesAmt
End Year Balance$2,941,700EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,948,531BeginningYearBalanceAmt
Investment Earnings Or Losses$265,032InvestmentEarningsOrLossesAmt
Other Expenditures$4,859OtherExpendituresAmt
Administrative Expenses$5,246AdministrativeExpensesAmt
End Year Balance$3,203,458EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,058,725BeginningYearBalanceAmt
Contributions$5,000ContributionsAmt
Investment Earnings Or Losses-$75,498InvestmentEarningsOrLossesAmt
Other Expenditures$19,939OtherExpendituresAmt
Administrative Expenses$19,757AdministrativeExpensesAmt
End Year Balance$2,948,531EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,909,135BeginningYearBalanceAmt
Investment Earnings Or Losses$1,169,884InvestmentEarningsOrLossesAmt
Administrative Expenses$20,294AdministrativeExpensesAmt
End Year Balance$3,058,725EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,709,599BeginningYearBalanceAmt
Contributions-$28,551ContributionsAmt
Investment Earnings Or Losses$244,429InvestmentEarningsOrLossesAmt
Administrative Expenses$16,342AdministrativeExpensesAmt
End Year Balance$1,909,135EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.61000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.39000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$227,598OtherCostOrOtherBasisAmt
Book Value$227,598BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$43,244,717OtherCostOrOtherBasisAmt
Depreciation$26,619,063DepreciationAmt
Book Value$16,625,654BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,253,264OtherCostOrOtherBasisAmt
Depreciation$1,876,873DepreciationAmt
Book Value$1,376,391BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$42,570,614OtherCostOrOtherBasisAmt
Depreciation$27,276,621DepreciationAmt
Book Value$15,293,993BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,250,070OtherCostOrOtherBasisAmt
Depreciation$1,982,940DepreciationAmt
Book Value$1,267,130BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$34,790,766TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
Assets whose use is limited$73,576
Board Designated Other$5,796,355
Investments in County Physical Therapy$378,932
Other Assets$87,430
Permanently Donor Restricted Funds$2,724,173
Temporarily Donor Restricted Funds$4,512,573
FieldValueIRS element (for citing)
Total Book Value Other Assets$13,573,039TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Amounts due to Related Org$20,437,379
Reserve for Asset Disposal Costs$256,602
Reserve for Retiree Health Benefits$5,791,355
FieldValueIRS element (for citing)
Total Liability$26,485,336TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 FootnoteEMHS, 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.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent250Yes (X)Percent250Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served608PersonsServedCnt
Total Community Benefit Expns$1,239,350TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,239,350NetCommunityBenefitExpnsAmt
Total Expense0.00900TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served25425PersonsServedCnt
Total Community Benefit Expns$14,837,411TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,240,004DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,597,407NetCommunityBenefitExpnsAmt
Total Expense0.02000TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$149,139TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$149,139NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served26033PersonsServedCnt
Total Community Benefit Expns$16,225,900TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,240,004DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,985,896NetCommunityBenefitExpnsAmt
Total Expense0.03000TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served220PersonsServedCnt
Total Community Benefit Expns$75,934TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$755DirectOffsettingRevenueAmt
Net Community Benefit Expns$75,179NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served100PersonsServedCnt
Total Community Benefit Expns$1,026,196TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,026,196NetCommunityBenefitExpnsAmt
Total Expense0.00800TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs12ActivitiesOrProgramsCnt
Persons Served150PersonsServedCnt
Total Community Benefit Expns$42,223TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$42,223NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs22ActivitiesOrProgramsCnt
Persons Served470PersonsServedCnt
Total Community Benefit Expns$1,144,353TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$755DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,143,598NetCommunityBenefitExpnsAmt
Total Expense0.00910TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs22ActivitiesOrProgramsCnt
Persons Served26503PersonsServedCnt
Total Community Benefit Expns$17,370,253TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,240,759DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,129,494NetCommunityBenefitExpnsAmt
Total Expense0.03910TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$2,537,022BadDebtExpenseAmt
Reimbursed By Medicare$45,134,145ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$58,650,837CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$13,516,692MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line1COUNTY PHYSICAL THERAPYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesOUTPATIENT PHYSICAL THERAPYPrimaryActivitiesTxt
Org Profit Or Ownership0.50000OrgProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The Aroostook Medical CenterBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1140 Academy StreetAddressLine1Txt
CityPresque IsleCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04769ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.tamc.orgWebsiteAddressTxt
State License37937StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1The Aroostook Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttp://tamc.org/OwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLwww.EMHS.org/Community-Benefit/CHNA.aspxOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttp://www.emhs.org/Community-Benefit/CHNA/StrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.0000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care250.0000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSee Part V, Line 16i-j for URLFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSee Part V, Line 16i-j for URLFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSee Part V, Line 16i-j for URLFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 5 - Account Input from Persons Who Represent the CommunityThe 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 January 11, 2016 Presque Isle Chapter of Rotary International Shared CHNA Community Engagement Forum and provided valuable feedback on the Shared CHNA.Details about organizations: Representatives from The Aroostook Medical Center (serves low income patients on MaineCare and medically underserved patients through low cost/free care), Presque Isle city government (city council, city manager, fire chief), UMPI, NMCC, and various local businesses were present. The Rotary Club acts as a funding agency to the United Way and other local charities.
Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs AssessmentThe 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 WhyPriorities of Focus - Based on the Aroostook County needs identified during the Community Health Needs Assessment, TAMC has selected the following areas for which we can make a positive impact within our region. Going forward, these priorities will be a focus of our community outreach and operational resources.1. Decrease youth obesity.2. Decrease number of adults age 20-60 with cardiovascular disease risk factors. 3. Improve health status of adults over 65 with 3 or more chronic conditions.4. Decrease inappropriate emergency department utilization by the Medicaid population.5. Improve access to behavioral health services.6. Increase early identification of domestic violence and link victims with appropriate resources.Secondary Focus - For the following community needs, TAMC will play a collaborative role by partnering with and supporting the organizations in the community that are already focused on these areas.1. Oral Health2. Transportation3. Affordable Housing4. Economic Development5. Educational Attainment
Part V, Line 13b - Criteria For Providing Discounted Care If Not FPGDue 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 PolicyResponse for 16a, 16b, 16c (list url) is http://tamc.org/Patients-Visitors/Billing-Help.aspx under Financial Assistance Program.

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (24 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
AROOSTOOK GENERAL & VASCULAR SURGERY CTR
146 ACADEMY STREET STE 1APRESQUE ISLEME04769OUTPATIENT PHYSICIAN CLINIC
FAMILY PRACTICE & INTERNAL MEDICINE
23 NORTH STREET STE 4PRESQUE ISLEME04769OUTPATIENT PHYSICIAN CLINIC
OBGYN MIDWIFERY
140 ACADEMY STREET STE 4PRESQUE ISLEME04769OUTPATIENT PHYSICIAN CLINIC
AROOSTOOK PEDIATRICS
23 NORTH STREET STE 1PRESQUE ISLEME04769OUTPATIENT PHYSICIAN CLINIC
SLEEP MEDICINE SERVICES
140 ACADEMY STREET STE 3PRESQUE ISLEME04769OUTPATIENT PHYSICIAN CLINIC
AROOSTOOK CANCER CARE
140 ACADEMY STREETPRESQUE ISLEME04769OUTPATIENT PHYSICIAN CLINIC
COUNTY DIALYSIS CENTER
23 NORTH STREET SUITE 5PRESQUE ISLEME04769OUTPATIENT PHYSICIAN CLINIC
AROOSTOOK HEALTH CENTER
15 HIGHLAND AVENUE PO BOX 40MARS HILLME04758NURSING HOME, OUTPATIENT CLINIC
FORT FAIRFIELD HEALTH CENTER
23 HIGH STREETFORT FAIRFIELDME04742OUTPATIENT PHYSICIAN CLINIC
OUTPATIENT SPECIALTY CLINICS
19 NORTH STREETPRESQUE ISLEME04769OUTPATIENT PHYSICIAN CLINICS
WALK IN CARE
23 NORTH STREET STE 2PRESQUE ISLEME04769OUTPATIENT PHYSICIAN CLINIC
AROOSTOOK HEART & LUNG CENTER
146 ACADEMY STREET STE 1BPRESQUE ISLEME04769OUTPATIENT PHYSICIAN CLINIC
TAMC UROLOGY SERVICES
140 ACADEMY STREET STE 5PRESQUE ISLEME04769OUTPATIENT PHYSICIAN CLINIC
NEPHROLOGY SERVICES
19 NORTH STREETPRESQUE ISLEME04769OUTPATIENT PHYSICIAN CLINIC
CARIBOU HEALTH CENTER
118 BENNETT DRIVE STE 130CARIBOUME04736OUTPATIENT PHYSICIAN CLINIC
CENTRAL AROOSTOOK HEALTH CENTER
106 MAIN STREETMARS HILLME04758OUTPATIENT PHYSICIAN CLINIC
WOMENS HEALTH CENTER
140 ACADEMY STREET STE 6PRESQUE ISLEME04769OUTPATIENT PHYSICIAN CLINIC
TAMC EYE SERVICES
146 ACADEMY STREET SUITE DPRESQUE ISLEME04769OUTPATIENT PHYSICIAN CLINIC
CROWN AMBULANCE
140 ACADEMY STREETPRESQUE ISLEME04769AMBULANCE SERVICE
TAMC ORTHOPEDIC SERVICES
140 ACADEMY STREET SUITE 10PRESQUE ISLEME04769OUTPATIENT PHYSICIAN CLINICS
SLEEP DISORDERS CENTER
140 ACADEMY STREET SUITE 2PRESQUE ISLEME04769OUTPATIENT PHYSICIAN CLINICS
TAMC EARS NOSE and THROAT
140 ACADEMY STREET SUITE 12PRESQUE ISLEME04769OUTPATIENT PHYSICIAN CLINIC
CROWN AMBULANCE AROOSTOOK HEALTH CENTER
18 HIGHLAND AVENUEMARS HILLME04769AMBULANCE SERVICE
CROWN AMBULANCE COMMUNITY GENERAL HOSPITAL
23 GREEN STREETFORT FAIRFIELDME04742AMBULANCE SERVICE

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 6a - Related Organization Community Benefit ReportThe TAMC 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 MethodologyRatio of Patient Care Cost-to-Charges is used in calculations.
Part I, Line 7, Column F - Explanation of Bad Debt Expense$6,323,279 of bad debt expense, $5,020,903 of charity care, $166,349,292 of contractual allowances is included on Form 990, Part IX, line 24, column (A).
Part III, Line 2 - Methodology Used To Estimate Bad Debt ExpenseThe costing methology used to determine the amount is cost to charge ratio.
Part III, Line 4 - Bad Debt ExpensePatient 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 BenefitMedicare 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 PatientsAll 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 The Aroostook Medical Center. An account may be reconsidered for charity care at any time when new information is available about a patient's inability to pay.
Part VI - Patient Education of Eligibility for AssistanceFinancial assistance or free care is available only for medically necessary services. Posters are displayed in patient care areas, information and forms are available online on the hospital website, and patient billing representatives are also available to take calls and to answer questions.
Part VI - Community InformationThe Aroostook Medical Center (TAMC) is the largest, most comprehensive healthcare organization in Aroostook County, Maine. Governed by a volunteer board of trustees, our active medical staff consists of over 60 physicians and 48 allied health professionals. As a member of EMHS, we are able to provide care not commonly found in rural areas, including outpatient hemodialysis, diagnostic heart catheterization, acute inpatient rehabilitation, and comprehensive cancer care. A.R. Gould Memorial Hospital serves as the heart of TAMCs care delivery network, which includes Crown Emergency Care ambulance service, Crown Critical Care Transport ground and fixed-wing air transport service. TAMC also has several primary care centers, a broad scope of specialty services, and a 72 bed long-term skilled nursing and rehabilitation center. TAMC serves as EMHSs most northern member serving all of Aroostook County, Maine. As such, TAMC acts as a leader in the region to improve overall community wellness. TAMC leadership serves on the boards and subcommittees of the Aroostook District Public Health Council and several other health and economic development organizations.Aroostook County is home to 68,628 people, living in a region encompassing 6,671 square miles, with a population density of 10.1 people per square mile. Aroostook has 21.9% of the population over 65 years of age, which is higher than the Maine rate of 18.8%. Aroostook is predominately white (95.4%), with a small Afican American (0.9%), American Indian (1.9%) and Hispanic (1.2%) population. Aroostook trails Maine in education status with only 86.3% of adults having a high school diploma and less than 17% having a bachelors degree. The median household income in Aroostook is $37,378 and over 20% of people live below the poverty level. Major industries include agriculture and forestry.Of Maines 16 counties, Aroostook County ranks fifteenth in health outcomes and sixteenth for quality of life. Top health issues include obesity, drug and alcohol abuse, cardiovascular disease, diabetes, and respiratory diseases. Factors influencing health in Aroostook include access to behavioral and mental health care, poverty, employment, health insurance, and transportation. Aroostook County, like much of the State of Maine has also been challenged with an increasing incidence of opioid abuse and overdoses.
Part VI - Explanation Of How Organization Furthers Its Exempt PurposeCollaboration is imperative in Aroostook County as TAMC works with numerous local and regional organizations to improve community health and engage people of all ages in healthy behaviors. Over the past year, TAMC has partnered with each of the Countys hospitals, the higher education institutions, the local CAP agency, the local agency on aging, the Aroostook Autism Support Group, United Way of Aroostook, and several other organizations to bring a variety of programs to the community. From promoting physical activity, identifying those with food insecurity challenges, providing education about chronic disease management, working on cutting smoking rates, to provide education about opioid abuse, TAMC has helped positively affect the lives of thousands of residents in northern Maine across the age spectrum. In the fall of 2017, TAMC provided free influenza vaccinations to 1,057 County residents.
Part VI - Affilated Health Care System Roles and PromotionThe 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.TAMC is a member of EMHS. EMHS (Eastern Maine Healthcare System) includes nine hospitals, numerous physician practices, long-term care facilities, home health and hospice, and ground and air emergency transport. EMHS has a proven record of quality outcomes, cost reduction, and highly engaged patients. The EMHS statewide network of care is tailored to the needs of communities and individuals, working to ensure that the people of Maine have the care they need close to home. Promotion of health is a major priority for EMHS. EMHS leadership participates on the Maine CDC Public Health Statewide Coordinate Council and the Maine Public Health Association. EMHS coordinates several state-wide wellness initiatives. All hospitals are engaged around specific initiatives related to combating opioid abuse and food insecurity.TAMC (The Aroostook Medical Center) serves as EMHSs most northern member serving all of Aroostook County, Maine. As such, TAMC acts as a leader in the region to improve overall community wellness. TAMC leadership serves on the board of the Maine CDC Aroostook District Public Health Council. Over the past year, TAMC has engaged with several community organizations to introduce a significant number of health promotion and wellness activities, including a women's health conference, year round family physical activity series, kids safety fair, community health fair, wellness presentations for seniors, health screenings, chronic disease management classes, provided outreach to the local housing authority and local native American tribe focused on wellness activities, provider speakers for various community health events, and collaborated with a local CAP agency to provide food insecurity screening and referral program for primary care patients.
Part VI - States Where Community Benefit Report FiledN/A
Part VI - Additional InformationDisclosure in accordance with Revenue Procedure 2015-21:Part V Facility Information, Section B Facility Policies and PracticesIn accordance with Revenue Procedure 2015-21, TAMC 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. TAMC 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 TAMCs compliance with Sections 501(r)(3-4). The correction of these issues did not result in any changes to our overall processes and, therefore, TAMC 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 TAMC is in compliance with Section 501(r). In addition, EMHS continues to engage EMHS Internal Audit to review TAMCs 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 TAMC 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 TAMCs Board to clarify the Boards intent to approve the CHNA and implementation strategy. d. Date Corrected: TAMC: May 4, 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. TAMCs 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 TAMCs practice to provide care for emergency conditions to individuals regardless of whether they are FAP-eligible; however, upon review of TAMCs 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 TAMCs billing statements included a conspicuous written notice to notify recipients about the availability of financial assistance and a telephone number to the department that can provide more information about financial assistance, the billing statement did not provide a direct Web site address (or URL) for the EMHS billing help Web site where a copy of the FAP documents could be obtained.c. Corrective Action: Billing statements were updated in Fiscal Year 2017 to clarify that certain FAP-related documents may also be obtained from the Web site address provided on the statement. In Fiscal Year 2018, TAMC made additional revisions to further clarify the language included on the billing statements.d. Date Corrected: TAMC: 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

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
Aroostook Mental Health Cente
43 Hatch DriveCaribouME04736010276859501(c)(3)$10,000$0To support their mission
LifeFlight Foundation
PO Box 899CamdenME04843522377085501(c)(3)$10,000$0Aircraft-helicopters
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceGrantmaker's Description of How Grants are UsedFormAndLineReferenceDesc
ExplanationThe Organization makes payments only to other not-for-profit organizations. Therefore, additional monitoring was not deemed necessary.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd
Rebuttable Presumption ProcfalseRebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtBase Compensation Filing OrgBaseCompensationFilingOrgAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmt
ANTHONY FILER
Sr VP/CFO/Treas$57,284$120,327$2,703$180,314
ARJUN SOOD
Oncologist$553,897$6,126$10,531$3,237$573,791
C BRUCE SANDSTROM
VP of Finance$221,852$2,869$10,554$264,497$8,580$277$2,970$787$57,934$45,320$25,398$3,824
DAVID WEED MD
VP Med Staff$539,457$4,110$14,575$11,294$569,436
GLENDA DWYER
Interim Preside$216,014$16,429$11,870$11,416$263,325$7,596
GLENN MARTIN
VP/Gen Csl/Sec$362,009$6,612$20,591$459,101$69,889
JAMES E MCKENNEY
VP Support Services$98,531$11,850$6,954$15,681$145,698$12,682
JAY REYNOLDS MD
CMO/CCO$244,129$3,698$14,003$26,349$297,422$9,243
JOY BARRESI SAUCIER
VP Strategy/Com$134,072$2,347$7,894$3,375$153,066$5,378
M MICHELLE HOOD
President EMHS$870,512$15,327$20,855$1,157,551$250,857
MARK A BILLINGTON
Surgeon$534,135$8,091$7,950$9,526$559,702
MAURA KELLY
VP of Finance$216,940$3,798$17,797$238,535
NARAYANA PRASANNA
Otolaryngologist$584,822$5,468$4,259$674,549$80,000
NATHAN UEBELHOER
Physician$568,263$2,738$929$571,930
RICHARD LEIDINGER
Urology$488,104$6,532$4,469$24,748$574,053$50,200
ROGER PELLI DO
CMIO$252,806$8,641$11,963$19,296$307,065$14,359
ROLAND JOY
VP Pat Care Svc$186,933$6,714$5,933$18,815$227,810$9,415
SERGIO LEMA-GUTIERREZ MD
Pres. Med Staff$251,227$395$7,856$24,611$286,989$2,900
SYLVIA S GETMAN
Sr VP & President$140,668$25,110$16,890$12,298$209,907$14,941
YOOSUF SIDDIQUI
VP HR/NW$124,953$1,774$24,859$159,543$7,957

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 1a: Relevant information in regards to selections on 1a.FormAndLineReferenceDesc
ExplanationThe following received a wellness program incentive:Joy Barresi Saucier, officer $322Glenda Dwyer, officer/trustee 357Sylvia Getman, former officer/trustee 157Maura Kelly, officer 62Gregory LaFrancois, officer/trustee 15James McKenney, former officer 267Narayana Prasanna, highest compensated employee 15David Weed, officer/trustee 307The benefit is available for all employees.The following received a giftcard for $30 with a $9.06 gross up payment:Joy Barresi Saucier, officer Mark Billington, highest compensated employeeGlenda Dwyer, officer/trustee Roland Joy, officer Richard Leidinger, highest compensated employee Sergio Lema-Gutierrez, officer/trustee James McKenney, former officer Roger Pelli, officer Arjun Sood, highest compensated employee Nathan Uebelhoer, highest compensated employee David Weed, officer/trustee The following received a giftcard for $15 with a $9.06 gross up payment:Jay Reynolds, officer Bruce Sandstrom, former officerExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Tina Weed
fam mem=officer$52,512compensationfalse
Beverly McCrum
fam mem=brd mem$27,653compensationfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule L, Part V Supplemental InformationFormAndLineReferenceDesc
ExplanationTina Weed is a family member of an officer and is an employee of TAMC.Beverly McCrum is a family member of a board member and is an employee of TAMC.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4d: Other Program Services DescriptionOTHER PROGRAM SERVICES 4: CHARITY CARE PROVIDED (AT COST). 608 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 EMHS members: OTHER PROGRAM SERVICES 6: 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. OTHER PROGRAM SERVICES 7: 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. OTHER PROGRAM SERVICES 8: 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. OTHER PROGRAM SERVICES 9: M. Michelle Hood, FACHEEMHS President and CEOBarry McCrumEMHS Board Chair OTHER PROGRAM SERVICES 10: CONNECTING 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. OTHER PROGRAM SERVICES 11: 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. OTHER PROGRAM SERVICES 12: 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. OTHER PROGRAM SERVICES 13: 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. OTHER PROGRAM SERVICES 14: 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. OTHER PROGRAM SERVICES 15: 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. OTHER PROGRAM SERVICES 16: 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 emer
Form 990, Part VI, Line 4: Description of Significant Changes to Organizational DocumentsAmended 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 ShareholderThe Aroostook Medical Center (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 BodyEach 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 ShareholdersThe 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 Corporation's operating budget and capital expenditures;V. the Corporation's 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 Corporation's role in the EMHS Strategic Plan;XII. action concerning the Corporation's 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 ProcessForm 990 is reviewed by the VP of Finance. It is also provided to each board member either electronically or in hard copy with an opportunity to ask questions prior to filing with the IRS.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe 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 ManagementThe SVP, President of TAMC 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 EMHS 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 utilize external market research to establish compensation ranges for specific positions. The compensation of officers and key employees are reviewed by the system President/CEO and EMMC Executive & Finance 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 AvailableThe Aroostook Medical Center 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 IncreasesNet Change in Funds Held at Affiliates = $55708
Other Changes In Net Assets Or Fund Balances - Other IncreasesTransfer from exempt subsidiary-EMHSF = $2500
Other Changes In Net Assets Or Fund Balances - Other DecreasesTransfer to exempt parent-Eastern Maine Healthcare Systems = -$830322
Other Changes In Net Assets Or Fund Balances - Other DecreasesTransfer to exempt subsidiary - EMHSF = -$36213
SCHEDULE H PART VI SUPPLEMENTAL INFORMATIONContinuation 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 TAMC, 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 hospitals 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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (28 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
EASTERN MAINE HEALTHCARE SYSTEMS EMHS
43 WHITING HILL ROADBREWERME04412010527066SUPPORTING ORGANIZATION FOR HEALTHCARE AFFILIATESME501(C)(3)12 TYPE IIN/AYes (true)
EASTERN MAINE HEALTHCARE REAL ESTATE
43 WHITING HILL ROADBREWERME04412010391036LEASES REAL ESTATEME501(C)(2)Yes (true)EMHS
ACADIA HOSPITAL CORPORATION AHC
43 WHITING HILL ROADBREWERME04412010459837PROVIDE HEALTHCARE SERVICESME501(C)(3)3Yes (true)EMHS
ACADIA HEALTHCARE INC AHI
43 WHITING HILL ROADBREWERME04412223183888PROVIDE HEALTHCARE SERVICESME501(C)(3)10Yes (true)AHC
MEADOW WOOD LLC
43 WHITING HILL ROADBREWERME04412272935243PROVIDE PATIENT CAREME501(C)(3)10Yes (true)AHI
EASTERN MAINE MEDICAL CENTER EMMC
PO BOX 404 489 STATE STREETBANGORME044020404010211501PROVIDE HEALTHCARE SERVICESME501(C)(3)3Yes (true)EMHS
EASTERN MAINE MEDICAL CENTER AUXILIARY
43 WHITING HILL ROADBREWERME04412010377901FUND RAISING FOR EXEMPT EASTERN MAINE MEDICAL CENTERME501(C)(3)10Yes (true)EMMC
NORUMBEGA MEDICAL SPECIALISTS LTD
43 WHITING HILL ROAD STE 400BREWERME04412010465231PROVIDE PATIENT CARE AND EDUCATIONME501(C)(3)10Yes (true)EMMC
EMHS FOUNDATION
43 WHITING HILL ROAD STE 400BREWERME04412222514163RAISE AND MANAGE FUNDS FOR EXEMPT ORGANIZATIONSME501(C)(3)12 TYPE IIYes (true)EMHS
ROSSCARE
43 WHITING HILL ROAD STE 400BREWERME04412010391038PROVIDE SERVICES TO ELDERLYME501(C)(3)PFYes (true)EMHS
ROSSCARE NURSING HOMES INC
43 WHITING HILL ROAD STE 400BREWERME04412010430751OPERATION OF NURSING HOMESME501(C)(3)10Yes (true)ROSSCARE
INLAND HOSPITAL
200 KENNEDY MEMORIAL DRIVEWATERVILLEME04901010217211PROVIDE HEALTHCARE SERVICESME501(C)(3)3Yes (true)EMHS
LAKEWOOD
220 KENNEDY MEMORIAL DRIVEWATERVILLEME04901010421234PROVIDE SKILLED AND LONG-TERM NURSING CAREME501(C)(3)3Yes (true)INLAND HOSPITAL
CA DEAN MEMORIAL HOSP
PRITHAM AVENUE PO BOX 1129GREENVILLEME044411129043341666PROVIDE HEALTHCARE SERVICESME501(C)(3)3Yes (true)EMHS
BLUE HILL MEMORIAL HOSPITAL
57 WATER STREETBLUE HILLME046145231010227195PROVIDE HEALTHCARE SERVICESME501(C)(3)3Yes (true)EMHS
SEBASTICOOK VALLEY HEALTH SVH
447 NORTH MAIN STREETPITTSFIELDME04967010263628CRITICAL CARE HOSPITALME501(C)(3)3Yes (true)EMHS
SEBASTICOOK VALLEY FAMILY PRACTICE ASSOC
447 NORTH MAIN STREETPITTSFIELDME04967011357854PROVIDE PATIENT CAREME501(C)(3)10Yes (true)SVH
TAMC TITLE CORP
PO BOX 151 140 ACADEMY STREETPRESQUE ISLEME047690151010389226REAL ESTATE HOLDING COMPANYME501(C)(2)Yes (true)TAMC
HORIZONS HEALTH SERVICES
PO BOX 151 140 ACADEMY STREETPRESQUE ISLEME04769010504393PROVIDE PATIENT CAREME501(C)(3)3Yes (true)TAMC
RESTORATION HEALTH LLC
43 Whiting Hill RoadBrewerME04412352449986Provide mental & behavioral hlth srvsME501(c)(3)10Yes (true)AHI
MERCY HOSPITAL
144 State StreetPortlandME04101010211534Provide Healthcare servicesME501(c)(3)3Yes (true)EMHS
MERCY HEALTH SYSTEM OF MAINE
144 State StreetPortlandME04101010484074Supporting org for healthcare affiliatesME501(c)(3)12 TYPE III FUNC INTYes (true)EMHS
VNA Home Health & Hospice
50 Foden RoadSouth PortlandME04106010246804Provide home health and hospice servicesME501(c)(3)10Yes (true)EMHS
WORKHEALTH LLC
43 WHITING HILL ROADBREWERME04412474315094PROVIDE HEALTHCARE SERVICESME501(C)(3)12 TYPE IIYes (true)EMHS
MAINE COAST REGIONAL HEALTH FACILITIES
50 UNION STREETELLSWORTHME04605010198331PROVIDE HEALTHCARE SERVICESME501(c)(3)3Yes (true)EMHS
MAINE COAST HEALTHCARE CORPORATION
50 UNION STREETELLSWORTHME04605223176167PROVIDE DENTAL SERVICESME501(C)(3)12 TYPE IIYes (true)EMHS
MAINE COAST MEDICAL REALTY
50 UNION STREETELLSWORTHME04605010390918LEASE MEDICAL FACILITIESME501(C)(3)12 TYPE IYes (true)MCMH
LIFESTAGES PHYSICIAN SERVICES LLC
50 FODEN ROADSOUTH PORTLANDME04106821043752PROVIDE HOME HEALTH AND HOSPICE SERVCIESME501(c)(3)10Yes (true)VNA

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
BEACON HEALTH LLC
43 Whiting Hill RoadBrewerME04412452967056Accountable care organizationMEEMHSfalsefalse
BEACON RURAL HEALTH LLC
43 WHITING HILL ROADBREWERME04412474483187ACCOUNTABLE CARE ORGANIZATIONMEEMHSfalsefalse
MERIDIAN MOBILE HEALTH LLC
43 WHITING HILL ROADBREWERME04412010512673AMBULANCEMEAHSfalsefalse
M DRUG LLC
43 WHITING HILL ROADBREWERME04412272175482PHARMACYMEAHSfalsefalse
ALLIANCE HEALTH DOCUMENTATION LLC
43 WHITING HILL ROADBREWERME04412462751855TRANSCRIPTIONMEAHSfalsefalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
AFFILIATED HEALTHCARE SYSTEMS AHS
43 WHITING HILL ROADBREWERME04412010385322HOLDING CO.MEEMHSC CORPYes (true)
AFFILIATED HEALTHCARE MANAGEMENT
43 WHITING HILL ROADBREWERME04412010349339HLTHCR MGMTMEAHSC CORPYes (true)
AFFILIATED LABORATORY INC
43 WHITING HILL ROADBREWERME04412010381283CLINICAL LABMEAHSC CORPYes (true)
AFFILIATED MATERIEL SERVICES
43 WHITING HILL ROADBREWERME04412010381189PURCHASINGMEAHSC CORPYes (true)
MAINE COAST PHYSICAIN AFFILIATES
50 UNION STREETELLSWORTHME04605010479952PATIENT CAREMEMCMHC CorpYes (true)
BEACON DIRECT
43 WHITING HILL ROADBREWERME04412371864965HEALTHCARE SELF-FUNDED TPAMEEMHSC CorpYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (15 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
EASTERN MAINE HEALTHCARE SYSTEMS EMHS
m$6,231,977FMV
EASTERN MAINE HEALTHCARE SYSTEMS EMHS
p$11,304,738FMV
EASTERN MAINE HEALTHCARE SYSTEMS EMHS
r$830,322FMV
EASTERN MAINE MEDICAL CENTER EMMC
m$766,937FMV
EASTERN MAINE MEDICAL CENTER EMMC
p$184,723FMV
EMHS FOUNDATION
m$204,000FMV
EMHS FOUNDATION
s$307,619FMV
ROSSCARE
l$61,068FMV
WORKHEALTH LLC
a$55,121FMV
WORKHEALTH LLC
m$61,947FMV
BEACON HEALTH LLC
m$455,027FMV
M DRUG LLC
m$141,793FMV
ALLIANCE HEALTH DOCUMENTATION LLC
m$569,587FMV
AFFILIATED LABORATORY INC
m$448,543FMV
AFFILIATED MATERIEL SERVICES
p$237,913FMV