2015-08-12T05:45:16-07:00 2014-09-27 990 2013-09-29 010527066 EASTERN MAINE HEALTHCARE SYSTEMS EAST 2079739081 43 WHITING HILL ROAD BREWER ME 04412 Derrick Hollings Treasurer 2015-08-12 false 2013 2016-02-25 16:41:14Z Derrick Hollings 43 Whiting Hill Road Brewer ME 04412 109660262 false false 5247 X www.emhs.org X 1999 ME EMHS,a supporting organization for healthcare affiliates, maintains and improves the health and well-being of the people of Maine through a well-organized network of local health care providers who together offer high quality, cost-effective services to their communities. 19 15 663 36 4107317 3193185 654893 68132677 87348605 7634319 1807865 187802 253914 79147983 90065277 0 0 46733460 62974060 0 0 25699766 27172278 72433226 90146338 6714757 -81061 178432574 219865695 105915672 125238175 72516902 94627520 X EMHS,a supporting organization for healthcare affiliates, maintains and improves the health and well-being of the people of Maine through a well-organized network of local health care providers who together offer high quality, cost-effective services to their communities. false false 89843523 87358187 Carried on supporting functions essential to Eastern Maine Medical Center, The Aroostook Medical Center, Inland Hospital, Acadia Hospital Corp., Sebasticook Valley Hospital, Charles A Dean Memorial Hospital,Mercy Hospital, and Blue Hill Memorial Hospital. EMHS performed standardization of practices, strategic planning, and capital allocation functions. EMHS board established and oversees the charity care policy of the 8 hospitals which is applied uniformly to most of the hospitals. EMHS hospitals provided cumulative charity care of $30,727,517(at cost) and other uncompensated care of $34,065,169(at cost) for a total uncompensated care of $64,792,686. The EMHS hospitals had a Medicare shortfall of $89,287,574 and a Medicaid shortfall of $66,495,159. In Schedule O, please see the annual publication for details of community benefit projects by Eastern Maine Healthcare Systems entities. Each year in the EMHS Annual Report, we present relevant topics, the important work going on throughout our system, and the continuing transformation of the healthcare landscape. As we pause to reflect on 2014, the dominate theme that resounds from Presque Isle to Portland and Blue Hill to Waterville is captured in one wordchange.At EMHS, in the past few years, we have reinvented leadership and governance structures and decision-making processes to better address the remarkable evolution of healthcare delivery and reimbursement that is predominant in our present environment. This restructuring is critical to ensure our system is well poised to provide the people of Maine with the right care, at the right time, and in the right place. Below are just a few highlights from this past year of initiatives that we believe are symbolic of the progress we continue to make:EMHS continues to make healthcare transformation and population health come to life. Through our Difference in Care report (released in October), we share timely statistical improvement as well as show how we are energizing and engaging employees, patients, providers, and communities in this challenging effort.We continue to work collaboratively at the national level, looking at not only making a difference in healthcare in Maine, but to be a change leader throughout the country. The Northern New England Accountable Care Collaborative is creating resources necessary to propel the reinvention of our care model. In addition, our work in the High Value Healthcare Collaborative (co-owned with Dartmouth, MaineHealth, and the University of Vermont Medical Center) this past year has been focused on sepsis care and prevention, patient engagement, and shared decision-making pilot projects.In mid-2014, EMHS completed a Community Health Needs Assessment of the northern two-thirds of Maineincluding the counties of Aroostook, Cumberland, Hancock, Kennebec, Penobscot, Piscataquis, Somerset, and Washington. This report is foundational and imperative to achieving our mission of improving the health and well-being of the communities we serve, and we are busy building work plans with partners in each of these counties to address the findings of the assessment.In addition, our community health work will advance as we embark on a three-year initiative to improve the health of Maines population in the seven most northern counties. This opportunity is made possible through a $4.05 million cooperative agreement with the Centers for Disease Control and Prevention where EMHS will lead a collaborative of eleven Healthy Maine Partnerships and other strategic community partners to reduce barriers that affect health, such as improving access to healthy foods, increasing opportunities for physical activity, preventing and managing chronic diseases, and educating and empowering people to lead healthy lives.This great work would not be possible without the efforts of the thousands of dedicated individuals who bring their talents and skills to EMHS sites of service across Maine. In addition, our team is superbly supported by more than 100 volunteer board members who give countless hours of guidance on behalf of their communities. Change is never easy, but all of us at EMHS are determined to create a healthcare delivery system of the future as we pursue our 2020 vision to be a nationally recognized model of excellence in healthcare.M. Michelle Hood, FACHEEMHS President and CEO Evelyn S. Silver, PhDEMHS Board Chair 89843523 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 false false false true false false false false false false false false false true true false false false false false true true true false false true 134 0 true 663 true true false false false false false false 0 false false false false false false false false false false X 19 15 true false true false true true true true true false false true true true true true true true true true true X X X John J Doyle 2079739081 43 Whiting Hill Rd Brewer ME 04412 EE comp is for admin svcs not brd respons 0.00 0.00 X 0 0 0 Mary M Hood President & CEO 50.00 0.00 X X 897311 0 250922 Michael L McInnis Board Member 1.06 0.00 X 0 0 0 Stephen Rich AIA Board Member 1.14 0.00 X 0 0 0 Kathleen J OberMD Board Member 0.64 50.00 X 0 420558 43349 P James Nicholson CPA Board Member 2.41 0.00 X 0 0 0 Betty Kent-Conant Board Member 0.43 0.00 X 0 0 0 Stanley S Bergen Jr MD Board Member 1.54 0.00 X 0 0 0 Danielle Ripich PhD Board Member 0.80 0.00 X 0 0 0 Nichi Farnham Board Member 1.40 0.00 X 0 0 0 Carl Flora Board Member 0.86 0.00 X 0 0 0 Joyce Hedlund EdD Board Member 1.29 0.00 X 0 0 0 John D Lafayette III Board Member 1.04 0.00 X 0 0 0 Michael D Lynch Board Member 1.87 0.00 X 0 0 0 Barry McCrum Brd Mbr/V-Chair 0.79 0.00 X X 0 0 0 Michael E Palumbo DO Board Member 0.96 50.00 X 0 273664 27740 Michael S Pancoe MD Board Member 1.17 0.00 X 0 0 0 Anne Perry Board Member 0.70 0.00 X 0 0 0 Evelyn S Silver PhD Brd Mbr/Chair 1.96 0.00 X X 0 0 0 John Simpson Board Member 0.89 0.00 X 0 0 0 Charles E Hewett PhD Board Member 0.48 0.00 X 0 0 0 Marianne Lynch Esq Board Member 1.15 0.00 X 0 0 0 James Donnelly Board Member 0.77 0.00 X 0 0 0 Daniel B Coffey SrVP,AHC 50.00 0.00 X 477525 0 48033 Deborah C Johnson RN Sr. V.P., EMMC 50.00 0.00 X 3299946 0 56187 Derrick Hollings Sr. VP, CFO/Tre 50.00 0.00 X 501117 0 176102 John D Dalton Sr. V.P.,Inland 0.50 50.00 X 0 283962 76180 Gregory E Roraff Sr. V.P., BHMH 50.00 0.00 X 270592 0 44996 Eugene F Murray Sr. V.P.,CADean 0.50 50.00 X 0 164239 57140 Sylvia S Getman Sr. V.P., TAMC 0.50 50.00 X 0 357415 85394 Teresa P Vieira Sr. V.P., SVH 0.50 50.00 X 0 214169 25742 Robert Thompson MD SrVP/CMO 50.00 0.00 X 0 0 0 Patrick J Whalen VP Bus Devel 50.00 0.00 X 297481 0 42865 Catherine J Bruno VP/CIO 50.00 0.00 X 302216 0 38880 Philip A Johnson VP, Chief HRO 50.00 0.00 X 309777 0 73904 Lisa Harvey-McPherson VP Con Care/CAO 50.00 0.00 X 188708 0 52823 Glenn Martin VP Gen Cnsl/Sec 50.00 0.00 X 323949 0 86699 Jean MMellett VP CapPlng 50.00 0.00 X 191610 0 36018 Michael Crowley VP/CPO, EMHSF 50.00 0.00 X 186937 0 26441 Richard W Freeman MD Sr. VP/CTO 50.00 0.00 X 439074 0 6558 Deborah M Sanford VP Org Effectiv 50.00 0.00 X 177887 0 41897 Miles Theeman VP, AHS 50.00 0.00 X 314309 0 53504 Eileen Skinner Sr.VP, Mercy 0.50 50.00 X 80012 855940 97793 Scott A Oxley VP/Corp Srvs 50.00 0.00 X 133853 108420 73037 Jeffrey A Sanford VP & Sys Contrl 50.00 0.00 X 237147 0 23899 Yoosuf Joe Siddiqui VP-HR, NE 0.00 50.00 X 0 75259 24107 Michael P Donahue VP Netwk Develp 50.00 0.00 X 301213 0 34257 Paul Bolin VP-HR, East 0.00 50.00 X 0 112945 32575 Peter Close VP-HR,Operation 50.00 0.00 X 166411 0 6009 Ted Helberg VP-HR, South 0.00 50.00 X 0 155001 21319 Colleen Hilton VP, VNA/Hospice 0.00 50.00 X 0 288976 40125 Greg Howat VP-HR, East E 0.00 50.00 X 0 272883 47917 Kyle L Johnson VP & CIO 50.00 0.00 X 0 0 0 Catharine MacLaren VP-HR, Talent 0.00 50.00 X 0 90247 15567 Lee Martin VP-HR,Empl Rel 50.00 0.00 X 79040 66964 47915 John Ronan Sr. VP-BHMH 50.00 0.00 X 133072 47177 22062 Karen M Rossbach Int VP&SysContr 50.00 0.00 X 133695 0 20474 Howard Margolskee Physician 50.00 0.00 X 259841 0 36059 Iyad Sabbagh Chief Quality Offi 50.00 0.00 X 237995 24635 43586 Christine B Worthen Assoc. Gen Cnsle 50.00 0.00 X 194353 0 12055 George Pellissier Dir-Materiel Mgmt 50.00 0.00 X 158951 0 25110 April Giard CNIO 50.00 0.00 X 157888 0 38891 David Peterson Former SR VP, TAMC 0.00 0.00 X 0 114961 0 V Alexander-Lane Former Sr.V.P., SVH 0.00 50.00 X 0 313733 10673 Erik N Steele DO Former SrVP/CMO 50.00 0.00 X 303889 0 33207 Ralph Swain Former Highly Compensated Employee 40.00 0.00 X 201157 0 0 10956956 4241148 2058011 75 true true false Cerner Corporation PO Box 410451 Kansas City MO 64141 Software Support 5677117 Siemens Medical Solutions USA Inc Dept 0733 Dallas TX 753120733 Hosting Services 1658412 Ropes & Gray LLP PO Box 414265 Boston MA 022414265 Legal Services 675818 River City Commercial Cleaning PO Box 56 Bangor ME 044020056 Cleaning Services 674688 Raymond James & Associates Inc 630 Fifth Avenue New York NY 10111 Consulting Services 637402 52 14781 447573 192539 654893 Clinical Software Sales 541519 1002395 1002395 Exempt Affiliate Rental 532000 3547699 3547699 Supporting Org Revenue 561000 82798511 78700776 4097735 87348605 873964 -4026 877990 0 0 868011 637296 230715 230715 13608 217107 19884575 7015 18950674 7015 933901 933901 933901 0 0 0 Fitness Center Fees 713940 23199 23199 23199 90065277 83250870 4107317 2052197 X 0 0 0 0 10738253 10738253 0 39798553 39798553 2997870 2997870 6019523 6019523 3419861 3419861 3040133 3040133 225550 225550 77265 77265 8388 8388 0 264415 264415 9122290 9122290 224911 224911 1133136 1133136 2330016 2330016 0 3041333 3041333 0 526119 526119 374625 374625 1298928 1298928 0 3883273 3883273 0 Dues & Subscriptions 868553 868553 Repairs & Maintenance 363833 363833 Provider Health Information 155070 155070 Employee Events Expense 110811 110811 123629 123629 90146338 89843523 302815 0 124491 152504 29189517 42495949 101211 143816 9839070 21196655 0 0 10744710 17328429 98668 133996 2294180 2210269 95150242 54702259 41416680 40447983 0 0 0 0 84624047 95756094 178432574 219865695 12669729 18889759 12528131 9892838 28298742 42395034 52419070 54060544 105915672 125238175 X 72431536 94553482 67866 51238 17500 22800 72516902 94627520 178432574 219865695 X -81061 2739001 19452678 X false true X true false X X X false false false Eastern Maine Medical Center 010211501 3 false true true 39570061 EMMC Auxiliary 010377901 9 false true true 1000 EMHS Foundation 222514163 11 false true true 208905 Acadia Hospital Corp 010459837 3 false true true 4035730 Acadia Healthcare Inc 223183888 9 false true true 75912 CA Dean Memorial Hospital 043341666 3 false true true 847646 Inland Hospital 010217211 3 false true true 1827085 Lakewood A Continuing Care Center 010421234 3 false true true 195469 Sebasticook Valley Health 010263628 3 false true true 457162 Me Inst for Human Genetics & Hlth 550894346 9 false true true 3129 Blue Hill Memorial Hospital 010227195 3 false true true 1933316 Eastern Maine HomeCare 010328442 9 false true true 150166 The Aroostook Medical Center 010372148 3 false true true 2131187 Norumbega Medical Specialists LTD 010465231 9 false true true 42152 Beacon Health LLC 452967056 11 false true true 190079 Mercy Hospital 010211534 3 false true true 6425763 VNA Home Health & Hospice 010246804 9 false true true 862 17 58095624 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false true false false false false true 17376 true 27342 false 44718 false false Part II-B, Line 1i - Other Activities Description Member Organization legislative updates, Issue: MaineCare ExpansionIssue: FY15 BudgetLD 936 "An Act To Authorize Municipalities To Impose Service Charges on Tax-exempt Property Owned by Certain Nonprofit Organizations"LD 1066 "An Act to Increase Access to Health Coverage and Qualify Maine for Federal Funding"LD 1487 "An Act To Implement Managed Care in the MaineCare Program"LD 1509 "An Act Making Unified Appropriations and Allocations for the Expenditures of State Government, General Fund and Other Funds and Changing Certain Provisions of the Law Necessary to the Proper Operations of State Government for the Fiscal Years Ending June 30, 2014 and June 30, 2015"LD 1578 "An Act To Increase Health Security by Expanding Federally Funded Health Care for Maine People"LD 1593 "Resolve, To Eliminate Financial Inequality in MaineCare Reimbursement for Community-based Behavioral Health Services"LD 1596 "Resolve, Directing the Department of Health and Human Services To Amend MaineCare Rules as They Pertain to the Delivery of Covered Services via Telecommunications Technology"LD 1664 "An Act to Encourage Charitable Contributions to Nonprofit Organizations"LD 1749 "An Act to Create Greater Cost Efficiency and Improve Health Outcomes by Incorporating Increased Access to Dental Services for Adults through MaineCare's Care Management and Coordination Initiatives"LD 1760 "An Act to Implement the Recommendations of the Commission to Study Transparency, Costs and Accountability of Health Care System Financing"LD 1766 "An Act To Clarify and Update a Nurse's Authority to Administer Medication"Non-deductible portion of dues 41425 5300 2829 1744 47810 38066 500 4055 1196 41425 33039 1000 5394 1367 38066 28268 5500 -114 615 33039 20256 5346 2666 28268 0.40460 0.59540 false true true 2389833 2389833 42569476 17364386 25205090 27173 10434 16739 41653139 32213839 9439300 8510621 5113600 3397021 40447983 Board designated funded depreciation 22542061 Board designated funds - other 20812 Interest in net assets held at EMHSF 74038 Investment in subsidiaries 6276663 Org costs & other long term investments 3073005 Self-Insurance Funds Held by Trustee 63769515 95756094 Accrued Post Retirement Benefits 22531944 Accrued Self Insurance Reserves 30533325 Changes in Fair Value of Swap 995275 54060544 X 176550063 2739001 83108490 85847491 90702572 -637295 -637295 90065277 173892124 637296 637296 173254828 -83108490 -83108490 90146338 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. Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990 Reimbursement of expenses reclass to exp $83108490 Part XII, Line 2d: Other expenses and losses per audited F/S Rental Expenses reclass to Line 6b $637296 Bad Debt expense relass to revenue $0 X X X X X true true false false false false false false false false April Giard CNIO 146620 9059 2209 12957 25934 196779 Catherine J Bruno VP/CIO 242377 32904 26935 19745 19135 341096 Christine B Worthen Assoc. Gen Cnsle 132356 15151 46846 10474 1581 206408 Colleen Hilton VP, VNA/Hospice 160754 91134 37088 14444 25681 329101 Daniel B Coffey SrVP,AHC 380562 72300 24663 30200 17833 525558 David Peterson Former SR VP, TAMC 114961 114961 114961 Deborah C Johnson RN Sr. V.P., EMMC 463347 89222 2747377 30200 25987 3356133 2734463 Deborah M Sanford VP Org Effectiv 158879 15949 3059 23590 18307 219784 Derrick Hollings Sr. VP, CFO/Tre 407711 81393 12013 152134 23968 677219 Eileen Skinner Sr.VP, Mercy 76799 325821 407804 3213 122315 57400 11475 3947 24971 141359 892386 Erik N Steele DO Former SrVP/CMO 133360 68936 101593 21660 11547 337096 Eugene F Murray Sr. V.P.,CADean 143668 7500 13071 26827 30313 221379 George Pellissier Dir-Materiel Mgmt 145966 10500 2485 13956 11154 184061 Glenn Martin VP Gen Cnsl/Sec 299530 21640 2779 60231 26468 410648 Greg Howat VP-HR, East E 237782 27000 8101 21457 26460 320800 Gregory E Roraff Sr. V.P., BHMH 220217 37234 13141 19066 25930 315588 Howard Margolskee Physician 234694 15840 9307 17562 18497 295900 Iyad Sabbagh Chief Quality Offi 224753 24409 12261 981 226 15650 503 24245 3188 277890 28326 Jean MMellett VP CapPlng 179840 9959 1811 10372 25646 227628 Jeffrey A Sanford VP & Sys Contrl 218885 16381 1881 13437 10462 261046 John D Dalton Sr. V.P.,Inland 261227 22735 60353 15827 360142 John Ronan Sr. VP-BHMH 131118 46247 1954 930 12715 942 5864 2541 151651 50660 Karen M Rossbach Int VP&SysContr 123371 8533 1791 10658 9816 154169 Kathleen J OberMD Board Member 413648 4000 2910 18025 25324 463907 Lee Martin VP-HR,Empl Rel 75396 50178 14480 3644 2306 13983 2853 17968 13111 110991 82928 Lisa Harvey-McPherson VP Con Care/CAO 167426 17980 3302 41484 11339 241531 Mary M Hood President & CEO 712895 171996 12420 232431 18491 1148233 Michael Crowley VP/CPO, EMHSF 167481 17293 2163 15527 10914 213378 Michael E Palumbo DO Board Member 254708 18956 4587 23153 301404 Michael P Donahue VP Netwk Develp 256564 29697 14952 22014 12243 335470 Miles Theeman VP, AHS 256635 39130 18544 30045 23459 367813 Patrick J Whalen VP Bus Devel 233856 48119 15506 21770 21095 340346 Peter Close VP-HR,Operation 157092 7249 2070 1372 4637 172420 Philip A Johnson VP, Chief HRO 279437 24927 5413 56461 17443 383681 Ralph Swain Former Highly Compensated Employee 201157 201157 Richard W Freeman MD Sr. VP/CTO 368490 63843 6741 5100 1458 445632 Scott A Oxley VP/Corp Srvs 132697 80193 23817 1156 4410 49353 133 13673 9878 196879 118431 Sylvia S Getman Sr. V.P., TAMC 250837 63668 42910 59750 25644 442809 Ted Helberg VP-HR, South 138803 12600 3598 10150 11169 176320 Teresa P Vieira Sr. V.P., SVH 194034 6000 14135 7719 18023 239911 V Alexander-Lane Former Sr.V.P., SVH 109527 25325 178881 3906 6767 324406 Mary Hood Daniel Coffey offcer=bd me 131116 AHA membership dues false Marianne Lynch Paul Bol brd mem=brd 302296 prop tax & land rent false Tracy Ronan fam mem=offi 106466 compensation false John Canders Partner fam mem=offi 108630 legal svc-Eaton Peab false Schedule L, Part V Supplemental Information Mary M. Hood, officer and Daniel B. Coffey, officer are board members of American Hospital Health Care Systems Governing Council.Marianne Lynch, director and Paul Bolin, officer are board members of City of Bangor boards.Tracy Ronan is the spouse of an officer and is an employee by Eastern Maine Healthcare Systems.John Canders is a family member of an officer and is a partner at Eaton Peabody in which Eastern Maine Healthcare Systems purchased legal services. Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: EMHS (Home Office)Leadership: President and CEO: M. Michelle Hood, FACHE; Board Chair: Evelyn S. Silver, PhDDescription: EMHS provides Maine communities with access to the right care, at the right time, and in the right place, while striving for efficiencies to control costs. The Home Office of EMHS works in support of the more than 10,000 employees throughout the system, including eight hospitals, emergency transport companies, home health agencies, and numerous long-term care and assisted living facilities.Home Office Employees: 797Locations: Brewer, Bangor, Orono (employees are also located at member organizations statewide)Highlights: Awarded a $4.05 million cooperative agreement by the Centers for Disease Control and Prevention, which will go towards leading a collaborative of strategic partners to serve seven northern Maine communities in a three-year initiative to improve population health Welcomed Kyle Johnson as EMHS system vice president and chief information officer and Robert Thompson, MD, as EMHS senior vice president and chief medical officer EMHS Move and ImproveOne of four statewide recipients recognized by the Wellness Council of Maine with the Empower Award for empowering employees to reach their full potential through wellness during the Maine Wellness Leadership Summit held in September Under the Office of the Chief Medical Officer, promoted April Giard, APRN, previously EMHS system director of Information Systems Applications and Nursing Informatics, as EMHS chief nursing information officer and is in the process of hiring a chief medical information officer (both positions will advance communication and collaboration among physicians, mid-level providers, and nurses) Renewed focus on consistency, quality, and patient experience by promoting two long-time employees to the senior leadership team: Iyad Sabbagh, MD, vice president, chief quality officer, and associate chief medical officer and Amy Cotton, FNP, vice president, EMHS Patient Engagement; a vice president of EMHS Clinical Performance will join this team to complete the clinical leadership dyad Elected Evelyn Silver, PhD, of Dedham, as new board chaira retired senior advisor to the president of the University of Maine and previously vice chair for the EMHS Board from 2011 to 2014EMHS (System-wide)Systemwide Employees: 10,421Highlights: Reported by Moodys, a national financial rating service, as having a Baa1 long- term rating Entered into a Letter of Intent with Maine Coast Memorial Hospital in August, allowing both organizations to explore and evaluate a structure for a closer relationship Elevated quality, efficiency, and patient experience, as well as further standardized care across the system through continued EMHS Reinvented team initiatives; notable achievements include, the Core Practice team launching their first pilot at TAMC, a systemwide rollout of a patient and family advisory kit, the creation of systemwide leadership individual development plans, and the development of more efficient and effective service lines Continued participation with the High Value Healthcare CollaborativeEMHS teams are currently involved in both a national sepsis performance improvement pilot project and a patient engagement, shared decision-making pilot project Promoted John Ronan as president and CEO of Blue Hill Memorial Hospital and a senior vice president of EMHS (he was previously the hospitals chief operating officer/chief strategy officer) and Colleen Hilton, RN, president and CEO of VNA, also became president and CEO of Eastern Maine HomeCare Hosted first annual Physician Leadership Summit in May, which brought physician leaders from across EMHS together to address current care delivery challenges and how, together, we can break down barriers to improving the health of even our most chronically ill patients OTHER PROGRAM SERVICES 5: Inland HospitalLeadership: President and CEO: John Dalton; Board Chair: John FortierDescription: A dynamic healthcare organization with a 48-bed community hospital in Waterville, a 105-bed continuing care center on the hospital campus, and 21 primary and specialty care physician practices in Waterville and five surrounding communities.Employees: 707Locations: Waterville, Fairfield, Oakland, North Anson, Augusta, Unity, MadisonHighlights: Awarded an A grade for safety and quality (second time in two years), and named as a Top Rural Hospital (fourth time in five years) by The Leapfrog Group, a national coalition of independent purchasers of healthcare Lakewood Continuing Care Center, located on the Inland campusReceived the 2014 American Health Association Bronze Award for Commitment to Quality Received Avatar Award for Exceeding Patient Expectations (eighth year in a row) and Most Wired Hospital Award (second year in a row) More than 300 families in central Maine participated in the Lets Go! Family Fun Series event, which is part of Inlands commitment to fight childhood obesity Welcomed new providers to the Inland staff: Denise Bouchard, family nurse practitioner; Alicia Brown, DO, family physician; Linda Kelly, nurse practitioner, Neurology; Mark Klemperer, MD, OB/GYN; Syed Rahmatullah, MD, cardiologist; Richard Samson, DPM, podiatrist; Barbara Segal, MD, rheumatologist; and Gloria Simms, MD, neurologist Inland Hospital and Sebasticook Valley Hospital (Pittsfield) collaborated to enhance diabetes, OB/GYN, and surgical services for our communitiesMercy HospitalLeadership: President and CEO: Eileen Skinner; Board Chair: Tom YoderDescription: Mercy Health System includes Mercy Hospital, Garys House, McAuley Residence, Mercy Recovery Center, and VNA Home Health Hospice. Mercy Health System provides a broad range of medical and surgical services, as well as nine primary care locations, five express care locations, and 17 sub-specialty physician practices ranging from thoracic and spine surgery to ear, nose, and throat and cancer care.Employees: 1,870Locations: Portland, Westbrook, Gorham, Windham, Yarmouth, Standish, South Portland, Falmouth, West FalmouthHighlights: Maintained an A safety score from The Leapfrog Group; became recertified by The Joint Commission in the Total Hip/Knee Program and the Spine Surgery Program; and earned a full, three-year National Accreditation Program for Breast Center (NAPBC) from the American College of SurgeonsMercy also continues to exceed goals for patient satisfaction for the hospital survey The Orthopaedic InstituteIncreased volume by 39 percent since 2010, making up 41 percent of all surgical cases Successfully opened Mercys Express Care+ at the Fore River location in Portland, Maine, increasing the total number of express care facilities Mercy offers to the southern Maine population to five; also, opened Mercy Primary Care South, located in South Portland Selected as one of 35 hospitals nationwide to participate in the American College of Cardiology Patient Navigator Program, providing personalized services to heart disease patients to avoid a readmission to the hospital Continued to work closely with each member of the medical neighborhood, a MeHAF grant-funded payment reform initiative: Amistad, Healthcare for the Homeless, Opportunity Alliance, Portland Public Health, and Portland Community Health Center to include referrals and all ancillary services Presented with a grant from the Tyler Family Foundation to build the Tyler Suite at the State Street location, providing a welcoming and peaceful space for patients and families facing life-threatening and terminal illness OTHER PROGRAM SERVICES 6: Acadia HospitalLeadership: President and CEO: Daniel B. Coffey; Board Chair: Michael T. SheaDescription: Acadia Hospital operates a 100-bed acute care, regional, psychiatric hospital located in Bangor, Maine. The hospital is the sole corporate member of Acadia Healthcare that provides a substance use 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.Employees: 618Location: BangorHighlights: Collaborated with the Bangor Symphony Orchestra to develop a music and wellness program for patients with performances by the Juniper String Quartet Dedicated the Cyr Interfaith Chapel, made possible by a gift from Sue and Joe Cyr Expanded mental health services into primary care practices and hospital emergency departments, in part through televideo (telepsychiatry) technology Continued to fund and provide an experienced certified mental health rehabilitation technician (MHRT) to the Bangor Police Department to assist in community outreach and mental health interventions Implemented a new case management program known as a behavioral health home Began offering school-based services in Knox CountyEastern Maine HomeCareLeadership: President and CEO: Colleen Hilton, RN, BSN; Board Chair: Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Nichi Farnham, board member and Stephen Rich, board member are board members of Bangor Nursing and Rehab Center.Charles E. Hewitt, board member is a member of Bangor Savings Bank board, Stephen Rich, board member is corporator of Bangor Savings Bank, and Scott Oxley, officer is board member of Bangor Savings Bank.Mary M. Hood, board member/officer, and James Donnelly, board member, are board members of University of Maine Systems board, Michael D. Lynch, board member is a board member of University of Maine Alumni board, and Miles Theeman, officer is a board member of University of Maine Board of Visitors board.Mary M. Hood, board member/officer, Sylvia Getman, officer, and Daniel Coffey, officer, are board members of Maine Hospital Association board. Daniel Coffey, officer, is also a member of the MHA Council on Mental Health.Daniel B. Coffey, officer and Deborah C. Johnson, officer are board members of Husson University.Marianne Lynch, board member, and Paul Bolin, officer, are board members of the City of Bangor.Mary M. Hood, board member/officer, and Daniel Coffey, officer, are members of the American Hospital Association Health Care Systems Governing Council.P. James Nicholson, board member, and John Dalton, officer, are board members of Waterville Development Corporation.Stephen Rich, board member, and Eileen Skinner, officer, are board members of Maine State Chamber of Commerce. Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents SUMMARY OF CHANGES TO EMHS BYLAWSINCORPORATED INTO RESTATED BYLAWS ADOPTED 12/18/20131.Article II - Membership (Corporators) This Article was changed to:a.Increase the maximum number of Corporators from 200 to 250 to accommodate the southern Maine market (Section 1).b.Change the month of the Annual Meeting to June (Section 2).c.Section 9 (Balloting) -now refers to the EMHS Nominating Committee, rather than the Governance Committee.2.Article IV - Board a. Mercy Hospital was added to the roster of rotating Integrated Member Organizations from whose medical staff the physician director is selected3.Article V - Officers a.Section 1 of Article V imposes a limit on the number of terms the Chair and the Vice Chair can serve to three (3) consecutive one-year terms. The previous EMHS Bylaws imposed a five-year term limit on the Chair and the Vice Chair.4.Article VI - Committees a.The nominating function of the Governance Committee has been removed from the jurisdiction of the Governance Committee and there is now a standing Nominating Committee (Section 15). b.Section 16 (Integration of Board Committee Membership), is amended to realign corporator regions into northwestern, eastern and southern. Section 16 provides that the Board Chair shall ensure that one or more members from the Boards of Integrated Member Organization based in the northwestern, eastern and southern regions be appointed as members to the Nominating Committee, the Finance Committee and the Strategic Planning Committee.5. Article VII - Fiduciary Duty; Prohibited Transactions; Divided Loyalty; IndependenceA new Section 4 (Disqualification) was added under VII. This section provides that an individual shall be deemed disqualified to serve as a Director in the event that the Board of Directors determines at any time the individual has failed to comply with the Corporation's Code of Conduct, Compliance Plan, Conflict of Interest Policy, or any other Board policy binding on Directors. Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Eastern Maine Healthcare Systems (EMHS) is a Maine nonprofit corporation organized with at least 125 and not more than 250 individual members representing the geographic area served by its subsidiary corporations. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body Each year at the organizations annual meeting, the members elect replacements for those members and those directors whose terms are expiring, subject to the concurring action of the board of directors. If the board does not approve the slate of members or directors elected by the members themselves, the meeting is adjourned and the nominating committee of the board is charged with nominating a new slate. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders Approval of the members is required to ratify any amendment adopted by the Board of Directors to the Articles of Incorporation or the Bylaws changing the number, geographic distribution, qualifications, organization or election of members; or changing the election of Directors; or to ratify any merger, consolidation or dissolution of the Corporation. Form 990, Part VI, Line 11b: Form 990 Review Process Form 990 is reviewed by the System Director of Financial Services, System Assistant System Controller, and/or CFO. 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 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 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 EMHS President/CEO and EMHS Executive Performance Management Committee.On an annual basis, the compensation ranges are compared to the updated survey information. The hiring manager will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Eastern Maine Healthcare Systems 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 Adjustment to Apply Recognition Provisions of FASB Statement = -$375389 Other Changes In Net Assets Or Fund Balances - Other Increases Contribution of Capital from AHI = $17449 Other Changes In Net Assets Or Fund Balances - Other Increases Contribution of Capital from Beacon Health = $6007 Other Changes In Net Assets Or Fund Balances - Other Increases Contribution of Capital from EMMC Aux = $35 Other Changes In Net Assets Or Fund Balances - Other Increases Contribution of Capital from Lakewood = $6840 Other Changes In Net Assets Or Fund Balances - Other Increases Contribution of Capital from Mercy Hospital = $2691953 Other Changes In Net Assets Or Fund Balances - Other Increases Contribution of Capital from MIHGH = $334815 Other Changes In Net Assets Or Fund Balances - Other Increases Contribution of Capital from Norumbega = $1475 Other Changes In Net Assets Or Fund Balances - Other Increases contribution of Capital from Rosscare = $14306 Other Changes In Net Assets Or Fund Balances - Other Increases Contributions of Capital from Acadia Hospital = $699127 Other Changes In Net Assets Or Fund Balances - Other Increases Contributions of Capital from CADean Hospital = $367919 Other Changes In Net Assets Or Fund Balances - Other Increases Contributions of Capital from Eastern Maine Home Care = $98512 Other Changes In Net Assets Or Fund Balances - Other Increases Contributions of Capital from Eastern Maine Medical Center = $15049685 Other Changes In Net Assets Or Fund Balances - Other Increases Contributions of Capital from Sebasticook Valley Hospital = $644225 Other Changes In Net Assets Or Fund Balances - Other Increases Contributions of Capital from The Aroostook Medical Center = $2777278 Other Changes In Net Assets Or Fund Balances - Other Decreases Contributions of Capital to Eastern Maine Home Care = -$81362 Other Changes In Net Assets Or Fund Balances - Other Increases Contriibutions of Capital from Blue Hill Memorial Hospital = $1022456 Other Changes In Net Assets Or Fund Balances - Other Increases Contriibutions of Capital from Inland Hospital = $2249951 Other Changes In Net Assets Or Fund Balances - Other Decreases Interest in Beacon Health, LLC = -$6062526 Other Changes In Net Assets Or Fund Balances - Other Decreases Interest in Net Assets Held at EMHS Foundation = -$10078 Eastern Maine Medical Center EMMC 489 State Street PO Box 404 Bangor ME 044020404 010211501 Provide healthcare services ME 501(c)(3) 3 Eastern Maine Healthcare Systems EMHS true Eastern Maine Healthcare Real Estate 43 Whiting Hill Road Brewer ME 04412 010391036 Leases real estate ME 501(c)(2) EMHS true Rosscare 43 Whiting Hill Road Suite 400 Brewer ME 04412 010391038 Provide services to elderly ME 501(c)(3) PF EMHS true Rosscare Nursing Homes Inc 43 Whiting Hill Road Suite 400 Brewer ME 04412 010430751 Operation of nursing homes ME 501(c)(3) 9 Rosscare true Acadia Hospital Corp AHC 43 Whiting Hill Road Brewer ME 04412 010459837 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 EMMC ME 501(c)(3) 9 EMMC true Acadia Healthcare Inc AHI 43 Whiting Hill Road Brewer ME 04412 223183888 Provide healthcare services ME 501(c)(3) 9 AHC true EMHS Foundation 43 Whiting Hill Road Suite 400 Brewer ME 04412 222514163 Raise & manage funds for exempt orgs ME 501(c)(3) 11, Type II EMHS true Norumbega Medical Specialists LTD 43 Whiting Hill Road Suite 400 Brewer ME 04412 010465231 Provide patient care & education ME 501(c)(3) 9 EMMC 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 & long term nursing care ME 501(c)(3) 3 Inland Hospital true CA Dean Memorial Hospital Pritham Avenue 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 Corp 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 orgs 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 & hospice svcs ME 501(c)(3) 9 EMHS true ME Institute for Human Genetics & Health 43 Whiting Hill Road Brewer ME 04412 550894346 Biomedical research & development ME 501(c)(3) 9 EMHS true Blue Hill Memorial Hospital 57 Water Street Blue Hill ME 046145231 010227195 Provide healthcare services ME 501(c)(3) 3 EMHS true Meadow Wood LLC 43 Whiting Hill Road Brewer ME 04412 272935243 Provide patient care ME 501(c)(3) 9 AHI true Restorative Health LLC 43 Whiting Hill Road Brewer ME 04412 352449986 Provide mental & behavioral health srvs 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 Sebasticook Valley Work Health LLC 447 North Main Street Pittsfield ME 04967 453359446 Provide patient care ME 501(c)(3) 3 SVH 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 Support org for hlthcare 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 hlth and hospice srvs ME 501(c)(3) 9 EMHS true Beacon Health LLC 43 Whiting Hill Road Brewer ME 04412 452967056 Accountable care organization ME EMHS Related -10223489 2555324 false false 0.91000 New Century Healthcare 300 Main Street Lewiston ME 04240 010536801 LLC-Venture ME N/A Related false false 0.50000 Affiliated Healthcare Systems AHS PO Box 940 Bangor ME 044020940 010385322 Holding Co. ME EMHS C 2561686 10652127 1.00000 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 Affiliated Pharmacy Services 917 Union St Ste 7 Bangor ME 04401 010587230 Pharmacy 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 14300 644194 0.64000 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 -75124 16694177 1.00000 true Dirigo Funding LLC 9 Alumni Drive Orono ME 04473 010599968 Prov finance ME AHS C true Dirigo Pines Development Co LLC 9 Dirigo Drive Orono ME 04473 010537924 RetCottage 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 true false false true true false false false false false false true true false false true true true true Eastern Maine Medical Center EMMC a 3446521 FMV Eastern Maine Medical Center EMMC e 97500 FMV Eastern Maine Medical Center EMMC l 39580061 FMV Eastern Maine Medical Center EMMC m 325789 FMV Eastern Maine Medical Center EMMC p 392322 FMV Eastern Maine Medical Center EMMC q 48047454 FMV Eastern Maine Medical Center EMMC s 15049686 FMV Rosscare a 120298 FMV Rosscare l 194573 FMV Rosscare q 81625 FMV Acadia Hospital Corp AHC l 4035730 FMV Acadia Hospital Corp AHC q 4851432 FMV Acadia Hospital Corp AHC s 699127 FMV Acadia Healthcare Inc AHI l 75912 FMV Acadia Healthcare Inc AHI q 263180 FMV EMHS Foundation l 208905 FMV EMHS Foundation q 2335958 FMV Inland Hospital l 1829106 FMV Inland Hospital q 4988146 FMV Inland Hospital s 2249951 FMV Lakewood A Continuing Care Center l 195469 FMV CA Dean Memorial Hospital l 847646 FMV CA Dean Memorial Hospital q 1560735 FMV CA Dean Memorial Hospital s 367918 FMV Sebasticook Valley Health SVH l 457162 FMV Sebasticook Valley Health SVH q 2884523 FMV Sebasticook Valley Health SVH s 644225 FMV The Aroostook Medical Center TAMC a 22390 FMV The Aroostook Medical Center TAMC d 4400000 FMV The Aroostook Medical Center TAMC l 2166956 FMV The Aroostook Medical Center TAMC q 7870437 FMV The Aroostook Medical Center TAMC s 2777278 FMV Eastern Maine HomeCare a 98636 FMV Eastern Maine HomeCare l 150166 FMV Eastern Maine HomeCare q 1064505 FMV Eastern Maine HomeCare r 81362 FMV Eastern Maine HomeCare s 98512 FMV ME Institute for Human Genetics & Health s 334815 FMV Blue Hill Memorial Hospital l 1934464 FMV Blue Hill Memorial Hospital q 2944330 FMV Blue Hill Memorial Hospital s 1022456 FMV Mercy Hospital a 316593 FMV Mercy Hospital d 69660678 FMV Mercy Hospital e 69660678 FMV Mercy Hospital l 6425762 FMV Mercy Hospital q 13048080 FMV Mercy Hospital s 2691954 FMV VNA Home Health & Hospice q 1291823 FMV Beacon Health LLC m 1202828 FMV Beacon Health LLC r 6062527 FMV Affiliated Healthcare Systems AHS a 12411 FMV Affiliated Healthcare Systems AHS l 2566068 FMV Affiliated Healthcare Management a 34400 FMV Affiliated Healthcare Management l 2109547 FMV Affiliated Healthcare Management m 270588 FMV Affiliated Healthcare Management q 615996 FMV Affiliated Laboratory Inc a 31470 FMV Affiliated Laboratory Inc l 907656 FMV Affiliated Laboratory Inc q 2328523 FMV Affiliated Materiel Services l 792998 FMV Affiliated Materiel Services p 59076 FMV Affiliated Materiel Services q 461663 FMV Meridian Mobile Health LLC l 272064 FMV Meridian Mobile Health LLC q 488496 FMV Maine Network for Health m 368023 FMV M Drug LLC a 71935 FMV M Drug LLC l 102019 FMV Alliance Health Documentation LLC a 10 FMV