2014-08-12T06:38:18-07:00 2013-09-28 990 2012-09-30 010527066 EASTERN MAINE HEALTHCARE SYSTEMS EAST 2079737064 43 WHITING HILL ROAD BREWER ME 04412 Derrick Hollings 2014-08-12 false 2012 2015-11-30 17:44:51Z Derrick Hollings 43 Whiting Hill Road Brewer ME 04412 130794027 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 14 579 41 1978165 -139212 5871413 3193185 53623290 68132677 4000590 7634319 119201 187802 63614494 79147983 0 0 42509153 46733460 0 0 24539448 25699766 67048601 72433226 -3434107 6714757 172486113 178432574 109878561 105915672 62607552 72516902 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 71213112 68141263 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, 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 7 hospitals which is applied uniformly to most of the hospitals. EMHS hospitals provided cumulative charity care of $26,166,442(at cost) and other uncompensated care of $21,624,184 (at cost) for a total uncompensated care of $47,790,626. The EMHS hospitals had a Medicare shortfall of $47,886,567 and a Medicaid shortfall of $56,948,166. In Schedule O, please see the annual publication for details of community benefit projects by Eastern Maine Healthcare Systems entities. Our letters in the past several annual reports have focused on change and reinvention. We have written about reinventing the care delivery model, reinventing management and governance structures and processes, as well as reinventing the EMHS brand. All of those activities continue to successfully evolve and mature in our traditional scope of work. This year, our letter focuses on recent developments at EMHS that position us to be successful in our rapidly changing national healthcare delivery and reimbursement environment. While our population health management effort certainly is not the only strategic initiative EMHS has pursued in the last year, we wish to specifically share our current success in that area through the following updates:-EMHS has been widening its sphere of influence as it relates to both clinical services and transformation of the healthcare delivery and reimbursement models. It is our belief that we can best serve the people of Maine by creating or contributing to an environment that is focused on moving healthcare delivery away from a fee-for-service model to a population health approach. To build the bridge to this future, we have been widening our network. The work of Beacon Health, our accountable care organizational home, has succeeded in forming a network of partner providers to join us in a sophisticated, well-coordinated, chronic illness-oriented approach aimed at improving healthcare for Maine people. In addition, through Beacon Health, we are establishing new partnerships with insurers and employers who share our vision. We expect these partnerships to grow in scope and sophistication in the years ahead.-We are also founding shareholders in the Northern New England Accountable Care Collaborative (NNEA CC). This joint venture with MaineHealth, Dartmouth Hitchcock, and The Dartmouth Institute is providing us with analytic and predictive modeling competencies that will contribute to accelerated clinical performance improvement and management of population health risk.-As we have engaged with development of the regional NNEACC initiative, a national opportunity has been presented to us. We are now participating in a twenty system effort, the High Value Health Collaborative (HVHC), which is focused on advancing best practice clinical services across its membership serving 70,000,000 patients nationally. Together with HVHC partners Dartmouth, Mayo Clinic, Intermountain Healthcare, UCLA, Providence Health and many other prominent providers we are setting an aggressive agenda for clinical transformation.The growth of our services, outreach, and partnerships are reflective of EMHS vision to be a nationally recognized model of excellence in healthcare. We expect the journey to be an exciting and challenging one, and hope you will join us in our efforts. We hope you enjoy reading about the many other positive contributions EMHS members have made during the last year, as illustrated in this report. Together, we are all working towards excellence in providing patients with the right care, in the right place, and at the right time.Sincerely,M. Michelle Hood, FACHEEMHS President and CEOP. James Nicholson, CPAEMHS Board Chair 71213112 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 false true false false false false false true true true false false true 111 0 true 579 true true false false false false false false 0 false false false false false false false false false false X 19 14 true false true false true true true true true false false true true true true true true true true true true ME X X X Jeffrey A Sanford 2079737894 43 Whiting Hill Rd Brewer ME 04412 Marianne Lynch Esq 1.00 0.00 X 0 0 0 Charles E Hewett PhD 0.60 0.00 X 0 0 0 John Simpson 1.30 0.00 X 0 0 0 Evelyn S Silver PhD 1.50 0.00 X X 0 0 0 Katrina R Parson 1.00 0.00 X 0 0 0 Michael S Pancoe MD 1.20 50.00 X 0 0 0 Michael E Palumbo DO 0.65 50.00 X 0 268092 27759 Barry McCrum 0.65 0.00 X 0 0 0 Michael D Lynch 1.50 0.00 X 0 0 0 John D Lafayette III 1.20 0.00 X 0 0 0 Joyce Hedlund EdD 1.40 0.00 X 0 0 0 Carl Flora 1.15 0.00 X 0 0 0 Nichi Farnham 1.37 0.00 X 0 0 0 William A Schaffer MD 0.12 50.00 X 0 249825 47434 Stanley S Bergen Jr MD 1.37 0.00 X 0 0 0 Betty Kent-Conant 0.54 0.00 X 0 0 0 P James Nicholson CPA 2.17 0.00 X X 0 0 0 Kathleen J OberMD 0.17 50.00 X 0 449456 31255 Stephen Rich AIA 1.19 0.00 X 0 0 0 Michael L McInnis 0.29 0.00 X 0 0 0 Mary M Hood 50.00 0.00 X X 844254 0 248039 EE comp is for admin svcs 0.00 0.00 X 0 0 0 Michael P Donahue 50.00 0.00 X 265134 24503 33064 Theresa P Vieira 0.00 50.00 X 0 181587 25454 Jeffrey A Sanford 50.00 0.00 X 181160 0 20319 Scott A Oxley 0.00 50.00 X 0 278915 41242 Miles Theeman 50.00 0.00 X 321142 0 140100 Deborah M Sanford 0.00 50.00 X 68449 93371 28567 Richard W Freeman MD 50.00 0.00 X 321774 0 1436 Michael Crowley 50.00 0.00 X 180601 0 26052 Jean MMellett 50.00 0.00 X 144410 0 36176 Glenn Martin 50.00 0.00 X 298749 0 43740 Lisa Harvey-McPherson 50.00 0.00 X 180227 0 25270 Philip A Johnson 50.00 0.00 X 277183 0 36992 Catherine J Bruno 50.00 0.00 X 279040 0 36394 Patrick J Whalen 50.00 0.00 X 280158 0 42196 Erik N Steele DO 50.00 0.00 X 362861 0 51056 Victoria A Alexander-Lane 0.50 50.00 X 0 256410 31355 Sylvia S Getman 0.50 50.00 X 0 329787 129901 Eugene F Murray 0.50 50.00 X 0 174771 46413 Gregory E Roraff 50.00 0.00 X 274248 0 29435 John D Dalton 0.50 50.00 X 0 270497 75363 Derrick Hollings 50.00 0.00 X 301549 0 15022 Deborah C Johnson RN 50.00 0.00 X 521048 0 472548 Daniel B Coffey 50.00 0.00 X 453414 0 46664 Ralph W Swain 50.00 0.00 X 294418 0 18651 George Pelissier 50.00 0.00 X 153472 0 21058 Christine B Worthen 50.00 0.00 X 192724 0 9411 April Giard 50.00 0.00 X 168493 0 34864 Cynthia Olivier 50.00 0.00 X 178431 0 20715 David Peterson 0.00 0.00 X 0 106977 0 John May 0.00 0.00 X 0 136534 0 6542939 2820725 1893945 60 true true false Siemens Medical Solutions USA Inc Dept 0733 Dallas TX 753120733 Hosting Services 1736598 River City Commercial Cleaning PO Box 56 Bangor ME 044020056 Cleaning Services 575302 Penobscot Community Healthcare PO Box 1358 Bangor ME 044021358 Grant Support 865701 Cigna Healthcare 5082 Collections Center Dr Chicago IL 606930050 Plan Administrator 3730257 Cerner Corporation PO Box 412732 Kansas City MO 641412732 Software Support 4488204 29 65879 2762956 364350 3193185 Supporting Org Revenue 561000 63620266 61650687 1969579 Exempt Affiliate Rental 532000 3562233 3562233 Clinical Software Sales 541519 950178 950178 68132677 49791 172 49619 0 0 763319 596597 166722 166722 8414 158308 58628105 5870 51045406 4041 7582699 1829 7584528 7584528 0 0 0 Fitness Center Fees 713940 21080 21080 21080 79147983 66163098 1978165 7813535 X 0 0 0 0 6867175 6867175 0 30439996 30439996 2761537 2761537 4112319 4112319 2552433 2552433 0 1098824 1098824 121290 121290 7831 7831 0 183289 183289 11366578 11366578 105843 105843 997387 997387 2031123 2031123 0 2310514 2310514 401766 401766 0 351033 351033 1145993 1145993 0 3786738 3786738 0 Gifts & Contributions 234331 234331 Employee Events Expense 236563 236563 Repairs & Maintenance 327526 327526 Dues & Subscriptions 660627 660627 332510 332510 72433226 71213112 1220114 0 5542 124491 29277148 29189517 784973 101211 2591143 9839070 0 0 8609393 10744710 139867 98668 1656454 2294180 91951346 50534666 41911598 41416680 0 0 0 0 87509995 84624047 172486113 178432574 10350161 12669729 7391637 12528131 37987022 28298742 54149741 52419070 109878561 105915672 X 62473271 72431536 117281 67866 17000 17500 62607552 72516902 172486113 178432574 X 6714757 -3088867 6283460 X false true X true true true X X X false false false Beacon Health LLC 452967056 11 false true true 216790 Norumbega Medical Specialists LTD 010465231 9 false true true 40405 The Aroostook Medical Center 010372148 3 false true true 1538982 Eastern Maine HomeCare 010328442 9 false true true 120493 Blue Hill Memorial Hospital 010227195 3 false true true 1748885 Me Inst for Human Genetics & Hlth 550894346 9 false true true 24881 Sebasticook Valley Health 010263628 3 false true true 406136 Lakewood A Continuing Care Center 010421234 3 false true true 185732 Inland Hospital 010217211 3 false true true 1510047 CA Dean Memorial Hospital 043341666 3 false true true 705689 Acadia Healthcare Inc 223183888 9 false true true 75086 Acadia Hospital Corp 010459837 3 false true true 3557618 EMHS Foundation 222514163 11 false true true 195376 EMMC Auxiliary 010377901 9 false true true 1000 Eastern Maine Medical Center 010211501 3 false true true 37376521 15 47703641 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false true false false false false true 15507 true 1686 false 17193 false false Part II-B, Line 1i Part II-B, Line 1i - Other Activities Description LR 1045 (Budget Session)LD 448 "An Act to Authorize the State Employee Health Commission's Preferred Provider Program"LD 882 "An Act to Amend the Laws Governing Confidentiality of Health Care Information to Enhance Public Safety"LD 1230 "An Act to Improve Access to Oral Health Care"LD 1134 "An Act to Allow Collaborative Practice Agreements Between Authorized Practitioners and Pharmacists"LD 1006 "An Act to Clarify Transparency of Medical Provider Profiling Programs Used by Insurance Companies and Other Providers of Health Insurance"LR 1046 Biennial BudgetLD 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 951 "An Act to Repeal the 2-year Limit on Methadone and Suboxone Treatments under MaineCare"LD 802 "An Act to Encourage Alternative Forms of Treatment for Opiate or Opioid Additiction by Prohibiting MaineCare Coverage for Medication-assisted Treatment for Addiction"LD 908 "An Act to Limit MaineCare Reimbursement for Suboxone and Methadone Treatment"LD 534 "An Act to Improve Care Coordination for Persons with Mental Illness"LD 1326 "An Act to Prevent Youth Tobacco Use"LD 1406 "An Act to Reduce Youth Smoking and Improve Public Heallth by Increasing Revenue from the Cigarette Tax to the Fund for a Healthy Maine and to Pay Debts Owed to Health Care Providers"LD 1367 "An Act to Require Health Insurnace Carriers and the MaineCare Program to Cover the Cost of Transition Services to Bridge the Gap between High School and Independence"LD 1031 "An Act to Require a Mandatory Peer Review Process for the Restraint and Seclusion of Children in a Hospital or Children's Home"LD 1555 "An Act to Strengthen Maine's Hospitals and to Provide for a New Spirits Contract"LD 1066 "An Act to Increase Access to Health Coverage and Qualify Maine for Federal Funding"Non-deductible portion of dues 38066 500 4055 1196 41425 33039 1000 5394 1367 38066 28268 5500 -114 615 33039 20256 5346 2666 28268 8577 10154 1525 20256 0.45700 0.54300 false true true 2389833 2389833 42504786 16047557 26457229 12792 7431 5361 38799661 29780048 9019613 8244274 4699630 3544644 41416680 Self insurance funds held by trustee 52210425 Org costs & other long term investments 3105394 Investment in subsidiaries -457197 Interest in net assets held at EMHSF 85366 Board designated funds - other 19562 Board designated funded depreciation 29660497 84624047 Changes in Fair Value of Swap 1351513 Accrued Self Insurance Reserves 31971094 Accrued Post Retirement Benefits 19096463 52419070 X 140361708 -3088867 65996404 62907537 77454171 1693812 1693812 79147983 136865151 -1498600 -1498600 138363751 -65930525 -65930525 72433226 Part XI, Line 4b Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S Rental Expenses reclass to Line 6b $-596596 Restricted contributions to fund balance $195212 Bad Debt expenses reclassed to revenue $2095196 Part XI, Line 2d Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990 Reimbursement of expenses reclass to exp $65996404 Donation of services removed $0 Part X 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 ("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 V, Line 4 Part V, Line 4: Intended uses of the endowment fund. Endowment funds are designated for purposes that align within this organization's exempt purpose. X true true X X X X X false true false false false false false false false false William A Schaffer MD 244548 4000 1277 19700 27734 297259 Victoria A Alexander-Lane 217648 22762 16000 8750 22605 287765 Theresa P Vieira 157789 23798 6629 18825 207041 Sylvia S Getman 243047 46289 40451 105257 24644 459688 Scott A Oxley 210233 32872 35810 18532 22710 320157 Richard W Freeman MD 315432 6342 1436 323210 Ralph W Swain 88320 161190 44908 14190 4461 313069 Philip A Johnson 249965 22844 4374 16665 20327 314175 Patrick J Whalen 220589 44189 15380 21415 20781 322354 Miles Theeman 256556 45882 18704 116027 24073 461242 Michael P Donahue 221605 23543 33671 9858 960 21350 486 10339 889 296823 25878 Michael E Palumbo DO 249654 18438 4497 23262 295851 Michael Crowley 163559 14887 2155 15596 10456 206653 Mary M Hood 691048 140786 12420 225828 22211 1092293 Lisa Harvey-McPherson 158917 18394 2916 14418 10852 205497 Kathleen J OberMD 423012 26444 5425 25830 480711 John May 136534 136534 136534 John D Dalton 248457 22040 60246 15117 345860 Jeffrey A Sanford 170628 8827 1705 10433 9886 201479 Jean MMellett 134604 8707 1099 13296 22880 180586 Gregory E Roraff 221495 42480 10273 5000 24435 303683 Glenn Martin 272493 23574 2682 17250 26490 342489 George Pelissier 140584 10550 2338 11031 10027 174530 Eugene F Murray 146078 10000 18693 17412 29001 221184 Erik N Steele DO 302402 52382 8077 22150 28906 413917 Derrick Hollings 269077 965 31507 15022 316571 Deborah M Sanford 67353 91894 1096 1477 1388 10023 7258 9898 77095 113292 Deborah C Johnson RN 450098 58036 12914 448056 24492 993596 David Peterson 106977 106977 106977 Daniel B Coffey 366860 65272 21282 29600 17064 500078 Cynthia Olivier 165741 10167 2523 12246 8469 199146 Christine B Worthen 177885 13197 1642 6679 2732 202135 Catherine J Bruno 242283 31920 4837 19357 17037 315434 April Giard 128168 38370 1955 9015 25849 203357 Sch J, Part I, Line 1a Part I, Line 1a: Relevant information in regards to selections on 1a. Jeffrey Sanford, officer received a gift certificate for length of service with the organization for $25 with a $13.85 gross-up payment. Cynthia Olivier, highest compensated employee, received a gift certificate for length of service with the organization for $20 with a $1.20 gross-up payment. Michael Donahue, officer received a gift certificate for length of service with the organization for $50 with a $27.70 gross-up payment. All employees of the organization are honored with a gift certificate for specific years of length of service; 5, 10, 15, etc. Marianne Lynch brd mem=brd 216986 prop tax & land rent false Mary M Hood offcer=bd me 128695 AHA membership dues false Mary M. Hood, officer is board member of American Hospital Health Care Systems Governing Council.Marianne Lynch, director is board member of City of Bangor, Board of Assessment and Review. Form 990, Part XI, Line 9 Other Changes In Net Assets Or Fund Balances - Other Decreases Interest in Net Assets Held at EMHS Foundation = -$47271 Form 990, Part XI, Line 9 Other Changes In Net Assets Or Fund Balances - Other Decreases Interest in Beacon Health, LLC = -$3601955 Form 990, Part XI, Line 9 Other Changes In Net Assets Or Fund Balances - Other Increases Contriibutions of Capital from Inland Hospital = $524314 Form 990, Part XI, Line 9 Other Changes In Net Assets Or Fund Balances - Other Increases Contriibutions of Capital from Blue Hill Memorial Hospital = $270675 Form 990, Part XI, Line 9 Other Changes In Net Assets Or Fund Balances - Other Decreases Contributions of Capital to Eastern Maine Medical Center = -$1000 Form 990, Part XI, Line 9 Other Changes In Net Assets Or Fund Balances - Other Decreases Contributions of Capital to Eastern Maine Home Care = -$77143 Form 990, Part XI, Line 9 Other Changes In Net Assets Or Fund Balances - Other Increases Contributions of Capital from The Aroostook Medical Center = $755274 Form 990, Part XI, Line 9 Other Changes In Net Assets Or Fund Balances - Other Increases Contributions of Capital from Sebasticook Valley Hospital = $260503 Form 990, Part XI, Line 9 Other Changes In Net Assets Or Fund Balances - Other Increases Contributions of Capital from Eastern Maine Medical Center = $4775612 Form 990, Part XI, Line 9 Other Changes In Net Assets Or Fund Balances - Other Increases Contributions of Capital from Eastern Maine Home Care = $77143 Form 990, Part XI, Line 9 Other Changes In Net Assets Or Fund Balances - Other Increases Contributions of Capital from CADean Hospital = $104339 Form 990, Part XI, Line 9 Other Changes In Net Assets Or Fund Balances - Other Increases Contributions of Capital from Acadia Hospital = $352421 Form 990, Part XI, Line 9 Other Changes In Net Assets Or Fund Balances - Other Increases Adjustment to Apply Recognition Provisions of FASB Statement = $2890548 Form 990, Part VI, Line 19 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. Form 990, Part VI, Line 15b 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 15a 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 12c 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 11b Form 990, Part VI, Line 11b: Form 990 Review Process Form 990 is reviewed by the EMHS System Controller. 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 7b 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 7a 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 6 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 4 Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents In December 2012 Eastern Maine Healthcare Systems (EMHS) and its subsidiary corporations modernized their governance structure by replacing a traditional reserved powers model for EMHS control over its subsidiaries with a joint initiatory powers model of control. Under the traditional reserved powers model, in addition to the EMHS CEO having exclusive authority to appoint and remove the CEO of the subsidiaries, EMHS exercised control exclusively through approval rights over important subsidiary action. The new joint initiatory powers model gives EMHS authority not only to approve or disapprove important subsidiary action, but also to `actually initiate action on behalf of the subsidiaries 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 2 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 vice chair 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 is a board member 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 John D. Dalton, officer are board members of Maine Hospital Association board. Daniel B. Coffey, officer and Deborah C. Johnson, officer are board members of Husson University. Form 990, Part III, Line 4d Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: MercyLeadership: Eileen Skinner, FACHE, President and CEO, Mercy; Colleen Hilton, CEO, VNA Home Health Hospice; Thomas Yoder, Jr., Board ChairDescription: Mercy Hospital is a Catholic healthcare organization sponsored by the Sisters of Mercy and has served the greater Portland area since 1918 with acute care and outpatient services; Mercy community-oriented programs include McAuley Residence, Garys House, and The Recovery Center. Mercys affiliate and partner, VNA Home Health Hospice, provides care in home-based settings.Employees: 2,116 (includes VNA)Location: Portland, with primary care services also located in Falmouth, West Falmouth, Gorham, Westbrook, Standish, Windham, and YarmouthOn October 4, 2013, EMHS officially welcomed Mercy Hospital and VNA Home Health Hospice into the EMHS family. Mercy will continue to deliver the high-quality, compassionate care they are known for in the Portland area, but now as part of an extensive Maine-based healthcare system. Patients will experience the same standard of quality and safety, but will also benefit from EMHS leading-edge health information technology. EMHS will benefit from Mercys extensive work on the development of an ambulatory network and VNAs extensive home-based care systems, which are central to improving the health of our communities. We are very excited by the advantages our patients and communities will gain from this new relationship and look forward to the year ahead as we more fully integrate Mercy and VNA into EMHS.EMHS (Home Office)Leadership: M. Michelle Hood, FACHE, President and CEO; P. James Nicholson, CPA, Board ChairDescription: EMHS provides Maine communities with access to the right care, at the right time, and in right place, while striving for efficiencies to control costs. The Home Office of EMHS works in support of 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.Employees: 584Location: BrewerEMHS (Home Office) Highlights-Named a Best Place to Work in Maine by the Society for Human Resource Management with the distinction of being one of only 13 large companies (250+ employees) in Maine to be recognized.-Successfully led a Bangor area community-wide emergency preparedness drill in June along with other system members and community organizations. -Celebrated the close of the three-year, multimillion dollar federal grant for the Bangor Beacon Community in March, leading the way for EMHS Pioneer accountable care work through Beacon Health. -Broke ground on the Dougherty Recreational Complex, a joint project with the city of Brewer to develop a new park aimed at providing Brewer citizens with a safe and accessible way to enjoy the outdoors. -Hired Miles Theeman as EMHS vice president and chief sales and marketing officer; transitioned Scott Oxley to vice president of EMHS Corporate Services; hired Doug Michael as chief community health and grants officer; and promoted Suzanne Spruce to chief communications officer all moves made in anticipation of the retirement of EMHS vice president of Business Development, Jerry Whalen.-Welcomed George F. Eaton, II, Esquire, as associate general counsel and senior governance advisor. OTHER PROGRAM SERVICES 5: EMHS (System-wide) Highlights-Mercy hospital and VNA Home Health Hospice became the newest EMHS members. -Joined the elite national High Value Healthcare Collaborative comprised of 19 health systems representing 200 hospitals and 70 million patients across the country to improve care and lower costs. -One of five health organizations nationally to receive the 2013 NOVA award by the American Hospital Association for the Bangor Beacon Community, a community-wide collaborative program focused on improving community health.-Terri Vieira became a senior vice president of EMHS after being appointed president and CEO of SVH.-For the first time in EMHS history, the system had a public bond offering based on its own credit rating; the offering raised $155 million by selling $144 million in tax-exempt bonds for Phase 1 of the EMMC Modernization project ($197M); more than a billion dollars in orders were received from investment firms and Maine retail investors purchased $12M of the bonds. -Leadership Reinvented, EMHS business strategy to create a new model of EMHS that will better serve our communities, makes strides in areas such as shared services, productivity, quality, safety, and service. Acadia HospitalLeadership: Daniel B. Coffey, President and CEO; Michael T. Shea, Board ChairDescription: Acadia Hospital is Maines comprehensive resource for information and treatment of mental illness and chemical dependency. Acadia Hospital is empowering people to improve their lives.Employees: 638Location: BangorAcadia Hospital Highlights-Dedicated the Anita Leonard Healing Garden.-Raised $43,165 in support of Acadia Youth Services at the Battle of the Bands fundraising event, which more than 500 people attended.-Recognized by the American Hospital Association as being a Most Wired hospital in the small and rural hospital category.-Awarded best student film at the Lewiston-Auburn Film Festival, The Road Back was also featured in an article in the June, 2013 edition of Boys Life magazine and reached nearly 30,000 views on Acadias YouTube channel.-Achieved improvement in core quality indicators.-Continued to exhibit patient artwork through Acadias Artisan Project; select pieces were also exhibited in the Eastern Maine Community College library. OTHER PROGRAM SERVICES 6: Affiliated Healthcare SystemsLeadership: Miles U. Theeman, President and CEO; Richard I. Stone, Board ChairDescription: Affiliated is a taxable company with the primary mission to enhance the clinical care delivery systems within EMHS by providing cost-effective, integrated support services for its member organizations and pursuing profitable, sustainable growth opportunities.Employees: 428Location: Bangor, Portland, and Rutland, VermontAffiliated Healthcare Systems Highlights-Affiliated Materiel Services (non-acute division) achieved its seventh consecutive year of record gross revenues more than doubling its revenue from sales to governmental organizations, as well as increasing the total orders processed to more than 100 contracts with these organizations.-Affiliated Materiel Services logistics division completed the one warehouse concept whereby all receiving, picking, and shipping are streamlined and housed under common management.-Lighthouse Web Solutions provided services to EMHS member organizations that resulted in more than $200,000 in cost savings and earned three eHealthcare Leadership Awards.-Affiliated completed the conversion of accounts receivable collections and medical transcription services from wholly owned companies to joint venture partnerships with other Maine-based organizations.-Capital Ambulance upgraded its fleet of patient monitoring/defibrillators to the newest lifesaving technology.-Affiliated employees demonstrated their commitment to their community by donating to the United Way Pantry Project with more than 1,600 pounds of food items collected for distribution by the Good Shepherd Food Bank. AHS was the top contributor in the greater Bangor area.Beacon HealthLeadership: M. Michelle Hood, FACHE, President and CEO; P. James Nicholson, CPA, Board ChairDescription: Beacon Health is a statewide network of providers and nurse care coordinators who provide high quality care tailored to the needs of the community and patient. Beacon Health is committed to being innovative and inclusive in delivering care that helps our family and friends lead full, healthy lives.Employees: 49Location: BrewerBeacon Health Highlights-Earned distinction as one of the top five Pioneer Accountable Care Organizations in the nation (out of 32 Pioneers).-The cost to care for Medicare patients down 4.9 percent; hospital readmission rates down 13.2 percent-Ninety-three percent of our patients said they are satisfied with their provider and healthcare team.-Nurse care coordinators followed up with patients who were recently cared for in hospitals, skilled nursing facilities, or seen in emergency departments or walk-in care clinics.-Contract signed with State of Maine Employee Health Commission to cover more than 5,000 State of Maine employees and their dependents through the Beacon Health network, providing access to more than 600 primary care providers in nearly 100 practices. OTHER PROGRAM SERVICES 7: Blue Hill Memorial HospitalLeadership: Gregory Roraff, FACHE, President and CEO; Frank Wanning, Board ChairDescription: Blue Hill Memorial Hospital is a 25-bed critical access hospital. We are dedicated to improving the health and wellness of our communities by providing primary and specialty healthcare of outstanding quality and caring for patients with respect and compassion.Employees: 334Location: Blue Hill Sebasticook Valley Work Health LLC 447 North Main Street Pittsfield ME 04967 453359446 Provide patient care ME 501(c)(3) 3 SVH true Beacon Health LLC 43 Whiting Hill Road Brewer ME 04412 452967056 Accountable Care Organization ME 501(c)(3) 11, Type ll EMHS true Sebasticook Valley Family Practice Assoc 447 North Main Street Pittsfield ME 04967 010357854 Provide patient care ME 501(c)(3) 9 SVH true Restorative Health LLC 43 Whiting Hill Road Brewer ME 04412 352449986 Provide mental & behavioral health srvs ME 501(c)(3) 9 AHI true Meadow Wood LLC 43 Whiting Hill Road Brewer ME 04412 272935243 Provide patient care ME 501(c)(3) 9 AHI true Blue Hill Memorial Hospital 57 Water Street Blue Hill ME 046145231 010227195 Provide healthcare services ME 501(c)(3) 3 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 Eastern Maine HomeCare PO Box 688 Caribou ME 04736 010328442 Provide home health & hospice svcs ME 501(c)(3) 9 EMHS 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 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 TAMC Title Corp PO Box 151 140 Academy St Presque Isle ME 047690151 010389226 Real estate holding company ME 501(c)(2) TAMC 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 Sebasticook Valley Health SVH 447 North Main Street Pittsfield ME 04967 010263628 Critical care hospital ME 501(c)(3) 3 EMHS true CA Dean Memorial Hospital Pritham Avenue PO Box 1129 Greenville ME 044411129 043341666 Provide Healthcare Services ME 501(c)(3) 3 EMHS true Lakewood A Continuing Care Center 220 Kennedy Memorial Drive Waterville ME 04901 010421234 Provide long term nursing care ME 501(c)(3) 3 Inland Hospital true Inland Hospital 200 Kennedy Memorial Drive Waterville ME 04901 010217211 Provide healthcare services ME 501(c)(3) 3 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 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 Acadia Healthcare Inc AHI 43 Whiting Hill Road Brewer ME 04412 223183888 Provide healthcare services ME 501(c)(3) 9 AHC 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 Hospital Corp AHC 43 Whiting Hill Road Brewer ME 04412 010459837 Provide healthcare services ME 501(c)(3) 3 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 Rosscare 43 Whiting Hill Road Suite 400 Brewer ME 04412 010391038 Provide services to elderly ME 501(c)(3) PF EMHS true Eastern Maine Healthcare Real Estate 43 Whiting Hill Road Brewer ME 04412 010391036 Leases real estate ME 501(c)(2) EMHS true 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 Beacon Health LLC 43 Whiting Hill Road Brewer ME 04412 452967056 Accountable care organization ME EMHS Related -3488610 5305748 false false 0.86960 New Century Healthcare 300 Main Street Lewiston ME 04240 010536801 LLC-Venture ME N/A Related false false 0.50000 Alliance Health Documentation LLC 9 Central St Ste 205 Bangor ME 04401 462751855 Transcription ME AHS C true Miller Drug LLC PO Box 1779 Bangor ME 044021779 272175482 Pharmacy ME AHS C true Dirigo Pines Development Co LLC 9 Alumni Drive Orono ME 04473 010537924 RetCottage ME AHS C true Dirigo Funding LLC 9 Alumni Drive Orono ME 04473 010599968 Prov finance ME AHS C true Dirigo Pines Inn LLC 9 Alumni Drive Orono ME 04473 020547749 Contin care ME Rosscare C -154270 17405783 1.00000 true Dirigo Pines Retirement Community LLC 9 Alumni Drive Orono ME 04473 010537924 Holding co. ME AHS C true Maine Network for Health PO Box 2813 Bangor ME 044022813 010496352 Support srv ME EMHS C 82207 634891 0.64000 true Meridian Mobile Health LLC 931 Union St PO Box 940 Bangor ME 044020940 010512673 Ambulance ME AHS C true DE Collections DBA Affiliated Collect PO Box 2759 Bangor ME 044022759 010366209 Collections ME AHS C true Affiliated Pharmacy Services 917 Union St Ste 7 Bangor ME 04401 010587230 Pharmacy ME AHS C true Affiliated Materiel Services PO Box 1300 Bangor ME 044021300 010381189 Purchasing ME AHS C true Affiliated Laboratory Inc PO Box 638 Bangor ME 044020638 010381283 ClinicalLab ME AHS C true Affiliated Healthcare Management PO Box 811 Bangor ME 044020811 010349339 Hlthcr mgmt ME AHS C true Affiliated Healthcare Systems AHS PO Box 940 Bangor ME 044020940 010385322 Holding Co. 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