2018-08-03T13:11:19-07:00 2017-09-30 990 2016-10-01 010246804 VNA Home Health & Hospice VNAH 2079739081 50 Foden Road South Portland ME 04106 John J Doyle EMHS VP of Finance 2018-08-03 false 2016 2022-09-23 18:48:47Z John J Doyle 47098838 false false X www.vnahomehealth.org X 1921 ME Providing clinically excellent, compassionate home health and hospice care to individuals and families 15 13 614 207 0 549067 425985 36885285 46665295 4042 7558 0 37438394 47098838 0 0 26800787 31350356 0 0 12405634 16326842 39206421 47677198 -1768027 -578360 12158503 12321325 4671738 4874325 7486765 7447000 X Providing clinically excellent, compassionate home health and hospice care to individuals and families false false 41792496 46665295 Providing clinically excellent, compassionate home health and hospice care to individuals and familiesPlease see the excerpt in Schedule O from the EMHS Annual Report to the Community for details of community benefit projects at EMHS members: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, system wide electronic health record (EHR) will allow all our hospitals, primary care practices, and other members within the EMHS family to share information seamlessly. Using this system, we can collaborate more effectively and improve patient care.By mass-producing the automobile, Ford helped rural Americans feel connected. We are connecting people through technology, too. People who live in rural communities can talk one-on-one through a computer screen with doctors who may be several states away, thanks to our investments in telemedicine. Patients have access to specialists that would have been out of reach without this technology.Ford was an innovator. We too are embracing innovation in the way we deliver care. Our partnership with Dana-Farber Cancer Institute affords opportunities for cancer patients to access clinical trials closer to home at our Lafayette Family Cancer Center in Brewer. We are using paramedics to make routine house calls in our rural communities to perform wellness checks. This service is helping patients avoid trips to the hospital or doctors office while getting compassionate care in the comfort of their own homes.Of course, all of these initiatives require dedicated people who are committed to teamwork. Its the very reason why we take extraordinary measures to recruit and retain our employees. We have added a new nurse residency program, which is already showing signs of success in addressing a critical statewide nursing shortage and providing our nurses the tools they need to thrive. By working together, we can continue to do great things.To borrow another line from Henry Ford, If everyone is moving forward together, then success takes care of itself. In the pages that follow are numerous testaments to the innovative spirit underscoring many successes this past year throughout our system. While the hard work will continue, we are pleased to share with you the progress we are making towards achieving our vision to be a nationally recognized model of excellence in healthcare.M. Michelle Hood, FACHEEMHS President and CEOBarry McCrumEMHS Board Chair 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.During a recent visit to EMMC Cancer Care at the Lafayette Family Cancer Center in Brewer, she was comfortably dressed in jeans and a maroon blouse, and wore a hat on her head. Because the cancer spread to the bone marrow in her leg, she wore a knee brace to alleviate pain. Whats remarkable about Terry is how she projects a positive attitude. A powerful storm that day was toppling trees and knocking down power lines outsideit wasnt enough to stop her from making the 30-minute ride to the treatment center from her home in Pittsfield or to diminish her optimism. Research today has given us treatments that are light years ahead of what we used to have, she said.Terry is hopeful because she is taking part in a clinical trial thanks to a collaborative partnership between Dana-Farber Cancer Institute in Boston and EMMC Cancer Care. She is taking an experimental drug under the coordinated care of her medical team in Brewer and the Dana-Farber specialists in Boston. The treatment I come for is administered by a syringe. I dont have to sit there for four hours waiting for this to be over and waiting for the side effects, she said.Eric Winer, MD, is chief clinical strategy officer at Dana-Farber and director of the Breast Oncology Center. He and other members of the Dana-Farber team visited EMMC Cancer Care last fall for a tour. Dana-Farber only partners with cancer centers that already deliver excellent care, Dr. Winer said. The goal of the collaborative for Dana-Farber is to extend its reach and bring clinical trials to people living in rural areas. When people participate in clinical trials, the hope is that they will do better than they might with standard care, but no matter what, they are contributing to the future of cancer care, he said.The staff at EMMC Cancer Care also benefits by being in the collaborative. They have more educational opportunities and access to medical specialists at Dana-Farber for rapid consultation on complex cases. Dana-Farber clinical care is provided in Boston and this collaborative brings their expertise to the heart of Maine, explained Thomas Openshaw, MD, medical director, Oncology Research at EMMC Cancer Care. The staff at EMMC and Dana-Farber have a firm resolve to help not only current patients, but also future patients to live better lives. Our whole goal is to try to cure whatever patients can be cured, and thats a large proportion of patients, and for the others to give them the best and the longest life that they can have, Dr. Winer said.That seems to be working for Terry White, whos already making travel plans to Myrtle Beach. It gives you a reason to go through what youre going through. Weve got to learn from it for the future, she said, adding, I want to be healthy for my family, I want to participate in life with my family and my friends, and continue to enjoy life.CONNECTING WITH TECHNOLOGYCharles A. Dean Memorial Hospital (CA Dean) in Greenville sits along the scenic shores of Moosehead Lake, one of Maines most treasured natural resources. Its a peaceful, idyllic spot that draws tourists from far and away who are eager to get away from the hustle and bustle of their daily grind. But beneath the hum of motorboats cruising along Moosehead Lake in the summer, or the snowmobiles skirting across its icy surface in winter; beneath the laughter of kids splashing in the water on a hot August day or pulling a trophy trout through the ice on a frigid February morning, there is a rural health problem that those visitors do not see. To be fair, it affects communities throughout Maine but has been more problematic in those towns and hamlets tucked far away from urban centers.There is very little rural mental health period, explains Joseph Babbitt, MD, an emergency room physician and hospitalist at CA Dean. Historically people in rural communities have had to travel hours to access psychiatric services. If they showed up at any rural hospital emergency room with a mental health crisis, they had to wait hours for an evaluation. Youve got an emotionally unstable patient who is in a very disruptive emergency waiting room environment, waiting 18 hours to have a mental health professional come assess them. That doesnt help anyone, Dr. Babbitt said.But technology is bridging the gap and allowing those who live in rural communities to have the same access to psychiatric services as their urban counterparts. Telemedicine is a medium that connects a patient with a practitioner via a screen, explained Gavin Ducker, MD, chief medical officer at Inland Hospital in Waterville.Inland Hospital and CA Dean use telemedicine to provide psychiatric services to patients through Acadia Hospital, which offers telepsychiatry services to 15 rural emergency departments and 12 rural primary care practices across the state. CA Dean uses telemedicine for behavioral health in its emergency department. Inland does, too, but also offers the service through its primary care practices. Our goal has been to deliver the care on site, in a place theyre familiar with, comfortable with, and would feel more relaxed, and hopefully in a more timely manner. Telemedicine has allowed us to do just that, Dr. Ducker said.In addition to providing patients with access to services closer to home, the technology is also a valuable recruitment tool to attract mental health providers. Theres a combination in my department of folks practicing on site in these practices and telemedicine from afar, Jesse Higgins, PMH-NP, RN, the director of integrated behavioral health at Acadia Hospital explained. Recruiting has been a challenge in Maine. Its a rural state. There are parts of the state that have struggled to get providers to move. Now we can recruit and explain to providers that they can stay in their home and work as fulltime staff at Acadia Hospital. Michael Workman, PMH-NP, is one of those providers who works for Acadia but lives in Indiana. He is a psychiatric mental health nurse practitioner who sees patients in Maine via telemedicine. He works from a laptop in his home office. Its actually no different than you sitting across the table from me in my office. Were just using the technology available to help people living in areas where we dont have as many psychiatric providers, Workman explained. He says initially he thought the technology would make it harder to do his job and make a personal connection with a patientto pat them on the shoulder reassuringly as theyre leaving his office or to shake their hand as they arrive. He says sometimes hell shake their hand through the screen, which he demonstrated. It lends some humor to the visit and makes a connection with the patient, he said, adding that even some reluctant patients came around quickly. I had one gentleman who came into the office and said Im not doing this and by the end of the session, I had a hard time getting him out of the room because he was so comfortable talking to me.Mike is eminently qualified and is great with patients, Dr. Ducker noted, adding that he is pleased with the telemedicine services and the benefit it has offered to patients. And even though Mike is several hundred miles away, hes a full-time employee at Acadia. He attends staff meetings, has supervision, and help is just a phone call or computer screen away. They really are a part of our team at Acadia and Inland, whether they live in Indiana, Arizona, or anywhere.The result of this technology is that people living in rural Maine, who choose to live far from the noise or chaos of a larger community, can still have access to quality care and enjoy their beautiful corner of the world that tourists only see on short visits.CONNECTING YOUR CARE TEAMColbey Bowen noticed that Norma Craft was clenching her hands and seemed a little uneasy at one point when he was explaining her medical care. So, he decided to stop talking and give his patient some time to process what he was saying. Colbey is a medical student on a home health visit as part of a program of Beacon Health called Interprofessional Practice and Education.That program teams up medical students, pharmacy students, and social work students to go on home visits to provide care for patients who have recently returned from the hospital or may be at high risk to end up in a hospital. I think one of the greatest things it does is it exposes us to different viewpoints from other professions because in medicine we all speak a slightly different language, Colbey said. And, it also brings the patient into a more confident, more comfortable setting which really helps us to bring them in as a part of a team experience.Pharmacy student, Manpreet Badwal, went with Colbey on this visit with Norma. She let Norma show her all her prescriptions and carefully categorized and explained what each one was. This is helping me to be a better pharmacist because it helps me practice the skills we learn in the classroom and use them in the real world, said Manpreet.Felix Hernandez, MD, is a retired cardiothoracic surgeon who runs the interprofessional practice program. He helped debrief Colbey and Manpreet after their home visit. Hes a staunch supporter of this approach to patient care. When you combine many of these skill sets and many of these knowledge sets in the same room with the patient, you get what I call a synergy where the sum of the parts is bigger than just adding them up, he said.Dr. Hernandez gives Colbey high marks for reading his patients nonverbal communication, and he says Manpreet did a great job preparing, asking good questions, and seeking feedback. When you are with a team thats firing on all cylinders, learn that, know that, see what that feels like. So, next time when youre with another team not functioning on all cylinders, you recognize it and you can troubleshoot it, said Dr. Hernandez.Megan Foss, LMSW-CC, is a member of the Beacon Health Community Care Team that goes out on home visits and provides the same services that these students are learning through the interprofessional practice and education program.Ultimately, this means better doctors, better pharmacists, better nurses, better social workers, better healthcare, she said.Laurie Chadbourne, RN, a Community Care Team nurse, echoes those sentiments. You can meet the patients where they are living. Sometimes, they cant get out of their homes; so, I think its a very good benefit. We can make sure they have the resources they need, so they dont get readmitted after they leave the hospital, she said.This way of delivering care to patients is a different approach than even some medical professionals were trained to provide. James Jarvis, MD, FAAFP, interim senior vice president and chief medical officer at Eastern Maine Medical Center, says the old way of doing things no longer makes sense. Doctors were always trained by doctors, nurses by nurses, pharmacists by pharmacists, and social workers by social workers, but in practice, we work better as a team, he said, adding that the changes that are happening are for the better. 41792496 true true false true false false false false false true true false false true false true false true false false false false false false false false false false false true false false false false false false false false false true false false false false false true true true true false false true 49 0 true 614 true false false false false false false false false 0 false false false false false false false false false false X 15 13 true false true false true true true true true false false true true true true true true true false false ME X X X John Doyle 2079739081 43 Whiting Hill Rd Brewer ME 04412 Colleen Hilton SVP, President 40.00 0.00 X X 227916 0 38479 Peter Bagg Director 1.00 0.00 X 0 0 0 Carol Bell Director 1.00 0.00 X 0 0 0 Ann Marie Briggs Director 1.00 0.00 X 0 0 0 Clair Connor Director 1.00 0.00 X 0 0 0 Richard Duncan Director 1.00 0.00 X 0 0 0 Lauren Epstein Vice Chair 1.00 0.00 X X 0 0 0 Joanne Hale Director 1.00 0.00 X 0 0 0 Mary M Hood Ex-Officio 1.00 50.00 X X 0 885839 271712 Michael Lynch Director 1.00 0.00 X 0 0 0 Kerry Peabody Director 1.00 0.00 X 0 0 0 Bruce Reddy Chair 1.00 0.00 X X 0 0 0 Patricia Small Director 1.00 0.00 X 0 0 0 Debra D Taylor Director 1.00 0.00 X 0 0 0 James Violette Director 1.00 0.00 X 0 0 0 Pete Plummer Director 1.00 0.00 X 0 0 0 Galen Michaud VP, Finance 40.00 0.00 X 163340 0 25967 Suzi Tracy VP, Finance 40.00 0.00 X 97862 0 28180 Glenn Martin Secretary 1.00 50.00 X 0 368621 90480 Elizabeth Rolfe VP, Clinical Op 40.00 0.00 X 125126 0 29506 Leah Wright VP Quality 40.00 0.00 X 104309 0 38959 Anthony Filer Treasurer 1.00 50.00 X 0 177610 2704 Paul Bolin VP & CHRO 1.00 50.00 X 0 197240 42347 Michael Brewster Provider Relations 40.00 0.00 X 100106 0 12181 Lisa A Fuller Dir-Aging Initiat. 40.00 0.00 X 111371 0 12889 Elise S Senecal Dir-Home Health 40.00 0.00 X 104138 0 2529 Christine M Turner Dir-Hospice & Pall 40.00 0.00 X 103240 0 9769 1137408 1629310 605702 14 false true false American Mobile Nurses 2735 Collection Center Drive Chicago IL 60693 Temp Staff 691279 American Healthcare Services PO Box 945 Traverse City MI 49685 Temp Staff 1104099 McKesson Technologies Inc PO Box 98347 Chicago IL 606938347 Software Support 140144 McBee Associates Inc PO Box 37135 Baltimore MD 212973135 Consulting 130434 4 59 363471 23299 39156 14179 425985 Home Care 621610 46665295 46665295 46665295 7558 7558 0 0 0 0 0 0 0 0 47098838 46665295 7558 0 0 0 0 879644 154632 725012 0 23849484 20928813 2920671 585078 505507 79571 4265632 3684809 580823 1770518 1539246 231272 0 10 10 33356 33356 0 0 0 3613798 2885240 728558 140713 117326 23387 1076217 915133 161084 837881 723929 113952 0 587975 508010 79965 1305736 1241262 64474 0 53051 48635 4416 0 0 287747 248613 39134 198451 171462 26989 Contractual Allowances 5997178 5997178 Medical Supplies Expense 1707824 1707668 156 Bad Debt Expense 297778 297778 Dues and Subscriptions 88306 23346 64960 100821 93899 6922 47677198 41792496 5884702 0 870 900 728887 128390 2513 1648 6339077 6814478 0 0 56126 46118 30039 97024 215657 1959371 1169354 940934 790017 0 0 0 0 4003080 4284070 12158503 12321325 3396919 3368849 1274819 1505476 4671738 4874325 X 6862613 6751607 465825 532316 158327 163077 7486765 7447000 12158503 12321325 X -578360 538595 X false true X true false X 165406 99564 221208 549067 425985 1461230 13141397 15403155 18424551 36885285 46665295 130519683 0 0 0 13306803 15502719 18645759 37434352 47091280 131980913 0 0 131980913 87205 14838 10325 4042 7558 123968 0 87205 14838 10325 4042 7558 123968 0 0 13394008 15517557 18656084 37438394 47098838 132104881 0.99910 0.99770 0.00090 0.00230 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 4621 4621 false false Part II-B, Line 1i - Other Activities Description Non-Deductible Dues 3024870 4750 235757 128012 3137365 10272 2865091 274766 125259 3024870 10257 15 10272 10031 226 10257 9248 783 10031 0.93000 0.07000 false true true 116030 62902 53128 1843341 1106452 736889 790017 Board Designated Funded Depreciation 210016 Board Designated Funds - Other 3315644 Other Assets 11545 Permanently Donor Restricted Funds 163077 Self-Insurance Funds Held by Trustee 51472 Temporarily Donor Restricted Funds 532316 4284070 X 40766242 1772 -6334368 -6332596 47098838 47098838 41344602 1772 1772 41342830 6334368 6334368 47677198 Part V, Line 4: Intended uses of the endowment fund. Endowment Funds are designated for purposes that align within the organization's exempt purpose. Part X : FIN48 Footnote EMHS, its hospitals, and certain other affiliates have been determined by the Internal Revenue Service to be tax-exempt charitable organizations as described in Section 501(c)(3) or 501(c)(2) of the Internal Revenue Code (the Code) and, accordingly, are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Accordingly, no provision for federal income taxes has been recorded in the accompanying consolidated financial statements for these organizations.Tax-exempt charitable organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the Financial Accounting Standards Board (FASB), assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. The System has evaluated its tax position taken or expected to be taken on income tax returns and concluded the impact to be not material.Certain of the System's affiliates are taxable entities. Deferred taxes related to these entities are based on the difference between the financial statement and tax basis of assets and liabilities using enacted tax rates in effect in the years the differences are expected to reverse. The deferred tax assets and liabilities for these entities are not material. Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S Contractual Allow Reclass to Expense $5997178 FreeCare Reclass to Expense $39521 Bad Debt Reclass to Expense $297778 Reimbursed Expenses Reclassed to Expense $-109 X true true true true false false false false false false false false Anthony Filer Treasurer 57284 120326 2704 180314 Colleen Hilton SVP, President 210159 13104 4653 16675 21804 266395 Elizabeth Rolfe VP, Clinical Op 119539 2900 2687 8432 21074 154632 Galen Michaud VP, Finance 127747 2900 32693 11350 14617 189307 Glenn Martin Secretary 362009 6612 69889 20591 459101 Mary M Hood Ex-Officio 870511 15328 250857 20855 1157551 Paul Bolin VP & CHRO 192976 4264 13113 29234 239587 Part I, Line 1a: Relevant information in regards to selections on 1a. Colleen Hilton, director/officer, received a wellness program incentive of $70.00.Leah Wright, officer, received a wellness program incentive for $122.00. William Hilton fam mem=officer 27515 compensation false Schedule L, Part V Supplemental Information William Hilton is the spouse of a board member/officer and is an employee of VNA. Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: Weve already seen that this generation of resident physicians have no trouble calling up a pharmacist or a nurse on the floor to say, I dont really know what Im supposed to be doing here. Can you help me? That never happened before. In my generation, a doctor could only talk to a doctor, and that is just wrong. And so this is much, much better care, Dr. Jarvis continued.And that is the ultimate goal of the programto not only prepare the next generation of healthcare workers to work collaboratively, but to provide quality care to people where they are most comfortablein their homes.CONNECTING BEYOND MEDICINERhonda Jordan remembers exactly what went through her mind when she learned her stage four breast cancer had spread to her lungs, spine, liver, and hip. I was scared to death that I was not going to see my son graduate because I was sick. I was very sick, and I was ready to give up, she said.Nancy ONeill, MD, TAMC physician at Mars Hill Health Center, is all too familiar with patients dealing with those difficult thoughts, feelings, and emotions. When I look into my patients eyes, I can see fear; I see anxiety; I see pain, confusion, all of those emotions, she said. That is on the first visit. As a palliative care specialist for TAMC, Dr. ONeill works to help her patients process their diagnosis and manage their quality of life while they are getting treatment for serious, potentially life-threatening illnesses. Im not focusing on whether their diabetes is well managed; Im focusing on whether theyre doing great in the midst of their treatment, their turmoil, their decision-making. That is fulfilling, although also challenging, explained Dr. ONeill.She spends a lot of time teaching and educating her patients about the care that is available. Many are unfamiliar with palliative care and what it entails. Dr. ONeill says that people often confuse palliative care with hospice care. Both palliative care and hospice care provide comfort. But palliative care occurs at the same time as treatment. Hospice care begins after treatment of the disease is stopped and when it is clear that the person is not going to survive the illness. Its really family medicine at its purest point to work with patients and families, she said.TAMC is just one member organization offering palliative care services. In fact, EMHS recently launched a community-based palliative care service line systemwide. VNA Home Health Hospice (VNA HHH) is the operational home of the EMHS palliative care service line. Jim VanKirk, MD, is the medical director for this service line, and Robin Hirsh-Wright, LCSW, is the director.I think sometimes theres a negative connotation about being vulnerable and making connections, but at the end of the day, its human connection that makes things better when medicine cant, Robin said.As part of this service line, VNA HHH assigns nurse practitioners and social workers to seriously ill, homebound patients to focus on defining what is most important to patients who live with chronic illness. Those nurse practitioners and social workers collaborate with designated primary and specialty care providers to help guide patients through their care.Were not pushing patients, were not pulling patients; we are trying to walk alongside patients in their journey of illness, Robin said. They are certainly walking alongside patients like Rhonda Jordan. Since starting her care regimen, Rhonda has a new outlook on life, and she gives Dr. ONeill a lot of the credit for that. She is standing beside me by reinforcing that I am the driver of the bus, Rhonda said. She has found the will to fight her disease; she has found the strength to live. My strength comes from having a nine-year-old stepson that I know I have to be around for to teach him how to be a young man, teach him responsibility, as well as see him graduate.Editors Note: Several weeks after our interview with Rhonda, she passed away after living as well as possible with her illness. Her family wanted us to proceed and share Rhondas story, because they felt its what she would have wanted. We did not alter the story and left her comments unedited because they represent what she was feeling at that time and show her remarkable spirit and positive outlook even in the face of serious illness.It was a humbling privilege to provide palliative care to such a selfless woman such as Rhonda Jordan and to her family. She was driven by a tangible bravery in her quest for a cure. May her life continue in the memories made by family, spouse, son, coworkers, and friends. She has touched so many as I witnessed in her final days. - Nancy ONeill, MD.CONNECTING ALL OF MAINEFOOD INSECURITYOn a trip to a public housing complex in Presque Isle last summer, Sherry Locke, executive director of the United Way of Aroostook, and Jamie Guerrette, a community health specialist for The Aroostook Medical Center (TAMC), spotted a seven-year old boy eating a cattail plant he pulled out of the marsh behind the housing authority building. When they questioned him, the boy replied very matter-of-factly that cattails were safe to eat. They soon realized he was eating that plant because he was hungry.When we left, we knew we had to do something. This is a problem, and its going to be a problem every summer when theres a split harvest, Sherry said.During a split harvest, Presque Isle High School students return to school for three weeks in August so they can take time off in late September to early October to help harvest potatoes. When theyre in school in August, the MSAD 1 school district can no longer offer the federally funded summer school lunch program to its elementary and junior high school students.To meet the need, TAMC and the United Way partnered with the city of Presque Isle and the Presque Isle Housing Authority to create the Summer Gap meals program. That program provides healthy lunches to 250 MSAD 1 students. Im thankful for TAMC and this program because it helps make sure that every kid gets the food they need, explained Heather Fickel, one of the mothers whose child takes advantage of the program.Rural Community services like the Summer Gap meals program are helping people live healthier lives in communities throughout our system. At Sebasticook Valley Health (SVH) in Pittsfield, they are also helping people battle food insecurity thanks to a Partnership to Improve Community Health (PICH) grant that helped SVH and other member organizations set up screen and intervene initiatives. Under screen and intervene, the staff at primary care practices ask patients two questions at their regular checkups that evaluate if a person has run out of food or has struggled to purchase food in the last year. If the answer to either question is yes, then patients receive a resource guide about available programs. Thanks to a partnership with Good Shepherd Food Bank, the practices can also provide bags filled with a three-day food supply to hold people over until they can get to a local food pantry.All of us within EMHS are very aware of the struggle with food insecurity across the state of Maine and in the communities we serve. We are equally committed to finding a solution to that problem. - Terri Vieira President of Sebasticook Valley Health and Charles A. Dean. OTHER PROGRAM SERVICES 5: COMMUNITY PARAMEDICINEWhen paramedic Kevin Springer pulls up in front of the home of Virginia Simko in Greenville, his lights arent flashing; theres no emergency. Hes at her home for a routine visit as part of Charles A. Dean Memorial Hospitals (CA Dean) Community Paramedicine program. With Virginia and the other patients I see, I have to make a phone call so they can prepare with coffee and donuts before I get there, Kevin said with a slight laugh.CA Deans service was one of a dozen approved by the Maine Legislature in 2012 as part of a pilot program to improve healthcare access in rural communities. Community paramedics are paramedics who have an expanded role to provide care at home to patients who may not qualify for traditional home healthcare visits. Some of the services they provide free of charge include: routine wellness checks, medication management assistance, wound care, blood and specimen collection, posthospital discharge follow-up, home fall and safety assessments, and chronic disease management. The idea of the program is to keep patients out of the hospital. We see patients in the comfort of their own homes and we work closely with their physicians, Kevin said.In addition to providing quality care close to home, the service is also designed to reduce unnecessary emergency room visits. Patients can get a referral for the service from their primary care physician, hospital discharge planners, care transition teams, emergency room staff, or nurse case managers. Kevin says he enjoys visiting people for nonemergency care and definitely sees a value in helping patients stay healthy. He says the fringe benefits arent Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Patricia Small, board member is a board member of Sweetser and Debra Tayor, board member is President & CEO of Sweetser. Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents Amended Article IV (Officers), Section 5 (President) - to remove President as the chief executive officer of the Corporation.Amended Article IV (Officers), Section 7 (Treasurer & Assistant Treasurer) - to change the title of Chief Financial Officer to VP of Finance.Amended Article V (Committees), Section 7 (Governance Committee)- to change the title President/CEO to President.Amended Article V (Committees), Section 10 (Finance Committee) - to change the title of Chief Financial Officer to Assistant Treasurer.Amended Article VIII (Fiduciary Duty; Prohibited Transactions; Divided Loyalty; Independence), Section 5 (Independent Trustees), Subsection (a) and Subsection (b) - to change the reference of interim chief executive officer to President.Amended to remove the reference to Mercy Health Systems of Maine (MHSM) as Class A non-voting member of VNA Home Health & Hospice (VNA). MHSM was formally dissolved thereby establishing EMHS as the sole corporate member of VNA. EMHS was previously the sole corporate member of MHSM, which was the Class A non-voting member of VNA and EMHS was the Class B voting member of VNA. Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder VNA (the Corporation) is a Maine nonprofit corporation. Eastern Maine Healthcare Systems (EMHS), also a Maine nonprofit corporation, is the sole voting corporate member of the Corporation. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body Each year at their annual meeting, the directors elect replacements for those directors whose terms are expiring. Election of directors is subject to ratification by the EMHS Board of Directors. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders The EMHS President has authority to appoint and remove the SVP, President of the Corporation. EMHS also has joint and superior authority to approve, disapprove or initiate action with respect to the following matters: I. Amendments to the corporations Articles of Incorporation or Bylaws;II. Changes in legal form of organization of the Corporation;III. Election of the Directors/Trustees of the Corporation;IV. Action concerning the Corporations operating budget and capital expenditures;V. The Corporations acquisition of assets or assumption of liabilities of an unaffiliated third party;VI. Transfer of 5% or more of the assets of the Corporation;VII. Financing transactions concerning the Corporation; VIII. Merger, consolidation, sale, lease, mortgage, pledge or other disposition of all or substantially all assets of the Corporation; IX. Add or revise a health care service of the Corporation;X. Discontinue or close a health care service of the Corporation;XI. Action concerning the Corporations role in the EMHS Strategic Plan;XII. Action concerning the Corporations participation in key strategic affiliations with third parties not affiliated with EMHS; andXIII. Dissolution of the Corporation. Form 990, Part VI, Line 11b: Form 990 Review Process Form 990 is reviewed by the VP of Finance & SVP, President of VNA. It is also provided to each board member either electronically or in hard copy with an opportunity to ask questions prior to filing with the IRS. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts The organization requests updates of potential conflicts and relationships from the officers and Board members on an annual basis. The request requires disclosure of all business relationships, board memberships, and family relationships. A database is maintained that is compared to payroll records and the accounts payable vendor list to identify any potential conflicts of interest. Transactions are reviewed for reasonableness as an arm's length transaction.The first agenda item for board meetings and board committee meetings is for members to declare any conflict of interest with upcoming agenda items or deliberations. At any point when consideration is being given to purchase/contract with a party in interest, the member with the conflict is either excused from the discussion and consideration process or abstains from voting on the matter.All transactions identified with parties in interest are disclosed within the Form 990. All are deemed to be arm's length transactions. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management The SVP, President of VNA and the system President/CEO (President) who serves on the board ex-officio are employed by the system parent, Eastern Maine Healthcare Systems (EMHS).The EMHS Executive Performance Management Committee (the Committee) is responsible to monitor and evaluate the performance of the EMHS President, to set compensation of the EMHS President, and to review recommendations of the EMHS President with respect to compensation of the SVP, President of the direct subsidiaries, and other direct reports to the President. The Committee is comprised entirely of independent Directors per EMHS bylaws.Process:The Committee meets regularly throughout the fiscal year at the discretion of the Committee chair as well as on call of the Chair of the EMHS board. In carrying out its duties pursuant to the Bylaws, the Committee:-Assures that the executive compensation program is administered in a manner consistent with the EMHS executive compensation philosophy.-Reviews and updates the EMHS executive compensation philosophy which serves as the foundation on which all current and future executive compensation decisions are made.-Assures that value of compensation provided by EMHS does not exceed the value of services provided by the executive.-Reviews annual incentive compensation criteria for eligible executives, as defined by the EMHS President.-Reviews periodic compensation survey information and provides expert input to proposed changes to the executive compensation program.-Assures that a formal and timely performance management system is in place for executives.-Reviews incentive compensation criteria scoring and associated pay schedules for officers and key employees.-Provides any public statements regarding executive compensation practices at EMHS deemed appropriate.-Maintains minutes of the meeting 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. On an annual basis, the compensation ranges are compared to the updated survey information.The hiring manager will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available VNA makes its governing documents, conflict of interest policy and financial statements available to the public upon request. Other Changes In Net Assets Or Fund Balances - Other Increases Changes in Net Assets Held @ EMHS Foundation = $263195 Other Changes In Net Assets Or Fund Balances - Other Increases Transfer from exempt parent-Eastern Maine Healthcare Systems = $500000 Other Changes In Net Assets Or Fund Balances - Other Increases Transfer from exempt subsidiaries-EMHS Foundation = $27000 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfer to exempt parent-Eastern Maine Healthcare Systems = -$251600 Lifestages Physician Services LLC 50 Foden Road South Portland ME 04106 821043752 Provide home health and hospice services ME VNA Home Health & Hospice Mercy Hospital 144 State St Portland ME 04101 010211534 Provide Healthcare Services ME 501(c)(3) 3 EMHS true Eastern Maine Healthcare Systems EMHS 43 Whiting Hill Rd Brewer ME 04412 010527066 Supporting org for healthcare affiliates ME 501(c)(3) 12 Type II NA true Eastern Maine Medical Center EMMC PO Box 404 489 State St Bangor ME 04402 010211501 Provides Healthcare Services ME 501(c)(3) 3 EMHS true Rosscare 43 Whiting Hill Rd Brewer ME 04412 010391038 Provide Services to Elderly ME 501(c)(3) PF EMHS true Rosscare Nursing Home Inc 43 Whiting Hill Rd Brewer ME 04412 010430751 Operation of nursing homes ME 501(c)(3) 10 Rosscare true Acadia Hospital AHC 43 Whiting Hill Rd Brewer ME 04412 010459837 Povides Healthcare Services ME 501(c)(3) 3 EMHS true EMHS Foundation 43 Whiting Hill Rd Brewer ME 04412 222514163 Raise and Manage Funds for Expt Org ME 501(c)(3) 12 Type II EMHS true Inland Hospital 200 Kennedy Memorial Dr Waterville ME 04901 010217211 Provide Healthcare Services ME 501(c)(3) 3 EMHS true Lakewood 220 Kennedy Memorial Dr Wateville ME 04901 010421234 Provide Skilled and Long Term Care Nurse ME 501(c)(3) 3 Inland true CA Dean Memorial Hospital Pritham Ave PO Box 1129 Greenville ME 04441 043341666 Provide Healthcare Services ME 501(c)(3) 3 EMHS true Sebasticook Valley Health SVH 447 North Main St Pittsfield ME 04967 010263628 Critical Care Hospital ME 501(c)(3) 3 EMHS true The Aroostook Medical Center TAMC PO Box 151 140 Academy St Presque Isle ME 04769 010372148 Provide Healthcare Services ME 501(c)(3) 3 EMHS true Blue Hill Memorial Hospital 57 Water St Blue HIll ME 04614 010227195 Provide Healthcare Services ME 501(c)(3) 3 EMHS true Eastern Maine Healthcare Real Estate 43 Whiting Hill Rd Brewer ME 04412 010391036 Leases Real Estate ME 501(c)(2) EMHS true Eastern Maine Medical Center Auxiliary 43 Whiting Hill Rd Brewer ME 04412 010377901 Fund Raising for Exempt EMMC ME 501(c)(3) 10 EMMC true Acadia Healthcare Inc AHI 43 Whiting Hill Rd Brewer ME 04412 223183888 Provides healthcare services ME 501(c)(3) 10 AHC true Norumbega Medical Specialists LTD 43 Whiting Hill Rd Brewer ME 04412 010465231 Provide Patient Care and Education ME 501(c)(3) 10 EMMC true Meadow Wood LLC 43 Whiting Hill Rd Brewer ME 04412 272935243 Provide Patient Care ME 501(c)(3) 10 AHI true Restoration Health LLC 43 Whiting Hill Rd Brewer ME 04412 352449986 Provide Mental & Behavorial Health ME 501(c)(3) 10 AHI true TAMC Title Corp PO Box 151 140 Academy St Presque Isle ME 04769 010389226 Real Estate Holding Company ME 501(c)(2) TAMC true Horizons Health Services PO Box 151 140 Academy St Presque Isle ME 04769 010504393 Provide Patient Care ME 501(c)(3) 3 TAMC true Sebasticook Valley Family Practice Assoc 447 North Main St Pittsfield ME 04967 010357854 Provdie Patient Care ME 501(c)(3) 10 SVH true WorkHealth LLC 43 Whiting Hill Rd Brewer ME 04412 474315094 Provide healthcare services ME 501(c)(3) 12 Type II EMHS true Maine Coast Healthcare Corp 50 Union St Ellsworth ME 04605 223176167 Provide dental services ME 501(c)(3) 12 Type II EMHS true Maine Coast Regional Health Facilities 50 Union St Ellsworth ME 04605 010198331 Provide healthcare services ME 501(c)(3) 3 EMHS true Maine Coast Medical Realty 50 Union St Ellsworth ME 04605 010390918 Lease medical facilities ME 501(c)(3) 12 Type I MCMH true Mercy Health System Of Maine 144 State St Portland ME 04101 010484074 Supporting org for healthcare affiliates ME 501(c)(3) 12 Type III Func Int EMHS true Beacon Health LLC 43 Whiting Hill Rd Brewer ME 04412 452967056 Accountable Care Org ME EMHS false false Beacon Rural Health LLC 43 Whiting Hill Rd Brewer ME 04412 474483187 Accountable Care Org ME EMHS false false Merdian Mobile Health LLC 43 Whiting Hill Road Brewer ME 04412 010512673 Ambulance ME AHS false false M Drug LLC 43 Whiting Hill Road Brewer ME 04412 272175482 Pharmacy ME AHS false false Alliance Health Documentation LLC 43 Whiting Hill Road Brewer ME 04412 462751855 Transcription ME AHS false false Affiliated Healthcare Systems AHS 43 Whiting Hill Road Brewer ME 04412 010385322 Holding Company ME EMHS C Corp true Affiliated Healthcare Management 43 Whiting Hill Road Brewer ME 04412 010349339 Healthcare Mgt ME AHS C Corp true Affiliated Laboratory 43 Whiting Hill Road Brewer ME 04412 010381283 Clinical Lab ME AHS C Corp true Affiliated Materiel Services 43 Whiting Hill Road Brewer ME 04412 010381189 Purchasing ME AHS C Corp true Maine Coast Physician Affiliates 50 Union Street Ellsworth ME 04605 010479952 Patient Care ME MCMH C Corp true Beacon Direct 43 Whiting Hill Road Brewer ME 04412 371864965 Healthcare Self-funded TPA ME EMHS C Corp true false false false false false false false false false false true true true false false true false true true Eastern Maine Healthcare Systems EMHS k 81296 FMV Eastern Maine Healthcare Systems EMHS m 1683240 FMV Eastern Maine Healthcare Systems EMHS p 4575953 FMV Eastern Maine Healthcare Systems EMHS r 251600 FMV Eastern Maine Healthcare Systems EMHS s 500000 FMV Eastern Maine Medical Center EMMC m 180776 FMV EMHS Foundation m 226780 FMV EMHS Foundation s 355474 FMV Mercy Health System Of Maine m 126858 FMV Beacon Health LLC l 71400 FMV