2013-08-12T10:19:42-07:00 2012-09-29 990 2011-09-25 010211501 Eastern Maine Medical Center EAST 2079737064 PO Box 404 489 State Street Bangor ME 04402 Derrick Hollings 2013-08-08 false 2011 2016-02-24 21:20:13Z Derrick Hollings 43 Whiting Hill Road Brewer ME 04412 1306168409 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. 19 13 3965 461 82812 6997361 7281171 1124604344 1232940927 1890054 1530402 1713647 11792864 1135205406 1253545364 0 0 303365535 327970731 0 0 813219289 862986866 1116584824 1190957597 18620582 62587767 459472780 573340985 220225914 261582289 239246866 311758696 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 $11,594,760.Eastern Maine Medical Center (EMMC) has served communities throughout our region for 120 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 21,533Percent Occupancy of Available Beds 78.5%Cardiac Catherization Procedures 5,597Cardiac Surgery Cases 381Emergency Room Visits 40,223Medical Imaging Procedures 146,225Surgery Cases 18,742Live Births 1,644Family Practice Visits 30,801Total Outpatient Visits 414,750Patient Days 106,059Services provided to those who could not pay $48,922,587 33376515 Medicaid shortfalls (at cost) 87,740 persons served 24363872 Medicare shortfalls (at cost) 114,366 persons served 58149382 1243220384 1115889768 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 false false false false true true true false false true 183 0 true 3965 true true true false false false false false false false false false 0 false false false false false false false false false false false X 19 13 true false true false true true true true true false false false true true true true true true true true false false ME X X X Jeffrey A Sanford 2079737894 43 Whiting Hill Road Brewer ME 04412 X Scott Solman 0.50 X 0 0 0 Julie Long MD 50.00 X 487881 0 20441 Elizabeth C Warren 0.50 X 0 0 0 John A Vickery Sr 0.50 X 0 0 0 Iyad Sabbagh MD 50.00 X 228889 0 37024 Senator Kevin L Raye 0.50 X 0 0 0 Donald Hagstrom 0.50 X 0 0 0 John M Long Sr MD 0.50 X 0 0 0 David L Levy MD 0.50 X 0 0 0 Liane E M Judd 0.50 X X 0 0 0 Gary Eckmann 0.50 X 0 0 0 Jennifer Brooker 0.50 X 0 0 0 Mary Cathcart 0.50 X 0 0 0 Sally Arata 0.50 X 0 0 0 Michael J McInnis 1.00 X X 0 0 0 Deborah Carey Johnson CEO 50.00 X X 509489 0 508559 Mary M Hood PresidentCEO 20.00 X X 0 886467 230569 John Miller 0.50 X 0 0 0 Ashley Robertson MD 50.00 X 332577 0 22541 EE comp is for admin svcs 0.00 X 0 0 0 Elmer Doucette VPCFO 50.00 X 246867 0 37245 Michael P Donahue 50.00 X 275888 0 31744 Derrick Hollings 50.00 X 0 0 0 Glenn Martin VP Gen Counsel 14.00 X 0 265008 38778 Jodi Galli RN 50.00 X 0 0 0 Jill McDonald 50.00 X 182311 0 23329 Helen Q McKinnon RN 50.00 X 229160 0 41916 G Gregory Howat Esq 50.00 X 243229 0 42094 James A Raczek MD 50.00 X 385920 0 36904 Robert A Clough MD 40.00 X 788285 0 35035 Wayne R Waterman MD 40.00 X 786434 0 25717 James W Turner MD 40.00 X 582043 0 26690 Michael A Johnson MD 40.00 X 1158028 0 34037 John D Klemperer MD 40.00 X 577811 0 37249 Daniel B Coffey 0.00 X 0 450533 44909 Lorraine Rodgerson 0.00 X 211429 0 34689 Scott Oxley 0.00 X 0 283116 37273 7226241 1885124 1346743 383 true true false WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 753972633 STAFFING SERVICES 2984959 PENOBSCOT RESPIRATORY 417 STATE STREET SUITE 400 BANGOR ME 044016690 RESPIRATORY THERAPY 3847495 NURSE ANESTHESIA OF MAINE 141 N MAIN ST STE 205 BREWER ME 04412 COVERAGE SERVICES 9835664 DAHL CHASE DIAGNOSTIC SERVICES 417 STATE STREET SUITE 441 BANGOR ME 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2659068 0 10447625 7970347 2477278 829421 736724 92697 0 1231806 1122273 109533 3229884 3064815 165069 0 22170949 17283011 4887938 7567466 7217092 350374 Charity Care 23648543 23648543 Provision for uncollectible ac 25274044 25270908 3136 Medical Supplies 90107627 90038726 68901 Contractual Allowances 548435397 548435397 21415385 20128081 1287304 1190957597 1115889768 75067829 0 14545 16070 21679210 38015413 160017 111820 102619912 140623481 29818 58402 0 1265828 1320817 2339963 2324446 12873521 16293847 462226306 280040122 167908518 182186184 58700535 70165579 0 0 0 91880913 122224926 459472780 573340985 70292273 94156443 210796 250431 65353071 63184024 84369774 103991391 220225914 261582289 X 212116573 280737439 16791222 20348188 10339071 10673069 239246866 311758696 459472780 573340985 X 62587767 9924063 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 56152 56152 false false Part II-B, Line 1i Part II-B, Line 1i - Other Activities Description Non-deductible dues 21018620 124365 3506614 1142926 23506673 21974979 148655 236593 1341607 21018620 20890628 54006 2264755 1234409 21974980 0.01600 0.98400 false true true 2222321 2222321 119574016 59394370 60179646 12200697 2930067 9270630 285899200 209146949 76752251 42330072 8568736 33761336 182186184 Self-Insurance Funds Held by Trustee 9665396 Investment in Net Assets held @ EMHSF 29254670 Funds Held by Bond Trustee 1326249 Estimated Prof. Liab. Claims Receivable 22839719 Board Designated Funded Depreciation 57088077 Beneficial Trust Assets 2050815 122224926 Reserve for Prof. Liab. Self Ins. 22839719 Reserve for Asset Disposal Costs 656128 Notes Payable to Related Org, EMHS 663725 Lt Liability - Cerner RHO 1199994 Liability Under Cap Lease Obligation 714207 Accrued Post Retirement Benefits 77917618 103991391 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 XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances Transfer from exempt subsidiaries-EMHS Foundation $106651 Transfer from exempt subsidiaries-Rosscare $0 Transfer from exempt subsidiaries-EMHRE $7571 Transfer from exempt parent-Eastern Maine Healthcare Systems $1455876 Transfer from exempt sub.-Eastern Maine Medical Center Auxil $4017 Change in interest in net assets held @ EMHS Foundation $4219262 Post Retirement Health Benefit FAS158 $3701868 Contribution to Strategic Planning Pool per Affiliation Agre $ -973260 Change in interest in net assets held @ Healthcare Charities $ -0 Post Retirement Health Benefit FAS158 $ -0 Part V, Line 4 Part V, Line 4: Intended uses of the endowment fund. Endowment Funds are designated for purposes that align within this organization's exempt purpose. true true true X true X true true true false true true 3437 11004380 323525 10680855 0.01800 87740 115823214 82446699 33376515 0.05620 7491400 7491400 0.01260 91177 134318994 82770224 51548770 0.08680 8 721 2711050 9 2711041 0.00460 7 973 92999 92999 0.00020 1 86017 86017 0.00010 3 190 832028 832028 0.00140 1 10000 10000 20 1884 3732094 9 3732085 0.00630 20 93061 138051088 82770233 55280855 0.09310 1 510 510 1 9000 9000 2 84 10237 10237 4 84 19747 19747 true 11594760 222952453 247316325 -24363872 X true true 1 0 Eastern Maine Medical Center

489 State Street Bangor ME 04401

X X X X Eastern Maine Medical Center 1 true X X X X X X X X X true true true X X X X X X X X false true true 200.0000 true 300.0000 true 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 Ofice Building-physician svc EMMC-Gynecology Associates

404 State St Suite 310 Bangor ME 04401

Med Office Building-physician svc EMMC-ME Urologic Surgery of ME

55 Broadway Suite 2 Bangor ME 04401

Med Office Building-physician svc EMMC-Neuropsychology of ME

824 Stillwater Ave Ste B 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 Lincoln Lake Regional Dialysis

250 Enfield Rd Lincoln ME 04457

Med Office Building-outpatient svc EMMC-Sleep Center of Maine

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-Ellsworth Dialysis

11 Short Street Ellsworth ME 04605

Med Office Building-dialysis 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 FY2012, EMMC delivered a total community benefit of more than $79.9 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 years. 2) Penobscot County has the highest percentage of obese residents of any county. 3) 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 Healthcare Charities, 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 2012, we continued the implementation of the strategies developed in that process. Number of Hospital Faciltiy - 0 Part V, Line 19d - 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. Number of Hospital Faciltiy - 0 Part V, Line 13g - 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 - 0 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 - 0 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 Maine-EMMC is the regional sponsor of this initiative that brings wellness coaching and initiatives into the workplace.6c. Continued to be an active partner in the Bangor Beacon Community initiative which brings together a variety of care providers and stakeholders in the community to 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.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 Managers/coordinators in accordance with demonstrated success of Bangor Beacon Community.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 planning for new office in Hampden 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 three 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 workplace- Tethering resources to primary care, more collaboration, more consistency in the models used in primary care settings- Consumer "triage" problematic, knowing when to use primary care and when to access Walk In or Emergency- Leverage electronic medical record systems to connect providers, increase continuity- Increase preventive care compliance among men- Need additional primary care physicians in region- Episodes of care must link back to patient's medical homeBreakout #2 - Chronic Disease - Increased community conversation about chronic disease and management resources- Increased education of physician community regarding resources- Better management in community settings will decrease hospitalizations and improve CHNA results next time- Health literacy and prevention educationBreakout #3 - Mental Health and Substance Abuse - Over prescribing of medications /use "small volume" prescriptions- Increased coordination of mental health/substance abuse treatment, including coaching/care management for relapse prevention- Increased capacity to detox patientsBreakout #4 - Prevention, Obesity - Online resource for providers needed- Multifaceted approach- Need to decrease youth obesity rates/prevention is key Number of Hospital Faciltiy - 0 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 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 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 - 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. Number of Hospital Faciltiy - 0 Part V, Line 1j - Description of Other Needs Assessment 1a. EMMC's 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 foused 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 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. 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). In the EMMC primary service area, key collaborators going forward will include: EMMCPenobscot Community Health CenterSt. Joseph HospitalCommunity Health and Counseling ServicesAcadia HospitalOthers involved in the Beacon Community1d-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 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 #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 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 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 $25,274,044 of bad debt expense, $23,648,543 of charity care, $548,435,397 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 true true X X X X X false true false false false false false false false false Wayne R Waterman MD 685279 76833 24322 4889 20828 812151 Scott Oxley 244322 20880 17914 17316 19957 320389 Robert A Clough MD 767561 300 20424 19600 15435 823320 Michael P Donahue 243885 21714 10289 21469 10275 307632 Michael A Johnson MD 625056 515662 17310 17150 16887 1192065 Mary M Hood PresidentCEO 637564 235578 13325 213458 17111 1117036 Lorraine Rodgerson 151073 17014 43342 20802 13887 246118 Julie Long MD 476465 300 11116 8575 11866 508322 John D Klemperer MD 553199 22820 1792 17150 20099 615060 Jill McDonald 170831 9688 1792 10798 12531 205640 James W Turner MD 532534 300 49209 11025 15665 608733 James A Raczek MD 339440 27201 19279 22050 14854 422824 Iyad Sabbagh MD 227706 300 883 12583 24441 265913 Helen Q McKinnon RN 209990 16183 2987 22046 19870 271076 Glenn Martin VP Gen Counsel 238440 25014 1554 15289 23489 303786 G Gregory Howat Esq 202426 17370 23433 18192 23902 285323 Elmer Doucette VPCFO 221851 17531 7485 16515 20730 284112 Deborah Carey Johnson CEO 438151 58434 12904 487158 21401 1018048 Daniel B Coffey 368115 61031 21387 29400 15509 495442 Ashley Robertson MD 248676 43782 40119 12608 9933 355118 Sch J, Part I, Line 1a Part I, Line 1a: Relevant information in regards to selections on 1a. Michael Donahue, officer and John D. Klemperer, MD, highly compensated employee received an employee stipend towards a fitness center. The taxable benefit for each was for $130. Helen McKinnon, officer received an employee stipend towards a fitness center for partial year. The taxable benefit for her was for $32.50. 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. Maine Health and Higher Educational Facilities Authority 010314384 560427GZ3 2010-04-22 72656251 Refund 1998 & 1999 issue, Outpatient Cancer Center, Parking false false true 76541297 5354450 26480000 652336 39500000 4554511 2010 false true true true false false false false true false false false NA false NA false false X Ashley Robertson MD physician loan X 113654 11369 false false true James W Turner MD physician loan X 93171 23063 false false true Wayne R Waterman MD physician loan X 40000 23970 false false true 58402 Helen Q McKinnon officer=bd member 727173 condo fee expense false Colette Sabbagh spouse of bd memb 108485 compensation false Mary M Hood officer=board memb 247171 membership dues-MHA false Sheryl Winchester spouse of officer 95405 compensation false David L Levy MD trustee=25% owner/treasur 233892 prof srv-Northeast Nephro false Susan Dow fam mem of officer 109066 compensation false Deborah C Johnson officer=brd member 179546 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 1 50 FMV X 300 FMV X 905 FMV X 1 1125 FMV X 20 8092 FMV X Jewlery 1 1799 FMV X Golf Balls 1 60 FMV X Coffee Machine 1 500 FMV X Bike 1 2330 FMV X Toys 2 925 FMV X Wigs 4 919 FMV X Gift Cert 18 8110 FMV false true false 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 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 11 Form 990, Part VI, Line 11: Form 990 Review Process Form 990 is reviewed by the CFO of Eastern Maine Medical Center. It is provided to each board member either electronically or in hard copy and was reviewed at the July 24, 2013 meeting of the board of trustees 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 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 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 The organization amended the bylaws; Article V, Committees; Section 10.3, Nominating to include: "Only members of the Committee who are "independent" (as defined in Article VIII) and not up for re-election may participate in the nomination process. If there are not at least three (3) such Committee members, the Chair may appoint one or more Board members who are so qualified to participate in the nomination process." Form 990, Part VI, Line 2 Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Gary Eckmann, trustee and John M. Long, MD, trustee are board members of Ronald McDonald House. 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 $11,594,760.Eastern Maine Medical Center (EMMC) has served communities throughout our region for 120 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 21,533Percent Occupancy of Available Beds 78.5%Cardiac Catherization Procedures 5,597Cardiac Surgery Cases 381Emergency Room Visits 40,223Medical Imaging Procedures 146,225Surgery Cases 18,742Live Births 1,644Family Practice Visits 30,801Total Outpatient Visits 414,750Patient Days 106,059Services provided to those who could not pay $48,922,587 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; Michael J. McInnis, ChairLocation: Bangor, Brewer, OronoEmployees: 3745 Description: Eastern Maine Medical Center is the 411-bed regional referral center for the northern two-thirds of Maine, offering specialty and sub-specialty surgical and medical services, as well as a full range of primary to intensive care services.Eastern Maine Medical Center Highlights- Received approval from the EMHS Board of Directors to move forward with a modernization project that will bring updates to surgery, cardiac, and women and infants services, benefiting patients from throughout the region who receive care at EMMC.- Trauma Program re-verified as a Level II Trauma Center by the American College of Surgeons Committee on Trauma.- Recognized as the first, and only, general and bariatric robotic surgery epicenter in the nation.- Named one of the nation's 100 Most Wired Hospitals, according to Hospitals & Health Networks magazine, the flagship publication of the American Hospital Association.- Earned an "A" Hospital Safety Score (the highest possible rating) from The Leapfrog Group, an independent national nonprofit run by employers and other large purchasers of health benefits.- Stroke Center earned the Get With The Guidelines-Stroke Gold Plus Achievement Award and Target Stroke Award for their commitment to providing high quality healthcare.Total Community Benefit: $79,664,474Community Health Improvement Services: $1,111,041Health Professions Education: $92,999Subsidized Health Services: $86,017Research: $832,028Financial and In-Kind Contributions: $10,000Community Building Activities: $19,747Community Benefit Operations: $1,600,000Unrecoverable interest cost on funds used to subsidize state MaineCare/Medicaid underpayments of $76.7M; $7,491,400Traditional Charity Care: $10,680,855Unpaid Cost of Public Programs: Medicaid: $33,376,515 Medicare: $24,363,872Philanthropy: $2,157,143 OTHER PROGRAM SERVICES 6: OTHER PROGRAM SERVICES 7: Sebasticook Valley Work Health LLC 447 North Main Street Pittsfield ME 04967 453359446 Provide patient care ME 501(c)(3) 3 SVH 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 Beacon Health LLC 43 Whiting Hill Road Brewer ME 04412 452967056 Accountable care organization ME 501(c)(3) 11, Type II EMHS true Sebasticook Valley Health Convenient Car 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 010357854 Provide patient care ME 501(c)(3) 9 SVH 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 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 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 II 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 Dirigo Pines Development Company LLC 9 Alumni Drive Orono ME 04473 010537924 RetCottag ME AHS C Dirigo Funding LLC 9 Alumni Drive Orono ME 04473 010599968 Prov Finance ME AHS C Dirigo Pines Inn LLC 9 Alumni Drive Orono ME 04473 020547749 Contin Care ME Rosscare C Dirigo Pines Retirement Community LLC 9 Alumni Drive Orono ME 04473 010537924 Holding Co. ME AHS C Maine Network for Health PO Box 2813 Bangor ME 044022813 010496352 Support srv ME EMHS C Meridian Mobile Health LLC 931 Union St PO Box 940 Bangor ME 044020940 010512673 Ambulance ME AHS C DE Collections DBA Affiliated Collecti PO Box 2759 Bangor ME 044022759 010366209 Collections ME AHS C Affiliated Pharmacy Services 917 Union St Suite 7 Bangor ME 04401 010587230 Pharmacy ME AHS C Affiliated Materiel Services PO Box 1300 Bangor ME 044021300 010381189 Purchasing ME AHS C Affiliated Laboratory Inc PO Box 638 Bangor ME 044020638 010381283 Clinicl lab ME AHS C Affiliated Healthcare Management PO Box 811 Bangor ME 044020811 010349339 Hlthcr mgmt ME AHS C Affiliated Healthcare Systems AHS PO Box 940 Bangor ME 044020904 010385322 Holding co. ME EMHS C true false false false false false false false false true true true false false true false true true Meridian Mobile Health LLC l 487500 FMV Meridian Mobile Health LLC k 62730 FMV Meridian Mobile Health LLC a 12000 FMV DE Collections DBA Affiliated Collecti l 480542 FMV Affiliated Materiel Services o 21320498 FMV Affiliated Materiel Services l 3324668 FMV Affiliated Laboratory Inc l 15844607 FMV Affiliated Laboratory Inc k 89287 FMV Affiliated Healthcare Management l 3592806 FMV Beacon Health LLC k 217761 FMV Blue Hill Memorial Hospital k 809666 FMV The Aroostook Medical Center TAMC k 521828 FMV Sebasticook Valley Health SVH k 519996 FMV CA Dean Memorial Hospital k 178640 FMV Inland Hospital k 2089332 FMV Norumbega Medical Specialists LTD k 978390 FMV EMHS Foundation r 2403726 FMV EMHS Foundation l 1600000 FMV EMHS Foundation j 125266 FMV Eastern Maine Medical Center Auxiliary k 185083 FMV Acadia Hospital Corp AHC o 135979 FMV Acadia Hospital Corp AHC l 1046996 FMV Acadia Hospital Corp AHC k 544957 FMV Eastern Maine Healthcare Systems EMHS r 2746660 FMV Eastern Maine Healthcare Systems EMHS q 973260 FMV Eastern Maine Healthcare Systems EMHS o 45541126 FMV Eastern Maine Healthcare Systems EMHS l 35427217 FMV Eastern Maine Healthcare Systems EMHS k 810163 FMV Eastern Maine Healthcare Systems EMHS j 3714410 FMV