2016-08-10T08:31:55-07:00 2015-09-26 990 2014-09-28 010227195 BLUE HILL MEMORIAL HOSPITAL BLUE 2073742836 57 WATER STREET BLUE HILL ME 04614 John J Doyle System Controller 2016-08-10 false 2014 2016-12-15 16:53:06Z John Ronan 57 Water Street Blue Hill ME 04614 64464559 false false X www.bhmh.org X 1924 ME Blue Hill Memorial Hospital is dedicated to improving the health and wellness of our communities by providing primary and specialty health care of outstanding quality and caring for our patients with respect and compassion. 17 11 367 111 0 658162 396569 52927592 59048121 543192 546187 693649 335816 54822595 60326693 11000 0 22899603 23224795 0 0 29420569 33984079 52320172 57219874 2502423 3106819 39331935 41065372 13335215 14260331 25996720 26805041 X Blue Hill Memorial Hospital is dedicated to improving the health and wellness of our communities by providing primary and specialty health care of outstanding quality and caring for our patients with respect and compassion. false false 51274120 11000 59374949 See Schedule O 932562 Medicare shortfalls (at cost) 28,076 persons served. 785123 Charity care provided (at cost) 282 persons served. 52991805 true true false true false false false false false true true false false true true true false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false false true true true false false true 57 0 true 367 true false false false false false false false false 0 false false false false false false false false false false X 17 11 false false true false true true true true true false false true true true true true true true false false ME X X X John J Doyle 2079739081 43 Whiting Hill Road Brewer ME 04412 Frank Wanning Trustee 2.00 0.00 X 0 0 0 Charles Hatfield Trustee 2.00 0.00 X 0 0 0 Barbara Fleck Trustee 2.00 0.00 X 0 0 0 Christopher Young Trustee 2.00 0.00 X 0 0 0 Michelle Perkins VP Med Affairs 40.00 0.00 X 246729 0 8243 Margaret Hannah Trustee 2.00 0.00 X 0 0 0 Lisa Billings-Lindsey DO Chief of Staff 40.00 0.00 X 167376 0 32517 Sally N Mills Chairman 2.00 0.00 X X 0 0 0 Andrew K Laslie CPA Trustee 2.00 0.00 X 0 0 0 Danielle V Mutty MD Trustee 2.00 0.00 X 0 0 0 Edward Clayton Trustee 2.00 0.00 X 0 0 0 M Michelle Hood EMHS Ex-Officio 0.00 50.00 X X 0 974647 261258 Zoe Robbins Tenney Trustee 40.00 0.00 X 97960 0 27570 Scott Gray Trustee 2.00 0.00 X 0 0 0 Stacey Henner Walden DO Chief of Staff 30.00 0.00 X 205590 0 28547 Jim Schatz Trustee 2.00 0.00 X 0 0 0 Scott Miller Trustee 2.00 0.00 X 0 0 0 John Ronan President & CEO 40.00 0.00 X X 247823 0 21942 Gordon Stewart Vice Chair 2.00 0.00 X X 0 0 0 Mike Murnik CMO (part yr) 40.00 0.00 X 190545 0 19978 Paul Bolin VP HR 0.00 50.00 X 0 155414 34775 Kathleen J Ober CMO (part yr) 40.00 0.00 X 367506 0 42506 Glen Martin Secretary 0.00 50.00 X 0 384473 94093 Wendy Jones Treasurer/CFO 40.00 0.00 X 129186 0 31082 Mark Hankinson VP-Clinic & Sup 40.00 0.00 X 115792 0 13769 Kathy Lirakis VP-CNO 40.00 0.00 X 104891 0 8393 James White Surgeon 40.00 0.00 X 474651 0 37213 Dennis Desilvey Physician 40.00 0.00 X 280815 0 33654 Ronald Prokopius Physician 40.00 0.00 X 304951 0 35845 Richard Littlefield Physician 40.00 0.00 X 267871 0 10279 Amy Tan Surgeon 40.00 0.00 X 289066 0 42527 Gregory Roraff Former CEO 0.00 50.00 X 0 255395 46066 Constance Barrett Former VP CNO 0.00 50.00 X 28494 96899 20211 Scott A Oxley Former Interim CFO 0.00 50.00 X 0 293364 80552 E Schidzick-Brunelle Former VP of Physician Practice 40.00 0.00 X 160516 0 13503 Arthur Newkirk Former Chief of Staff 0.00 0.50 X 0 38964 0 3679762 2199156 944523 30 true true false Surapaneni P Ramanadha Rao PO Box 8117 Bangor ME 04401 Urology Phys Svcs 679450 Nurse Anesthesia of Maine 141 N Main Street Ste 205 Brewer ME 04412 Anesthesia Svcs 746878 LavalleeBrensinger Architects Inc 155 Dow Street Suite 400 Manchester NH 03101 Architectural Svcs 166864 NEHE MRI LLC 260 Main Street Presque Isle ME 04769 Imaging Services 239668 Barton Associates Inc PO Box 417844 Boston MA 022417844 ER Physician Svcs 419587 6 37017 383 359169 20982 396569 Cafeteria 722210 101774 101774 Exempt Affiliate Rental 532000 6000 6000 Patient Care Service 621990 58940347 58940347 59048121 528558 528558 0 0 25136 16148 8988 8988 8988 4121117 18230 4115594 6124 5523 12106 17629 17629 0 0 0 Meaningful Use Incentives 621990 326828 326828 326828 60326693 59273175 656949 11000 11000 0 0 0 2107945 1677912 430033 0 16925245 15880829 1044416 882381 820614 61767 2110173 1949236 160937 1199051 1115117 83934 0 0 10389 10389 0 0 21434 650 20784 4008146 2428105 1580041 81435 19835 61600 1306199 1214405 91794 27170 23419 3751 0 810643 648244 162399 57481 46625 10856 0 78118 75428 2690 84428 84380 48 0 1282086 949216 332870 196621 185330 11291 Contractual Allowances 17304245 17304245 Medical Supplies 4165844 4165844 Provision for uncollectible ac 1606562 1606562 Charity Care 1401829 1401829 1541449 1382980 158469 57219874 52991805 4228069 0 59722 64946 3628092 5271994 0 5017567 5905724 0 0 0 137222 128974 368850 227730 29247467 21241446 8536478 8006021 0 0 0 0 21584004 21459983 39331935 41065372 9108814 10341461 3110 2543 1905453 1789451 2317838 2126876 13335215 14260331 X 23738464 24596611 484177 474150 1774079 1734280 25996720 26805041 39331935 41065372 X 3106819 -702924 -1595574 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false 8967 8967 57210907 57219874 1000000 250000 false 1000000 1000000 1000000 1000000 4000000 6000000 4649 7294 7166 8967 28076 250000 250000 250000 250000 1000000 1500000 710139 -5736 19078 685325 692891 2350 27731 12833 710139 558201 109376 25314 692891 501206 23900 33095 558201 430983 65500 4723 501206 0.00410 0.99590 false true true 601486 601486 11673299 8464551 3208748 2810 2810 15532849 12441613 3091236 1437023 332472 1104551 8006021 Assets whose use is limited 48657 Beneficial Interest in Perpetual Trusts 1124400 Board Designated Funds-Funded Deprec. 9007863 Board Designated Funds-Other 9255548 Estimated Prof. Liab. Claims Receivable 766173 Org costs & other long term investments 98330 Permanently Donor Restricted Funds 609880 Self Insurance Funds Held by Trustee 74982 Temporarily Donor Restricted Funds 474150 21459983 Capital Lease Obligation 954 Deferred Compensation 1334811 Reserve for Prof. Liab. Self Ins. 766173 Self-insurance Benefits 24938 2126876 X Part V, Line 4: Intended uses of the endowment fund. Endowment funds are designated for purposes that align within this organization's exempt purpose. Part X : FIN48 Footnote Income TaxesEMHS, its hospitals, and certain other affiliates have been determined by the Internal Revenue Service to be tax-exempt charitable organizations as described in Section 501(c)(3) or 501(c)(2) of the Internal Revenue Code (the Code) and, accordingly, are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Accordingly, no provision for federal income taxes has been recorded in the accompanying consolidated financial statements for these organizations.Tax-exempt charitable organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the Financial Accounting Standards Board (FASB), assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the more-likely-than-not threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. The System has evaluated its tax position taken or expected to be taken on income tax returns and concluded the impact to be not material.Certain of the System's affiliates are taxable entities. Deferred taxes related to these entities are based on the difference between the financial statement and tax basis of assets and liabilities using enacted tax rates in effect in the years the differences are expected to reverse. The deferred tax assets and liabilities for these entities are not material. true true true X true X true true false false true true 282 789454 4331 785123 0.02130 8514 8514 0.00020 282 797968 4331 793637 0.02150 3 2391 231711 231711 0.00630 2 750 25614 25614 0.00070 5 3141 257325 257325 0.00700 5 3423 1055293 4331 1050962 0.02850 1 1800 24725 24725 0.00070 1 27227 27227 0.00070 2 1800 51952 51952 0.00140 true 948919 15700126 16632688 -932562 X true true 1 1 Blue Hill Memorial Hospital 57 Water Street Blue Hill ME 04614 www.bhmh.org 38155 X X X X Blue Hill Memorial Hospital 1 false false true X X X X X X X 14 true true true true X www.emhs.org/Community-Benefit/CHNA X www.bhmh.org X X true 14 false true false true X 150.0000 250.0000 X true true X X X X true X http://bhmh.org/For-Patients/Financial-S X http://bhmh.org/For-Patients/Financial-S X http://bhmh.org/For-Patients/Financial-S X X X X true X false true X false false Part V, Line 3j - Description of Other Needs Assessment 3g The data gathered from the 2014 Community Health Needs Assessment (CHNA) allowed Blue Hill Memorial Hospital to identify areas of significant need including priority concerns, gaps in healthcare services, and barriers to care. A hospital task force considered the data and identified areas of significant needs to be addressed, as well as areas of need unable to be addressed by the hospital. An implementation strategy was presented and adopted by the hospitals board of directors. The Implementation Strategy consists of actions the hospital intends to take to address the health need. Programs/resources the hospital plans to commit to address the health need were identified along with planned collaborations with other area organizations.3h To ensure broad representation of the communitys interests, key public health and healthcare partners were engaged and consulted throughout the design and implementation phase of the 2014 CHNA. Qualitative Stakeholder Surveys were distributed to public and community health representatives who directly serve the communities interests. Sampling was monitored throughout the survey dissemination to assure a minimum threshold of respondents providing local insight to priority community health needs and opportunities. Survey outreach was conducted by the local hospital, partner healthcare facilities in the same region, the local public health liaison, and a local comprehensive community health coalition.3i The 2014 CHNA report presents findings of three sets of data, by county. The data sets include absolute indicators of health status as gathered in 2010 using BRFSS and other primary source data gathered using empirical methods; A qualitative stakeholder survey conducted in 2014 and 2014 County Health Rankings indicator set. The qualitative stakeholder survey was disseminated broadly to public health and community stakeholders who serve local populations. As such, the Community Health Needs Assessment does not provide for random assignment of survey respondents, nor does it attempt to function as a surveillance instrument. Limitations aside, taken together, the data provide a unique perspective on the health of Maine communities, with a focus on the social, environmental, and clinical factors which influence the ability of populations to lead healthy lives. Part V, Line 5 - Account Input from Persons Who Represent the Community Key collaborators were convened as an advisory committee to review the Needs Assessment and assist in the dissemination of a survey instrument to a broad base of key informants representing healthcare, public health, and community stakeholders to identify issues and opportunities for collaborative community health improvement. These collaborators include: Local Public Health District Officials: Stacy Boucher, Aroostook District Coordinating Council; Paula Thomson, Central District Coordinating Council; Becca Matusovich, Cumberland District Public Health Council; Alfred May, Downeast Public Health Council; Jessica Fogg, Penquis District Coordinating Council; Clarisa Weber, Wabanaki Public Health. Healthy Maine Partnerships (contracted entities functioning as part of the local public health system): Jamie Comstock, Bangor Region Public Health & Wellness; Elsie Flemings, Healthy Acadia; Carol Bell, Healthy Aroostook; Anne Lang, Healthy Casco Bay; Joanne Joy, Healthy Communities of the Capital Area; Zoe Miller, Healthy Lakes; Fran Mullin, Healthy Northern Kennebec; Kristen Dow, Healthy Portland; Lucie Rioux, Healthy Rivers; Karen Hawkes, Healthy Sebasticook Valley; Malissa Boynton, Healthy Wabanaki; Vyvyenne Ritchie, Healthy Waldo County; Jane McGillicuddy, Partnership for a Healthy Northern Penobscot; Robin Mayo, Piscataquis Public Health Council; Ellen Willinghan, Power of Prevention; Bill Primmerman, Somerset Public Health; Eleody Libby, Washington County: One Community. Other Entities: Federally Qualified Health Centers, Bangor Public Health and Community Services, Portland Public Health. Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs Assessment The CHNA was developed and implemented as a collaboration between the EMHS Healthcare System and other independent hospitals serving Maine communities. EMHS Member Organizations: Acadia Hospital, Blue Hill Memorial Hospital, Charles A. Dean Memorial Hospital, Eastern Maine Medical Center, Inland Hospital, Mercy Hospital, Sebasticook Valley Health, and TAMC. Partnering Hospitals: Cary Medical Center, Down East Community Hospital, Houlton Regional Hospital, Maine Coast Memorial Hospital, Mayo Regional Hospital, Millinocket Regional Hospital, Mount Desert Island Hospital, Northern Maine Medical Center, and Redington-Fairview General Hospital. Part V, Line 7d - Description of Making Needs Assessment Widely Available Instructions on the website assist viewers to download and /or print sections of the report. Individuals without computer or printer access were provided a phone number where they can request a printed assessment. Part V, Line 11 - Explanation of Needs Not Addressed and Reasons Why Affordable Housing - Another option outside of our venue to deliver, plus outside agencies are working on this problem. We have less of an ability to impact this than the chosen priorities. Hunger/Food Insecurity - Many agencies are currently working on this and providing for those in need. We do participate monthly in Simmering Pot and food pantry. We already have community programs in place so this is less of a priority for us.Preventative Screenings - All of the preventive screenings are actually included in many of the priorities that we chose and the fully loaded visit will cover all of the categories listed. Some of the chosen priorities address preventative screenings and education.Inconvenience - We have opened our family practice clinics mornings, evenings and Saturdays. The transportation priority should also help cover this issue.Out of Pocket Costs Associated with Insurance Plans - Our navigator investigation should help identify alternatives for people to have affordable care. This is related to lack of insurance, which we have chosen as a priority. Part V, Line 13h - Other Factors Used in Determing Amounts Charged Patients Income level Part V, Line 16i - Other Means Hospital Facility Publicized the Policy Posted signs and individual notices containing information on the availability of free care are located in key public areas in the hospital. Signs and notices inform the patient of the availability of free care and include eligibility criteria, instructions on how to apply and how to obtain additional information or assistance.The "Billing Help" section of the hospital web pages provides a link to the free care application form, instructions and eligibility criteria. Part V, Line 22d - Other Billing Determination of Individuals Without Insurance Hospital charges are discounted at 100% for patients who qualify for Free Care with income at or below 150% FPL. The hospital also offers discount for patients who fall within the 151% to 250% FPL. 7 Blue Hill Family Medicine 65 Water Street Blue Hill ME 04614 Physician Offices Blue Hill Orthopedics 65 Water Street Blue Hill ME 04614 Physician Offices Blue Hill Specialty Services 65 Water Street Blue Hill ME 04614 Physician Offices Blue Hill Womens Healthcare 65 Water Street Blue Hill ME 04614 Physician Offices Castine Community Health Services 102 Court Street Castine ME 04421 Physician Offices Island Family Medicine 354 Airport Road Stonington ME 04681 Physician Offices Blue Hill Cardiovascular Medicine 65 Water Street Blue Hill ME 04614 Physician Offices Part I, Line 6a - Related Organization Community Benefit Report The Blue Hill Memorial Hospital community benefit report is contained in an annual community benefit report prepared by Eastern Maine Healthcare Systems which is the parent organization of all related organizations. Part I, Line 7 - Explanation of Costing Methodology Ratio of Patient Care Cost-to-Charges is used in calculations. Part I, Line 7, Column F - Explanation of Bad Debt Expense $1,606,562 of bad debt expense, $1,401,829 of charity care, $17,304,245 of contractual allowances is included on Form 990, Part IX, line 25, column (A). Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense The costing methology used to determine the amount is cost to charge ratio. Part III, Line 4 - Bad Debt Expense Patient and trade accounts receivable are stated at the amount management expects to collect from outstanding balances. Management provides for probable uncollectible amounts through a charge to earnings and a valuation allowance based on its assessment of the current status of individual accounts. Balances that are still outstanding after management has used reasonable collection efforts are written off through a charge to the valuation allowance and the applicable patient accounts receivable. Credit is extended without collateral. Part III, Line 8 - Explanation Of Shortfall As Community Benefit Medicare losses should be treated as a community benefit because the losses are incurred in performing an important public service, and Maine hospitals experience one of the lowest Medicare reimbursement rates in the country. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients All account guarantors who express an inability to pay inpatient and outpatient services will be screened for eligibility for charity care using an application and guidelines established by BHMH. An account may be reconsidered for charity care at any time when new information is available about a patients inability to pay. Part VI - Patient Education of Eligibility for Assistance We have information available through our Web site, have financial counselors at the hospital, and equip our primary care practices with this information. In addition we have discharge planning personnel, including a licensed clinical social worker, who provide more extensive assistance to patients with complex financial issues. Further, our financial counselor screens our patients (using Hospital services) and personally meets with anyone listed as self-pay to help identify if financial assistance is needed. Part VI - Community Information We serve a rural community that includes many senior citizens, i.e. 20% of our population is age 65 or older. With the exception of our wealthy seasonal residents, many of our patients are economically challenged. Our hospital and its primary care practices are impacted by the effects of chronic disease within the communities we serve. Depression, obesity, diabetes, and cardio-vascular disease are common problems. The rural, geographically isolated nature of our communities also means that many turn to our hospital and practices for assistance that might otherwise be provided by other agencies. Assistance for those with problems such as addiction, domestic violence, etc. is very limited particularly for those with transportation needs. We also have patients who live on offshore islands whose only transportation is the mailboat to the mainland. Our physician practices take this into consideration when a patient needs to be scheduled for an appointment. Part VI - Community Building Activities Blue Hill Memorial Hospital's community building activities include blood drives, community meals, blood pressure clinics, an educational presence at local fairs and festivals, annual Women's Wellness Fair, ongoing work with local schools, and special events such as our annual Fun Run. Our providers also assist with outreach by giving educational sessions on topics such as men's health, cardiology, and heartburn. We provide tours and "hands on" experiences to local young school children in our emergency, radiology and rehabilitation departments and offer independent study programs for high school students. Part VI - Explanation Of How Organization Furthers Its Exempt Purpose We partner with many local community health and wellness organizations, including Healthy Peninsula, Jackson Laboratory, Healthy Acadia, At Home Downeast, and Healthy Island Project, to promote the health of our community. These partnerships are for the benefit of our community. Part VI - Affilated Health Care System Roles and Promotion The 2014 Community Health Needs Assessment was conducted by Eastern Maine Healthcare Systems (EMHS) in collaboration with several member/affiliated hospitals and the many public health and community organizations across eight Maine counties. The Community Health Needs Assessment informs initiatives to promote community health across the system as well as within each member hospital's local service area. Each member hospital adopts a local implementation strategy and community health improvement plan, tailored to meet local needs. Blue Hill Memorial Hospital specifically focused on the following priorities as part of the implementation strategy: Substance Abuse, Lack of Insurance/Unable to pay for care, Transportation, Behavioral Health/Mental Health, Age Related Screening, Dental Care, and working with a population who doesn't value the importance of seeking healthcare. Part VI - States Where Community Benefit Report Filed ME Part V - Explanation of Number of Facility Type N/A true The Lifeflight Foundation PO Box 899 Camden ME 04843 522377085 6000 0 Operational Support 2 0 Grantmaker's Description of How Grants are Used The Organization makes payments only to other not-for-profit organizations. Therefore, additional monitoring was not deemed necessary. true true false false false false false false false false Amy Tan Surgeon 283518 5000 548 15400 27127 331593 Arthur Newkirk Former Chief of Staff 38964 38964 Constance Barrett Former VP CNO 28090 95701 404 1198 7520 1920 2569 8202 38583 107021 Dennis Desilvey Physician 273341 7474 14125 19529 314469 E Schidzick-Brunelle Former VP of Physician Practice 87819 72697 12336 1167 174019 Glen Martin Secretary 348106 33250 3117 67078 27015 478566 Gregory Roraff Former CEO 208651 33459 13285 19522 26544 301461 James White Surgeon 471729 2922 17950 19263 511864 John Ronan President & CEO 211062 20183 16578 13057 8885 269765 Kathleen J Ober CMO (part yr) 364967 2539 17950 24556 410012 Lisa Billings-Lindsey DO Chief of Staff 159789 6000 1587 8736 23781 199893 M Michelle Hood EMHS Ex-Officio 788728 171536 14383 241324 19934 1235905 Michelle Perkins VP Med Affairs 245358 1371 6850 1393 254972 Mike Murnik CMO (part yr) 182932 6969 644 19978 210523 Paul Bolin VP HR 151378 4036 9050 25725 190189 Richard Littlefield Physician 263947 3924 1000 9279 278150 Ronald Prokopius Physician 282624 20000 2327 10240 25605 340796 Scott A Oxley Former Interim CFO 270674 21155 1535 56339 24213 373916 Stacey Henner Walden DO Chief of Staff 174054 17111 14425 4488 24059 234137 Wendy Jones Treasurer/CFO 118012 9898 1276 6439 24643 160268 A Maine Health & Higher Ed Facilities Authority 010314384 560427JA5 2010-06-24 2533045 Refund 1998A Series Bonds false false true A 510000 2917294 202081 1915000 39023 761190 1998 false true true true A false false false false false true A false true false NA false NA false false A true Part VI Part II, line 3, column A, does not equal Part I, line A, column E as a result of other sources of funds from DSF-Interest, DSF-Principal, and DSRF balance totaling $384,249.Part IV Line 2C, column A, 08/21/2015 - Date of Rebate Computation.Part IV, Line 7, The issuer(MHHEFA) has established written procedures to monitor the requirements of Section 148. The organization has entered into a tax regulatory agreement with the issuer that requires the organization to comply with the requirements of Section 148. The organization is working to establish its own written procedures to monitor such requirements. Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: Medicare shortfalls (at cost) 28,076 persons served. Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents SUMMARY OF AMENDMENTS TO EMHS MEMBER ORGANIZATION BYLAWSThe following is a summary and explanation of amendments to the EMHS MemberOrganization Bylaws.1. Article I Name, Purpose Registered Agent, Office, Seala. Add the following phrase to the end of Section 2 (Purposes and Disposition of Assets) to clarify that the Articles of Incorporation include the original Articles and subsequent amendments and restatements thereto: as they may be amended or restated from time to time.b. Amend Section 3 (Registered Agent) to eliminate the office of Clerk and to substitute the word secretary in place of all references to Clerk in that section. Maine law requires that a nonprofit corporation have either a Secretary or Clerk, but not both. 2. Article III Boarda. Amend Section 2 (Number and Tenure; Qualifications) to eliminate the reference to the Executive Committee at the end of the second sentence in that Section.b. In addition to the amendment to Section 2 set forth in subparagraph 2(a) above, to make the following amendment to Section 2 which will apply only to the Bylaws of Inland Hospital: in lieu of the President and the Vice President of the Medical Staff serving as ex officio trustees with voting power, to provide that the Chief of Staff and two other employed or private practice members of the Medical Staff shall serve as ex officio trustees with voting power.c. Amend Section 5 (Regular Meetings) to specify the month in which the Corporations Annual Meeting will be held.d. Amend Section 6 (Special Meetings) to add the President of EMHS to the list of individuals who are authorized to call special meetings of the Board. e. Amend Section 13 (Attendance) to clarify the circumstances in which inadequate attendance at board meetings, committee meetings and education sessions will prompt the Chair to inquire whether the Board member desires to remain on the Board.3. Article IV Officersa. Amend Sections 1(Officers) and 7 (Treasurer) to: (i) add the offices of Assistant Secretary and Assistant Treasurer to the specified list of officers of the Corporation; (ii) to specify that the Treasurer of EMHS shall serve as Treasurer of the Corporation and that the Chief Financial Officer of the Member Organization shall serve as Assistant Treasurer of the Corporation; and (iii) to confirm the powers associated with the offices of Treasurer and Assistant Treasurer.b. Amend Section 8 (Second Certifying Officer) to provide that the Treasurer and the Assistant Treasurer of the Corporation are both authorized to act as a second certifying officer for the execution of documents.4. Article V Committeesa. Amend Section 4 (Designations) to clarify the distinction among Board Chair, Committee Chair and Chair of Member (EMHS) for purposes of committee designations.b. Amend Section 7 (Governance Committee) to clarify the distinction among Board Chair, Committee Chair and Chair of Member (EMHS) as they pertain to the duties bestowed upon the Governance Committee.c. Amend Section 8 (QPAC) to further establish that the Quality and Professional Affairs Committee has delegated authority to act on behalf of the Board for privileging and credentialing by removing the phrase as reasonably required between meetings from the end of the next to last sentence in that Section.d. Restate Section 9 (Joint Conference Committee) in its entirety to provide more balance on the Committee.e. Amend Section 10 (Finance Committee) to provide that: (i) the Treasurer of the Corporation (who is the Treasurer of EMHS) shall serve as an ex officio voting member of the Finance Committee; (ii) that the Board Chair may appoint up to two additional non-Trustee members to the Finance Committee if specific skill sets are desired; and (iii) if the Treasurer is not able to attend a meeting he or she shall not be counted in the denominator of the fraction used to calculate whether a quorum is present at such committee meeting.5. Article VI - Medical Staffa. Amend Section 1 (Organization) to clarify that the corporate Bylaws will prevail in the event of a conflict between the corporate Bylaws and the Medical Staff Bylaws.b. Amend Section 6 (Medical Staff Bylaws) to make the language consistent with the proposed language in Article V, Section 9 pertaining to the appointment power of the Medical Staff President, by deleting the phrase "including the selection by the Medical Staff of its representatives to the Joint Conference Committee at the end of the first sentence. Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Blue Hill Memorial Hospital (the "Corporation") is a Maine nonprofit corporation. Eastern Maine Healthcare Systems ("EMHS"), also a Maine nonprofit corporation, is the sole 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 EMHS has authority to appoint and remove the CEO 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 CFO of Blue Hill Memorial Hospital. It is provided to each board member either electronically or in hard copy with an opportunity to ask questions prior to filing with the IRS. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts The organization requests updates of potential conflicts and relationships from the officers and Board members on an annual basis. The request requires disclosure of all business relationships, board memberships, and family relationships. A database is maintained that is compared to payroll records and the accounts payable vendor list to identify any potential conflicts of interest. Transactions are reviewed for reasonableness as an arms length transaction. The first agenda item for board meetings and board committee meetings is for members to declare any conflict of interest with upcoming agenda items or deliberations. At any point when consideration is being given to purchase/contract with a party in interest, the member with the conflict is excused from the discussion and consideration process or abstains from voting on the matter. All transactions identified with parties in interest are disclosed within the Form 990. All are deemed to be arms length transactions. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management The CEO of Blue Hill Memorial Hospital and the system President/CEO (President) who serves on the board ex-officio are employed by the system parent, Eastern Maine Healthcare Systems (EMHS). The EMHS Executive Performance Management Committee (the Committee) is responsible to monitor and evaluate the performance of the EMHS President, to set compensation of the EMHS President, and to review recommendations of the EMHS President with respect to compensation of the Chief Executive Officer of the direct subsidiaries, and other direct reports to the President. The Committee is comprised entirely of independent Directors per EMHS bylaws.Process:The Committee meets regularly throughout the fiscal year at the discretion of the Committee chair as well as on call of the Chair of the EMHS board. In carrying out its duties pursuant to the Bylaws, the Committee:-Assures that the executive compensation program is administered in a manner consistent with the EMHS executive compensation philosophy.-Reviews and updates the EMHS executive compensation philosophy which serves as the foundation on which all current and future executive compensation decisions are made.-Assures that value of compensation provided by EMHS does not exceed the value of services provided by the executive.-Reviews annual incentive compensation criteria for eligible executives, as defined by the EMHS President.-Reviews periodic compensation survey information and provides expert input to proposed changes to the executive compensation program.-Assures that a formal and timely performance management system is in place for executives.-Reviews incentive compensation criteria scoring and associated pay schedules for officers and key employees.-Provides any public statements regarding executive compensation practices at EMHS deemed appropriate.-Maintains minutes of the meetings and communicates actions to the EMHS Board of Directors.To accomplish this, the committee uses an external consultant with access to comparative data from independent sources and include national as well as regional data points. The EMHS President reviews all direct report compensation actions with the committee. In addition, the EMHS President ensures that any subsidiary policies and practices governing executive compensation are consistent with the committee's philosophy and practices statement.Form 990, Part VI, Line 15b - Compensation Review & Approval Process for Officers & Key EmployeesCompensation of other officers and key employees of the organization is established by the Human Resources department who utilizes external market research to establish compensation ranges for specific positions. The compensation of officers and key employees are reviewed by the BHMH President/CEO and the VP of Human Resources.On an annual basis, the compensation ranges are compared to the updated survey information. The hiring manager will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Blue Hill Memorial Hospital makes its governing documents, conflict of interest policy and financial statements available to the public upon request. Other Changes In Net Assets Or Fund Balances - Other Decreases Change in net assets held @ EMHS Foundation = -$6462 Other Changes In Net Assets Or Fund Balances - Other Decreases Decrease in beneficial trust = -$39799 Other Changes In Net Assets Or Fund Balances - Other Decreases Post Retirement Health Benefit FAS 158 = -$371984 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfer to exempt parent - Eastern Maine Healthcare Systems = -$1177329 Eastern Maine Healthcare Real Estate 43 Whiting Hill Road Brewer ME 04412 010391036 Leases real estate ME 501(c)(2) EMHS true Eastern Maine Healthcare Systems EMHS 43 Whiting Hill Road Brewer ME 04412 010527066 Supporting organization for healthcare affiliates ME 501(c)(3) 11 Type II NA true Acadia Hospital Corp AHC 43 Whiting Hill Road Brewer ME 04412 010459837 Provide healthcare services ME 501(c)(3) 3 EMHS true Acadia Healthcare Inc AHI 43 Whiting Hill Road Brewer ME 04412 223183888 Provide healthcare services ME 501(c)(3) 9 AHC true Meadow Wood LLC 43 Whiting Hill Road Brewer ME 04412 272935243 Provide patient care ME 501(c)(3) 9 AHI true Eastern Maine Medical Center EMMC PO Box 404 489 State Street Bangor ME 044020404 010211501 Provide healthcare services ME 501(c)(3) 3 EMHS true Eastern Maine Medical Center Auxiliary 43 Whiting Hill Road Brewer ME 04412 010377901 Fund raising for exempt Eastern Maine Medical Center ME 501(c)(3) 9 EMMC true Norumbega Medical Specialists LTD 43 Whiting Hill Road Ste 400 Brewer ME 04412 010465231 Provide patient care & education ME 501(c)(3) 9 EMMC true EMHS Foundation 43 Whiting Hill Road Ste 400 Brewer ME 04412 222514163 Raise and manage funds for exempt organizations ME 501(c)(3) 11 Type II EMHS true Rosscare 43 Whiting Hill Road Ste 400 Brewer ME 04412 010391038 Provide services to elderly ME 501(c)(3) PF EMHS true Rosscare Nursing Home Inc 43 Whiting Hill Road Ste 400 Brewer ME 04412 010430751 Operation of nursing homes ME 501(c)(3) 9 Rosscare true Inland Hospital 200 Kennedy Memorial Drive Waterville ME 04901 010217211 Provide healthcare services ME 501(c)(3) 3 EMHS true Lakewood A Continuing Care Center 220 Kennedy Memorial Drive Waterville ME 04901 010421234 Provide skilled and long-term nursing care ME 501(c)(3) 3 Inland Hospital true CA Dean Memorial Hospital Pritham Ave PO Box 1129 Greenville ME 044411129 043341666 Provide healthcare services ME 501(c)(3) 3 EMHS true Eastern Maine HomeCare PO Box 688 Caribou ME 04736 010328442 Provide home health & hospice svcs ME 501(c)(3) 9 EMHS true Sebasticook Valley Health SVH 447 North Main Street Pittsfield ME 04967 010263628 Critical care hospital ME 501(c)(3) 3 EMHS true Sebasticook Valley Family Practice Assoc 447 North Main Street Pittsfield ME 04967 010357854 Provide patient care ME 501(c)(3) 9 SVH true The Aroostook Medical Center TAMC PO Box 151 140 Academy Street Presque Isle ME 047690151 010372148 Provide healthcare services ME 501(c)(3) 3 EMHS true TAMC Title Corp PO Box 151 140 Academy Street Presque Isle ME 047690151 010389226 Real estate holding company ME 501(c)(2) TAMC true TAMC Endowments PO Box 151 140 Academy Street Presque Isle ME 047690151 010389222 Raise funds for exempt organizations ME 501(c)(3) 11 Type I TAMC true Horizons Health Services PO Box 151 140 Academy Street Presque Isle ME 047690151 010504393 Provide patient care ME 501(c)(3) 3 TAMC true Restoration Health LLC 43 Whiting Hill Road Brewer ME 04412 352449986 Provide mental & behavioral hlth srvs ME 501(c)(3) 9 AHI true Mercy Hospital 144 State Street Portland ME 04101 010211534 Provide healthcare services ME 501(c)(3) 3 EMHS true Mercy Health System of Maine 144 State Street Portland ME 04101 010484074 Supporting org for healthcare affiliates ME 501(c)(3) 11 Type III, Func In EMHS true VNA Home Health & Hospice 50 Foden Road South Portland ME 04106 010246804 Provide home health and hospice services ME 501(c)(3) 9 EMHS true Beacon Health LLC 43 Whiting Hill Road Brewer ME 04412 452967056 Accountable care organization ME EMHS false false Affiliated Healthcare Systems AHS PO Box 940 Bangor ME 044020940 010385322 Holding co. ME EMHS C true Affiliated Healthcare Management PO Box 811 Bangor ME 044020811 010349339 Hlthcr mgmt ME AHS C true Affiliated Laboratory Inc PO Box 638 Bangor ME 044020638 010381283 Clinical lab ME AHS C true Affiliated Materiel Services PO Box 1300 Bangor ME 044021300 010381189 Purchasing ME AHS C true Meridian Mobile Health LLC 931 Union Street PO Box 940 Bangor ME 044020940 010512673 Ambulance ME AHS C true Maine Network for Health PO Box 2813 Bangor ME 044022813 010496352 Support srv ME EMHS C true Dirigo Pines Retirement Community LLC 9 Alumni Drive Orono ME 04473 010537924 Holding co. ME AHS C true Dirigo Pines Inn LLC 9 Alumni Drive Orono ME 04473 020547749 Contin care ME Rosscare C true Dirigo Funding LLC 9 Alumni Drive Orono ME 04473 010599968 Prov finance ME AHS C true Dirigo Pines Development Company LLC 9 Alumni Drive Orono ME 04473 010537924 RetCottag ME AHS C true M Drug LLC PO Box 1779 Bangor ME 044021779 272175482 Pharmacy ME AHS C true Alliance Health Documentation LLC 9 Central Street Ste 205 Bangor ME 04401 462751855 Transcription ME AHS C true false false false false false false false false false false false true true false false true false true true Eastern Maine Healthcare Systems EMHS m 2787986 FMV Eastern Maine Healthcare Systems EMHS p 2461411 FMV Eastern Maine Healthcare Systems EMHS r 1177329 FMV Eastern Maine Medical Center EMMC m 354012 FMV Eastern Maine Medical Center EMMC p 99759 FMV EMHS Foundation m 222000 FMV CA Dean Memorial Hospital l 50086 FMV Affiliated Laboratory Inc m 259502 FMV Affiliated Materiel Services p 414923 FMV Alliance Health Documentation LLC m 122343 FMV