2012-08-08T10:51:46-07:00 2011-09-24 990 2010-09-26 010459837 Acadia Hospital Corporation ACAD 2079737064 43 Whiting Hill Road Brewer ME 04412 Derrick Hollings 2012-08-08 2010 2016-02-24 21:20:13Z Derrick Hollings 43 Whiting Hill Road Brewer ME 04412 91411269 false false 5247 X www.acadiahospital.org X 1987 ME The primary mission of Acadia Hospital is the provision of both hospital-based and community-based mental health and substance abuse treatment services to the people of Maine. 15 11 893 2 0 626295 624762 85866282 87543002 113132 435083 9925 4273 86615634 88607120 0 0 36152104 34614512 0 0 48817256 51271540 84969360 85886052 1646274 2721068 41088826 41514896 34612528 33442556 6476298 8072340 X The primary mission of Acadia Hospital is the provision of both hospital-based and community-based mental health and substance abuse treatment services to the people of Maine. false false 64640188 87543002 Provided mental health and substance abuse healthcare services regardless of ability to pay. Provided other uncompensated care (at cost) of $1,193,771. 8995485 Charity Care provided (at cost). 937 persons served. 3794427 Medicare shortfalls (at cost). 10,185 persons served. 77430100 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 false false false false false false true true true false false true 72 0 true 893 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 15 11 true false true false true true true true true false false false true true true true true false true true false false ME X X X Jeffrey A Sanford 2079737894 43 Whiting Hill Road Brewer ME 04412 X William A Schaffer MD 50.00 X 288949 0 27678 Theodore P Logan 40.00 X 233359 0 43685 Theodore Helberg III 50.00 X 0 0 0 Teresa Willett Steele RN PhD 0.50 X 0 0 0 Sehar Khokher 40.00 X 230439 0 10317 Scott Oxley Interim CFO 1.00 X 0 224118 37974 Sarah B Baughman 0.00 X 104796 0 15244 Sandra L Rothera Esq 0.50 X 0 0 0 Richard A Lyons Jr 0.50 X X 0 0 0 Paul X Paradis 0.50 X 0 0 0 Nancy Barrows 0.00 X 90617 0 25483 Nanci Ames-Curtis 40.00 X 208524 0 49836 Michael Shea 0.50 X X 0 0 0 Mary Rumpho-Kennedy 0.50 X 0 0 0 Mary M Hood President CEO 2.00 X X 0 687601 176301 Marie K Suitter 50.00 X 149890 0 28319 Leonard Giambalvo 0.00 X 0 212151 33578 Karen Clements 50.00 X 47449 92527 23778 Judith Horan 0.50 X 0 0 0 John W Bragg President 0.50 X 0 0 0 Jane Irving 0.50 X 0 0 0 James Morrill 50.00 X 115447 0 27926 James Breece 0.50 X 0 0 0 Eric Kuntz 40.00 X 251466 0 46529 EE comp is for admin svcs 0.00 0 0 0 Derrick Hollings 0.50 X 0 0 0 Deborah Sanford 50.00 X 48423 135382 25853 David Proffitt PhD CEO 50.00 X X 226967 0 14481 Daniel B Coffey PresCEO 50.00 X X 0 2007050 46104 Craig D Hadley CPA 0.50 X 0 0 0 Charles T McHugh MD 0.50 X 0 0 0 Brent Scobie 50.00 X 90649 0 30871 April Giard 0.00 X 60222 65276 34740 Anthony T Ng 40.00 X 206931 0 19785 Anne E Pooler EdD Dean 0.50 X 0 0 0 Allan D Currie MD 0.50 X 0 208034 35247 2354128 3632139 753729 31 true true false Staff Care Inc PO Box 281923 Atlanta GA 303841923 Physician Services 804759 Nurse Anesthia of Maine 141 N Main St Suite 205 Brewer ME 04412 Clinical Services 133956 Locumtenanscom PO Box 405547 Atlanta GA 303845547 Physician services 2848554 3 3350 384702 236710 2000 624762 PATIENT CARE SERVICES 621990 87421038 87421038 CAFETERIA/DIETARY 722210 121964 121964 87543002 431200 431200 0 0 0 2755799 34645 2747837 38724 7962 -4079 3883 3883 0 0 21138 17588 3550 3550 MISC 812900 723 723 723 88607120 87421038 561320 0 0 0 0 1121959 558929 563030 0 27256165 24694879 2561286 1028120 895290 132830 3464623 3126330 338293 1743645 1512618 231027 0 71452 71452 9526 9526 0 0 9371 9371 5583398 2132064 3451334 27660 27660 2412747 2182927 229820 250013 114009 136004 0 1084135 962441 121694 116247 82300 33947 0 92965 75383 17582 447848 447848 0 1175453 905099 270354 429200 373749 55451 Taxes and Licensing 1054423 1025298 29125 Repairs & Maintenance 201329 117740 83589 Provision for uncollectible ac 2303202 2303202 Contractual Allowances 17939578 17939578 Charity Care 17893240 17893240 169753 77805 91948 85886052 77430100 8455952 0 2185 2135 4110863 4521559 22407 14259 8347839 5284561 10795 7996 0 342499 310148 199430 210772 383575 1122476 29981939 19954158 10661277 10027781 0 0 0 0 17007956 20013209 41088826 41514896 13854627 13206252 109632 84895 11986668 11058832 8661601 9092577 34612528 33442556 X 5945002 7629818 460754 369362 70542 73160 6476298 8072340 41088826 41514896 X 2721068 -1125026 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 8359 8359 false false Part II-B, Line 1i Part II-B, Line 1i - Other Activities Description Non deductible portion of dues. 152391 2620 1556 6092 150475 140467 7130 15703 10909 152391 131025 13155 -3713 140467 0.09200 0.90800 false true true 447123 447123 13846349 7682846 6163503 13183522 10260623 2922899 2504945 2010689 494256 10027781 Self Insurance Funds held by Trustee 10519 Interest in net assets held at HC 442524 Funds Held by Bond Trustee 377250 Funded Depreciation 12209356 Board Designated Funds-Other 13814 Assets Whose Use is Limited 6959746 20013209 Reserve for Self-Insurance Program 14664 Liability Under Cap Lease Obligation 122123 Deferred Liab-Post Retirement Benefits 8953290 Court Settlement Payable 2500 9092577 Part X Part X : FIN48 Footnote EMHS, 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 various tax exposure items including unrelated business income or tax status. Under guidance issued by the Financial Accounting Standards Board (FASB), assets and labilities 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-Healthcare Charities $1791 Post Retirement Health Benefit FAS158 $ -849109 Change in net assets held @ Healthcare Charities $ -88824 Transfer to exempt parent-Eastern Maine Healthcare Systems $ -42851 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 false true true true false true true 937 8995485 8995485 0.18840 228597 228597 0.00480 937 9224082 9224082 0.19320 8 136398 397372 397372 0.00830 3 10574 203360 203360 0.00430 1 21511 21511 0.00050 12 146972 622243 622243 0.01310 12 147909 9846325 9846325 0.20630 4 100910 44598 44598 0.00090 4 100910 44598 44598 0.00090 true 1193771 6165702 9960129 -3794427 X false false 1 0 Acadia Hospital Corporation

268 Stillwater Ave Bangor ME 04401

X Acadia Hospital Corporation 1 true X X X X X X X X X 11 true true true X X X X X X true true true 150.0000 false true X true true X true X true X X true X false false 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 As a member of EMHS, Acadia Hospital shares in the organization's goal of being the best rural healthcare provider by the year 2012. As a specialty hospital within our health care system, we provide assistance to our affiliates in an integrated fashion, using technology like telemedicine to bridge the distances faced by Maine citizens. EMHS offers its own initiatives, such as addressing childhood obesity, and the affiliates often support these efforts in their own communities. As autonomous hospitals, we also each provide our own unique programs to meet the needs of our local communities. Part VI - Explanation Of How Organization Furthers Its Exempt Purpose The Acadia Hospital is a nonprofit psychiatric and chemical dependency hospital that, along with Acadia Healthcare, a provider of substance abuse and community integration services, serves the entire state of Maine. It currently has the largest psychiatric staff in Maine with a total of 17 psychiatrists, neurologists, addictionologist/ internist, and family practitioner. The facility opened nineteen years ago in response to an urgent need for more hospital and community based mental health and chemical dependency treatment programs.In 2011, Acadia's Access Center received 181,373 calls requesting service. Total admissions amounted to 1,184 resulting in Acadia experiencing a 82.1% occupancy rate for the year.Acadia Hospital provides space for support groups, and provide crisis response services if requested from local communities. As in question five above, we provide many educational presentations in the community that focus on wellness and access to appropriate care, as well as anti-stigma work. We also offer an online mental health screening tool.See Schedule O, Part III, Line 4d for further details from the publication of community benefit projects of Eastern Maine Healthcare Systems entities. Part VI - Community Building Activities The major foci of Acadia Hospital's community building activities include collaboration with other agencies and sharing our expertise with other organizations and individuals in an effort to strengthen communities through proactive activities. We also work to provide education on mental health and substance abuse issues with campaigns like our Close to Home opiate education campaign, and our wellness educational features which includes Mental Health Matters, Tour de Brain, and Life Strengthening Tools. We leverage social networking via our website, two Facebook profiles and a recently added Twitter profile, as well as a new YouTube channel.We support the efforts of other non-profits like the state's chapter of the National Alliance on mental Illness, and we participate educational programs like Mental Illness Awareness Week, Recovery Month and Suicide Prevention Day. Part VI - Community Information As one of only two private, non-profit freestanding psychiatric and chemical dependency hospitals in the State of Maine, Acadia Hospital serves people from across Maine, with a majority of the patients originating in the Greater Bangor area. Geographically, Maine is a primarily rural state, and the demographics reveal an aging population with lower than national average earning power. Part VI - Patient Education of Eligibility for Assistance Patient education begins at admission and continues throughout treatment and encompasses assistance with State health insurance coverage, COBRA, and Charity Care.It is the policy of The Acadia Hospital to treat all patients requiring care without regard for ability to pay and to assist patients in arranging for settlement of their financial obligation. For those qualifying under Acadia's Charity Care program, medically necessary services will be provided to Maine residents at no cost. Posters are displayed in patient care areas, information and forms are available online on the hospital website, and education is provided during the admission process and continues throughout treatment as the patient is assisted with the availability of programs. Part VI - Needs Assessment Acadia Hospital participated in the EMHS Community Health 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 late last year. Those results were made available earlier this year, and in late June, Acadia, 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. We also look for trends within our patient population and stay involved with private and state organizations that track key data. Number of Hospital Faciltiy - 0 Part V, Line 19d - Other Billing Determination of Individuals Without Insurance Part V, Section B is optional for tax year 2011. Acadia Hospital Corporation(AHC) has elected to not complete lines 8 through 21. The software will not allow AHC to leave these responses blank. Number of Hospital Faciltiy - 0 Part V, Line 17e - Other Actions Took Before Any Collection Actions Part V, Section B is optional for tax year 2011. Acadia Hospital Corporation(AHC) has elected to not complete lines 8 through 21. The software will not allow AHC to leave these responses blank. Number of Hospital Faciltiy - 0 Part V, Line 16e - Other Collection Actions by Facility or Third Party Engaged Part V, Section B is optional for tax year 2011. Acadia Hospital Corporation has elected to not complete lines 8 through 21. The software will not allow AHC to leave these responses blank. Number of Hospital Faciltiy - 0 Part V, Line 15e - Other Collection Actions Against a Patient Part V, Section B is optional for tax year 2011. Acadia Hospital Corporation(AHC) has elected to not complete lines 8 through 21. The software will not allow AHC to leave these responses blank. Number of Hospital Faciltiy - 0 Part V, Line 13g - Other Means Hospital Facility Publicized the Policy Part V, Section B is optional for tax year 2011. Acadia Hospital Corporation(AHC) has elected to not complete lines 8 through 21. The software will not allow AHC to leave these responses blank. Number of Hospital Faciltiy - 0 Part V, Line 11h - Other Factors Used in Determing Amounts Charged Patients Part V, Section B is optional for tax year 2011. Acadia Hospital Corporation(AHC) has elected to not complete lines 8 through 21. The software will not allow AHC to leave these responses blank. Number of Hospital Faciltiy - 0 Part V, Line 6i - Describe Other Needs Identified 6a Acadia Hospital plans to meet the prioritized needs through the following initiatives and resources: collaboration with a number of primary care offices and emergency departments lacking psychiatric resources by connecting them with psychiatry through tele-video technology. 6g Mental Health and Substance Abuse Acadia Hospital will participate in and be supportive of Downeast and Penobscot County District Coordinating Councils; being a provider of substance abuse education and intervention. For example, following the CHNA meetings, Acadia provided education in at least eight different community or professional forums on the abuse of Bath Salts - a new drug of abuse in the stimulant class that had begun to plague the area. Acadia also opened up quicker access to youth substance abuse services following feedback from the community on the negative effects of access delays.Part V, Section B, Financial Assistance PolicyLines 8 through 21Part V, Section B is optional for tax year 2011. Acadia Hospital Corporation has elected to not complete lines 8 through 21. The software will not allow AHC to leave these responses blank. Number of Hospital Faciltiy - 0 Part V, Line 5c - Description of Making Needs Assessment Widely Available In conjunction with EMHS, Acadia Hospital 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 - 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 organizations represented a broad spectrum of backgrounds: Healthy Maine Partnership Wabanaki Center (serving tribal populations); Maine Development Foundation; Maine Health Access Foundation (philanthropic foundation focused on access to care in Maine); Maine Center for Disease Control; Bingham Foundation (philanthropic foundation); Maine Health Management Coalition (representing the state's major employers, insurers and providers); Governor's Office of Health Policy and Finance (GOHPF); Advisory Committee for Health System Development (overseen by GOHPF); Maine Chapter, NAACP; City of Bangor, Department of Health and Welfare. Number of Hospital Faciltiy - 0 Part V, Line 1j - Description of Other Needs Assessment 1a The Acadia Hospital serves northern, eastern and central Maine primarily, with some clients coming from southern Maine as well. Maine is a rural state and Acadia is located in Bangor, Maine, the regional hub.1b Acadia Hospital 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 Acadia Hospital 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 nine-county service area, key collaborators going forward will include: include the Downeast Public Health Coordinating Council, Penobscot County Public Health Coordinating Council, and collaborations with a number of rural primary care offices and hospitals.1d-1e-1f EMHS, the parent company of Acadia Hospital, 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. A broad spectrum of backgrounds were represented: Healthy Maine Partnership, Wabanaki Center (serving tribal populations); Maine Development Foundation; Maine Health Access Foundation (philanthropic foundation focused on access to care in Maine); Maine Center for Disease Control; Bingham Foundation (philanthropic foundation); Maine Health Management Coalition (representing the state's major employers, insurers and providers); Governor's Office of Health Policy and Finance (GOHPF); Advisory Committee for Health System Development (overseen by GOHPF); Maine Chapter, NAACP; 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 Schedule H, Part III, Section C, Line 9aEastern Maine Healthcare Systems (EMHS) has had a written billing and collections policy since September 2010. The policy applies to Acadia Hospital Corporation, a related organization of EMHS.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 Acadia Hospital. 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. 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 $2,303,202 of bad debt expense, $17,893,240 of charity care, $17,939,578 of contractual allowances is included on Form 990, Part IX, line 25, column (A). Part I, Line 7 - Explanation of Costing Methodology Ratio of Patient Care Cost-to-Charges is used in calculations. Part I, Line 6a - Related Organization Community Benefit Report The Acadia Hospital Corporation 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 X X X false true false false false false false false false false William A Schaffer MD 287139 1810 27678 316627 Theodore P Logan 220182 13177 14312 29373 277044 Sehar Khokher 230238 201 10317 240756 Scott Oxley Interim CFO 205611 17642 865 14925 23049 262092 Sarah B Baughman 85315 19481 9780 5464 120040 Nancy Barrows 84956 5661 9409 16074 116100 Nanci Ames-Curtis 203971 4553 19895 29941 258360 Mary M Hood President CEO 601376 74181 12044 159332 16969 863902 Marie K Suitter 137124 11711 1055 12021 16298 178209 Leonard Giambalvo 171977 40174 27487 6091 245729 Karen Clements 47064 80381 5542 385 6604 7271 1863 4791 9853 59511 104243 Eric Kuntz 247755 3711 26950 19579 297995 Deborah Sanford 47851 93543 6495 572 35344 7565 2105 5283 10900 61271 148387 David Proffitt PhD CEO 199433 25456 2078 3425 11056 241448 Daniel B Coffey PresCEO 356359 35707 1614984 29400 16704 2053154 1593659 April Giard 50514 64919 9467 241 357 8094 1344 10718 14584 79034 81204 Anthony T Ng 183601 22454 876 19785 226716 Allan D Currie MD 205385 2649 16709 18538 243281 Maine Health and Higher Educational Facilities Authority 010314384 560427GW0 2010-04-22 13522505 To refund 1998 issue false false true 15948483 1513225 14314140 121118 false true true true false false false false false true false false false NA false NA false false Brent Scobie Educational Loans X 7996 7996 false false true 7996 Jeanne Paradis fam mem of brd mem 83065 compensation false Form 990, Part VI, Line 14 - Explanation of Written Document Retention Eastern Maine Healthcare Systems (EMHS) has had a written document retention and destruction policy since July 2007. The policy is a system-wide policy which applies to Acadia Hospital Corporation, a related organization of EMHS. Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Acadia Hospital 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. On an annual basis, the compensation ranges are compared to the updated survey information. The Human Resources department 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 provided to each board member either electronically or in hard copy and was reviewed at the July 13, 2012 finance committee meeting and at the July 25, 2012 meeting of the board of trustees prior to filing with the IRS. 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 Acadia Hospital (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 bylaw removing the actions to be taken on vacancies of the Board by Executive Committee. Full Board will vote on vacancies. The by-laws were amended to delete the nominating duties from the executive committee. The by-laws were also amended to add Governance and Finance Committee with list of duties as a standing committee. Form 990, Part VI, Line 2 Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et James Breece, trustee, Mary Rumpho-Kennedy, trustee, and Paul X. Paradis, trustee are employee's of University of Maine and Mary M. Hood, trustee/officer is a board member of University of Maine Board of Visitors. Form 990, Part III, Line 4d Form 990, Part III, Line 4d : Other Program Services Description OTHER PROGRAM SERVICES 4: The Acadia Hospital is a nonprofit psychiatric and chemical dependency hospital that, along with Acadia Healthcare, a provider of substance abuse and community integration services, serves the entire state of Maine. It currently has the largest psychiatric staff in Maine with a total of 17 psychiatrists, neurologists, addictionologist/ internist, and family practitioner. The facility opened nineteen years ago in response to an urgent need for more hospital and community based mental health and chemical dependency treatment programs.In 2011, Acadia's Access Center received 181,373 calls requesting service. Total admissions amounted to 1,184 resulting in Acadia experiencing a 82.1% occupancy rate for the year. OTHER PROGRAM SERVICES 5: Please see the following publication for details of community benefit projects at Eastern Maine Healthcare Systems entities.A former British prime minister, David Lloyd George, once noted that "You can't cross a chasm in two small steps." His point is that we shouldn't be afraid to take a big step if one is indicated. For some, the EMHS decision to become one of the federally recognized Pioneer Accountable Care Organizations (ACO) in the nation might seem to be a very large step.The nation certainly has a large chasm to cross, as identified in the Institute of Medicine's 2011 report, "Crossing the Quality Chasm." As our nation's healthcare delivery system has become unsustainably expensive, it has exposed the dysfunctional incentives and inefficiencies that grew within the system over the last 50 years. It is important to note that there is no single part of the system at fault. It has been a natural evolution of a myriad of parties-private payers, governmental payers, hospitals, physicians, and consumers alike.For those reasons, EMHS is proud to be among a few bold health systems in the nation that are leading health reform. While the Pioneer ACO is driven by the federal Medicare program, EMHS is mobilizing the same strategies for multiple patient populations in the state of Maine and elsewhere in northern New England. Our decision to pursue these redesigned models of care delivery and reimbursement should not seem to be such a big step for our constituents who have read our two previous annual reports. In 2009, we described the need to redefine hospitals not as brick-and-mortar places but as a continuous loop of community-based services. The nation's epidemic of chronic disease is most effectively addressed in the community, saving our hospitals for the crises and acute issues that demand the most advanced technology.Likewise, in 2010, we described the building blocks EMHS has been putting in place to manage a reformed healthcare system. These building blocks include advanced information technology that enable care managers to identify and monitor chronically ill patients to assure their optimal health status. This approach to care management has been pivotal to the success of the Bangor Beacon Community project-and regional "Little Beacons" emulating it. Beacon projects are proving real value by linking together multiple providers-both within EMHS and among externally aligned collaborators-using the same care management philosophy regardless of the site of care.We recently heard a colleague in a Pennsylvania health system describe their approach to accountable care as one of "never discharging a patient." Their focus is to manage seamless transitions of care from site to site and provider to provider, assuring appropriate levels of support throughout a patient's life. That is a fair description of how EMHS is approaching a reformed, accountable, value-based healthcare delivery model, and we are proud to safely lead the way across the chasm.M. Michelle Hood, FACHEEMHS President and CEOP. James Nicholson, CPAEMHS Board Chair OTHER PROGRAM SERVICES 6: EMHS (Systemwide)LEADERSHIP: M. Michelle Hood, FACHE, President and CEO and P. James Nicholson, CPA, Chair LOCATION: Brewer: EMPLOYEES: (Home Office) 438; DESCRIPTION: EMHS offers access to high quality healthcare, while striving for efficiencies to control costs. The Home Office of EMHS works in support of the nearly 8,000 employees throughout the system, including seven hospitals, emergency transport companies, home health agencies, and numerous long-term care and assisted living facilities.- EMHS was very pleased to be one of only 32 organizations across the United States invited to become a Pioneer Accountable Care Organization (ACO) through the Centers for Medicare and Medicaid Services (CMS). The up to five year demonstration project is intended to improve the coordination, efficiency, effectiveness, quality, and cost of healthcare.- EMHS conducted a dozen community meetings throughout central, eastern, and northern Maine to discuss the findings of the 2011 OneMaine Health Collaborative Community Health Needs Assessment with healthcare providers, citizens, business, legislative leaders and others. OneMaine Health is a collaborative between EMHS, MaineGeneral Health and MaineHealth.- EMHS and Guiding Stars, the world's first storewide nutrition navigation program, announced a partnership to implement the program throughout its system of hospitals. The partnership seeks to benefit the health of local communities by helping patients, visitors, and employees within EMHS hospitals identify more nutritious food choices.- In 2011, the EMHS Home Office celebrated its fifth consecutive year as a Best Workplace in Maine. EMHS placed seventh on the large company list (more than 250 employees) of many great Maine companies. We know one reason why is the great people who work here!- More than 1,100 patients are improving their health through care management as a result of the work being completed through Bangor Beacon Community. Beacon is comprised of 12 partners and led by EMHS. Beacon is supported by a three year, $12.7 million grant from the Office of the National Coordinator and ends in March 2013.EMHS (Home Office)- Beacon's successes include: updating state law to allow sharing of mental health information through electronic medical records; expanding connections to HealthInfoNet, Maine's statewide health information exchange; and improving primary care patient outcomes through Performance Improvement Committee activities.- EMHS and Husson University co-hosted a breakfast session with New York Times bestselling author, T.R. Reid. Reid's talk focused on his book, "Dispelling the Myth-How America Can Achieve High Quality, Lower Cost Healthcare."- All EMHS Home Office managers are completing leadership training called "EMHS University." The program is designed to ensure that all managers in the Home Office have received the appropriate information on policies, procedures, and skills necessary to be a great leader.- More than 40 Home Office employees were trained in basic Lean tools and skills. Lean is a process improvement program designed to reduce costs and duplications, and help improve quality. OTHER PROGRAM SERVICES 7: The Acadia HospitalLEADERSHIP: Daniel B. Coffey, President and CEO and Richard A. Lyons, Chair LOCATION: Bangor; EMPLOYEES: 609; DESCRIPTION: The Acadia Hospital is Maine's comprehensive resource for information and treatment of mental illness and chemical dependency.- In February, Acadia opened its Adult Evaluation Center in direct response to the community's need for increased access to outpatient services. This center allows people seeking outpatient treatment to receive an evaluation of services within 48 hours of any request.- In May, Acadia announced Daniel B. Coffey as its new president and CEO. Coffey came to Acadia from EMHS, where he had served as the executive vice president, treasurer and chief financial officer.- In May, Acadia started the Wellness Works program. This is an outcome-based employee health initiative that measures participants' gains as they lead healthier lifestyles.- In August, the Acadia Artisans project was launched to display patients' artwork. This display is in the main hallway of the hospital and illuminates the work of recovery.- In December, Acadia appointed Anthony Ng, MD, FAPA as its new vice president and chief medical officer.- In December, Acadia began providing telepsychiatry at Maine Coast Memorial Hospital in Ellsworth.- Acadia served as executive producer for a film about teen anxiety and depression titled "The Road Back." This youth-focused endeavor, created in partnership with Project AWARE, included dozens of area teens.The film was funded in part by the Davis Family Foundation, Bingham Program, and Spring Harbor Hospital.- The hospital unveiled a new community education series, An Open Mind, with one presentation on cyber bullying and the other on the aging brain.- Converted the hospital's inpatient units to one full child/adolescent/young adult floor of 32 beds and one adult floor with 36 beds. This has increased access for inpatient care for the state.- Acadia Capitol Convenient Care LLC 43 Whiting Hill Rd Suite 500 Brewer ME 04412 273671960 Provide Patient Care ME 501(c)(3) 11, Type II EMHS true Sebasticook Valley Hlth Convient Ctr 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 Assoc 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 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 Blue Hill Memorial Hospital 57 Water St Blue Hill ME 046145231 010227195 Provide healthcare services ME 501(c)(3) 3 EMHS true Maine Inst for Human Genetics and Health 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 St Presque Isle ME 047690151 010504393 Provide patient care ME 501(c)(3) 3 TAMC true TAMC Endowments PO Box 151 140 Academy St Presque Isle ME 047690151 010389222 Raise funds for exempt organizations ME 501(c)(3) 11, Type I TAMC true TAMC Title Corporation PO Box 151 140 Academy St Presque Isle ME 047690151 010389226 Real estate holding company ME 501(c)(2) TAMC true The Aroostook Medical Center TAMC PO Box 151 140 Academy St Presque Isle ME 047690151 010372148 Provide healthcare services ME 501(c)(3) 3 EMHS true Sebasticook Valley Health SVH 447 North Main Street Pittsfield ME 04967 010263628 Critical care hospital ME 501(c)(3) 3 EMHS true CA Dean Memorial Hosp and Nursing Home Pritham Ave PO Box 1129 Greenville ME 044411129 043341666 Provide healthcare services ME 501(c)(3) 3 EMHS true Inland Hospital 200 Kennedy Memorial Drive Waterville ME 04901 010217211 Provide healthcare services ME 501(c)(3) 3 EMHS true Healthcare Charities 43 Whiting Hill Rd Suite 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 Rd Suite 400 Brewer ME 04412 010465231 Provide patient care and education ME 501(c)(3) 9 EMMC true Acadia Healthcare Inc AHI 43 Whiting Hill Rd Suite 400 Brewer ME 04412 223183888 Provide healthcare services ME 501(c)(3) 9 Acadia Hospital Corp true Eastern Maine Medical Center Auxiliary 43 Whiting Hill Rd Suite 400 Brewer ME 04412 010377901 Fundraising for exempt Eastern Maine Medical Center ME 501(c)(3) 9 EMMC true Rosscare Nursing Home Inc 43 Whiting Hill Rd Suite 400 Brewer ME 04412 010430751 Operation of nursing home ME 501(c)(3) 9 Rosscare true Rosscare 43 Whiting Hill Rd Suite 400 Brewer ME 04412 010391038 Provide services to elderly ME 501(c)(3) PF EMHS true Eastern Maine Healthcare Real Estate 43 Whiting Hill Rd Suite 400 Brewer ME 04412 010391036 Leases real estate ME 501(c)(2) EMHS true Eastern Maine Medical Center EMMC PO Box 404 489 State St Bangor ME 044020404 010211501 Provide healthcare services ME 501(c)(3) 3 EMHS true Eastern Maine Healthcare Systems EMHS 43 Whiting Hill Rd Brewer ME 04412 010527066 Supporting organization for healthcare affiliates ME 501(c)(3) 11, Type II N/A true Dirigo Pines Development Company LLC 9 Alumni Drive Orono ME 04473 010537924 RetirCottag ME AHS C Dirigo Funding LLC 9 Alumni Drive Orono ME 04473 010599968 Prov financ 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 80 Exchange St 6th fl Ste 3 Bangor ME 04401 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 Clinical 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 044020940 010385322 Holding co. 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