2015-08-11T09:17:37-05:00 2014-09-30 020400296 BRAD BORBIDGE PA 197 LOUDON ROAD STE 350 CONCORD NH 03301 990 2013-10-01 010246804 VNA Home Health & Hospice VNAH 2077808624 50 Foden Road South Portland ME 04106 COLLEEN HILTON Chief Executive Officer 2077808624 2015-08-11 1 DIMITRIOS PANACOPOULOS CPA P01603705 6032240849 2013 2016-02-25 16:41:14Z Colleen Hilton 50 Foden Road South Portland ME 04106 15517557 0 5247 X www.vnahomehealth.org X 1921 ME Providing clinically excellent, compassionate home health and hospice care to individuals and patients 22 19 337 165 0 0 154920 200824 10066826 15301895 134534 14838 0 0 10356280 15517557 0 0 0 0 7839985 11672870 0 0 0 2191591 2937486 10031576 14610356 324704 907201 14889235 16746671 1208363 2044966 13680872 14701705 Providing clinically excellent, compassionate home health and hospice care to individuals and patients 0 0 12791548 15301895 Home care & hospice- Providing clinically excellent, compassionate home health and hospice care to individuals and families. 12791548 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 26 0 1 337 1 0 0 0 0 0 0 0 0 X 22 19 0 0 1 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 X Colleen Hilton 2077808624 50 Foden Road South Portland ME 04106 Colleen Hilton CEO 20.00 20.00 X X 0 288976 40125 Lauren Epstein Chair 1.00 X X 0 0 0 Isabella Thurston Vice Chair 1.00 X X 0 0 0 Peter Bagg Board Member 1.00 X 0 0 0 Margaret Fournier Board Member 1.00 X 0 0 0 Joanne Hale Board Member 1.00 X 0 0 0 Rene Daniel Secretary 1.00 X X 0 0 0 Jonathan Keck Board Member 1.00 X 0 0 0 Joyce Mahany Board Member 1.00 X 0 0 0 Gary Bertsch Board Member 1.00 X 0 0 0 Peter Connolly Board Member 1.00 X 0 0 0 Wilma Rose Board Member 1.00 X 0 0 0 Debra Taylor Treasurer 1.00 X X 0 0 0 James Violette Board Member 1.00 X 0 0 0 Kerry Peabody Board Member 1.00 X 0 0 0 Jeffrey Oldfield Board Member 1.00 X 0 0 0 Patricia Small Board Member 1.00 X 0 0 0 Ann Marie Briggs Board Member 1.00 X 0 0 0 Lisa Brenner Board Member 1.00 X 0 0 0 Susan Spokes Board Member 1.00 X 0 0 0 Mary Michelle Hood Board Member 1.00 X 0 897311 250922 Eileen Skinner Board Member 1.00 X 0 935952 97793 Suzi Tracy Director of Finance 40.00 X 94243 0 23633 94243 2122239 412473 0 0 1 0 0 101260 99564 200824 Home Care 621610 15301895 15301895 15301895 14838 14838 15517557 15301895 0 14838 117876 58853 59023 9169380 8255328 914052 271873 243381 28492 1372651 1228797 143854 741090 663424 77666 72276 72276 3986 3986 97379 97379 292371 23516 268855 25470 22801 2669 310809 278236 32573 403407 379338 24069 26218 23470 2748 256024 229193 26831 Program Supplies 835675 835675 Equipment Rental 325148 291072 34076 Telephone 220836 197692 23144 Other Expenses 55704 49866 5838 12183 10906 1277 14610356 12791548 1818808 0 3612159 13196503 27042 7224 2495223 2101212 31933 171527 1092344 256024 922742 836320 7800136 433885 14889235 16746671 623622 1365706 584741 623159 0 56101 1208363 2044966 X 13632743 14617116 37887 74332 10242 10257 13680872 14701705 14889235 16746671 X 907201 113632 X 0 1 X 1 0 X 193460 137681 176221 165406 99564 772332 10215270 11146527 11068613 13141397 15403155 60974962 10408730 11284208 11244834 13306803 15502719 61747294 5000 5000 0 5000 5000 61742294 100789 91832 107866 87205 14838 402530 100789 91832 107866 87205 14838 402530 10509519 11376040 11352700 13394008 15517557 62149824 0.99340 0.99100 0.00650 0.00880 X Schedule A During 2013, the Association elected to change its fiscal year end to September 30. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10031 226 10257 9248 783 10031 9050 198 9248 8649 401 9050 8552 97 8649 1.00000 0 0 94350 18007 76343 997994 238017 759977 836320 Due to affiliates 56101 56101 X 15517557 0 15517557 0 15517557 14610356 0 14610356 0 14610356 Part V, Line 4: Interest earned is used for operations Part X, Line 2: The Association is a public charity under Section 501(c) (3) of the Internal Revenue Code. As a public charity, the Association is exempt from state and federal income taxes on income earned in accordance with its tax exempt purpose. Unrelated business income is subject to state and federal income tax. Management has evaluated the Associations tax position and concluded that the Association has no unrelated business income or uncertain tax positions that require adjustment to the financial statements. 0 1 0 0 0 0 0 0 0 Colleen Hilton CEO 0 160754 0 91134 0 37088 0 14444 0 25681 0 329101 0 0 Mary Michelle Hood Board Member 0 712895 0 171996 0 12420 0 232431 0 18491 0 1148233 0 0 Eileen Skinner Board Member 0 402620 0 407804 0 125528 0 68875 0 28918 0 1033745 0 0 Part I, Line 4b Mary Michelle Hood has a pension obligation satisfied through a supplemental non-qualified retirement plan which is based on a percent of qualified earnings or by specific agreement. The portion accrued for the supplemental non-qualified retirement plan is $212,331 based on the amounts contributed and related earnings. The supplemental non-qualified retirement benefit is subject to a substantial risk of forfeiture. Eileen Skinner has a pension obligation satisfied through a supplemental non-qualified retirement plan which is based on a percent of qualified earnings or by specific agreement. The portion accrued for the supplemental non-qualified retirement plan is $57,400 based on the amounts contributed and related earnings. The supplemental non-qualified retirement benefit is subject to a substantial risk of forfeiture. Form 990, Part VI, Section A, line 4 On October 4, 2013, Eastern Maine Healthcare Systems (EMHS) became the sole corporate member of the Association. EMHS is the parent company in an integrated health care delivery system that provides a broad range of health care and related services to nine Northern and Eastern Maine counties through subsidiary and affiliated corporations. Effective with the change in control, the Association adopted a September fiscal year-end to coincide with the year-end of EMHS. The transaction will be accounted for as an acquisition in accordance with Accounting Standards Update No. 2010-07, Not-for-Profit Entities: Mergers and Acquisitions, which requires the assets and liabilities of the Association be accounted for at fair value as of the date of acquisition, which was agreed to be effective October 1, 2013. All assets and liabilities under the control of the Association were revalued to fair value as of the acquisition date, resulting in unrestricted net assets of $13,794,504. Prior to October 4, 2013, the Associations sole member was Mercy Health System of Maine, as part of the Catholic Health East Health Care System. Form 990, Part VI, Section A, line 6 There shall be two Members of the Corporation. The Class A Member of the Corporation shall be Mercy Health System of Maine, a Maine nonprofit corporation. The Class B Member of the Corporation shall be Eastern Maine Healthcare Systems, a Maine nonprofit corporation (sometimes referred to in these Bylaws as the Class B Member or EMHS). The Class A Member and the Class B Member are referred to herein collectively as the Members. Form 990, Part VI, Section A, line 7a The sole power and right of the Class A Member shall be to receive such reports from the management and Board of Directors of the Corporation from time to time as the Class A Member may reasonably request. The Class A Member shall have no right to vote on any matter that shall come before the Corporation. Form 990, Part VI, Section A, line 7b All rights of members under the laws of the State of Maine to vote or otherwise take action with respect to the Corporation are reserved exclusively to the Class B Member. The Class B Member shall act on any matters brought to it by the Board of Directors of the Corporation as set forth in this Article II, Article X or otherwise, and shall exercise such other powers as may be conferred on the Class B Member by law, the Articles of Incorporation, or by these Bylaws. The Class B Member (acting independently) and the Corporation (subject to Class B Member board approval) shall have the power and authority to authorize the following actions described as Joint Initiatory Powers. Any exercise of Joint Initiatory Powers shall further the goal of developing and strengthening patient care services within the EMHS System for the benefit of patients within the Corporations service area, and such powers shall be exercised only after reasonable consultation between The Class B Member and the Corporation. Action initiated through the Class B Members exercise of its Joint Initiatory Powers is subject to the right of the Corporation, upon a two-thirds vote of the full Board of Directors, to trigger the formal review function of the EMHS Council of Chairs, as described in the EMHS Bylaws and Council of Chairs committee charter. Action initiated through the Corporations exercise of its Joint Initiatory Powers is subject to the Class B Members board approval or, if authorized through delegation by the Class B Members board, EMHS CEO approval. The Joint Initiatory Powers are as follows: i. Amendments to the Corporations Articles of Incorporation or Bylaws; ii. Change in legal form of organization of the Corporation; iii. Election of the Directors of the Corporation; iv. Action concerning the Corporations operating budget and capital expenditures; v. The Corporations acquisition of assets or assumption of liabilities of a 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 component of EMHS Strategic Plan; xii. Action concerning the Corporations participation in key strategic affiliations with third parties not affiliated with EMHS; and xiii. Dissolution of the Corporation. Form 990, Part VI, Section B, line 11 Director of Finance reviews the 990 prior to the CEO signing it, then it is distributed to Board of Directors. Form 990, Part VI, Section B, line 12c Through annual reveiw by quality manager. Form 990, Part VI, Section B, line 15 Semiannual State Comparative Market Analysis Form 990, Part VI, Section C, line 19 UPON REQUEST Form 990, Part XI, line 9: All assets and liabilities were revalued to FMV at 10/1/14 acquisition 113,632. Mercy Hospital 144 State Street Portland ME 04101 010211534 Hospital ME 501(C)(3) 501(c)(3) N/A 0 Eastern Maine Healthcare Systems 43 Whiting Hill Road Brewer ME 04412 010527066 Supporting Organization For Healthcare Affiliates ME 501(C)(3) 509(a)(3) type II N/A 0 Eastern Maine Medical Center PO Box 404 489 State Street Bangor ME 04402 010211501 Provides Healthcare Services ME 501(C)(3) 170(b)(1)(a) N/A 0 Eastern Maine Healthcare Real Estate 43 Whiting Hill Road Brewer ME 04412 010391036 Leases Real Estate ME 501(c)(2) N/A N/A 0 Rosscare 43 Whiting Hill Road Ste 400 Brewer ME 04412 010391038 Provide Treatment and Housing To Elderly ME 501(c)(3) PF N/A 0 Rosscare Nursing Homes Inc 43 Whiting Hill Road Ste 400 Brewer ME 04412 010430751 Operation of Nursing Homes ME 501(c)(3) 509(a)(2) N/A 0 Acadia Hospital Corp 43 Whiting Hill Road Brewer ME 04412 010459837 Provides Healthcare Services ME 501(c)(3) 170(b)(1)(a) N/A 0 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) 509(a)(2) N/A 0 Acadia Healthcare Inc 43 Whiting Hill Road Brewer ME 04412 223183888 Provides Healthcare Services ME 501(c)(3) 509(a)(2) N/A 0 EMHS Foundation 43 Whiting Hill Road Ste 400 Brewer ME 04412 222514163 Raise and Manage Funds For Exempt Organizations ME 501(c)(3) 509(a)(3) type II N/A 0 Norumbega Medical Specialists LTD 43 Whiting Hill Road Ste 400 Brewer ME 04412 010465231 Provide Patient Care and Education ME 501(c)(3) 509(a)(2) N/A 0 Meadow Wood LLC 43 Whiting Hill Road Brewer ME 04412 272935243 Provide Patient Care ME 501(c)(3) 509(a)(2) N/A 0 Inland Hospital 200 Kennedy Memorial Drive Waterville ME 04901 010217211 Provide Healthcare Services ME 501(c)(3) 170(b)(1)(a) N/A 0 Lakewood A Continuing Care Center 200 Kennedy Memorial Drive Waterville ME 04901 010421234 Provide Skilled and Long-Term Nursing Care ME 501(c)(3) 170(b)(1)(a) N/A 0 CA Dean Memorial Hospital and Nursing Home Pritham Avenue PO Box 1129 Greenville ME 04441 043341666 Provide Healthcare Services ME 501(c)(3) 170(b)(1)(a) N/A 0 Sebasticook Valley Hospital Associates 447 North Main Street Pittsfield ME 04967 010263628 Critical Care Hospital ME 501(c)(3) 170(b)(1)(a) N/A 0 The Aroostook Medical Center PO Box 151 140 Academy Street Presque Isle ME 04769 010372148 Provide Healthcare Services ME 501(c)(3) 170(b)(1)(a) N/A 0 TAMC Title Corp PO Box 151 140 Academy Street Presque Isle ME 04769 010389226 Real Estate Holding Company ME 501(c)(2) N/A N/A 0 TAMC Endowments PO Box 151 140 Academy Street Presque Isle ME 04769 010389222 Raise Funds For Exempt Organizations ME 501(c)(3) 509(a)(3) type II N/A 0 Horizons Health Services PO Box 151 140 Academy Street Presque Isle ME 04769 010504393 Provide Patient Care ME 501(c)(3) 170(b)(1)(a) N/A 0 Maine Institute for Human Genetics and Health 43 Whiting Hill Road Brewer ME 04412 550894346 Biomedical Research and Development ME 501(c)(3) 509(a)(2) N/A 0 Blue Hill Memorial Hospital 65 Water Street Blue Hill ME 04614 010227195 Provide Healthcare Services ME 501(c)(3) 170(b)(1)(a) N/A 0 Restoration Health LLC 43 Whiting Hill Road Brewer ME 04412 352449986 Provide Mental & Behavorial Health Services ME 501(c)(3) 509(a)(2) N/A 0 Sebasticook Valley Family Practice Association 447 North Main Street Pittsfield ME 04967 010357854 Provide Patient Care ME 501(c)(3) 509(a)(2) N/A 0 Sebasticook Valley Work Health LLC 447 North Main Street Pittsfield ME 04967 453359446 Provide Patient Care ME 501(c)(3) 509(a)(2) N/A 0 Eastern Maine HomeCare PO Box 688 Caribou ME 04736 010328442 Provide Home Health and Hospice Services ME 501(c)(3) 509(a)(2) N/A 0 Beacon Health LLC 43 Whiting Hill Road Brewer ME 04412 452967056 Accountable care organization ME N/A related 0 0 Affiliated Healthcare Systems PO Box 940 Bangor ME 04402 010385322 Holding Company ME N/A C 0 Affiliated Healthcare Management PO Box 811 Bangor ME 04402 010349339 Health Care Management ME N/A C 0 Affiliated Laboratory Inc PO Box 638 Bangor ME 04402 010381283 Clinical Lab ME N/A C 0 Affiliated Materiel Services PO Box 1300 Bangor ME 04402 010381189 Purchasing ME N/A C 0 Affiliated Pharmacy Services 917 Union Street Suite 7 Bangor ME 04401 010587230 Pharmacy ME N/A C 0 Downeast Collections DBA Affiliated Collections Inc PO Box 2759 Bangor ME 04402 010366209 Collections ME N/A C 0 Meridian Mobile Health LLC 931 Union Street PO Box 940 Bangor ME 04402 010512673 Ambulance ME N/A C 0 Maine Network for Health 80 Exchange Street 6th Floor Suite Bangor ME 04401 010496352 Support Services ME N/A C 0 Dirigo Pines Retirement Community LLC 9 Alumni Drive Orono ME 04473 010537924 Holding Company ME N/A C 0 Dirigo Pines Inn LLC 9 Alumni Drive Orono ME 04473 020547749 Continuing Care ME N/A C 0 Dirigo Funding LLC 9 Alumni Drive Orono ME 04473 010599968 Provide Finance ME N/A C 0 Dirigo Pines Development Company LLC 9 Alumni Drive Orono NE 04473 010537924 RetCottag ME N/A C 0 M Drug LLC PO Box 1179 Bangor ME 04402 272175482 Pharmacy ME N/A C 0 Alliance Health Documentation LLC 9 Central Street Suite 205 Bangor ME 04401 462751855 Transcription ME N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0