2014-08-12T07:13:13-07:00 2013-09-28 990 2012-09-30 010211501 Eastern Maine Healthcare Systems EMMC Eastern Maine Medical Center EMMC EAST 2079737064 PO Box 404 489 State Street Bangor ME 04402 Derrick Hollings 2014-08-12 false 2012 2015-11-30 17:44:51Z Derrick Hollings 43 Whiting Hill Road Brewer ME 04412 1333976851 false false 5247 X www.emmc.org X 1892 ME 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. 17 10 4193 400 62918 7281171 7987413 1232940927 1263756589 1530402 19069311 11792864 6762393 1253545364 1297575706 0 0 327970731 349518092 0 0 862986866 896772231 1190957597 1246290323 62587767 51285383 573340985 786477975 261582289 414315047 311758696 372162928 X 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. false false 999999999 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 48237121 Medicaid shortfalls (at cost) 80,568 persons served 30854212 Medicare shortfalls (at cost) 128,784 persons served 88904474 1269109394 1167995806 true true false true false false false false false true true false false true true true false true false false false false false false false false true true false false true true false false false false false true false false true true true true false false false true true true false false true 211 0 true 4193 true true false false false false false false 0 false false false false false false false false false false X 17 10 true false true false true true true true true false false true true true true true true true true false ME X X X Jeffrey A Sanford 2079737894 43 Whiting Hill Road Brewer ME 04412 Scott Solman 0.50 0.00 X 0 0 0 Julie Long MD 50.00 0.00 X 515793 0 25894 John A Vickery Sr 0.50 0.00 X 0 0 0 Iyad Sabbagh MD 50.00 0.00 X 241443 0 42152 Senator Kevin L Raye 0.50 0.00 X 0 0 0 Donald Hagstrom 1.00 0.00 X X 0 0 0 John M Long Sr MD 0.50 0.00 X 0 0 0 David L Levy MD 0.50 0.00 X 0 0 0 Liane E M Judd 1.00 0.00 X X 0 0 0 Gary Eckmann 0.50 0.00 X 0 0 0 Jennifer Brooker 0.50 0.00 X 0 0 0 Deanna Dorsey 50.00 0.00 X 346523 0 28718 Mary Cathcart 0.50 0.00 X 0 0 0 Sally Arata 0.50 0.00 X 0 0 0 Michael J McInnis 1.00 0.00 X X 0 0 0 Deborah Carey Johnson CEO 50.00 0.00 X X 521048 0 472548 Mary M Hood PresidentCEO 20.00 30.00 X X 0 844254 248039 John Miller 0.50 0.00 X 0 0 0 Ashley Robertson MD 50.00 0.00 X 421436 0 23129 EE comp is for admin svcs 0.00 0.00 X 0 0 0 Elmer Doucette VPCFO 50.00 0.00 X 275267 0 40493 Derrick Hollings 0.00 50.00 X 0 301549 15022 Glenn Martin VP Gen Counsel 14.00 36.00 X 0 298749 43740 Jodi Galli RN 50.00 0.00 X 66836 0 4747 Jill McDonald 50.00 0.00 X 184527 0 30790 Helen Q McKinnon RN 50.00 0.00 X 249001 0 48034 G Gregory Howat Esq 50.00 0.00 X 258604 0 48004 James A Raczek MD 50.00 0.00 X 478005 0 49124 Robert A Clough MD 40.00 0.00 X 1021889 0 36265 Wayne R Waterman MD 40.00 0.00 X 738357 0 32874 Peter P Huang 40.00 0.00 X 571939 0 42663 Michael A Johnson MD 40.00 0.00 X 1539690 0 36278 John D Klemperer MD 40.00 0.00 X 1036050 0 39742 Daniel B Coffey 0.00 50.00 X 0 453414 46664 Michael Donahue 0.00 50.00 X 24503 265134 33063 Scott Oxley 0.00 50.00 X 0 278914 41241 8490911 2442014 1429224 398 true true false 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 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RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 62506 62506 false false Part II-B, Line 1i Part II-B, Line 1i - Other Activities Description Non-deductible dues 23506673 98419 2728808 1058852 25275048 21018620 124365 3506614 1142926 23506673 21974979 148655 236593 1341607 21018620 20890628 54006 2264755 1234409 21974980 22052765 42199 -160607 1043729 20890628 0.01600 0.98400 false true true 2234601 2234601 124971069 60186006 64785063 12201640 3452740 8748900 300314929 213868685 86446244 54095935 9167172 44928763 207143571 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 349133970 Reserve for Prof. Liab. Self Ins. 19611203 Reserve for Asset Disposal Costs 676468 Other Self Insurance Liab 255264 Notes Payable to Related Org, EMHS 560625 Lt Liability - Cerner RHO 981810 Liability Under Cap Lease Obligation 560480 Accrued Post Retirement Benefits 70915060 93560910 X 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. 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489 State Street Bangor ME 04401

X X X X true X X X X X X X X X 11 true true true X X X X X X X X false false false true true 200.0000 true 300.0000 false X true true X X true false true X false false 12 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 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. Number of Hospital Faciltiy - 1 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). 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. X X true true X X X X X false true false false false false false false false false Wayne R Waterman MD 677162 46667 14528 9900 22974 771231 Scott Oxley 210232 32872 35810 18532 22709 320155 Robert A Clough MD 849762 167963 4164 19700 16565 1058154 Peter P Huang 317499 253462 978 14800 27863 614602 Michael Donahue 23543 221605 33671 960 9858 486 21350 888 10339 25877 296823 Michael A Johnson MD 640515 898365 810 17250 19028 1575968 Mary M Hood PresidentCEO 691048 140786 12420 225828 22211 1092293 Julie Long MD 504648 9299 1846 13550 12344 541687 John D Klemperer MD 646072 388196 1782 17250 22492 1075792 Jill McDonald 165330 15937 3260 13994 16796 215317 James A Raczek MD 399465 75577 2963 22150 26974 527129 Iyad Sabbagh MD 238118 2331 994 14879 27273 283595 Helen Q McKinnon RN 225252 19937 3812 22589 25445 297035 Glenn Martin VP Gen Counsel 272493 23574 2682 17250 26490 342489 G Gregory Howat Esq 229394 21399 7811 21059 26945 306608 Elmer Doucette VPCFO 243809 21148 10310 16696 23797 315760 Derrick Hollings 269077 965 31507 15022 316571 Deborah Carey Johnson CEO 450098 58036 12914 448056 24492 993596 Deanna Dorsey 344753 600 1170 14644 14074 375241 Daniel B Coffey 366860 65272 21282 29600 17064 500078 Ashley Robertson MD 269773 135673 15990 13169 9960 444565 Sch J, Part I, Line 1a Part I, Line 1a: Relevant information in regards to selections on 1a. 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. B Maine Health and Higher E 010314384 560427WE2 2013-02-13 155196340 Modernization Phase I false false false A Maine Health and Higher Educational Facilities Authority 010314384 560427GX3 2010-04-22 72656251 Refund 1998 & 1999 issue, Outpatient Cancer Center, Parking false false true B 196092047 12521895 17915749 1717540 1848325 162088538 false false false true A 6145000 76541297 5354450 25170000 652336 39500000 5864511 2010 false true true true B false false false false false true A false false false false false true B false false false NA false NA false false A false false false NA false NA false false B true A true Supplemental Information Part VI Part II, line 3, column A, does not equal Part I, line A, column E as a result of other sources of funds from DSF-Interest, DSF-Principal, and DSRF balance totaling $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. Ashley Robertson MD physician loan X 113654 1983 false false true Wayne R Waterman MD physician loan X 40000 10983 false false true 12966 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 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. X 2 7050 FMV X 3965 FMV X 12 17186 FMV 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 false true false 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: 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 N/A true 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 Beacon Health LLC 43 Whiting Hill Road Brewer ME 04412 452967056 Accountable care organization ME EMHS false false 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. 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