EASTERN MAINE HEALTHCARE SYSTEMS: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- EASTERN MAINE HEALTHCARE SYSTEMS (EIN 01-0211501)
- Tax period
- 2012-09-30 to 2013-09-28
- Filed
- 2014-08-12
- IRS object ID
- 201412249349300341
- Schema version
- 2012v2.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-08-12T07:13:13-07:00 | Timestamp |
| Tax Period End Date | 2013-09-28 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-09-30 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010211501 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eastern Maine Healthcare Systems EMMC | BusinessNameLine1 |
| Business Name Line2 | Eastern Maine Medical Center EMMC | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | EAST | NameControl |
| Phone | 2079737064 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 404 489 State Street | AddressLine1 |
| City | Bangor | City |
| State | ME | State |
| ZIP Code | 04402 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Derrick Hollings | Name |
| Title | Treasurer | Title |
| Date Signed | 2014-08-12 | DateSigned |
| Authorize Third Party | false | AuthorizeThirdParty |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Derrick Hollings | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 43 Whiting Hill Road | AddressLine1 |
| City | Brewer | City |
| State | ME | State |
| ZIP Code | 04412 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 1333976851 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| All Affiliates Included | false | AllAffiliatesIncluded |
| Group Exemption Number | 5247 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.emmc.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1892 | YearFormation |
| State Legal Domicile | ME | StateLegalDomicile |
| Activity Or Mission Description | Eastern Maine Medical Center strives to provide exceptional primary and specialty healthcare with a passionate pursuit of excellence in patient safety, clinical quality, and service. Our mission is to care for patients, families, communities, and one another. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 4193 | TotalNbrEmployees |
| Total Nbr Volunteers | 400 | TotalNbrVolunteers |
| Total Gross UBI | 62918 | TotalGrossUBI |
| Contributions Grants Prior Year | 7281171 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 7987413 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 1232940927 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 1263756589 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1530402 | InvestmentIncomePriorYear |
| Investment Income Current Year | 19069311 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 11792864 | OtherRevenuePriorYear |
| Other Revenue Current Year | 6762393 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1253545364 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1297575706 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 327970731 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 349518092 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 862986866 | OtherExpensePriorYear |
| Other Expenses Current Year | 896772231 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1190957597 | TotalExpensesPriorYear |
| Total Expenses Current Year | 1246290323 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 62587767 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 51285383 | RevenuesLessExpensesCY |
| Total Assets BOY | 573340985 | TotalAssetsBOY |
| Total Assets EOY | 786477975 | TotalAssetsEOY |
| Total Liabilities BOY | 261582289 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 414315047 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 311758696 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 372162928 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | Eastern Maine Medical Center strives to provide exceptional primary and specialty healthcare with a passionate pursuit of excellence in patient safety, clinical quality, and service. Our mission is to care for patients, families, communities, and one another. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 999999999 | Expense |
| Description | Provide healthcare services regardless of ability to pay as well as education, research and promotion of health. Provided other uncompensated care (at cost) of $12,302,327.Eastern Maine Medical Center (EMMC) has served communities throughout our region for 121 years. Under community direction, it has grown from a five-bed general hospital into a comprehensive, 411 bed tertiary medical center with primary and secondary care components. EMMC is a nonprofit hospital, serving all who need care, regardless of ability to pay.EMMC also provides outreach clinics to many local hospitals in the region, allowing easier access to patients and supporting the role of those hospitals in their communities. EMMC provides access to medical data to hospitals across the State through its PACS system, helping to improve the quality of care patients receive. Additional information can be found at EMMC's website: www.emmc.org.Additional StatisticsTotal admissions 21,230Percent Occupancy of Available Beds 77.7%Cardiac Catheterization Procedures 5,273Cardiac Surgery Cases 383Emergency Room Visits 38,764Medical Imaging Procedures 139,634Surgery Cases 18,502Live Births 1,648Family Practice Visits 28,474Total Outpatient Visits 427,008Patient Days 107,384Services provided to those who could not pay $55,687,300 | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 48237121 | Expense |
| Description | Medicaid shortfalls (at cost) 80,568 persons served | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 30854212 | Expense |
| Description | Medicare shortfalls (at cost) 128,784 persons served | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 88904474 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 1269109394 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 1167995806 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | true | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | true | DeductibleNonCashContributions |
| Deductible Contributions Of Art | true | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 211 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 4193 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Filed Lieu1041 | false | FiledLieu1041 |
| Licensed More Than One State | false | LicensedMoreThanOneState |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | true | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | ME | StatesWhereCopyOfReturnIsFiled |
| Own Website | X | OwnWebsite |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Jeffrey A Sanford | NamePerson |
| Telephone Number | 2079737894 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 43 Whiting Hill Road | AddressLine1 |
| City | Brewer | City |
| State | ME | State |
| ZIP Code | 04412 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (36 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| Scott Solman | |||||||||
| Board Member | 0.50 | 0.00 | X | 0 | 0 | 0 | |||
| Julie Long MD | |||||||||
| Board Member | 50.00 | 0.00 | X | 515793 | 0 | 25894 | |||
| John A Vickery Sr | |||||||||
| Board Member | 0.50 | 0.00 | X | 0 | 0 | 0 | |||
| Iyad Sabbagh MD | |||||||||
| Board Member | 50.00 | 0.00 | X | 241443 | 0 | 42152 | |||
| Senator Kevin L Raye | |||||||||
| Board Member | 0.50 | 0.00 | X | 0 | 0 | 0 | |||
| Donald Hagstrom | |||||||||
| Vice Chairman | 1.00 | 0.00 | X | 0 | 0 | 0 | X | ||
| John M Long Sr MD | |||||||||
| Board Member | 0.50 | 0.00 | X | 0 | 0 | 0 | |||
| David L Levy MD | |||||||||
| Board Member | 0.50 | 0.00 | X | 0 | 0 | 0 | |||
| Liane E M Judd | |||||||||
| Chairman(pt yr) | 1.00 | 0.00 | X | 0 | 0 | 0 | X | ||
| Gary Eckmann | |||||||||
| Board Member | 0.50 | 0.00 | X | 0 | 0 | 0 | |||
| Jennifer Brooker | |||||||||
| Board Member | 0.50 | 0.00 | X | 0 | 0 | 0 | |||
| Deanna Dorsey | |||||||||
| Board Member | 50.00 | 0.00 | X | 346523 | 0 | 28718 | |||
| Mary Cathcart | |||||||||
| Board Member | 0.50 | 0.00 | X | 0 | 0 | 0 | |||
| Sally Arata | |||||||||
| Board Member | 0.50 | 0.00 | X | 0 | 0 | 0 | |||
| Michael J McInnis | |||||||||
| Chairman(pt yr) | 1.00 | 0.00 | X | 0 | 0 | 0 | X | ||
| Deborah Carey Johnson CEO | |||||||||
| Ex-Officio | 50.00 | 0.00 | X | 521048 | 0 | 472548 | X | ||
| Mary M Hood PresidentCEO | |||||||||
| Ex-Officio | 20.00 | 30.00 | X | 0 | 844254 | 248039 | X | ||
| John Miller | |||||||||
| Board Member | 0.50 | 0.00 | X | 0 | 0 | 0 | |||
| Ashley Robertson MD | |||||||||
| Board Member | 50.00 | 0.00 | X | 421436 | 0 | 23129 | |||
| EE comp is for admin svcs | |||||||||
| not brd respons | 0.00 | 0.00 | X | 0 | 0 | 0 | |||
| Elmer Doucette VPCFO | |||||||||
| Treasurer | 50.00 | 0.00 | 275267 | 0 | 40493 | X | |||
| Derrick Hollings | |||||||||
| EMHS Treasurer | 0.00 | 50.00 | 0 | 301549 | 15022 | X | |||
| Glenn Martin VP Gen Counsel | |||||||||
| Secretary | 14.00 | 36.00 | 0 | 298749 | 43740 | X | |||
| Jodi Galli RN | |||||||||
| CNO | 50.00 | 0.00 | 66836 | 0 | 4747 | X | |||
| Jill McDonald | |||||||||
| VP/COMM & MKT | 50.00 | 0.00 | 184527 | 0 | 30790 | X | |||
| Helen Q McKinnon RN | |||||||||
| VP/SUPPORT SVC | 50.00 | 0.00 | 249001 | 0 | 48034 | X | |||
| G Gregory Howat Esq | |||||||||
| VP/HR | 50.00 | 0.00 | 258604 | 0 | 48004 | X | |||
| James A Raczek MD | |||||||||
| VP/COO & CMO | 50.00 | 0.00 | 478005 | 0 | 49124 | X | |||
| Robert A Clough MD | |||||||||
| Surgeon | 40.00 | 0.00 | 1021889 | 0 | 36265 | X | |||
| Wayne R Waterman MD | |||||||||
| Neuro Surgeon | 40.00 | 0.00 | 738357 | 0 | 32874 | X | |||
| Peter P Huang | |||||||||
| General Surgeon | 40.00 | 0.00 | 571939 | 0 | 42663 | X | |||
| Michael A Johnson MD | |||||||||
| Retinal Surgeon | 40.00 | 0.00 | 1539690 | 0 | 36278 | X | |||
| John D Klemperer MD | |||||||||
| Physician | 40.00 | 0.00 | 1036050 | 0 | 39742 | X | |||
| Daniel B Coffey | |||||||||
| Former Treasurer | 0.00 | 50.00 | 0 | 453414 | 46664 | X | |||
| Michael Donahue | |||||||||
| Former VP/Phy Practice | 0.00 | 50.00 | 24503 | 265134 | 33063 | X | |||
| Scott Oxley | |||||||||
| Former Treasurer | 0.00 | 50.00 | 0 | 278914 | 41241 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 8490911 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2442014 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1429224 | TotalOtherCompensation |
| Number Individuals GT100 K | 398 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| WEATHERBY LOCUMS INC | |||||
| PO Box 972633 | DALLAS | TX | 753972633 | Staffing Services | 3227026 |
| PENOBSCOT RESPIRATORY | |||||
| 417 STATE STREET SUITE 400 | BANGOR | ME | 044016690 | RESPIRATORY THERAPY | 3888472 |
| NURSE ANESTHESIA OF MAINE | |||||
| 141 N MAIN ST STE 205 | BREWER | ME | 04412 | COVERAGE SERVICES | 9645759 |
| DAHL CHASE DIAGNOSITC SERVICES | |||||
| 417 State St Suite 441 | Bangor | ME | 04401 | Diagnostic Services | 3122820 |
| CERNER CORPORATION | |||||
| PO BOX 412702 | KANSAS CITY | MO | 641412702 | SOFTWARE SUPPORT | 5086021 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 77 | NumberOfContractorsGT100K |
| Related Organizations | 4226459 | RelatedOrganizations |
| Government Grants | 948776 | GovernmentGrants |
| All Other Contributions | 2812178 | AllOtherContributions |
| Noncash Contributions | 49811 | NoncashContributions |
| Total Contributions | 7987413 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| Patient Care Services | 621990 | 259473613 | 259466443 | 7170 | |
| Patient Care Service | 621990 | 999999999 | 999999999 | ||
| Hotel/Lodging | 721110 | 672194 | $672,194 | ||
| Healthcare Education | 611710 | 448781 | 448781 | ||
| Cafeteria | 722210 | 3162002 | 2379 | $3,159,623 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 1263756589 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1432255 | TotalRevenueColumn |
| Exclusion | $1,432,255 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 83456 | Real |
| Personal | 12000 | Personal |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 5964 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 77492 | Real |
| Personal | 12000 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 89492 | TotalRevenueColumn |
| Unrelated Business Revenue | 12000 | UnrelatedBusinessRevenue |
| Exclusion | $77,492 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 36207492 | Securities |
| Other | 17824745 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 33562082 | Securities |
| Other | 2833099 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2645410 | Securities |
| Other | 14991646 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 17637056 | TotalRevenueColumn |
| Exclusion | $17,637,056 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| Meaningful Use | 621990 | 4617129 | 4617129 | ||
| Clinical Engineering | 541300 | 627098 | 609526 | 17572 | |
| 340B Pharmacy Benefits | 621990 | 1332096 | $1,332,096 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 96578 | TotalRevenueColumn |
| Related Or Exempt Function Income | 72781 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 23797 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 6672901 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1297575706 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1265214659 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 62918 | UnrelatedBusinessRevenue |
| Exclusion | $24,310,716 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4372116 | Total |
| Program Services | 2540835 | ProgramServices |
| Management And General | 1831281 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 274056658 | Total |
| Program Services | 265313394 | ProgramServices |
| Management And General | 8743264 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13845838 | Total |
| Program Services | 13266283 | ProgramServices |
| Management And General | 579555 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40767347 | Total |
| Program Services | 36502348 | ProgramServices |
| Management And General | 4264999 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16476133 | Total |
| Program Services | 15529789 | ProgramServices |
| Management And General | 946344 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 486700 | Total |
| Program Services | 172613 | ProgramServices |
| Management And General | 314087 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 153770 | Total |
| Management And General | 153770 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 330287 | Total |
| Program Services | 17919 | ProgramServices |
| Management And General | 312368 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 89294494 | Total |
| Program Services | 44788500 | ProgramServices |
| Management And General | 44505994 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1804628 | Total |
| Program Services | 1610064 | ProgramServices |
| Management And General | 194564 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15815105 | Total |
| Program Services | 11602721 | ProgramServices |
| Management And General | 4212384 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7377618 | Total |
| Program Services | 4618211 | ProgramServices |
| Management And General | 2759407 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10371154 | Total |
| Program Services | 7914143 | ProgramServices |
| Management And General | 2457011 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 751481 | Total |
| Program Services | 673158 | ProgramServices |
| Management And General | 78323 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1405414 | Total |
| Program Services | 1327006 | ProgramServices |
| Management And General | 78408 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2893339 | Total |
| Program Services | 2739587 | ProgramServices |
| Management And General | 153752 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24804514 | Total |
| Program Services | 19634093 | ProgramServices |
| Management And General | 5170421 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3177350 | Total |
| Program Services | 3043901 | ProgramServices |
| Management And General | 133449 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Provision for uncollectible ac | 26491770 | 26491770 | |
| Charity Care | 29223699 | 29223699 | |
| Medical Supplies | 86066008 | 85920302 | 145706 |
| Contractual Allowances | 573600337 | 573600337 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22724563 | Total |
| Program Services | 21465133 | ProgramServices |
| Management And General | 1259430 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1246290323 | Total |
| Program Services | 1167995806 | ProgramServices |
| Management And General | 78294517 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16070 | BOY |
| EOY | 17170 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38015413 | BOY |
| EOY | 24388794 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 111820 | BOY |
| EOY | 346265 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 140623481 | BOY |
| EOY | 97389936 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 58402 | BOY |
| EOY | 12504 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1320817 | BOY |
| EOY | 2130388 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2324446 | BOY |
| EOY | 2508884 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16293847 | BOY |
| EOY | 21195009 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 493818174 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 286674603 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 182186184 | BOY |
| EOY | 207143571 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 70165579 | BOY |
| EOY | 81648984 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 562500 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 122224926 | BOY |
| EOY | 349133970 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 573340985 | BOY |
| EOY | 786477975 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 94156443 | BOY |
| EOY | 104386621 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 250431 | BOY |
| EOY | 429637 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 63184024 | BOY |
| EOY | 215937879 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 103991391 | BOY |
| EOY | 93560910 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 261582289 | BOY |
| EOY | 414315047 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 280737439 | BOY |
| EOY | 337989825 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20348188 | BOY |
| EOY | 23279271 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10673069 | BOY |
| EOY | 10893832 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 311758696 | BOY |
| EOY | 372162928 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 573340985 | BOY |
| EOY | 786477975 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 51285383 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | -1971695 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 11090544 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed4955 Tax | false | Form4720Filed4955Tax |
| Correction Made | false | CorrectionMade |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $62,506 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 62506 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part II-B, Line 1i | Identifier |
| Return Reference | Part II-B, Line 1i - Other Activities Description | ReturnReference |
| Explanation | Non-deductible dues | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 23506673 | BeginningOfYearBalance |
| Contributions | 98419 | Contributions |
| Investment Earnings Or Losses | 2728808 | InvestmentEarningsOrLosses |
| Other Expenditures | 1058852 | OtherExpenditures |
| End Of Year Balance | 25275048 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 21018620 | BeginningOfYearBalance |
| Contributions | 124365 | Contributions |
| Investment Earnings Or Losses | 3506614 | InvestmentEarningsOrLosses |
| Other Expenditures | 1142926 | OtherExpenditures |
| End Of Year Balance | 23506673 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 21974979 | BeginningOfYearBalance |
| Contributions | 148655 | Contributions |
| Investment Earnings Or Losses | 236593 | InvestmentEarningsOrLosses |
| Other Expenditures | 1341607 | OtherExpenditures |
| End Of Year Balance | 21018620 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 20890628 | BeginningOfYearBalance |
| Contributions | 54006 | Contributions |
| Investment Earnings Or Losses | 2264755 | InvestmentEarningsOrLosses |
| Other Expenditures | 1234409 | OtherExpenditures |
| End Of Year Balance | 21974980 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 22052765 | BeginningOfYearBalance |
| Contributions | 42199 | Contributions |
| Investment Earnings Or Losses | -160607 | InvestmentEarningsOrLosses |
| Other Expenditures | 1043729 | OtherExpenditures |
| End Of Year Balance | 20890628 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.01600 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.98400 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | true | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | true | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2234601 | OtherCostOrOtherBasis |
| Book Value | 2234601 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 124971069 | OtherCostOrOtherBasis |
| Depreciation | 60186006 | Depreciation |
| Book Value | 64785063 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 12201640 | OtherCostOrOtherBasis |
| Depreciation | 3452740 | Depreciation |
| Book Value | 8748900 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 300314929 | OtherCostOrOtherBasis |
| Depreciation | 213868685 | Depreciation |
| Book Value | 86446244 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 54095935 | OtherCostOrOtherBasis |
| Depreciation | 9167172 | Depreciation |
| Book Value | 44928763 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 207143571 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (7 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Self-Insurance Funds Held by Trustee | 12414915 |
| Investment in Net Assets held @ EMHSF | 32334343 |
| Funds Held by Bond Trustee | 12627077 |
| Estimated Prof. Liab. Claims Receivable | 19611203 |
| Board Designated Funded Depreciation | 132246054 |
| Beneficial Trust Assets | 2145026 |
| Assets Held Under Trust Indenture | 137755352 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 349133970 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (7 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Reserve for Prof. Liab. Self Ins. | $19,611,203 |
| Reserve for Asset Disposal Costs | $676,468 |
| Other Self Insurance Liab | $255,264 |
| Notes Payable to Related Org, EMHS | $560,625 |
| Lt Liability - Cerner RHO | $981,810 |
| Liability Under Cap Lease Obligation | $560,480 |
| Accrued Post Retirement Benefits | $70,915,060 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 93560910 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 3654 | PersonsServed |
| Total Community Benefit Expense | 13740606 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 403794 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 13336812 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02160 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 80568 | PersonsServed |
| Total Community Benefit Expense | 122561307 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 74324186 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 48237121 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07820 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7516293 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 7516293 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01220 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 84222 | PersonsServed |
| Total Community Benefit Expense | 143818206 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 74727980 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 69090226 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.11200 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 9 | NumberOfActivitiesOrPrograms |
| Persons Served | 93 | PersonsServed |
| Total Community Benefit Expense | 3280038 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3280038 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00530 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 12 | NumberOfActivitiesOrPrograms |
| Persons Served | 506 | PersonsServed |
| Total Community Benefit Expense | 2807322 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2807322 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00450 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 68132 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 68132 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 1699547 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1699547 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00280 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 14 | PersonsServed |
| Total Community Benefit Expense | 10105 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 10105 | NetCommunityBenefitExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 27 | NumberOfActivitiesOrPrograms |
| Persons Served | 613 | PersonsServed |
| Total Community Benefit Expense | 7865144 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 7865144 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01270 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 27 | NumberOfActivitiesOrPrograms |
| Persons Served | 84835 | PersonsServed |
| Total Community Benefit Expense | 151683350 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 74727980 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 76955370 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.12470 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $12,302,327 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 227329205 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 258183417 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -30854212 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eastern Maine Medical Center | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 489 State Street | AddressLine1 |
| City | Bangor | City |
| State | ME | State |
| ZIP Code | 04401 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
| Field | Value | IRS element (for citing) |
|---|---|---|
| CHNA Conducted | true | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Other | X | Other |
| Needs Assessment Conducted | 11 | NeedsAssessmentConducted |
| Take Into Account | true | TakeIntoAccount |
| Other Facilities | true | OtherFacilities |
| CHNA Widely Available | true | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Other Method | X | OtherMethod |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| Other Needs Addressed | X | OtherNeedsAddressed |
| All Needs Addressed | false | AllNeedsAddressed |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTax |
| File Form4720 Report Excise Tax | false | FileForm4720ReportExciseTax |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 200.0000 | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 300.0000 | FPGDiscountPercent |
| Explains Basis | false | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 12 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (12 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| Lafayette Family Cancer Center | ||||
| 33 Whiting Hill Road | Brewer | ME | 04412 | Med Office Building-Cancer treatment |
| EMMC-Phy Prac in Webber Bld | ||||
| 417 State Street | Bangor | ME | 04401 | Med Office Building-physician svc |
| EMMC-Gynecology Associates | ||||
| 404 State St Suite 310 | Bangor | ME | 04401 | Med Office Building-physician svc |
| EMMC Urologic Surgery of ME | ||||
| 55 Broadway Suite 2 | Bangor | ME | 04401 | Med Office Building-physician svc |
| EMMC Northeast Cardiology | ||||
| 1 Northeast Drive | Bangor | ME | 04401 | Med Office Building-physician svc |
| EMMC Orono Family Medicine | ||||
| 84 Kelly Road | Orono | ME | 04473 | Med Office Building-physician svc |
| Husson Family MedPedInternal | ||||
| 302 Husson Ave | Bangor | ME | 04401 | Med Office Building-physician svc |
| EMMC Family Medicine | ||||
| Corporate Drive | Bangor | ME | 04401 | Med Office Building-physician svc |
| EMMC Sleep Diagnostics | ||||
| 290 State Street | Bangor | ME | 04401 | Med Office Building-outpatient svc |
| EMMC Family Medicine of Brewer | ||||
| 234 State Street | Brewer | ME | 04412 | Med Office Building-physician svc |
| EMMC Family Medicine - Hampden | ||||
| 7 Main Road North | Hampden | ME | 04444 | Med Office Building-physician svc |
| Eastern Maine Healthcare Mall | ||||
| 885-925 Union Street | Bangor | ME | 04401 | Medical Office Building - physician svc |
Form990 Schedule H Part VI Form990ScheduleHPartVI (22 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part VI - Additional Information | Part II, line 4 - Community Building ActivitiesThrough public health screenings, professional and community education, and charity care, EMMC, as a member of EMHS system, works hard to make a difference in our community. These community benefits reflect EMMC's nonprofit mission. Eastern Maine Medical Center demonstrated its ongoing commitment to improving the health status of Maines workforce by renewing its regional sponsorship of the Wellness Council of Maine. Largely as a result of the work of this group, our region was designated as the nation's first "Well Region" with many employers qualifying as "Well Workplaces" under the Wellness Councils of America criteria. Having earned, for the second time, the Wellness Councils of Americas Platinum Well Workplace Award (Welcoa's highest honor), EMMC is investing both inside its own walls and outside to promote healthy choices, healthy lifestyles, and lower healthcare costs. For FY2013, EMMC delivered a total community benefit of more than $107.8 million. | |
| Part V - Explanation of Number of Facility Type | N/A | |
| Part VI - States Where Community Benefit Report Filed | ME | |
| Part VI - Affilated Health Care System Roles and Promotion | Using the data in the EMHS Community Health Needs Assessment, EMMC collaborates with other EMHS hospitals and with others in the community on solutions to some of most significant healthcare problems such as overcoming barriers accessing to care, healthcare provider shortages, and obesity. EMMC is reaching out to providers across the region to formulate strategies for better patient access to care, including improved scheduling, aggressive recruiting of physicians, and enhanced communication regarding care transitions. With the help of technology, such as tele-trauma, specialists at our hospital are able to assist with traumas and specialized clinical cases at other hospitals using high resolution, remote cameras and communication equipment. With a shortage of healthcare providers in rural areas of Maine, investments such as this are sharing specialty level medical and surgical resources with rural communities, maximizing our region's ability to respond to medical needs and, when appropriate, supporting patient care closer to home. | |
| Part VI - Community Building Activities | EMMC's Wellness Services offers a wide variety of health and wellness programs designed to improve the lifestyles of people in the Bangor area. The goal is to support families, and communities to live healthier lives. Through these programs, EMMC promotes and provides guidance for healthy lifestyles and the prevention of disease. Trained and certified staff work with area organizations, employers, youth and the community at large, to help determine health needs through health risk appraisals, culture and interest surveys, and/or other data as available. Education, screenings, health coaching, training and collaboration with all resources within Eastern Maine Medical Center and EMHS are provided to meet the community or individual business needs. EMMC continues to be committed to investing in Maine's future health through the Way to Optimal Weight (WOW) program for children -- a program that coaches children with morbid obesity to address their weight and resulting other health issues,by improving eating and fitness habits, boosting self esteem, and engaging in family coaching. EMMC also hosts a number of support groups that provide education and a support system to our patients and their families afflicted with certain illnesses and conditions | |
| Part VI - Community Information | EMMC is a comprehensive, 411-bed medical center serving the greater Bangor area and the northern two thirds of Maine. The medical center and its medical staff of more than 400 physicians provide three-quarters of the primary-care hospital services offered in the Bangor area, as well as specialty and intensive services for patients from Waterville to the Canadian border. EMMC also provides outreach clinics to many local hospitals in the region, allowing easier access for patients and supporting the role of those hospitals in their communities. EMMC is an American College of Surgeons verified Level II trauma center, bariatric center, community cancer center and host of Lifeflight of Maine, a statewide medical helicopter service that transports critically ill and injured patients. EMMC is also a Joint Commission certified Joint Center and Stroke Center.In the Community Health Needs Assessment for EMHS, it states:1) Penobscot County has the highest percentage of females in any county with no medical checkup in the past two years2) Penobscot County has the highest percentage of obese residents of any county3) Penobscot County has a low percentage of males 50+ who've received a prostate exam within the past two years | |
| Part VI - Patient Education of Eligibility for Assistance | Financial assistance or free care is available only for medically necessary services. Posters are displayed in patient care areas, information and forms are available online on the hospital website, and patient billing representatives are also available to answer questions and take calls. | |
| Part VI - Needs Assessment | The EMHS Community Health Needs Assessment examines the health status of the residents of Bangor and Penobscot, counties and provides comprehensive research data and recommendations on a variety of critical target areas including community health education, access to primary care, care for chronic conditions, geriatric care, and mental health and substance abuse. As a follow up to the studies conducted in 2001 and 2007, EMHS contracted with the Center for Health Policy, Planning and Research (CHPPR) at the University of New England (led by Ron Deprez, PhD. MPH) to determine changes in health status and barriers to care since 2001. The 2007 Community Health Needs Assessment was funded again as a community service of EMHS Foundation, the philanthropic center of EMHS. EMHS participated in another Community Health Needs assessment in late 2010. Those results were made available in 2011, and in late June of 2011, EMMC, as a member of EMHS, hosted a community health needs assessment forum at the Spectacular Event Center in Bangor so community leaders and public health officials could discuss a collaborative effort to best address the needs of residents in Penobscot County. EMMC also had representatives at several other community forums since we serve as the leading tertiary referral center for the northern two-thirds of the state. In 2013, we continued the implementation of the strategies developed in that process. | |
| Part V, Line 20d - Other Billing Determination of Individuals Without Insurance | 19d. Hospital charges are discounted at 100% for patients who qualify for free care with income at or below 200% FPL. The hospital also offers a partial discount for patients who fall within the 201% to 300% FPL. | Number of Hospital Faciltiy - 1 |
| Part V, Line 14g - Other Means Hospital Facility Publicized the Policy | 13g. Posted signs and individual notices containing information on the availability of free care are located in key public areas in the hospital. Signs and notices inform the patient of the availability of free care and include eligibility criteria, instructions on how to apply and how to obtain additional information or assistance. The "Billing Help" section of the hospital web pages provides a link to the free care application form, instructions and eligibility criteria | Number of Hospital Faciltiy - 1 |
| Part V, Line 7 - Explanation of Needs Not Addressed and Reasons Why | Increase capacity for detox, because other organizations in the community, including Acadia Hospital have taken on that responsibility and we need to avoid duplication.Payment reform was mentioned several times in these group discussions, and though EMMC can advocate for changes in the payment structure to support primary and secondary prevention, and participate in collaborative efforts like the Bangor Beacon Community and development of Accountable Care Organizations, this is not a need that we can address on our own | Number of Hospital Faciltiy - 1 |
| Part V, Line 6i - Describe Other Needs Identified | 6a Eastern Maine Medical Center plans to meet the prioritized needs through the following initiatives and resources:6b Continued sponsorship and mentoring of the Wellness Council of MaineEMMC is the regional sponsor of this initiative that brings wellness coaching and initiatives into the workplace6c The Bangor Beacon Community, a three year grant, ended in March 2012. The federal grant brought together a variety of care providers and stakeholders in the community and was the foundation of EMHS becoming a Pioneer Accountable Care Organization, one of 33 in the country. We are able to provide better coordinate care, educate consumers, encourage earlier access to medical care and better management of chronic disease with the goal of a healthier population and reduced use of emergency intervention to even more people in our community as a result of our continued efforts and success.6d Ongoing work in our primary care provider offices (all of which are patient centered medical homes) with regard to coaching on primary prevention of at risk populations and care management for secondary prevention in those with chronic disease. Integration of Mental Health/Substance Abuse services into primary care setting. Expanding use of care coordinators to our own EMMC employees and Medicare patietnt in accordance with demonstrated success of the Pioneer Accountable Care Organization.6e Ongoing efforts to recruit as well as fund the Family Practice Residency Program (about half those who complete this program choose to set up practice here in the region). Increase family practice provider options in the community, including opening a new office in Hampden, acquiring an established primary care practice in Bangor and recruiting additional primary care practitioners to our region.6f Continue to develop and grow the Way to Optimum Weight (WOW) Program for children with obesity related illness. This four year old program is showing significant promise in introducing sustainable behavior change in children with obesity.6g Breakout #1 Access, Quality and Effectiveness Access to clinic and coaching services in the workplaceTethering resources to primary care, more collaboration, more consistency in the models used in primary care settingsConsumer triage problematic, knowing when to use primary care and when to access Walk In or EmergencyLeverage electronic medical record systems to connect providers, increase continuityIncrease preventive care compliance among menNeed additional primary care physicians in regionEpisodes of care must link back to patients medical homeBreakout #2 Chronic Disease Increased community conversation about chronic disease and management resourcesIncreased education of physician community regarding resourcesBetter management in community settings will decrease hospitalizations and improve CHNA results next timeHealth literacy and prevention educationBreakout #3 Mental Health and Substance Abuse Over prescribing of medications /use small volume prescriptionsIncreased coordination of mental health/substance abuse treatment, including coaching/care management for relapse preventionIncreased capacity to detox patientsBreakout #4 Prevention, Obesity Online resource for providers neededMultifaceted approachNeed to decrease youth obesity rates/prevention is key | Number of Hospital Faciltiy - 1 |
| Part V, Line 5c - Description of Making Needs Assessment Widely Available | In conjunction with EMHS, Eastern Maine Medical Center hosted a community forum to present an overview of local assessment results and recommendations. Invitees included: Other area hospitals, Physician leaders, Federally Qualified Health Centers, Healthy Maine Partnerships, District Liaisons linked to Maine CDC, Home Health and Long Term Care leaders, Social Service Agencies, Leaders of the tribal communities, Business leaders, Legislative leaders, Representatives of the State administrationAttendees were provided an executive summary of the assessment as well as a summary table of data reflective of the service area. A presentation was made by EMHS staff who were members of the assessment development steering committee providing selected data results, trends over time and the priorities and recommendations as suggested by the research consultants.In addition to the community forums, the entire statewide assessment (both narrative and data sets) were posted to the EMHS website. After the forums, Power Point presentations used at the Forum as well as input collected in the breakout sessions were also posted on the website. Forum participants were encouraged to go to the website to review the assessment in detail, and access the data for local planning. Media releases were also sent to local news outlets in combination with the forums, encouraging new articles on the forum and inviting all members of the public to view the report on the website.Instructions on the website assist viewers to download and /or print sections of the report. Individuals without computer or printer access were provided a phone number where they can request a printed assessment | Number of Hospital Faciltiy - 1 |
| Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment | The needs assessment was developed as a statewide collaborative between the states three largest health systems: EMHS (in central, eastern and northern Maine), MaineGeneral (in central Maine) and MaineHealth (in southern Maine). Multiple collaborators were involved in the dissemination of the assessment findings and establishment of priorities (see Section 5). | Number of Hospital Faciltiy - 1 |
| Part V, Line 3 - Account Input from Person Who Represent the Community | On a statewide basis, the research consultants developed an advisory committee that met two times during the assessment research and drafting of the publication. These individuals represented a broad spectrum of backgrounds, and they are named: Carol Bell, Healthy Maine Partnership Director; Kelly Bentley, Healthy Maine Partnership Director; Gail Dana-Sacco, Wabanaki Center (serving tribal populations); Patricia Hart, Maine Development Foundation; Barbara Leonard, MPH, Maine Health Access Foundation (philanthropic foundation focused on access to care in Maine); Becca Matusovich, Maine Center for Disease Control; Lisa Miller, Bingham Foundation (philanthropic foundation); Dora Ann Mills, MD, Maine Center for Disease Control; Elizabeth Mitchell, Maine Health Management Coalition (representing the states major employers, insurers and providers); Trish Riley, Governors Office of Health Policy and Finance (GOHPF); Brian Rines, Advisory Committee for Health System Development (overseen by GOHPF); Rachel Talbot-Ross, Maine Chapter, NAACP; Ted Trainer, Public Health Coordinating Council Shawn Yardley, City of Bangor, Department of Health and Welfare. | Number of Hospital Faciltiy - 1 |
| Part V, Line 1j - Description of Other Needs Assessment | 1a EMMCs primary service area includes the contiguous towns in the Greater Bangor area. While EMMC has a tertiary mission that encompasses a larger geographic area, and we do collaborate with primary providers in more distant regions, the needs assessment identifies largely primary healthcare issues -- the purview of primary hospitals--so we have focused on our primary service area.1b Eastern Maine Medical Center and its related physician practices utilize extensive electronic medical records, including disease registries, which provide a vast amount of data relative to patients in care. The needs assessment provides a much broader picture of the community as a whole, including the health status of individuals not in care, as well as functional health status and social-demographics (such as employment, income and education levels). The local units of the states public health infrastructure (known as Healthy Maine Partnerships) are also integrated into the process so that their data relative to health, environmental and social measures are part of the community dissemination process.1c Eastern Maine Medical Center engaged multiple health resource leaders in the community forum invitation list (as described in Section 1g). Additional resources and leaders needed were identified in the breakout sessions (see question for breakout participants, Section 1g EMMC is participating in the CMS Pioneer ACO through parent company EMHS Beacon Health. The primary care practice model is being rolled out to Medicare and commercial patients. Through integrated electronic medical records and embedded nurse care coordinators EMMC is able to provide seamless and personalized care to our high risk patients and provide more education and support to those with chronic diseases. The care model is in place throughout all the EMMC primary care practices. In the EMMC primary service area, key collaborators going forward will include: EMMC, St. Joseph Healthcare, Community Health and Counseling Services, Acadia Hospital and Eastern Area Agency on Aging1d-1e-1f EMHS, the parent company of Eastern Maine Medical Center, routinely conducts a community health needs assessment (Hereafter needs assessment) across the service area of all of its member hospitals. The most recent assessment, published in 2011, was conducted under a contract with the University of New England Center for Health Planning, Policy and Research (CHPPR) and the University of Southern Maines Muskie School for Public Health. Using a methodology developed by CHPPR over decades of work, the assessment integrates primary data from a telephone survey to heads of households with secondary data retrieved from state databases (ED usage, Mortality, Cancer Registry, etc.). That data is reviewed in the context of multiple health related domains to develop a composite view of health status, behavioral risks, and barriers to access and care. Results are compared to national and state benchmarks to produce priorities and recommendations as prepared by the consultants.1g See question #31h On a statewide basis, the research consultants developed an advisory committee that met two times during the assessment research and drafting of the publication. These individuals represented a broad spectrum of backgrounds, and they are named: Carol Bell, Healthy Maine Partnership Director; Kelly Bentley, Healthy Maine Partnership Director; Gail Dana-Sacco, Wabanaki Center (serving tribal populations); Patricia Hart, Maine Development Foundation; Barbara Leonard, MPH, Maine Health Access Foundation (philanthropic foundation focused on access to care in Maine); Becca Matusovich, Maine Center for Disease Control; Lisa Miller, Bingham Foundation (philanthropic foundation); Dora Ann Mills, MD, Maine Center for Disease Control; Elizabeth Mitchell, Maine Health Management Coalition (representing the states major employers, insurers and providers); Trish Riley, Governors Office of Health Policy and Finance (GOHPF); Brian Rines, Advisory Committee for Health System Development (overseen by GOHPF); Rachel Talbot-Ross, Maine Chapter, NAACP; Ted Trainer, Public Health Coordinating Council Shawn Yardley, City of Bangor, Department of Health and Welfare. In the local area served by the assessment, multiple parties were engaged in dissemination of the assessment findings and establishment of priorities (see Section 5). | Number of Hospital Faciltiy - 1 |
| Part III, Line 9b - Provisions On Collection Practices For Qualified Patients | All account guarantors who express an inability to pay inpatient and outpatient services will be screened for eligibility for charity care using an application and guidelines established by Eastern Maine Medical Center. An account may be reconsidered for charity care at any time when new information is available about a patients inability to pay. | |
| Part III, Line 8 - Explanation Of Shortfall As Community Benefit | Medicare losses should be treated as a community benefit because the losses are incurred in performing an important public service, and Maine hospitals experience one of the lowest Medicare reimbursement rates in the country. | |
| Part III, Line 4 - Bad Debt Expense | Patient and trade accounts receivable are stated at the amount management expects to collect from outstanding balances. Management provides for probable uncollectible amounts through a charge to earnings and a valuation allowance based on its assessment of the current status of individual accounts. Balances that are still outstanding after management has used reasonable collection efforts are written off through a charge to the valuation allowance and the applicable patient accounts receivable. Credit is extended without collateral. The costing methodology used to determine the amount reported on line 2 is cost to charge ratio | |
| Part I, Line 7, Column F - Explanation of Bad Debt Expense | $26,491,770 of bad debt expense, $29,223,699 of charity care, $573,600,337 of contractual allowances is included on Form 990, Part IX, line 25, column (A). | |
| Part I, Line 7 - Explanation of Costing Methodology | Worksheet 2, Ratio of Patient Care Cost-to-Charges is used in calculation | |
| Part I, Line 6a - Related Organization Community Benefit Report | The EMMC community benefit report is contained in an annual community benefit report prepared by Eastern Maine Healthcare Systems which is the parent organization of all related organizations. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
| Rebuttable Presumption Procedure | false | RebuttablePresumptionProcedure |
Form990 Schedule J Part II Form990ScheduleJPartII (21 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Wayne R Waterman MD | ||||||||||||
| Neuro Surgeon | 677162 | 46667 | 14528 | 9900 | 22974 | 771231 | ||||||
| Scott Oxley | ||||||||||||
| Former Treasurer | 210232 | 32872 | 35810 | 18532 | 22709 | 320155 | ||||||
| Robert A Clough MD | ||||||||||||
| Surgeon | 849762 | 167963 | 4164 | 19700 | 16565 | 1058154 | ||||||
| Peter P Huang | ||||||||||||
| General Surgeon | 317499 | 253462 | 978 | 14800 | 27863 | 614602 | ||||||
| Michael Donahue | ||||||||||||
| Former VP/Phy Practice | 23543 | 960 | 486 | 888 | 25877 | 221605 | 33671 | 9858 | 21350 | 10339 | 296823 | |
| Michael A Johnson MD | ||||||||||||
| Retinal Surgeon | 640515 | 898365 | 810 | 17250 | 19028 | 1575968 | ||||||
| Mary M Hood PresidentCEO | ||||||||||||
| Ex-Officio | 691048 | 140786 | 12420 | 225828 | 22211 | 1092293 | ||||||
| Julie Long MD | ||||||||||||
| Board Member | 504648 | 9299 | 1846 | 13550 | 12344 | 541687 | ||||||
| John D Klemperer MD | ||||||||||||
| Physician | 646072 | 388196 | 1782 | 17250 | 22492 | 1075792 | ||||||
| Jill McDonald | ||||||||||||
| VP/COMM & MKT | 165330 | 15937 | 3260 | 13994 | 16796 | 215317 | ||||||
| James A Raczek MD | ||||||||||||
| VP/COO & CMO | 399465 | 75577 | 2963 | 22150 | 26974 | 527129 | ||||||
| Iyad Sabbagh MD | ||||||||||||
| Board Member | 238118 | 2331 | 994 | 14879 | 27273 | 283595 | ||||||
| Helen Q McKinnon RN | ||||||||||||
| VP/SUPPORT SVC | 225252 | 19937 | 3812 | 22589 | 25445 | 297035 | ||||||
| Glenn Martin VP Gen Counsel | ||||||||||||
| Secretary | 272493 | 23574 | 2682 | 17250 | 26490 | 342489 | ||||||
| G Gregory Howat Esq | ||||||||||||
| VP/HR | 229394 | 21399 | 7811 | 21059 | 26945 | 306608 | ||||||
| Elmer Doucette VPCFO | ||||||||||||
| Treasurer | 243809 | 21148 | 10310 | 16696 | 23797 | 315760 | ||||||
| Derrick Hollings | ||||||||||||
| EMHS Treasurer | 269077 | 965 | 31507 | 15022 | 316571 | |||||||
| Deborah Carey Johnson CEO | ||||||||||||
| Ex-Officio | 450098 | 58036 | 12914 | 448056 | 24492 | 993596 | ||||||
| Deanna Dorsey | ||||||||||||
| Board Member | 344753 | 600 | 1170 | 14644 | 14074 | 375241 | ||||||
| Daniel B Coffey | ||||||||||||
| Former Treasurer | 366860 | 65272 | 21282 | 29600 | 17064 | 500078 | ||||||
| Ashley Robertson MD | ||||||||||||
| Board Member | 269773 | 135673 | 15990 | 13169 | 9960 | 444565 | ||||||
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Sch J, Part I, Line 1a | Identifier |
| Return Reference | Part I, Line 1a: Relevant information in regards to selections on 1a. | ReturnReference |
| Explanation | Elmer H. Doucette, officer received a gift certificate for length of service with the organization for $25 with a $13.85 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.Peter P. Huang, highly compensated employee received a $120 employee stipend towards a fitness center and John D. Klemperer, MD, highly compensated employee received a $130 employee stipend towards a fitness center. The benefit is available for all employees. The EMMC Employee Wellness Department structured a Fitness Center Network for EMMC employees. Any EMMC employee who participates in wellness activities at an EMMC Fitness Center Network health club or health facility shall receive a discount at the facility, and will be reimbursed for their participation by EMMC on a bi-weekly or yearly basis at one facility. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| Maine Health and Higher E | ||||||||
| B | 010314384 | 560427WE2 | 2013-02-13 | 155196340 | Modernization Phase I | false | false | false |
| Maine Health and Higher Educational Facilities Authority | ||||||||
| A | 010314384 | 560427GX3 | 2010-04-22 | 72656251 | Refund 1998 & 1999 issue, Outpatient Cancer Center, Parking | false | false | true |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Amount UnspentAmountUnspent | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Amount RetiredAmountRetired | Refunding EscrowRefundingEscrow | Other Spent ProceedsOtherSpentProceeds | Year Of Subst CompletionYearOfSubstCompletion |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| B | 196092047 | 12521895 | 17915749 | 1717540 | 1848325 | 162088538 | false | false | false | true | ||||
| A | 76541297 | 5354450 | 652336 | 39500000 | false | true | true | true | 6145000 | 25170000 | 5864511 | 2010 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|
| B | false | false | false | false | false | true |
| A | false | false | false | false | false | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Business Name Line1NameOfGICProvider/BusinessNameLine1 | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|
| NA | |||||||
| B | false | false | false | false | NA | false | false |
| NA | |||||||
| A | false | false | false | false | NA | false | false |
Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| B | true |
| A | true |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Supplemental Information | Identifier |
| Return Reference | Part VI | ReturnReference |
| Explanation | Part II, line 3, column A, does not equal Part I, line A, column E as a result of other sources of funds from DSF-Interest, DSF-Principal, and DSRF balance totaling $3,885,046.Part II, Line 3, Column B, does not equal Part I, line B, column E as a result of other sources of funds from equity from Maine Care Settlement, dialysis sale, already spent funds, and contributions from operations totaling $40,895,708. Part IV, Line 7, The issuer(MHHEFA) has established written procedures to monitor the requirements of Section 148. The organization has entered into a tax regulatory agreement with the issuer that requires the organization to comply with the requirements of Section 148. The organization is working to establish its own written procedures to monitor such requirements. | Explanation |
Schedule L IRS990ScheduleL
Loan Table LoanTable (2 entries)
| Purpose Of LoanPurposeOfLoan | Loan From OrganizationLoanFromOrganization | Original PrincipalOriginalPrincipalAmount | Balance DueBalanceDue | DefaultDefault | Approved By BoardApprovedByBoard | Written AgreementWrittenAgreement |
|---|---|---|---|---|---|---|
| Ashley Robertson MD | ||||||
| physician loan | X | $113,654 | 1983 | false | false | true |
| Wayne R Waterman MD | ||||||
| physician loan | X | $40,000 | 10983 | false | false | true |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 12966 | TotalBalanceDue |
Form990 Schedule L Part IV Form990ScheduleLPartIV (7 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Helen Q McKinnon | |||
| officer=bd member | 971845 | condo fee expense | false |
| Colette Sabbagh | |||
| spouse of bd memb | 115550 | compensation | false |
| Mary M Hood | |||
| officer=board memb | 215951 | membership dues-MHA | false |
| Sheryl Winchester | |||
| spouse of officer | 99936 | compensation | false |
| David L Levy MD | |||
| trustee=25% owner/treasur | 194910 | prof srv-Northeast Nephro | false |
| Susan Dow | |||
| fam mem of officer | 111303 | compensation | false |
| Deborah C Johnson | |||
| officer=brd member | 138040 | nursing prog assis-Husson | false |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | Deborah C. Johnson, officer is a board member of Husson University. EMMC had business transactions with Husson University during the fiscal year.Susan Dow is a family member of an officer and is an employee of EMMC.David L. Levy, MD, trustee is Treasurer and 25% owner of Northeast Nephrology, PA. EMMC had business transactions with Northeast Nephrology, PA during the fiscal year.Sheryl Winchester is a family member of an officer and is an employeee of EMMC.Mary M. Hood, officer is a board member of Maine Hospital Association. EMMC had business transactions with Maine Hospital Association during the fiscal year.Colette Sabbagh is a family member of a board member and is an employee of EMMC.Helen Q. McKinnon, officer is a board member of Webber Condo Association. EMMC had business transactions with Webber Condo Association during the fiscal year. | Explanation |
Schedule M IRS990ScheduleM
Works Of Art WorksOfArt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 2 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 7050 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
Clothing And Household Goods ClothingAndHouseholdGoods
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Noncash Contribs Rptd F990 | 3965 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
Food Inventory FoodInventory
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 12 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 17186 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
Other Non Cash Contributions Table OtherNonCashContributionsTable (14 entries)
| Non Cash CheckboxNonCashCheckbox | DescriptionDescription | Number Of ContributionsNumberOfContributions | Noncash Contribs Rptd F990NoncashContribsRptdF990 | Method Of Determining RevenuesMethodOfDeterminingRevenues |
|---|---|---|---|---|
| X | Picture | 1 | 150 | FMV |
| X | Tickets | 1 | 80 | FMV |
| X | Honorarium | 1 | 2500 | FMV |
| X | Domain Name | 1 | 60 | FMV |
| X | Golf Lessons | 1 | 140 | FMV |
| X | Walk-kits | 1 | 1635 | FMV |
| X | Hotel Stay | 1 | 1000 | FMV |
| X | Canopies | 2 | 2063 | FMV |
| X | Tote | 1 | 250 | FMV |
| X | Toys | 2 | 548 | FMV |
| X | Wood Carving | 1 | 10000 | FMV |
| X | Jewelry | 1 | 999 | FMV |
| X | House | 1 | 2000 | FMV |
| X | Gift Cards | 9 | 2185 | FMV |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | true | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (15 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Form 990, Part XI, Line 9 | Other Changes In Net Assets Or Fund Balances - Other Increases | Transfer from exempt parent-Eastern Maine Healthcare Systems = $1000 |
| Form 990, Part XI, Line 9 | Other Changes In Net Assets Or Fund Balances - Other Increases | Post Retirement Health Benefit FAS158 = $12785482 |
| Form 990, Part XI, Line 9 | Other Changes In Net Assets Or Fund Balances - Other Increases | Net Change in Funds Held at Affiliates = $3079674 |
| Form 990, Part XI, Line 9 | Other Changes In Net Assets Or Fund Balances - Other Decreases | Contribution To Strat Pool Per Affiliation Agreement = -$4775612 |
| Form 990, Part VI, Line 19 | Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | Eastern Maine Medical Center 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 system President/CEO and EMMC Executive & Finance 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 CEO of Eastern Maine Medical Center and the system President/CEO (President) who serves on the board ex-officio are employed by the system parent, Eastern Maine Healthcare Systems (EMHS). The EMHS Executive Performance Management Committee (the Committee) is responsible to monitor and evaluate the performance of the EMHS President, to set compensation of the EMHS President, and to review recommendations of the EMHS President with respect to compensation of the Chief Executive Officer of the direct subsidiaries, and other direct reports to the President. The Committee is comprised entirely of independent Directors per EMHS bylaws. Process:The Committee meets regularly throughout the fiscal year at the discretion of the Committee chair as well as on call of the Chair of the EMHS board. In carrying out its duties pursuant to the Bylaws, the Committee:- Assures that the executive compensation program is administered in a manner consistent with the EMHS executive compensation philosophy.- Reviews and updates the EMHS executive compensation philosophy which serves as the foundation on which all current and future executive compensation decisions are made.- Assures that value of compensation provided by EMHS does not exceed the value of services provided by the executive.- Reviews annual incentive compensation criteria for eligible executives, as defined by the EMHS President.- Reviews periodic compensation survey information and provides expert input to proposed changes to the executive compensation program.- Assures that a formal and timely performance management system is in place for executives.- Reviews incentive compensation criteria scoring and associated pay schedules for officers and key employees.- Provides any public statements regarding executive compensation practices at EMHS deemed appropriate.- Maintains minutes of the meetings and communicates actions to the EMHS Board of Directors.To accomplish this, the committee uses an external consultant with access to comparative data from independent sources and include national as well as regional data points. The EMHS President reviews all direct report compensation actions with the committee. In addition, the EMHS President ensures that any subsidiary policies and practices governing executive compensation are consistent with the committee's philosophy and practices statement. |
| Form 990, Part VI, Line 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 System Director of Financial Services and System Assistant System Controller. It is also provided to each board member either electronically or in hard copy with an opportunity to ask questions prior to filing with the IRS. |
| Form 990, Part VI, Line 7b | Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders | EMHS has authority to appoint and remove the CEO of the Corporation. EMHS also has joint and superior authority to approve, disapprove or initiate action with respect to the following matters: I. amendments to the corporations Articles of Incorporation or Bylaws;II. changes in legal form of organization of the Corporation;III. election of the Directors/Trustees of the Corporation;IV. action concerning the Corporations operating budget and capital expenditures;V. the Corporations acquisition of assets or assumption of liabilities of an unaffiliated third party;VI. transfer of 5% or more of the assets of the Corporation;VII. financing transactions concerning the Corporation; VIII. merger, consolidation, sale, lease, mortgage, pledge or other disposition of all or substantially all assets of the Corporation; IX. add or revise a health care service of the Corporation;X. discontinue or close a health care service of the Corporation;XI. action concerning the Corporations role in the EMHS Strategic Plan;XII. action concerning the Corporations participation in key strategic affiliations with third parties not affiliated with EMHS; andXIII. dissolution of the Corporation. |
| Form 990, Part VI, Line 7a | Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body | Each year at their annual meeting, the directors elect replacements for those directors whose terms are expiring Election of directors is subject to ratification by the EMHS Board of Directors. |
| Form 990, Part VI, Line 6 | Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder | Eastern Maine Medical Center (the "Corporation") is a Maine nonprofit corporation. Eastern Maine Healthcare Systems ("EMHS"), also a Maine nonprofit corporation, is the sole corporate member of the Corporation. |
| Form 990, Part VI, Line 4 | Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents | In December 2012 Eastern Maine Healthcare Systems (EMHS), the parent of this corporation, and this corporation together with other direct subsidiaries of EMHS, 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 | Deborah C. Johnson, officer is a board member of Husson University and Jill McDonald, officer is a member of Husson Board of Visitors. |
| Form 990, Part III, Line 4d | Form 990, Part III, Line 4d: Other Program Services Description | OTHER PROGRAM SERVICES 4: Provide healthcare services regardless of ability to pay as well as education, research and promotion of health. Provided other uncompensated care (at cost) of $12,302,327.Eastern Maine Medical Center (EMMC) has served communities throughout our region for 121 years. Under community direction, it has grown from a five-bed general hospital into a comprehensive, 411 bed tertiary medical center with primary and secondary care components. EMMC is a nonprofit hospital, serving all who need care, regardless of ability to pay.EMMC also provides outreach clinics to many local hospitals in the region, allowing easier access to patients and supporting the role of those hospitals in their communities. EMMC provides access to medical data to hospitals across the State through its PACS system, helping to improve the quality of care patients receive. Additional information can be found at EMMC's website: www.emmc.org.Additional StatisticsTotal admissions 21,230Percent Occupancy of Available Beds 77.7%Cardiac Catheterization Procedures 5,273Cardiac Surgery Cases 383Emergency Room Visits 38,764Medical Imaging Procedures 139,634Surgery Cases 18,502Live Births 1,648Family Practice Visits 28,474Total Outpatient Visits 427,008Patient Days 107,384Services provided to those who could not pay $55,687,300 OTHER PROGRAM SERVICES 5: Please see the following excerpt from the EMHS Annual Report to the Community for details of community benefit projects by EMMC.Leadership: Deborah Carey Johnson, RN, President and CEO; Liane Judd, Board ChairDescription: Eastern Maine Medical Center is the acute care specialty referral hospital for northern, eastern, and central Maine, providing leading edge programs in cancer, surgery, and cardiac care, among many others. EMMC also provides progressive, patient-centered care in several ambulatory and diagnostic facilities and physician practice settings.Employees: 3,960Location: Bangor, Brewer, Hampden, OronoEastern Maine Medical Center Highlights-Earned an A Hospital Safety Score from the Leapfrog Group.-Received Joint Commission recertification for EMMC Total Joint Care and EMMC Primary Stroke Care and reverification from the American College of Surgeons for EMMC Trauma Care.-Platinum Well Workplace Award received from Wellness Council of America.-Completed merger with Northeast Cardiology Associates, more closely aligning cardiac services for patients.-Broke ground on the Modernization Project, the largest improvement project in EMMCs history.-Achieved Get With The Guidelines-Stroke Gold Plus Achievement Award, for highest quality patient care program. TOTAL COMMUNITY BENEFIT: $107,809,582Community Health Improvement Services: $1,591,038Health Professions Education: $2,807,322Subsidized Health Services: $68,132Research: $1,699,547Financial and In-Kind Contributions: $10,105Community Benefit Operations: $1,689,000Unrecoverable Interest Cost on funds used to subsidize state MaineCare/Medicaid underpayments of $83.0M $7,516,293Traditional Charity Care: $13,336,812Unpaid Cost of Public Programs:Medicaid: $48,237,121Medicare: $30,854,212Philanthropy: $3,118,359 OTHER PROGRAM SERVICES 6: OTHER PROGRAM SERVICES 7: OTHER PROGRAM SERVICES 8: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (24 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restoration Health LLC | |||||||||||
| 43 Whiting Hill Rd | Brewer | ME | 04412 | 352449986 | Mental & Behavioral Health Services | ME | 501(c)(3) | 9 | AHI | true | |
| Sebasticook Valley Work Health LLC | |||||||||||
| 447 North Main Street | Pittsfield | ME | 04967 | 453359446 | Provide patient care | ME | 501(c)(3) | 3 | SVH | true | |
| Sebasticook Valley Family Practice Assoc | |||||||||||
| 447 North Main Street | Pittsfield | ME | 04967 | 010357854 | Provide patient care | ME | 501(c)(3) | 9 | SVH | 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 | |
| Maine Institute for Human Genetics and H | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 550894346 | Biomedical research and development | ME | 501(c)(3) | 9 | EMHS | true | |
| Eastern Maine HomeCare | |||||||||||
| PO Box 688 | Caribou | ME | 04736 | 010328442 | Provide home health and hospice services | ME | 501(c)(3) | 9 | EMHS | true | |
| Horizons Health Services | |||||||||||
| PO Box 151 140 Academy Street | Presque Isle | ME | 047690151 | 010504393 | Provide patient care | ME | 501(c)(3) | 3 | TAMC | true | |
| TAMC Endowments | |||||||||||
| PO Box 151 140 Academy Street | Presque Isle | ME | 047690151 | 010389222 | Raise funds for exempt organizations | ME | 501(c)(3) | 11, Type I | TAMC | true | |
| TAMC Title Corp | |||||||||||
| PO Box 151 140 Academy Street | 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 Street | 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 skilled and 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 Rd Ste 400 | Brewer | ME | 04412 | 010465231 | Provide patient care and education | ME | 501(c)(3) | 9 | EMMC | true | |
| EMHS Foundation | |||||||||||
| 43 Whiting Hill Road Ste 400 | Brewer | ME | 04412 | 222514163 | Raise and manage funds for exempt organizations | ME | 501(c)(3) | 11, Type II | EMHS | true | |
| 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 Eastern Maine Medical Center | 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 | |
| Eastern Maine Healthcare Systems EMHS | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 010527066 | Supporting organization for healthcare affiliates | ME | 501(c)(3) | 11 Type III Func Int | true | N/A | |
| Rosscare Nursing Homes Inc | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 010430751 | Operation of nursing homes | ME | 501(c)(3) | 9 | Rosscare | true | |
| Rosscare | |||||||||||
| 43 Whiting Hill Road | 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 | ||
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Beacon Health LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 43 Whiting Hill Road | AddressLine1 |
| City | Brewer | City |
| State | ME | State |
| ZIP Code | 04412 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 452967056 | EIN |
| Primary Activity | Accountable care organization | PrimaryActivity |
| Legal Domicile State | ME | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EMHS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disproportionate Allocations | false | DisproportionateAllocations |
| General Or Managing Partner | false | GeneralOrManagingPartner |
Form990 Schedule R Part IV Form990ScheduleRPartIV (14 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| Alliance Heath Documentation LLC | |||||||||
| 9 Central Street 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 Company LLC | |||||||||
| 9 Alumni Dr | Orono | ME | 04473 | 010537924 | RetCottag | 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 Dr | Orono | ME | 04473 | 020547749 | Contin Care | ME | Rosscare | C | true |
| Dirigo Pines Retirement Community LLC | |||||||||
| 9 Alumni Dr | 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 | true |
| Meridian Mobile Health LLC | |||||||||
| 931 Union St PO Box 940 | Bangor | ME | 044020940 | 010512673 | Ambulance | ME | AHS | C | true |
| DE Collections DBA Affiliated Collecti | |||||||||
| 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 | Clinical lab | 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. | ME | EMHS | C | true |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (34 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Alliance Heath Documentation LLC | ||
| l | 814378 | FMV |
| Miller Drug LLC | ||
| m | 82360 | FMV |
| Miller Drug LLC | ||
| l | 167740 | FMV |
| Meridian Mobile Health LLC | ||
| m | 77440 | FMV |
| Meridian Mobile Health LLC | ||
| l | 426141 | FMV |
| Meridian Mobile Health LLC | ||
| a | 12000 | FMV |
| DE Collections DBA Affiliated Collecti | ||
| l | 265222 | FMV |
| Affiliated Materiel Services | ||
| p | 20730346 | FMV |
| Affiliated Materiel Services | ||
| l | 3581039 | FMV |
| Affiliated Laboratory Inc | ||
| m | 65308 | FMV |
| Affiliated Laboratory Inc | ||
| l | 15649126 | FMV |
| Affiliated Healthcare Management | ||
| l | 2763129 | FMV |
| Affiliated Healthcare Management | ||
| k | 50165 | FMV |
| Blue Hill Memorial Hospital | ||
| m | 862560 | FMV |
| Eastern Maine HomeCare | ||
| a | 283 | FMV |
| The Aroostook Medical Center TAMC | ||
| m | 503401 | FMV |
| The Aroostook Medical Center TAMC | ||
| a | 553 | FMV |
| Sebasticook Valley Health SVH | ||
| m | 496576 | FMV |
| CA Dean Memorial Hospital | ||
| m | 172531 | FMV |
| Inland Hospital | ||
| m | 2125313 | FMV |
| Inland Hospital | ||
| a | 2534 | FMV |
| Norumbega Medical Specialists LTD | ||
| m | 1135303 | FMV |
| EMHS Foundation | ||
| s | 3440510 | FMV |
| EMHS Foundation | ||
| l | 1689000 | FMV |
| EMHS Foundation | ||
| k | 115419 | FMV |
| Acadia Healthcare Inc AHI | ||
| m | 512583 | FMV |
| Acadia Hospital Corp AHC | ||
| p | 90789 | FMV |
| Acadia Hospital Corp AHC | ||
| l | 1560028 | FMV |
| Eastern Maine Healthcare Systems EMHS | ||
| s | 445298 | FMV |
| Eastern Maine Healthcare Systems EMHS | ||
| r | 4775612 | FMV |
| Eastern Maine Healthcare Systems EMHS | ||
| p | 45287409 | FMV |
| Eastern Maine Healthcare Systems EMHS | ||
| m | 855859 | FMV |
| Eastern Maine Healthcare Systems EMHS | ||
| l | 37780589 | FMV |
| Eastern Maine Healthcare Systems EMHS | ||
| k | 3455225 | FMV |