2013-08-09T07:13:42-07:00 2012-09-29 990 2011-09-25 010372148 THE AROOSTOOK MEDICAL CENTER AROO 2077684250 PO BOX 151 PRESQUE ISLE ME 04769 C BRUCE SANDSTROM 2013-08-09 2011 2016-02-24 21:20:13Z SYLVIA GETMAN 140 ACADEMY STREET PRESQUE ISLE ME 04769 222385237 false false 5247 X WWW.TAMC.ORG X 1981 ME THE MISSION OF THE AROOSTOOK MEDICAL CENTER IS TO RESTORE, MAINTAIN, AND IMPROVE THE HEALTH OF OUR FRIENDS AND NEIGHBORS IN A COMPASSIONATE AND PROFESSIONAL ENVIRONMENT. 17 11 1149 76 0 190953 110021 214117508 212790621 467532 409853 1872091 4572418 216648084 217882913 0 0 61167015 66011877 0 61396 151729809 153460503 212896824 219472380 3751260 -1589467 72008376 76177731 34686323 40281935 37322053 35895796 X THE MISSION OF THE AROOSTOOK MEDICAL CENTER IS TO RESTORE, MAINTAIN, AND IMPROVE THE HEALTH OF OUR FRIENDS AND NEIGHBORS IN A COMPASSIONATE AND PROFESSIONAL ENVIRONMENT. false false 192440205 217363039 PROVISION OF ACUTE & SUBACUTE HOSPITAL CARE RELATED TO OUTPATIENT CLINICS AND HEALTH CARE SERVICES. SERVED 30,718 PATIENT DAYS OF ROUTINE SERVICES AND 86,102 OUTPATIENTS. PROVIDED SERVICES REGARDLESS OF ABILITY TO PAY AS WELL AS EDUCATION AND PROMOTION OF HEALTH. PROVIDED OTHER UNCOMPENSATED CARE (AT COST) OF $1,565,498.Please see the following excerpt from the EMHS Annual Report to the Community for details of community benefit projects by TAMC.Leadership: Sylvia Getman, CEO and Lynn M. Lombard, ChairLocation: Presque Isle, Caribou, Fort Fairfield, Mars Hill, and AshlandEmployees: 1003Description: The Aroostook Medical Center (TAMC) is Aroostook County's largest healthcare organization operating an 89-bed medical center, a 72-bed nursing home, a regional ambulance service, and numerous primary and specialty care practices.TAMC highlights-One of only four hospitals in the state to be recognized by the Joint Commission, an independent nonprofit organization that accredits more than 19,000 healthcare organizations, as a top performer on key quality measures.-Celebrated the hundredth baby born during the hundredth year of TAMC and presented parents Lisa Plourde and Adam Richardson with a special centennial cake and gift basket for the birth of their daughter Aiva Mae Richardson.-Unveiled a new infusion therapy room with large, comfortable chairs, a private bathroom, and a television.-Received the highest level of recognition from the Physical Practice Connections - Patient-Centered Medical Home program for using an evidence-based, patient-centered approach to providing care.-Became the first business in Maine and one of the first in the nation to use compressed natural gas (CNG) to heat and cool a large facility. The conversion is expected to save between $400,000 and $500,000 annually.-Awarded Avatar International's 2011 Exemplary Service - Most Improved - Outpatient Surgical Award.Total Community Benefit: $15,655,224Community Health Improvement Services: $86,109Financial and In-Kind Contributions: $31,440Community Benefit Operations: $64,619Unrecoverable interest cost on funds used to subsidize state MaineCare/Medicaid underpayments of $11.3M; $1,250,529Traditional Charity Care: $1,261,212Unpaid Cost of Public Programs: Medicaid: $4,281,461 Medicare: $8,679,854Philanthropy: $21,377 8679854 MEDICARE SHORTFALLS (AT COST). 7,763 PERSONS SERVED 4281461 MEDICAID SHORTFALLS (AT COST). 6,769 PERSONS SERVED 1261212 206662732 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 false false false true false false false false false false true true true true false true 139 0 true 1149 true false false false false false false false false false false false 0 false false false false false false false false false false false X 17 11 false false false false true true true true true false false false true true true true true true true false true true ME X X X C BRUCE SANDSTROM VP CFO 2077684250 140 ACADEMY STREET PRESQUE ISLE ME 04769 X STEVE ST PIERRE 2.00 X 0 0 0 BARRY MCCRUM 2.00 X 0 0 0 BRETT VARNUM 2.00 X 0 0 0 PETER ST JOHN 2.00 X 0 0 0 SYLVIA GETMAN 40.00 X X 279359 0 20707 GENE LYNCH II 2.00 X X 0 0 0 LYNN LOMBARD 2.00 X X 0 0 0 ALAN LANDEEN 2.00 X 0 0 0 JOE LALLANDE 2.00 X X 0 0 0 LEHRLE KIEFFER 2.00 X 0 0 0 BETTY KENT-CONANT 2.00 X 0 0 0 JENNIFER SONNTAG 2.00 X 0 0 0 MICHAEL FALOON MD 40.00 X 199572 0 15338 M MICHELLE HOOD 2.00 X 0 886467 230569 CARL FLORA 2.00 X X 0 0 0 CAROL BELL 2.00 X 0 0 0 RICHARD DEBOWSKY MD 40.00 X 454747 0 26637 ROGER PELLI DO 40.00 X 244362 0 20858 C BRUCE SANDSTROM 40.00 X 194376 0 57680 THOMAS UMPHREY 40.00 X 318302 0 15409 JAY REYNOLDS MD 40.00 X 210657 0 37126 JEANPIERRE MICHAUD MD 40.00 X 544108 0 29850 DONALD SAWYER 40.00 X 464103 0 31256 ROBERT W RICE MD 40.00 X 548452 0 31419 QUANG T NGUYEN MD 40.00 X 392079 0 33125 VENKATRAM NETHALA 40.00 X 442598 0 21972 DAVID PETERSON 0.00 X 160293 0 0 4453008 886467 571946 77 true true false R&L REAL ESTATE LLC PO BOX 4135 PRESQUE ISLE ME 04769 PROPERTY LEASE 496711 NORTHERN RADIOLOGICAL ASSOC 49 SECOND STREET PRESQUE ISLE ME 04769 CONTRACTED SERVICES 141316 JONATHAN HERLAND MD 36 PENN PLAZA BANGOR ME 04401 CONSULTING 132000 FRESH AIR LLC 137 BENNETT DRIVE PRESQUE ISLE ME 04769 AIR AMBULANCE 434379 DAUDI MANAGEMENT INC 181 ACADEMY STREET SUITE 3 PRESQUE ISLE ME 04769 CONTRACTED SERVICES 346065 7 18350 8000 83671 11390 110021 SALES & CONTRACT REVENUE 621990 155148 155148 PATIENT SERVICE REVENUE 621990 212635473 212635473 212790621 316624 316624 0 0 21500 23345 -1845 -1845 -1845 4071608 500600 4086323 392656 -14715 107944 93229 93229 0 0 0 OTHER REVENUE 900099 404747 404747 MEANINGFUL USE 621990 2915511 2915511 FOOD SERVICES 722210 420132 420132 833873 833873 4574263 217882913 217363039 409853 0 0 0 0 2675721 776135 1899586 0 51871400 46791319 5080081 1736973 1566861 170112 6160271 5556958 603313 3567512 3124570 442942 0 174170 174170 48617 48617 0 0 4131 4131 10060147 8465365 1594782 255922 215352 40570 2618971 2152136 405439 61396 0 0 3359687 2710550 649137 902812 759694 143118 0 46174 46174 398091 334984 63107 0 3504275 2948761 555514 1287535 1083429 204106 CHARITY CARE 2631931 2631931 PROVISION FOR BAD DEBTS 3328288 3328288 MEDICAL SUPPLIES EXPENSE 10919734 10919734 CONTRACTUAL ALLOWANCES 109300280 109300280 4619738 3996385 623353 219472380 206662732 12748252 61396 4530 5133 13842188 12947225 0 8057257 9747478 0 0 0 1922720 1788058 1975375 1287625 79076162 50928580 27791135 28147582 3365252 4297772 620691 124320 0 0 14429228 17832538 72008376 76177731 8885346 11108930 11688982 10632879 14111995 18540126 34686323 40281935 X 35712819 33996280 932519 1218188 676715 681328 37322053 35895796 72008376 76177731 X -1589467 163210 X false true true X false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 29317 29317 false false Part II-B, Line 1i Part II-B, Line 1i - Other Activities Description 16.9% OF MHA DUES ($8,015) WERE ALLOCATED TO LOBBYING.100% OF MDH COALITION DUES ($17,500) WERE ALLOCATED TO LOBBYING.23.98% OF AHA DUES ($3,802) WERE ALLOCATED TO LOBBYING. 1465995 258319 14715 1709599 1512461 -32008 14458 1465995 1412036 114254 13829 1512461 0.36000 0.64000 false true true 194386 194386 42976759 26399627 16577132 3242328 865981 2376347 31302284 23662972 7639312 1360405 1360405 28147582 OTHER RECEIVABLES 564215 OTHER ASSETS, NET 684919 ESTIMATED THIRD-PARTY SETTLEMENTS 12755077 ESTIMATED PROF LIAB CLAIMS REC 3653480 DUE FROM AFFILIATES 37185 DEFERRED FINANCING COSTS, NET 137662 17832538 RESERVE FOR PROF LIAB SELF INS 3653480 OTHER LIABILITIES 178866 ESTIMATED THIRD-PARTY SETTLEMENTS 10203054 DUE TO AFFILIATES 616020 DEFERRED COMPENSATION 3888706 18540126 Part X Part X : FIN48 Footnote The Aroostook Medical Center is a tax-exempt organization pursuant to Section 501(c)(3) of the Internal Revenue Code. Tax-exempt 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, 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 Corporation has evaluated the position taken on its filed tax return. The Corporation has concluded no uncertain income tax positions exist at September 29, 2012. The Corporation's tax years from 2009 through 2012 are open and subject to examination. Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances Unrealized Gains/Losses $209566 Transfer from exempt sub-Horizons Health $19804 Transfer from exempt sub-TAMC Title Corp $332945 Transfer to exempt subsidiary - Horizons Health Services $ -0 Capital contributions released $ -0 Transfer to exempt parent - Eastern Maine Healthcare Systems $ -169955 Loss on early extinguishment of debt $ -180397 Change in Temp. Restricted Net Assets $ -48753 Part V, Line 4 Part V, Line 4: Intended uses of the endowment fund. PART V, LINE 4: ENDOWMENT ASSETS ARE USED FOR THE CORPORATION'S CAPITAL EQUIPMENT NEEDS true true true X false true true false false true true 696 1261212 1261212 0.01210 6769 18209360 13927899 4281461 0.04110 1250529 1250529 0.01200 7465 20721101 13927899 6793202 0.06520 6 494 150728 150728 0.00140 3 31 31440 31440 0.00030 9 525 182168 182168 0.00170 9 7990 20903269 13927899 6975370 0.06690 true 1565498 37248800 45928654 -8679854 X false false COUNTY PHYSICAL THERAPY OUTPATIENT PHYSICAL THERAPY 0.50000 1 0 THE AROOSTOOK MEDICAL CENTER

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X X X THE AROOSTOOK MEDICAL CENTER 1 true X X X X X X X X X true true true X X X X X X false true true 200.0000 false false true true X X X X X true false true false false 22 OUTPATIENT SPECIALTY CLINICS

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OUTPATIENT PHYSICIAN CLINICS OCCUPATIONAL HEALTH & WELLNESS

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OUTPATIENT PHYSICIAN CLINIC MARS HILL HEALTH CENTER

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OUTPATIENT PHYSICIAN CLINIC WOMENS HEALTH CENTER

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OUTPATIENT PHYSICIAN CLINIC CARIBOU HEALTH CENTER

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OUTPATIENT PHYSICIAN CLINIC NEPHROLOGY SERVICES

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OUTPATIENT PHYSICIAN CLINIC AROOSTOOK HEART & LUNG CENTER

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OUTPATIENT PHYSICIAN CLINIC TAMC NEURO REHAB

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OUTPATIENT PHYSICIAN CLINIC ASHLAND HEALTH CENTER

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OUTPATIENT PHYSICIAN CLINIC FORT FAIRFIELD HEALTH CENTER

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OUTPATIENT PHYSICIAN CLINIC WALK IN CARE

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OUTPATIENT PHYSICIAN CLINIC RADIATION ONCOLOGY

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OUTPATIENT PHYSICIAN CLINIC TAMC EYE CARE SERVICES

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OUTPATIENT PHYSICIAN CLINIC AROOSTOOK CANCER CARE

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OUTPATIENT PHYSICIAN CLINIC SLEEP MEDICINE SERVICES

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OUTPATIENT PHYSICIAN CLINIC AROOSTOOK PEDIATRICS

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OUTPATIENT PHYSICIAN CLINIC OBGYN MIDWIFERY SERVICES

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OUTPATIENT PHYSICIAN CLINIC FAMILY PRACTICE & INTERNAL MEDICINE

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OUTPATIENT PHYSICIAN CLINIC NORTH STREET LABORATORY

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OUTPATIENT LABORATORY SERVICES GENERAL & VASCULAR SURGERY CTR

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OUTPATIENT PHYSICIAN CLINIC ORTHOPEDICS & SPORTS MEDICINE

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OUTPATIENT PHYSICIAN CLINIC AROOSTOOK HEALTH CENTER

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NURSING HOME, OUTPATIENT CLINIC 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 TAMC USES NEEDS ASSESSMENT DATA TO COLLABORATE WITH LOCAL HOSPITALS AND OTHER EMHS MEMBER HOSPITALS TO IDENTIFY AND IMPLEMENT SOLUTIONS TO HEALTH ISSUES INCLUDING CARDIOVASCULAR DISEASE, DIABETES, YOUTH OBESITY, SUBSTANCE ABUSE, AND MORE. TAMC COORDINATES EMHS' COMMUNITY HEALTH IMPROVEMENT INITIATIVES IN AROOSTOOK COUNTY. Part VI - Explanation Of How Organization Furthers Its Exempt Purpose TAMC has strong ties to the Maine Winter Sports Center, an organization committed to making skiing a way of life in Northern Maine. Through direct financial and logistical support, TAMC has made it possible for youth and adults to use local facilities at a discounted rate. Many of the programs supported by TAMC are offered at no cost.TAMC provided over 1600 free flu shots to adults in Aroostook County in 2012, including many who live with chronic diseases, at clinics in Presque Isle, Caribou, Fort Fairfield, Mars Hill, and Ashland. Press releases and other promotional materials for these vaccination clinics encouraged people with chronic diseases to get vaccinated. In response to the high volume of influenza cases seen at the hospital this winter, TAMC held a special flu shot clinic in January to allow adults to get vaccinated for free. Through free flu vaccination, TAMC is helping chronic disease sufferers and others stay healthy.Using the data in the EMHS Community Health Needs Assessment, TAMC collaborates with other hospitals in the EMHS system and with other community organizations on solutions to significant community healthcare problems, including cardiovascular disease, chronic disease self-management, diabetes, youth obesity, sedentary lifestyle and access to primary care providers. TAMC takes the lead role for EMHS in Aroostook County on these issues and EMHS provides support and additional resources as necessary. Part VI - Community Building Activities TAMC takes a leadership role in advancing the well-being of the people of our communities. Through public health screenings, educational activities for health professionals and the community, and other activities, we seek to provide the information and tools that the people of Aroostook County need to take charge of their health. TAMC collaborates with several organizations interested in building healthy communities, including Let's Go Aroostook, an initiative that promotes healthy lifestyle choices for children, youth, and adults; the American Cancer Society; local universities and community colleges; and the Maine Winter Sports Center.A component of the Senior Connection program, TAMC holds a monthly educational luncheon for older adults. In order to make the program affordable for all, TAMC heavily subsidizes the cost of the lunch for all participants. Topics include exercise, nutrition, safety, and wellness.TAMC leaders support community and economic development activities through participation on the boards of Aroostook Partnership for Progress, Leaders Encouraging Aroostook Development, United Way of Aroostook, Rotary, the Nordic Heritage Sport Club, and other organizations. Part VI - Community Information THE AROOSTOOK MEDICAL CENTER'S (TAMC) PRIMARY SERVICE AREA SERVES 27,000 PEOPLE AND INCLUDES 21 TOWNS AND 1 CITY IN CENTRAL AROOSTOOK COUNTY. THE NORTHERNMOST COUNTY IN MAINE AND THE LARGEST, AROOSTOOK COUNTY (POP. 71,870) SPANS 6,671 SQUARE MILES AND INCLUDES 2 CITIES, 54 TOWNS, 11 PLANTATIONS AND 108 UNORGANIZED TOWNSHIPS. U.S. CENSUS BUREAU DATA FROM 2010 REVEALS THE FOLLOWING AROOSTOOK COUNTY DATA:- THE MEDIAN AGE OF AROOSTOOK COUNTY IS 45.3 YEARS. WITH 19% OF THE POPULATION 65 YEARS OF AGE OR OLDER, AROOSTOOK COUNTY HAS A HIGHER PERCENTAGE OF OLDER ADULTS THAN THE STATE OF MAINE (15.9%)AND THE UNITED STATES (13.3%). MAINE IS THE OLDEST STATE IN THE U.S.- OVER 95% OF AROOSTOOK COUNTY IS WHITE, WHICH IS COMPARABLE WITH MAINE OVERALL. THE NEXT LARGEST RACIAL/ETHNIC GROUP IN AROOSTOOK COUNTY IS NATIVE AMERICAN (2.6%), WHICH IS MORE PROMINENT THAN IN MAINE OVERALL (1.4%).- NEARLY 84% OF INDIVIDUALS 25 YEARS OF AGE AND OVER IN AROOSTOOK COUNTY HAVE AT LEAST A HIGH SCHOOL DIPLOMA OR EQUIVALENT AND 16.4% HAVE A BACHELOR'S DEGREE OR HIGHER. THIS IS LOWER THAN STATE (HIGH SCHOOL 90.2%, BACHELOR'S DEGREE 27.1%) AND NATIONAL AVERAGES (HIGH SCHOOL 85.4%, BACHELOR'S DEGREE 28.2%). - THE MEDIAN HOUSEHOLD INCOME IN AROOSTOOK COUNTY ($37,138) IS CONSIDERABLY LESS THAN STATE ($47,898) AND NATIONAL ($52,762) FIGURES. 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 TAKE CALLS AND TO ANSWER QUESTIONS. Part VI - Needs Assessment EMHS, THE PARENT COMPANY OF THE AROOSTOOK 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 MAINE'S 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. Number of Hospital Faciltiy - 0 Part V, Line 13g - Other Means Hospital Facility Publicized the Policy Visit patient rooms for self-pay admissions and offer the applications. Number of Hospital Faciltiy - 0 Part V, Line 7 - Explanation of Needs Not Addressed and Reasons Why Because the Needs Assessment examines both broad and specific health needs for the entire region and a substantial number of opportunities were identified, a regional approach is needed to achieve the best results. As such, The Aroostook Medical Center continues to work with community partners to address the needs identified in the Needs Assessment, and the priorities in the Needs Assessment are considered when the organization develops operational plans for the year. Number of Hospital Faciltiy - 0 Part V, Line 6i - Describe Other Needs Identified 6a The Aroostook Medical Center regularly utilizes the information in the Needs Assessment to identify and prioritize community health improvement and other activities.6b Initiatives driven in part or in full by the Needs Assessment included continued engagement with Healthy Aroostook to provide education, participation in a youth obesity collaborative, development of a senior health program, coordination of workforce development initiatives intended to ensure the long-term strength of the local healthcare workforce, implementing a program to provide scales to eligible congestive heart failure patients in order to reduce problems that could lead to hospitalization, and coordination of a bath salts awareness night with a local service organization. TAMC is also participating in the Pioneer Accountable Care pilot program designed to reduce costs and improve health outcomes, particularly among those living with chronic diseases.6g Breakout #1 - Access, Quality and Effectiveness-Opportunities identified by a group of community stakeholders include improving access to dental health, improving transportation option, strengthening alternatives to the emergency department, increasing availability of primary care providers, improving patient education, and ensuring the use of best practices.Breakout #2 - Chronic Disease-Opportunities identified by a group of community stakeholders include improving patient self-management, building community care teams, continued implementation of electronic health records, enhancing the use of telehealth services, expanding the role of behavior health providers, and using evidence-based guidelines in chronic disease management.Breakout #3 - Mental Health and Substance Abuse-Opportunities identified by a group of community stakeholders include improving the integration of care, providing continuity of services, educating the community about existing services, and addressing barriers to integration of care, including high turnovers of providers. Recommendations for substance abuse include building community-level prevention programs and refining tools to help primary care and emergency departments diagnose and treat substance abuse issues.Breakout #4 - Prevention, Obesity-Opportunities identified by a group of community stakeholders include addressing economic and literacy barriers to accessing resources, creating incentives/disincentives programs in the workplace, and making available an online resource information guide. Number of Hospital Faciltiy - 0 Part V, Line 5c - Description of Making Needs Assessment Widely Available In conjunction with EMHS, The Aroostook 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 administration.Attendees 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 collection 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 - 0 Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment The needs assessment was developed as a statewide collaborative between the state's 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 - 0 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 state's major employers, insurers and providers); Trish Riley, Governor's 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. Number of Hospital Faciltiy - 0 Part V, Line 1j - Description of Other Needs Assessment 1a See Part VI - Community Information.1b The Aroostook 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 educational levels). The local units of the state's 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 The Aroostook 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). In the hospital's service area, key collaborators going forward will include Healthy Aroostook, Aroostook Area Agency on Aging, school systems, home care agencies, local hospitals, and others.1d-1e-1f EMHS, the parent company of The Aroostook Medical Center, routinely conducts a community health needs assessment (hereafter needs assessment) across the service area of all 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 Maine's 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 #3.1h 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 state's major employers, insurers and providers); Trish Riley, Governor's 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 V, Line 2, Indicate the tax year the hospital facility last conducted a Needs Assessment.As a result of a software defect the 2011 tax year is not populating. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients Eastern Maine Healthcare Systems (EMHS) has had a written billing and collections policy since September 2010. The policy applies to The Aroostook Medical Center, a related organization of EMHS. Part III, Line 8 - Explanation Of Shortfall As Community Benefit Medicare losses are included 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 The allowance for doubtful accounts is provided based on an analysis by management of the collectibility of outstanding balances. Management considers the age of outstanding balances and past collection efforts in determining the allowance for doubtful accounts. Accounts deemed uncollectible are charged off against the established allowance. 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 Part I, line 7, Column F - $3,328,288 of bad debt expense, $2,631,931 of charity care, $109,300,280 of contractual allowances is included on Form 990, Part IX, line 25, column (A). Part I, Line 7 - Explanation of Costing Methodology Part I, line 7 - Worksheet 2, Ratio of Patient Care Cost-to-Charges is used in calculations. Part I, Line 6a - Related Organization Community Benefit Report Part I, line 6a - The TAMC 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. Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used) TAMC DOES NOT PROVIDE DISCOUNTED CARE TO LOW INCOME INDIVIDUALS. TAMC PROVIDES FINANCIAL ASSISTANCE/FREE CARE BASED ON THE FPL IF GROSS INCOME IS AT OR BELOW 200% OF THE FPL, IF THE PATIENT IS A RESIDENT OF THE STATE OF MAINE OR A NON MAINE RESIDENT SEEKING EMERGENCY CARE, IF THE SERVICE OR SUPPLIES ARE A MEDICAL NECESSITY AND IF ALL THIRD PARTY PAYOR SOURCES HAVE BEEN EXHAUSTED. HOWEVER, PATIENTS WITH SELF-PAY BALANCES WILL BE OFFERED A DISCOUNT OFF CHARGES. X X X false true false false false false false true false false VENKATRAM NETHALA 402991 39607 21972 464570 THOMAS UMPHREY 95731 1000 221571 6872 8537 333711 156406 SYLVIA GETMAN 248621 1000 29738 20707 300066 ROGER PELLI DO 217729 2738 23895 12144 8714 265220 ROBERT W RICE MD 477687 28882 41883 11025 20394 579871 RICHARD DEBOWSKY MD 430623 24124 11025 15612 481384 QUANG T NGUYEN MD 358298 33781 8937 24188 425204 MICHAEL FALOON MD 160049 600 38923 15338 214910 M MICHELLE HOOD 637564 235578 13325 213458 17111 1117036 JEANPIERRE MICHAUD MD 426071 79705 38332 11025 18825 573958 JAY REYNOLDS MD 176331 1000 33326 15878 21248 247783 DONALD SAWYER 266738 157800 39565 11025 20231 495359 DAVID PETERSON 101164 25000 34129 160293 14066 C BRUCE SANDSTROM 153135 1000 40241 47138 10542 252056 Sch J, Part I, Line 7 Part I, Line 7: Non-Fixed payments not listed above The amounts entered in Part II, B(ii) represent productivity incentive bonuses for the MD's. MAINE HEALTH & HIGHER EDU 010314384 560427EU4 2012-06-28 6190715 REFUNDING OF 2002A BOND ISSUE false false true MAINE HEALTH & HIGHER EDUCATION FACILITIES AUTHORITY 010314384 560427JF4 2010-06-24 7683726 REFUNDING OF 2001A BOND ISSUE false false true 7531015 713650 6085000 77586 464 654315 2004 false true true true 10166849 976550 6375000 87568 1379 2726352 2001 false true true true false false false false true true false false false false true true false false false false false false false false false false false false X JUDY ST JOHN SPOUSE OF DIRECTOR 17503 EMPLOYED BY ORGANIZATION false BEVERLY MCCRUM SPOUSE OF DIRECTOR 21035 EMPLOYED BY ORGANIZATION false Schedule K, Part 1, Column E The issue price listed is The Aroostook Medical Center's share of the total pool issue amount of $96,755,000. Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available NO DOCUMENTS TO THE PUBLIC. Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts A LIST OF ALL OFFICERS, DIRECTORS OR TRUSTEES AND KEY EMPLOYEES IS COMPILED EACH FISCAL YEAR. CONFLICT OF INTEREST REQUEST FORMS ARE DELIVERED TO EACH PERSON ON THE LIST. RESPONSES ARE COMPILED AND REVIEWED BY STAFF AND PRESENTED TO MANAGEMENT. Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: Form 990 Review Process THE FORM 990 IS PROVIDED IN ADVANCE TO THE ORGANIZATION'S BOARD OF DIRECTORS' AND IS THEN REVIEWED BY THE CFO AT A MONTHLY BOARD OF DIRECTORS' MEETING. 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 approve or disapprove amendments to the Corporation's articles of incorporation, amendments to its bylaws, its budget and its strategic plan, and to appoint and remove the president 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 EMHS. Form 990, Part VI, Line 6 Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder The Aroostook 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 III, Line 4d Form 990, Part III, Line 4d : Other Program Services Description OTHER PROGRAM SERVICES 4: MEDICARE SHORTFALLS (AT COST). 7,763 PERSONS SERVED SEBASTICOOK VALLEY WORK HEALTH LLC 447 NORTH MAIN STREET PITTSFIELD ME 04967 453359446 PROVIDE PATIENT CARE ME 501(c)(3) 3 SVH true BEACON HEALTH LLC 43 WHITING HILL ROAD BREWER ME 04412 452967056 ACCOUNTABLE CARE ORGANIZATION ME 501(c)(3) 11 TYPE II EMHS true CAPITOL CONVENIENT CARE LLC 43 Whiting Hill Road Ste 500 Brewer ME 04412 273671960 Provide patient care ME 501(c)(3) 11 type II EMHS true HORIZONS HEALTH SERVICES PO BOX 151 140 ACADEMY STREET PRESQUE ISLE ME 04769 010504393 PROVIDE PATIENT CARE ME 501(C)(3) 3 TAMC true TAMC ENDOWMENTS PO BOX 151 140 ACADEMY STREET PRESQUE ISLE ME 04769 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 SEBASTICOOK VALLEY HLTH CONVENIENT CARE 447 NORTH MAIN STREET PITTSFIELD ME 04967 273129791 PROVIDE PATIENT CARE ME 501(C)(3) 3 SVH true SEBASTICOOK VALLEY FAMILY PRACTICE ASSOC 447 NORTH MAIN STREET PITTSFIELD ME 04967 011357854 PROVIDE PATIENT CARE ME 501(C)(3) 9 SVH true SEBASTICOOK VALLEY HEALTH SVH 447 NORTH MAIN STREET PITTSFIELD ME 04967 010263628 CRITICAL CARE HOSPITAL ME 501(C)(3) 3 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 BLUE HILL MEMORIAL HOSPITAL 57 WATER STREET BLUE HILL ME 046145231 010227195 PROVIDE HEALTHCARE SERVICES ME 501(C)(3) 3 EMHS true CA DEAN MEMORIAL HOSP PRITHAM AVENUE PO BOX 1129 GREENVILLE ME 044411129 043341666 PROVIDE HEALTHCARE SERVICES ME 501(C)(3) 3 EMHS true INLAND FAMILY PRACTICE ASSOCIATES LLC 200 KENNEDY MEMORIAL DRIVE WATERVILLE ME 04901 272942245 PROVIDE PATIENT CARE ME 501(C)(3) 3 INLAND HOSPITAL 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 ROSSCARE NURSING HOMES INC 43 WHITING HILL ROAD STE 400 BREWER ME 04412 010430751 OPERATION OF NURSING HOMES ME 501(C)(3) 9 ROSSCARE true ROSSCARE 43 WHITING HILL ROAD STE 400 BREWER ME 04412 010391038 PROVIDE SERVICES TO ELDERLY ME 501(C)(3) PF EMHS true ME INSTITUTE FOR HUMAN GENETICS & HEALTH 43 WHITING HILL ROAD BREWER ME 04412 550894346 BIOMEDICAL RESEARCH AND DEVELOPMENT ME 501(c)(3) 9 EMHS 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 NORUMBEGA MEDICAL SPECIALISTS LTD 43 WHITING HILL ROAD STE 400 BREWER ME 04412 010465231 PROVIDE PATIENT CARE AND EDUCATION ME 501(C)(3) 9 EMMC 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 EASTERN MAINE MEDICAL CENTER EMMC PO BOX 404 489 STATE STREET BANGOR ME 044020404 010211501 PROVIDE HEALTHCARE SERVICES ME 501(C)(3) 3 EMHS true MEADOW WOOD LLC 43 WHITING HILL ROAD BREWER ME 04412 272935243 PROVIDE PATIENT CARE ME 501(C)(3) 9 AHI true ACADIA HEALTHCARE INC AHI 43 WHITING HILL ROAD BREWER ME 04412 223183888 PROVIDE HEALTHCARE SERVICES ME 501(C)(3) 9 AHC true ACADIA HOSPITAL CORPORATION AHC 43 WHITING HILL ROAD BREWER ME 04412 010459837 PROVIDE HEALTHCARE SERVICES ME 501(C)(3) 3 EMHS true EASTERN MAINE HEALTHCARE REAL ESTATE 43 WHITING HILL ROAD BREWER ME 04412 010391036 LEASES REAL ESTATE ME 501(C)(2) - EMHS true EASTERN MAINE HEALTHCARE SYSTEMS EMHS 43 WHITING HILL ROAD BREWER ME 04412 010527066 SUPPORTING ORGANIZATION FOR HEALTHCARE AFFILIATES ME 501(C)(3) 11 TYPE II - true DIRIGO PINES DEVELOPMENT COMPANY LLC 9 Alumni Drive ORONO ME 04473 010537924 RETCOTTAG ME AHS C CORP DIRIGO FUNDING LLC 9 Alumni Drive ORONO ME 04473 010599968 PROV FINANCE ME AHS C CORP DIRIGO PINES INN LLC 9 Alumni Drive ORONO ME 04473 020547749 CONTIN CARE ME ROSSCARE C CORP DIRIGO PINES RETIREMENT COMM LLC 9 Alumni Drive ORONO ME 04473 010537924 HOLDING CO. ME AHS C CORP MAINE NETWORK FOR HEALTH PO Box 2813 BANGOR ME 044022813 010496352 SUPPORT SRV ME EMHS C CORP MERIDIAN MOBILE HEALTH LLC 931 Union Street PO Box 940 BANGOR ME 044020940 010512673 AMBULANCE ME AHS C CORP DE COLLECTIONS DBA AFFILIATED COLL INC PO Box 2759 BANGOR ME 044022759 010366209 COLLECTIONS ME AHS C CORP AFFILIATED PHARMACY SERVICES 917 Union Street Suite 7 BANGOR ME 04401 010587230 PHARMACY ME AHS C CORP AFFILIATED MATERIEL SERVICES PO Box 1300 BANGOR ME 044021300 010381189 PURCHASING ME AHS C CORP AFFILIATED LABORATORY INC PO Box 638 BANGOR ME 044020638 010381283 CLINICAL LAB ME AHS C CORP AFFILIATED HEALTHCARE MANAGEMENT PO Box 811 BANGOR ME 044020811 010349339 HLTHCR MGMT ME AHS C CORP AFFILIATED HEALTHCARE SYSTEMS AHS PO Box 940 BANGOR ME 044020940 010385322 HOLDING CO. ME EMHS C CORP true false false false false false false false false true true true false false true false true true AFFILIATED MATERIEL SERVICES o 228074 FMV AFFILIATED LABORATORY INC l 523950 FMV AFFILIATED HEALTHCARE MANAGEMENT o 15435 FMV AFFILIATED HEALTHCARE MANAGEMENT l 46154 FMV BEACON HEALTH LLC k 50105 FMV HORIZONS HEALTH SERVICES r 19804 FMV TAMC TITLE CORP r 332945 FMV TAMC TITLE CORP j 74095 FMV EASTERN MAINE HOMECARE k 97852 FMV EASTERN MAINE HOMECARE a 2040 FMV EMHS FOUNDATION r 42064 FMV EMHS FOUNDATION l 64619 FMV EASTERN MAINE MEDICAL CENTER EMMC o 233262 FMV EASTERN MAINE MEDICAL CENTER EMMC l 288567 FMV EASTERN MAINE HEALTHCARE SYSTEMS EMHS q 169956 FMV EASTERN MAINE HEALTHCARE SYSTEMS EMHS o 7735981 FMV EASTERN MAINE HEALTHCARE SYSTEMS EMHS l 1887623 FMV