2016-08-10T08:42:56-07:00 2015-09-26 990 2014-09-28 010459837 Eastern Maine Healthcare Systems AHC Acadia Hospital Corp AHC EAST 2079739081 43 Whiting Hill Road Brewer ME 04412 John Doyle System Controller 2016-08-10 false 2014 2016-12-15 16:53:06Z John Doyle 96988463 false false 5247 X www.acadiahospital.org X 1987 ME The primary mission and significant activities of Acadia Hospital are the provision of inpatient and outpatient psychiatric and mental health services to children, adolescents, and adults. 15 10 755 11 0 136258 223394 84451813 93556213 527530 549814 191727 452 85307328 94329873 0 0 36655220 35931446 0 0 46996313 55437008 83651533 91368454 1655795 2961419 48952840 51911315 33100045 35684569 15852795 16226746 X The primary mission and significant activities of Acadia Hospital are the provision of inpatient and outpatient psychiatric and mental health services to children, adolescents, and adults. false false 81966270 93556213 Acadia's 36-bed adult inpatient service provided 11,354 patient days of care to 771 patients. Patients are referred primarily from a large, nine county area of northern, eastern, and central Maine. Acadia's 32-bed child and adolescent inpatient service provided 8,688 patient days of care to 698 patients. Patients are referred from across the State of Maine. The adult outpatient clinic provided the following number of patient encounters: 19,209 - intensive outpatient program; 38,650 - ambulatory clinic (medication management and therapy); and 2,744 - primary care practice integrated services. 81966270 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 false false true true false false false false false true false false true false false false false false false true true true false false true 44 0 true 755 true false false false false false false false false 0 false false false false false false false false false false X 15 10 true false true false true true true true true false false true true true true true true true true false ME X X X John J Doyle 2079739081 43 Whiting Hill Road Brewer ME 04412 James Breece Trustee/Chair 0.50 0.00 X X 0 0 0 Allan D Currie MD Trustee 0.50 40.00 X 0 119373 37080 Craig D Hadley CPA Trustee 0.50 0.00 X 0 0 0 Judith Horan Trustee 0.50 0.00 X 0 0 0 Betsy MacGregor-Webb PhD Trustee 0.50 0.00 X 0 0 0 Charles T McHugh MD Trustee 0.50 0.00 X 0 0 0 Paul X Paradis Trustee 0.50 0.00 X 0 0 0 Anne E Pooler EdD Trustee/Vice Ch 0.50 0.00 X X 0 0 0 Richard Rosen Trustee 0.50 0.00 X 0 0 0 Sandra L Rothera Esq Trustee 0.50 0.00 X 0 0 0 Michael Shea Trustee 0.50 0.00 X 0 0 0 Teresa Willett Steele RN PhD Trustee 0.50 0.00 X 0 0 0 Daniel B Coffey President & CEO 50.00 0.00 X X 491257 0 49688 M Michelle Hood Ex-Officio 2.00 50.00 X X 0 974647 261258 Anthony Ng MD VP/CMO/ExOffico 50.00 0.00 X X 362926 0 42699 Scott Oxley VP, COO 0.00 50.00 X 0 293364 80552 Derrick O Hollings Sr Treasurer 0.50 50.00 X 0 547456 127538 Glenn Martin Secretary 0.50 50.00 X 0 384473 94093 Wayne Stellar PMHNP VP, CNO 50.00 0.00 X 207170 0 36076 Theodore Helberg III VP, HR-part yr 50.00 50.00 X 48727 154256 24571 Marie K Suitter VP, CFO 50.00 0.00 X 207575 0 26275 Paul Bolin VP, HR-part yr 0.50 50.00 X 0 155414 34775 Eric Kuntz Medical Director 40.00 0.00 X 252704 0 51647 Mandieh Bodaghi Psychiatrist 40.00 0.00 X 265399 0 1112 Nathan Valentine Psychiatrist 40.00 0.00 X 275879 0 27331 Clifford Singer Chief Geriatrics 40.00 0.00 X 307952 0 35525 Vijay Amarendran Medical Director 40.00 0.00 X 242659 0 39853 April Giard Former VP/CNO 0.00 50.00 X 0 212884 38032 Deborah M Sanford Former VP Patient Admin 0.00 50.00 X 0 207722 32860 Brent Scobie Former VP Chief Clinic 40.00 0.00 X 117721 0 36114 2779969 3049589 1077079 31 true true false Locumtenanscom 2655 Northwind Parkway Alpharetta GA 30009 Physician services 2063748 Vista Staffing Solutions Inc File 50834 Los Angeles CA 900740834 Physician Services 618731 American Healthcare Services Association PO Box 945 Traverse City MI 49685 Consulting Services 447998 Staff Care Inc PO Box 281923 Atlanta GA 303841923 Physician services 308513 Himagine Solutions Inc PO Box 743505 Atlanta GA 30374 Consulting Services 154099 8 119874 103520 38 223394 Cafeteria/Dietary 722210 154032 154032 Patient Care Services 621990 93402181 93402181 93556213 534618 534618 0 0 0 2656185 17601 2649817 8773 6368 8828 15196 15196 0 0 0 Miscellaneous 812900 452 452 452 94329873 93402181 704298 0 0 0 0 1476456 648871 827585 0 26769634 23766160 3003474 1273238 1131654 141584 4319487 3630106 689381 2092631 1848376 244255 0 14051 14051 9295 9295 0 0 14499 14499 7006747 3338107 3668640 12756 109 12647 1305342 1114204 191138 4077 3674 403 0 755489 617261 138228 91971 65714 26257 0 112469 85431 27038 312605 310351 2254 0 1033659 784205 249454 145150 140516 4634 Contractual Allowances 26545798 26545798 Charity Care 12933611 12933611 Provision for uncollectible ac 3008273 3008273 Taxes and Licensing 1078008 1071150 6858 1053208 908200 145008 91368454 81966270 9402184 0 1665 1765 3911754 6684821 0 5955728 6801454 9996 40803 0 177466 68274 154746 155730 249031 217491 34361410 23829621 10557219 10531789 0 0 0 0 27935235 27409188 48952840 51911315 17017426 19638712 143 7735323 6542487 8347153 9503370 33100045 35684569 X 15421027 15925451 318766 149093 113002 152202 15852795 16226746 48952840 51911315 X 2961419 -145261 -2442207 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 11433 11433 false false Part II-B, Line 1i - Other Activities Description Non deductible portion of dues. 230720 39200 -2779 8577 258564 202431 21670 13854 7235 230720 178020 10750 21184 7523 202431 150475 9024 26167 7646 178020 152391 2620 1556 6092 150475 0.06000 0.94000 false true true 447123 447123 15851436 9548920 6302516 15319413 11928597 3390816 2743438 2352104 391334 10531789 Board Designated Funds-Other 22059 Estimated Prof. Liab. Claims Receivable 339139 Funded Depreciation 11791761 Funds Held by Bond Trustee 344933 Interest in net assets held at EMHSF 301295 Self Insurance Funds held by Trustee 34776 Short-term Investments 14575225 27409188 Deferred Liab-Post Retirement Benefits 8958520 Liability Under Cap Lease Obligation 166952 Reserve for Prof. Liab. Self Ins. 339139 Reserve for Self-Insurance Program 38759 9503370 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 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. true true true X true X true true false false true true 608 4420611 5200 4415411 0.09030 174589 174589 0.00360 608 4595200 5200 4590000 0.09390 4 645 78391 78391 0.00160 2 49 36870 36870 0.00080 6 694 115261 115261 0.00240 6 1302 4710461 5200 4705261 0.09630 3 45358 9599 9599 0.00020 3 45358 9599 9599 0.00020 true 1482969 8693823 14225775 -5531952 X true true 1 1 Acadia Hospital Corp 268 Stillwater Ave Bangor ME 04401 www.acadiahospital.org 38093 X Acadia Hospital Corp 1 false false true X X X X X X X 14 true true true true X http://acadiahospital.org/About-Us.aspx X www.emhs.org/Community-Benefit/CHNA.aspx X X true 14 false true false true X 150.0000 250.0000 X true true X X X X true X www.acadiahospital.org/for-consumers/bil X www.acadiahospital.org/for-consumers/bil X www.acadiahospital.org 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 Acadia 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 hospital's 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 assure broad representation of the community's 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 the 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 liason, and a local comprehensive community health coalition.3j 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 the local populations. As such, the Community Health Needs Assessment does not provide 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; Paul 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, Healthly 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 collaborative 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 a 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 Non-selected priorities:Issues Preventing Access to CareBrief explanation why they were not included:Currently do not have the capacity to address this priority at this time. Part V, Line 13b - Criteria For Providing Discounted Care If Not FPG The FPL were used for eligibility for free care. 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 discounts for patients who fall within 151%-250% FPL. Part I, Line 6a - Related Organization Community Benefit Report The Acadia Hospital Corporation 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 $3,008,273 of bad debt expense, $12,933,611 of charity care, $26,545,798 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 methodology used to determine the amount reported on line 2 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 Acadia Hospital. 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 It is the policy of Acadia Hospital to treat all patients requiring care without regard for ability to pay and to assist patients in arranging for settlement of their financial obligation. All account guarantors who express an inability to pay will be screened for eligibility for charity care using an application and guidelines established by Acadia Hospital. An account may be reconsidered for charity care at any time when new information is available about a patients inability to pay. For those qualifying under Acadia's Charity Care program, medically necessary services will be provided to Maine residents at no cost, using an application and guidelines. Posters are displayed in key public areas, information and forms are available online on the hospital website, and education is provided during the admission process and continues throughout treatment as the patient is assisted with the availability of programs. 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 page provides a link to the free care application form, instructions and eligibility criteria. Part VI - Community Information As one of only two private freestanding psychiatric hospitals in the State of Maine, Acadia Hospital serves people from across Maine, with a majority of the patients originating in the Greater Bangor area. Geographically, Maine is a primarily rural state, and the demographics reveal an aging population with lower than national average earning power. Acadia Hospital utilizies telemental health technology to bridge the distance gap experienced by patients living in a rural state. The hospital also works with primary care practices across the State to provide integrated behavioral health services. Part VI - Community Building Activities Acadia Hospital's community building activities include collaboration with other agencies and sharing expertise with other organizations and individuals in an effort to strengthen communities through proactive activities. Acadia Hospital also provides education on mental health and substance abuse issues and leverages social networking via the website, Facebook profile and a Twitter profile, as well as the YouTube channel, which features Acadia's short dramatic film, The Road Back (it has over 200,000 views).Acadia supports the efforts of other non-profits like the state's chapter of the National Alliance on Mental Illness, and engages in programs like Mental Illness Awareness Week and Challenge Day, participates in National Depression Screening Day and holds Open Mind community education presentations. Acadia features a mental health screening tool on an ongoing basis on its website, and is consistently ranked in the top ten online screening sites in the country by the organization, Screening for Mental Health. Acadia employs a full-time Community Mental Health Liaison who is assigned to the Bangor Police Department. Part VI - Explanation Of How Organization Furthers Its Exempt Purpose Acadia Hospital is a 100 licensed bed psychiatric hospital that serves the entire state of Maine. The facility opened in 1992 in response to an urgent need for more hospital and community based mental health and chemical dependency treatment programs. Acadia offers services that otherwise would not be available in the region, including access to inpatient and outpatient services for patients unable to pay. Acadia Hospital provides space for support groups, and provides crisis response services if requested from local communities. Acadia provides many educational presentations in the community that focus on wellness and access to appropriate care, anti-stigma education, and an online mental health screening tool. The hospital also hosts psychiatric grand rounds which allows providers to gain professional development. See Schedule O, Part III, Line 4d for further details from the publication of community benefit projects of Eastern Maine Healthcare Systems entities. 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 local service area. Each member hospital adopts a local implementation strategy and community health improvement plan, tailored to meet local needs.As a member of EMHS, Acadia Hospital shares in the organization's goals. As a specialty hospital within the EMHS system, Acadia provides assistance to affiliates in an integrated fashion, using technology like telemental health to bridge the distances faced by Maine citizens. EMHS offers its own initiatives, such as addressing childhood obesity, and the affiliates often support these efforts in their own communities. As autonomous hospitals, each provides unique programs to meet the needs of local communities. Part VI - States Where Community Benefit Report Filed ME Part V - Explanation of Number of Facility Type N/A X true true false true false false false false false false false false Allan D Currie MD Trustee 102507 14508 2358 18776 18304 156453 Anthony Ng MD VP/CMO/ExOffico 337951 22865 2110 15906 26793 405625 April Giard Former VP/CNO 196364 14039 2481 12376 25656 250916 Brent Scobie Former VP Chief Clinic 113138 2352 2231 9656 26458 153835 Clifford Singer Chief Geriatrics 301945 6007 20500 15025 343477 Daniel B Coffey President & CEO 403321 63004 24932 30800 18888 540945 Deborah M Sanford Former VP Patient Admin 186469 17292 3961 14021 18839 240582 Derrick O Hollings Sr Treasurer 465370 70865 11221 102306 25232 674994 Eric Kuntz Medical Director 246559 6145 30274 21373 304351 Glenn Martin Secretary 348106 33250 3117 67078 27015 478566 M Michelle Hood Ex-Officio 788728 171536 14383 241324 19934 1235905 Mandieh Bodaghi Psychiatrist 243095 5000 17304 1112 266511 Marie K Suitter VP, CFO 189174 16382 2019 16768 9507 233850 Nathan Valentine Psychiatrist 260172 15707 4608 22723 303210 Paul Bolin VP, HR-part yr 151378 4036 9050 25725 190189 Scott Oxley VP, COO 270674 21155 1535 56339 24213 373916 Theodore Helberg III VP, HR-part yr 32426 149802 15101 1200 4454 974 11553 3089 8955 52790 174764 Vijay Amarendran Medical Director 240009 2650 12914 26939 282512 Wayne Stellar PMHNP VP, CNO 196675 3375 7120 17089 18987 243246 Part I, Line 1a: Relevant information in regards to selections on 1a. Mahdieh Bodaghi, MD, employed tele-psychiatrist, received $2,735.68 for payment of health insurance with a $1,029.92 gross-up payment. A Maine Health and Higher Educational Facilities Authority 010314384 560427GW0 2010-04-22 13522505 to refund 1998 issue false false true A 5105000 15948483 1513225 7985000 121118 6329140 2010 false true true true A false false false false false true A false false 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 $2,425,978.Part IV, line 2c, column A - 5/18/2015 - 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. Brent Scobie employee Educational Loans X 9996 9996 false false true Wayne Steller employee Educatio X 18811 6811 false false true Nathan Valentine employee Physicia X 40000 23996 false false true 40803 Jeanne Paradis fam mem of brd mem 81670 compensation false Schedule L, Part V Supplemental Information Jeanne Paradis is a family member of a board member and is an employee of Acadia Hospital. Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: Provided mental health services regardless of ability to pay. Provided other uncompensated care (at cost) of $1,482,969.Please see the following excerpt from the EMHS Annual Report to the Community for details of community benefit projects at Acadia Hospital.ACADIA HOSPITAL EMPLOYEES: 681 LEADERSHIP: President and CEO: Daniel B. Coffey Board Chair: James H. Breece, PhD DESCRIPTION: Acadia Hospital operates a 100-bed acute care, regional psychiatric hospital in Bangor, Maine. The hospital is the sole corporate member of Acadia Healthcare that provides a substance abuse disorder treatment program, case management services, and other outpatient mental health services in Penobscot, Waldo, and Knox counties. Acadia Healthcare is the sole member of Restorative Health, LLC that operates an outpatient mental health clinic in Bangor. LOCATIONS: Bangor, Belfast, Rockland Continued expansion of telepsychiatry services throughout Maine, establishing 22 sites in emergency departments, primary care offices, and residential homes Joined the Maine Infantry Foundation, University of Maine Humanities Center, and Bangor Daily News in sponsoring Odysseus in Maine, a multi-day series of presentations throughout Maine addressing the experience of military veterans as they deal with combat trauma and integrating back into civilian life Mood and Memory ClinicParticipated in four clinical trials for the treatment of Alzheimers Disease, earning recognition for having 15 enrollees in one of the trials, which was one of the largest number of enrollees in the nation Improved access to child and adolescent services, with pediatric day treatment volume up 37.5 percent over the previous year Increased use of a patient care outcome tool being implemented throughout all services to better evaluate effectiveness of treatmentPhilanthropy: $128,638.11Total Community Benefit: $10,246,812 Community Health Improvement Services: $3,073 Health Professions Education: $36,870 Community Building Activities: $9,599 Community Benefit Operations: $75,318 Traditional Charity Care*: $4,415,411 Unrecoverable Interest Cost on funds used to subsidize state MaineCare/Medicaid underpayment on $2.7M: $174,589 Unpaid Cost of Public Programs: Medicare $5,531,952 Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et James Breece, trustee/officer is an employee of University of Maine and Mary M. Hood, trustee/officer is a board member of University of Maine System. Craig Hadley, trustee is Senior Vice President & CFO for Husson University; Daniel Coffey, trustee/officer is a board member of Husson University; Betsy MacGregor-Webb, trustee is a board member of Husson University Board of Visitors; Teresa Willett Steele, trustee is Professor Emeritus of Husson University.Betsy MacGregor-Webb, trustee is superintendent of the Bangor Public School System, which provides school services to child and adolescent patients at Acadia Hospital. 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 Acadia 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 Acadia Hospital/Acadia Healthcare, Inc. 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 CEO of Acadia 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 and Approval Process for Officers and Key Employees Compensation of other officers and key employees of the organization is established by the Human Resources department who utilize external market research to establish compensation ranges for specific positions. The compensation of officers and key employees are reviewed by the Acadia President/CEO and Acadia Executive Committee.On an annual basis, the compensation ranges are compared to the updated survey information. The Human Resources department 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 Acadia 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 Net Change in Funds Held at EMHS Foundation = -$131696 Other Changes In Net Assets Or Fund Balances - Other Decreases Post Retirement Health Benefit FAS158 = -$1285067 Other Changes In Net Assets Or Fund Balances - Other Increases Transfer from exempt subsidiary - EMHSF = $5525 Other Changes In Net Assets Or Fund Balances - Other Increases Transfer from exempt subsidiary - Meadow Wood = $306 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfer to exempt parent-Eastern Maine Healthcare Systems = -$1008505 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfer to exempt subsidiary - EMHSF = -$4293 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfer to exempt subsidiary-Restorative Health = -$18477 Eastern Maine Healthcare Systems EMHS 43 Whiting Hill Rd Brewer ME 04412 010527066 Supporting organization for healthcare affiliates ME 501(c)(3) 11,Type II N/A true Eastern Maine Medical Center EMMC PO Box 404 489 State St Bangor ME 044020404 010211501 Provide healthcare services ME 501(c)(3) 3 EMHS true Eastern Maine Healthcare Real Estate 43 Whiting Hill Rd Suite 400 Brewer ME 04412 010391036 Leases real estate ME 501(c)(2) EMHS true Rosscare 43 Whiting Hill Rd Suite 400 Brewer ME 04412 010391038 Provide services to elderly ME 501(c)(3) PF EMHS true Rosscare Nursing Homes Inc 43 Whiting Hill Rd Suite 400 Brewer ME 04412 010430751 Operation of nursing homes ME 501(c)(3) 9 Rosscare true Eastern Maine Medical Center Auxiliary 43 Whiting Hill Rd Suite 400 Brewer ME 04412 010377901 Fundraising for exempt Eastern Maine Medical Center ME 501(c)(3) 9 EMMC true Acadia Healthcare Inc AHI 43 Whiting Hill Rd Suite 400 Brewer ME 04412 223183888 Provide healthcare services ME 501(c)(3) 9 Acadia Hospital Corp true Norumbega Medical Specialists Ltd 43 Whiting Hill Rd Suite 400 Brewer ME 04412 010465231 Provide patient care and education ME 501(c)(3) 9 EMMC true EMHS Foundation 43 Whiting Hill Rd Suite 400 Brewer ME 04412 222514163 Raise and manage funds for exempt organizations ME 501(c)(3) 11, Type II EMHS true Inland Hospital 200 Kennedy Memorial Drive Waterville ME 04901 010217211 Provide healthcare services ME 501(c)(3) 3 EMHS true CA Dean Memorial Hospital Pritham Ave PO Box 1129 Greenville ME 044411129 043341666 Provide healthcare services ME 501(c)(3) 3 EMHS true Sebasticook Valley Health SVH 447 North Main Street Pittsfield ME 04967 010263628 Critical care hospital ME 501(c)(3) 3 EMHS true The Aroostook Medical Center TAMC PO Box 151 140 Academy St Presque Isle ME 047690151 010372148 Provide healthcare services ME 501(c)(3) 3 EMHS true TAMC Title Corporation PO Box 151 140 Academy St Presque Isle ME 047690151 010389226 Real estate holding company ME 501(c)(2) TAMC true TAMC Endowments PO Box 151 140 Academy St 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 St Presque Isle ME 047690151 010504393 Provide patient care ME 501(c)(3) 3 TAMC true Eastern Maine Homecare PO Box 688 Caribou ME 04736 010328442 Provide home health and hospice services ME 501(c)(3) 9 EMHS true Blue Hill Memorial Hospital 57 Water St Blue Hill ME 046145231 010227195 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 Meadow Wood LLC 43 Whiting Hill Road Brewer ME 04412 272935243 Provide patient care ME 501(c)(3) 9 AHI true Sebasticook Valley Family Practice Assoc 447 North Main Street Pittsfield ME 04967 010357854 Provide patient care ME 501(c)(3) 9 SVH 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 Int EMHS true VNA Home Health & Hospice 50 Foden Road South Portland ME 04106 010246804 Provide home health and hospice services ME 501(c)(3) 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 St 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 financ ME AHS C true Dirigo Pines Development Company LLC 9 Alumni Drive Orono ME 04473 010537924 RetirCottag 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 St 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 4966037 FMV Eastern Maine Healthcare Systems EMHS p 4600753 FMV Eastern Maine Healthcare Systems EMHS r 1008505 FMV Eastern Maine Medical Center EMMC l 1452789 FMV Eastern Maine Medical Center EMMC m 531594 FMV Acadia Healthcare Inc AHI l 330188 FMV Acadia Healthcare Inc AHI m 81083 FMV EMHS Foundation m 125398 FMV EMHS Foundation s 181873 FMV Restoration Health LLC l 80600 FMV Restoration Health LLC m 141182 FMV Affiliated Materiel Services l 230869 FMV Alliance Health Documentation LLC m 374545 FMV