EASTERN MAINE HEALTHCARE SYSTEMS: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- EASTERN MAINE HEALTHCARE SYSTEMS (EIN 01-0211501)
- Tax period
- 2010-09-26 to 2011-09-24
- Filed
- 2012-08-08
- IRS object ID
- 201212219349300981
- Schema version
- 2010v3.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-08T12:05:11-07:00 | Timestamp |
| Tax Period End Date | 2011-09-24 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-09-26 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010211501 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eastern Maine Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | EAST | NameControl |
| Phone | 2079737064 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 404 489 State Street | AddressLine1 |
| City | Bangor | City |
| State | ME | State |
| ZIP Code | 04402 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Derrick Hollings | Name |
| Title | Treasurer | Title |
| Date Signed | 2012-08-08 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Derrick Hollings | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 43 Whiting Hill Road | AddressLine1 |
| City | Brewer | City |
| State | ME | State |
| ZIP Code | 044121005 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 1174585856 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| All Affiliates Included | false | AllAffiliatesIncluded |
| Group Exemption Number | 5247 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.emmc.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1892 | YearFormation |
| State Legal Domicile | ME | StateLegalDomicile |
| Activity Or Mission Description | Eastern Maine Medical Center strives to provide exceptional primary and specialty healthcare with a passionate pursuit of excellence in patient safety, clinical quality, and service. Our mission is to care for patients, families, communities, and one another. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 18 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 3975 | TotalNbrEmployees |
| Total Nbr Volunteers | 453 | TotalNbrVolunteers |
| Total Gross UBI | 76261 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -3579 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 5439972 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 6997361 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 1057449031 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 1124604344 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 5199269 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1890054 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1444372 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1713647 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1069532644 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1135205406 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 309762059 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 303365535 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 744266642 | OtherExpensePriorYear |
| Other Expenses Current Year | 813219289 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1054028701 | TotalExpensesPriorYear |
| Total Expenses Current Year | 1116584824 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 15503943 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 18620582 | RevenuesLessExpensesCY |
| Total Assets BOY | 439221907 | TotalAssetsBOY |
| Total Assets EOY | 459472780 | TotalAssetsEOY |
| Total Liabilities BOY | 200836889 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 220225914 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 238385018 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 239246866 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | Eastern Maine Medical Center strives to provide exceptional primary and specialty healthcare with a passionate pursuit of excellence in patient safety, clinical quality, and service. Our mission is to care for patients, families, communities, and one another. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 970389725 | Expense |
| Description | Provide healthcare services regardless of ability to pay as well as education, research and promotion of health. Provided other uncompensated care (at cost) of $9,432,342.Eastern Maine Medical Center (EMMC) has served communities throughout our region for 119 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 20,688Percent Occupancy of Available Beds 76.8%Cardiac Catherization Procedures 5,843Cardiac Surgery Cases 393Emergency Room Visits 40,223Medical Imaging Procedures 142,143Surgery Cases 18,075Live Births 1,619Family Practice Visits 32,122Total Outpatient Visits 419,830Patient Days 101,823Services provided to those who could not pay $45,441,834 | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 38027834 | Expense |
| Description | Medicaid shortfalls (at cost) 90,011 persons served | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 26341964 | Expense |
| Description | Medicare shortfalls (at cost) 113,012 persons served | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 12100419 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 1125656274 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 1046859942 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | true | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | true | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | true | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 180 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 3975 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Form8886 T Filed | false | Form8886TFiled |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Non Deductible Disclosure | false | NonDeductibleDisclosure |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Quid Pro Quo Disclosure | false | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Filed Lieu1041 | false | FiledLieu1041 |
| Licensed More Than One State | false | LicensedMoreThanOneState |
| Indoor Tanning Services | false | IndoorTanningServices |
| Form720 Filed | false | Form720Filed |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 18 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | true | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Policies Reference Chapters | false | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | false | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | ME | StatesWhereCopyOfReturnIsFiled |
| Own Website | X | OwnWebsite |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Jeffrey A Sanford | NamePerson |
| Telephone Number | 2079737894 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 43 Whiting Hill Road | AddressLine1 |
| City | Brewer | City |
| State | ME | State |
| ZIP Code | 04412 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (38 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Highest Compensated EmployeeHighestCompensatedEmployee | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| Wayne R Waterman MD | ||||||||
| Neuro Surgeon | 40.00 | X | 706065 | 0 | 20835 | |||
| Senator Kevin L Raye | ||||||||
| Board Member | 0.50 | 0 | 0 | 0 | X | |||
| Scott Solman | ||||||||
| Board Member | 0.50 | 0 | 0 | 0 | X | |||
| Scott Oxley Interim CFO | ||||||||
| Trea-part of yr | 1.00 | 0 | 224118 | 37974 | X | X | ||
| Sally Arata | ||||||||
| Board Member | 0.50 | 0 | 0 | 0 | X | |||
| Robert A Clough MD | ||||||||
| Surgeon | 40.00 | X | 866020 | 0 | 35219 | |||
| Michael P Donahue | ||||||||
| VP/PHY PRACTICE | 50.00 | 264395 | 0 | 30507 | X | |||
| Michael J McInnis | ||||||||
| Chairman | 1.00 | 0 | 0 | 0 | X | X | ||
| Michael A Johnson MD | ||||||||
| Retinal Surgeon | 40.00 | X | 823245 | 0 | 35682 | |||
| Mary M Hood PresidentCEO | ||||||||
| Ex-Officio | 20.00 | 0 | 687601 | 176301 | X | X | ||
| Mary Cathcart | ||||||||
| Board Member | 0.50 | 0 | 0 | 0 | X | |||
| Lorraine A Rodgerson RN | ||||||||
| VP/PCS & CNO | 50.00 | 231799 | 0 | 41316 | X | |||
| Liane E M Judd | ||||||||
| Vice Chair | 0.50 | 0 | 0 | 0 | X | X | ||
| Leonard Giambolvo | ||||||||
| Former Secretary | 0.00 | 0 | 212151 | 33578 | X | |||
| Larry D Flanagan MD | ||||||||
| Vascular Surgeon | 40.00 | X | 680342 | 0 | 48007 | |||
| Julie Long MD | ||||||||
| Board Member | 50.00 | 494766 | 0 | 17258 | X | |||
| John Miller | ||||||||
| Board Member | 0.50 | 0 | 0 | 0 | X | |||
| John M Long Sr MD | ||||||||
| Board Member | 0.50 | 0 | 0 | 0 | X | |||
| John D Klemperer MD | ||||||||
| Physician | 40.00 | X | 566393 | 0 | 39257 | |||
| John A Vickery Sr | ||||||||
| Board Member | 0.50 | 0 | 0 | 0 | X | |||
| Jill McDonald | ||||||||
| VP/COMM & MKT | 50.00 | 134209 | 0 | 26366 | X | |||
| Jennifer Brooker | ||||||||
| Board Member | 0.50 | 0 | 0 | 0 | X | |||
| James A Raczek MD | ||||||||
| VP/CMO | 50.00 | 373941 | 0 | 48621 | X | |||
| Iyad Sabbagh MD | ||||||||
| Board Member | 50.00 | 230178 | 0 | 39522 | X | |||
| Helen Q McKinnon RN | ||||||||
| VP/SUPPORT SVC | 50.00 | 220933 | 0 | 48607 | X | |||
| Glenn Martin VP Gen Counsel | ||||||||
| Clerk | 14.00 | 0 | 216806 | 39152 | X | |||
| George F Eaton II Esq | ||||||||
| Board Member | 0.50 | 0 | 0 | 0 | X | |||
| Gary Eckmann | ||||||||
| Board Member | 0.50 | 0 | 0 | 0 | X | |||
| G Gregory Howat Esq | ||||||||
| VP/HR & EDUC | 50.00 | 236189 | 0 | 44334 | X | |||
| Elmer Doucette | ||||||||
| VP/CFO | 50.00 | 240220 | 0 | 39534 | X | |||
| Elizabeth C Warren | ||||||||
| Board Member | 0.50 | 0 | 0 | 0 | X | |||
| EE comp is for admin svcs | ||||||||
| not brd respons | 0.00 | 0 | 0 | 0 | X | |||
| Donald Hagstrom | ||||||||
| Board Member | 0.50 | 0 | 0 | 0 | X | |||
| Derrick Hollings | ||||||||
| Current Treasur | 1.00 | 0 | 0 | 0 | X | |||
| Deborah Carey Johnson CEO | ||||||||
| Secretary | 50.00 | 473324 | 0 | 330224 | X | X | ||
| David L Levy MD | ||||||||
| Board Member | 0.50 | 0 | 0 | 0 | X | |||
| Daniel B Coffey Exec VPCFO | ||||||||
| Trea-part of yr | 1.00 | 0 | 2007050 | 46104 | X | |||
| Arthur A Comstock | ||||||||
| Board Member | 0.50 | 0 | 0 | 0 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 6542019 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 3347726 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1178398 | TotalOtherCompensation |
| Number Individuals GT100 K | 345 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| WEATHERBY LOCUMS INC | |||||
| PO BOX 972633 | DALLAS | TX | 753972633 | STAFFING SERVICES | 3024492 |
| PENOBSCOT RESPIRATORY | |||||
| 417 STATE STREET SUITE 400 | BANGOR | ME | 044016690 | RESPIRATORY THERAPY | 3728132 |
| NURSE ANESTHESIA OF MAINE | |||||
| 141 N MAIN ST STE 205 | BREWER | ME | 04412 | COVERAGE SERVICES | 9613788 |
| DAHL CHASE DIAGNOSTIC SERVICES | |||||
| 417 STATE STREET SUITE 441 | BANGOR | ME | 04401 | DIAGNOSTIC SERVICES | 2084552 |
| CERNER CORPORATION | |||||
| PO BOX 412702 | KANSAS CITY | MO | 641412702 | SOFTWARE SUPPORT | 10768337 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 65 | NumberOfContractorsGT100K |
| Related Organizations | 3886482 | RelatedOrganizations |
| Government Grants | 1198444 | GovernmentGrants |
| All Other Contributions | 1912435 | AllOtherContributions |
| Noncash Contributions | 51216 | NoncashContributions |
| Total Contributions | 6997361 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| Patient Care Services | 621990 | 560645943 | 560645943 | ||
| Patient Care Service | 621990 | 560639690 | 560635898 | 3792 | |
| Healthcare Education | 611710 | 424290 | 424290 | ||
| Cafeteria | 722210 | 2894421 | 4537 | $2,889,884 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 1124604344 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1256096 | TotalRevenueColumn |
| Exclusion | $1,256,096 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 43366 | Real |
| Personal | 12000 | Personal |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 2395 | Real |
| Personal | 7000 | Personal |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 40971 | Real |
| Personal | 5000 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 45971 | TotalRevenueColumn |
| Unrelated Business Revenue | 5000 | UnrelatedBusinessRevenue |
| Exclusion | $40,971 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 39997286 | Securities |
| Other | 7727 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 39347580 | Securities |
| Other | 23475 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 649706 | Securities |
| Other | -15748 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 633958 | TotalRevenueColumn |
| Exclusion | $633,958 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| Telephone | 517000 | 479423 | 479423 | ||
| Clinical Engineering | 541300 | 534263 | 504575 | 29688 | |
| 340B Pharmacy Benefits | 621990 | 620746 | $620,746 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 33244 | TotalRevenueColumn |
| Unrelated Business Revenue | 33244 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1667676 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1135205406 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1122690129 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 76261 | UnrelatedBusinessRevenue |
| Exclusion | $5,441,655 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3566243 | Total |
| Program Services | 2041843 | ProgramServices |
| Management And General | 1524400 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 243859542 | Total |
| Program Services | 236423469 | ProgramServices |
| Management And General | 7436073 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10302005 | Total |
| Program Services | 9855928 | ProgramServices |
| Management And General | 446077 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30960612 | Total |
| Program Services | 27264195 | ProgramServices |
| Management And General | 3696417 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14677133 | Total |
| Program Services | 13768864 | ProgramServices |
| Management And General | 908269 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 387533 | Total |
| Program Services | 125512 | ProgramServices |
| Management And General | 262021 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 98976 | Total |
| Management And General | 98976 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 237068 | Total |
| Program Services | 17918 | ProgramServices |
| Management And General | 219150 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 78630459 | Total |
| Program Services | 38594744 | ProgramServices |
| Management And General | 40035715 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 721307 | Total |
| Program Services | 713801 | ProgramServices |
| Management And General | 7506 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 100583943 | Total |
| Program Services | 97164409 | ProgramServices |
| Management And General | 3419534 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4517313 | Total |
| Program Services | 3524474 | ProgramServices |
| Management And General | 992839 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9945983 | Total |
| Program Services | 7537246 | ProgramServices |
| Management And General | 2408737 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 698942 | Total |
| Program Services | 624121 | ProgramServices |
| Management And General | 74821 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1233611 | Total |
| Program Services | 1168135 | ProgramServices |
| Management And General | 65476 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3253634 | Total |
| Program Services | 3081509 | ProgramServices |
| Management And General | 172125 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22058835 | Total |
| Program Services | 16385391 | ProgramServices |
| Management And General | 5673444 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6807850 | Total |
| Program Services | 6513410 | ProgramServices |
| Management And General | 294440 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Taxes and Licensing | 12562362 | 12442553 | 119809 |
| Repairs & Maintenance | 7906266 | 6417651 | 1488615 |
| Provision for uncollectible ac | 20046392 | 20046392 | |
| Contractual Allowances | 517092717 | 517092717 | |
| Charity Care | 25395442 | 25395442 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1040656 | Total |
| Program Services | 660218 | ProgramServices |
| Management And General | 380438 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1116584824 | Total |
| Program Services | 1046859942 | ProgramServices |
| Management And General | 69724882 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14415 | BOY |
| EOY | 14545 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17292562 | BOY |
| EOY | 21679210 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 208350 | BOY |
| EOY | 160017 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 106559119 | BOY |
| EOY | 102619912 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15548 | BOY |
| EOY | 29818 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1137829 | BOY |
| EOY | 1265828 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2645584 | BOY |
| EOY | 2339963 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8157802 | BOY |
| EOY | 12873521 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 429730620 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 261822102 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 174314424 | BOY |
| EOY | 167908518 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44273838 | BOY |
| EOY | 58700535 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2450 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 84599986 | BOY |
| EOY | 91880913 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 439221907 | BOY |
| EOY | 459472780 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61676136 | BOY |
| EOY | 70292273 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 130909 | BOY |
| EOY | 210796 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 67282118 | BOY |
| EOY | 65353071 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 71747726 | BOY |
| EOY | 84369774 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 200836889 | BOY |
| EOY | 220225914 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 210111058 | BOY |
| EOY | 212116573 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17909894 | BOY |
| EOY | 16791222 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10364066 | BOY |
| EOY | 10339071 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 238385018 | BOY |
| EOY | 239246866 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 439221907 | BOY |
| EOY | 459472780 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 18620582 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -17758734 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed4955 Tax | false | Form4720Filed4955Tax |
| Correction Made | false | CorrectionMade |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $55,323 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 55323 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part II-B, Line 1i | Identifier |
| Return Reference | Part II-B, Line 1i - Other Activities Description | ReturnReference |
| Explanation | Non-deductible dues | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 21974979 | BeginningOfYearBalance |
| Contributions | 148655 | Contributions |
| Investment Earnings Or Losses | 236593 | InvestmentEarningsOrLosses |
| Other Expenditures | 1341607 | OtherExpenditures |
| End Of Year Balance | 21018620 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 20890628 | BeginningOfYearBalance |
| Contributions | 54006 | Contributions |
| Investment Earnings Or Losses | 2264755 | InvestmentEarningsOrLosses |
| Other Expenditures | 1234409 | OtherExpenditures |
| End Of Year Balance | 21974980 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 22052765 | BeginningOfYearBalance |
| Contributions | 42199 | Contributions |
| Investment Earnings Or Losses | -160607 | InvestmentEarningsOrLosses |
| Other Expenditures | 1043729 | OtherExpenditures |
| End Of Year Balance | 20890628 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.01500 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.98500 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | true | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | true | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2150395 | OtherCostOrOtherBasis |
| Book Value | 2150395 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 110648448 | OtherCostOrOtherBasis |
| Depreciation | 55071572 | Depreciation |
| Book Value | 55576876 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10599807 | OtherCostOrOtherBasis |
| Depreciation | 2222939 | Depreciation |
| Book Value | 8376868 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 275058190 | OtherCostOrOtherBasis |
| Depreciation | 196469568 | Depreciation |
| Book Value | 78588622 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 31273780 | OtherCostOrOtherBasis |
| Depreciation | 8058023 | Depreciation |
| Book Value | 23215757 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 167908518 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Self-Insurance Funds Held by Trustee | 7351198 |
| Investment in Net Assets held @ HC | 25035409 |
| Funds Held by Bond Trustee | 1328176 |
| Board Designated Funded Depreciation | 56320351 |
| Beneficial Trust Assets | 1845779 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 91880913 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Reserve for Asset Disposal Costs | $636,400 |
| Notes Payable to Related Org, EMHS | $668,666 |
| Lt Liability - Cerner RHO | $1,418,178 |
| Liability Under Cap Lease Obligation | $1,298,672 |
| Accrued Post Retirement Benefits | $80,347,858 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 84369774 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part X | Part X : FIN48 Footnote | Income TaxesEMHS, its hospitals, and certain other affiliates have been determined by the Internal Revenue Service to be tax-exempt charitable organizations as described in Section 501(c)(3) or 501(c)(2) of the Internal Revenue Code ("Code") and, accordingly, are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Accordingly, no provision for federal income taxes has been recorded in the accompanying consolidated financial statements for these organizations.Tax-exempt charitable organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the Financial Accounting Standards Board (FASB), assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. The System has evaluated its tax position taken or expected to be taken on income tax returns and concluded the impact to be not material.Certain of the System's affiliates are taxable entities. Deferred taxes related to these entities are based on the difference between the financial statement and tax basis of assets and liabilities using enacted tax rates in effect in the years the differences are expected to reverse. The deferred tax assets and liabilities for these entities are not material. |
| Part XI, Line 8 | Part XI, Line 8: Other Changes in Net Assets or Fund Balances | Post Retirement Health Benefit FAS158 $0 Transfer from exempt subsidiaries-Healthcare Charities $494871 Transfer from exempt parent-Eastern Maine Healthcare Systems $0 Transfer from exempt subsidiaries-Rosscare $427361 Contribution to Strategic Planning Pool per Affiliation Agre $ -483000 Change in interest in net assets held @ Healthcare Charities $ -1169443 Post Retirement Health Benefit FAS158 $ -16539653 |
| Part V, Line 4 | Part V, Line 4: Intended uses of the endowment fund. | Endowment Funds are designated for purposes that align within this organization's exempt purpose. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 3559 | PersonsServed |
| Total Community Benefit Expense | 12100419 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 12100419 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02180 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 90011 | PersonsServed |
| Total Community Benefit Expense | 113272827 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 75244993 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 38027834 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06860 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2926814 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2926814 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00530 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 93570 | PersonsServed |
| Total Community Benefit Expense | 128300060 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 75244993 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 53055067 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09570 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 17 | NumberOfActivitiesOrPrograms |
| Persons Served | 2224 | PersonsServed |
| Total Community Benefit Expense | 2189851 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2189851 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00400 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 9 | NumberOfActivitiesOrPrograms |
| Persons Served | 1001 | PersonsServed |
| Total Community Benefit Expense | 732055 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 732055 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00130 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 22949 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 22949 | NetCommunityBenefitExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 4 | NumberOfActivitiesOrPrograms |
| Persons Served | 1515 | PersonsServed |
| Total Community Benefit Expense | 984212 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 984212 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00180 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 60 | PersonsServed |
| Total Community Benefit Expense | 448 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 448 | NetCommunityBenefitExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 32 | NumberOfActivitiesOrPrograms |
| Persons Served | 4800 | PersonsServed |
| Total Community Benefit Expense | 3929515 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3929515 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00710 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 32 | NumberOfActivitiesOrPrograms |
| Persons Served | 98370 | PersonsServed |
| Total Community Benefit Expense | 132229575 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 75244993 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 56984582 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10280 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 2 | PersonsServed |
| Total Community Building Expense | 170 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 170 | NetCommunityBuildingExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 71 | PersonsServed |
| Total Community Building Expense | 11064 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 11064 | NetCommunityBuildingExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 4 | NumberOfActivitiesOrPrograms |
| Persons Served | 73 | PersonsServed |
| Total Community Building Expense | 11234 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 11234 | NetCommunityBuildingExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $9,432,342 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 212216115 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 238558079 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -26341964 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | false | WrittenDebtCollectionPolicy |
| Provision For Charity Care | false | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 0 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eastern Maine Medical Center | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 489 State Street | AddressLine1 |
| City | Bangor | City |
| State | ME | State |
| ZIP Code | 04401 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eastern Maine Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | true | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Other | X | Other |
| Needs Assessment Conducted | 11 | NeedsAssessmentConducted |
| Take Into Account | true | TakeIntoAccount |
| Other Facilities | true | OtherFacilities |
| CHNA Widely Available | true | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Other Method | X | OtherMethod |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| Other Needs Addressed | X | OtherNeedsAddressed |
| All Needs Addressed | false | AllNeedsAddressed |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 200.0000 | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 300.0000 | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Other Factors | X | OtherFactors |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Permit Other Actions | X | PermitOtherActions |
| Collection Activities | true | CollectionActivities |
| Other Actions | X | OtherActions |
| Other Actions Taken | X | OtherActionsTaken |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 12 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (12 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| Lafayette Family Cancer Center | ||||
| 33 Whiting Hill Road | Brewer | ME | 04412 | Med Office Building-Cancer treatment |
| EMMC-Phy Prac in Webber Bld | ||||
| 417 State Street | Bangor | ME | 04401 | Med 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, |
Form990 Schedule H Part VI Form990ScheduleHPartVI (26 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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. 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 has this has become increasingly important. | |
| Part VI - Explanation Of How Organization Furthers Its Exempt Purpose | 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 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 Building Activities | Through 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 Welcoa's criteria. As a holder of 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 FY2011, EMMC delivered a total community benefit of more than $83.3 million. | |
| 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 nearly 400 physicians provide three-quarters of the primary-care hospital services offered in the Bangor area, as well as specialty and intensive services for patients from Waterville to the Canadian border. EMMC also provides outreach clinics to many local hospitals in the region, allowing easier access for patients and supporting the role of those hospitals in their communities. EMMC is an American College of Surgeons verified Level II trauma center, bariatric center, community cancer center and host of Lifeflight of Maine, a statewide medical helicopter service that transports critically ill and injured patients. EMMC is also a Joint Commission certified Joint Center and Stroke Center.In the Community Health Needs Assessment for EMHS, it states:1) Penobscot County has the highest percentage of females in any county with no medical checkup in the past two years2) Penobscot County has the highest percentage of obese residents of any county3) Penobscot County has a low percentage of males 50+ who've received a prostate exame 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 websites, 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 late last year. Those results were made available earlier this year, and in late June, 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. | |
| Part V, Line 19d - Other Billing Determination of Individuals Without Insurance | Part V, Section B is optional for tax year 2011. Eastern Maine Medical Center(EMMC) has elected to not complete lines 8 through 21. The software will not allow EMMC 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. Eastern Maine Medical Center(EMMC) has elected to not complete lines 8 through 21. The software will not allow EMMC 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. Eastern Maine Medical Center(EMMC) has elected to not complete lines 8 through 21. The software will not allow EMMC 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. Eastern Maine Medical Center(EMMC) has elected to not complete lines 8 through 21. The software will not allow EMMC 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. Eastern Maine Medical Center(EMMC) has elected to not complete lines 8 through 21. The software will not allow EMMC 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. Eastern Maine Medical Center(EMMC) has elected to not complete lines 8 through 21. The software will not allow EMMC to leave these responses blank. | 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.Part V, Section B, Financial Assistance PolicyLines 8 through 21Part V, Section B is optional for tax year 2011. Eastern Maine Medical Center(EMMC) has elected to not complete lines 8 through 21. The software will not allow EMMC to leave these responses blank. | 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 workplace6c Continue 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.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.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).6f Continue to develop and grow the Way to Optimum Weight (WOW) Program for children with obesity related illness. This two 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 focused on our primary service area.1b Eastern Maine Medical Center and its related physician practices utilize extensive electronic medical records, including disease registries, which provide a vast amount of data relative to patients in care. The needs assessment provides a much broader picture of the community as a whole, including the health status of individuals not in care, as well as functional health status and social-demographics (such as employment, income and education levels). The local units of the 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). | Number of Hospital Faciltiy - 0 |
| 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 Eastern Maine Medical Center, 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 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. 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 | $20,046,392 of bad debt expense, $25,395,442 of charity care, $517,092,717 of contractual allowances is included on Form 990, Part IX, line 25, column (A). | |
| Part I, Line 7 - Explanation of Costing Methodology | Worksheet 2, Ratio of Patient Care Cost-to-Charges is used in calculation | |
| Part I, Line 6a - Related Organization Community Benefit Report | The EMMC community benefit report is contained in an annual community benefit report prepared by Eastern Maine Healthcare Systems which is the parent organization of all related organizations. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
| Rebuttable Presumption Procedure | false | RebuttablePresumptionProcedure |
Form990 Schedule J Part II Form990ScheduleJPartII (20 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Wayne R Waterman MD | ||||||||||||
| 670335 | 25000 | 10730 | 20835 | 726900 | ||||||||
| Scott Oxley Interim CFO | ||||||||||||
| 205611 | 17642 | 865 | 14925 | 23049 | 262092 | |||||||
| Robert A Clough MD | ||||||||||||
| 751604 | 94453 | 19963 | 16352 | 901239 | 18867 | |||||||
| Michael P Donahue | ||||||||||||
| 241016 | 13363 | 10016 | 11740 | 294902 | 18767 | |||||||
| Michael A Johnson MD | ||||||||||||
| 624556 | 181379 | 17310 | 18532 | 858927 | 17150 | |||||||
| Mary M Hood PresidentCEO | ||||||||||||
| 601376 | 74181 | 12044 | 159332 | 16969 | 863902 | |||||||
| Lorraine A Rodgerson RN | ||||||||||||
| 216757 | 13954 | 1088 | 19689 | 273115 | 21627 | |||||||
| Leonard Giambolvo | ||||||||||||
| 171977 | 40174 | 27487 | 6091 | 245729 | ||||||||
| Larry D Flanagan MD | ||||||||||||
| 547329 | 96753 | 36260 | 26107 | 728349 | 21900 | |||||||
| Julie Long MD | ||||||||||||
| 471000 | 23766 | 13583 | 512024 | 3675 | ||||||||
| John D Klemperer MD | ||||||||||||
| 527950 | 36648 | 1795 | 22107 | 605650 | 17150 | |||||||
| Jill McDonald | ||||||||||||
| 124744 | 8024 | 1441 | 15320 | 160575 | 11046 | |||||||
| James A Raczek MD | ||||||||||||
| 332420 | 22308 | 19213 | 26571 | 422562 | 22050 | |||||||
| Iyad Sabbagh MD | ||||||||||||
| 223329 | 5989 | 860 | 27573 | 269700 | 11949 | |||||||
| Helen Q McKinnon RN | ||||||||||||
| 204834 | 13272 | 2827 | 26011 | 269540 | 22596 | |||||||
| Glenn Martin VP Gen Counsel | ||||||||||||
| 203621 | 11865 | 1320 | 12812 | 26340 | 255958 | |||||||
| G Gregory Howat Esq | ||||||||||||
| 201297 | 13580 | 21312 | 26509 | 280523 | 17825 | |||||||
| Elmer Doucette | ||||||||||||
| 220141 | 14377 | 5702 | 22954 | 279754 | 16580 | |||||||
| Deborah Carey Johnson CEO | ||||||||||||
| 422147 | 39505 | 11672 | 23607 | 803548 | 306617 | |||||||
| Daniel B Coffey Exec VPCFO | ||||||||||||
| 356359 | 35707 | 1614984 | 29400 | 16704 | 2053154 | 1593659 | ||||||
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Sch J, Part I, Line 1a | Identifier |
| Return Reference | Part I, Line 1a: Relevant information in regards to selections on 1a. | ReturnReference |
| Explanation | 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 $125 with a $8.82 gross-up payment. The benefit is available for all employees. The EMMC Employee Wellness Department structured a Fitness Center Network for EMMC employees. Any EMMC employee who participates in wellness activities at an EMMC Fitness Center Network health club or health facility shall receive a discount at the facility, and will be reimbursed for their participation by EMMC on a bi-weekly or yearly basis at one facility. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Maine Health and Higher Educational Facilities Authority | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 010314384 | IssuerEIN |
| CUSIP Number | 560427GZ3 | CUSIPNumber |
| Date Issued | 2010-04-22 | DateIssued |
| Issue Price | 72656251 | IssuePrice |
| Description Of Purpose | Refund 1998 & 1999 issue, Outpatient Cancer Center, Parking | DescriptionOfPurpose |
| Defeased | false | Defeased |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Pool Financing | true | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 76541297 | TotalProceeds |
| Amount In Reserve Fund | 5354450 | AmountInReserveFund |
| Refunding Escrow | 31034511 | RefundingEscrow |
| Issuance Costs From Proceeds | 652336 | IssuanceCostsFromProceeds |
| Capital Expenditures | 39500000 | CapitalExpenditures |
| Year Of Subst Completion | 2010 | YearOfSubstCompletion |
| Current Refunding | false | CurrentRefunding |
| Advance Refunding | true | AdvanceRefunding |
| Final Allocation Made | true | FinalAllocationMade |
| Adequate Books And Recds Maintaind | true | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | false | OwningBondFinancedProperty |
| Any Lease Arrangements | false | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | false | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | false | AnyResearchAgreements |
| Bond Counsel Routinely Engaged | false | BondCounselRoutinelyEngaged |
| Post Issuance Compliance Procdrs | true | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | false | Form8038TFiled |
| Variable Rate Issue | false | VariableRateIssue |
| Hedge Identified In Books And Recds | false | HedgeIdentifiedInBooksAndRecds |
Name Of Hedge Provider NameOfHedgeProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGIC |
Name Of GIC Provider NameOfGICProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested | false | GrossProceedsInvested |
| Exception To Rebate | false | ExceptionToRebate |
Schedule L IRS990ScheduleL
Loan Table LoanTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Wayne R Waterman MD | NamePerson |
| Loan From Organization | X | LoanFromOrganization |
| Original Principal | $33,521 | OriginalPrincipalAmount |
| Balance Due | 29818 | BalanceDue |
| Default | false | Default |
| Approved By Board | false | ApprovedByBoard |
| Written Agreement | true | WrittenAgreement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 29818 | TotalBalanceDue |
Form990 Schedule L Part IV Form990ScheduleLPartIV (9 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Helen Q McKinnon | |||
| officer=bd member | 655374 | condo fee expense | false |
| Colette Sabbagh | |||
| spouse of bd memb | 103212 | compensation | false |
| Scott Oxley | |||
| officer=bd preside | 655374 | condo fee expense | false |
| Mary M Hood | |||
| officer=board memb | 254833 | membership dues-MHA | false |
| Sheryl Winchester | |||
| spouse of officer | 84659 | compensation | false |
| David L Levy MD | |||
| trustee=25% owner/treasur | 245045 | prof srv-Northeast Nephro | false |
| Susan Dow | |||
| fam mem of officer | 106341 | compensation | false |
| John Canders | |||
| fam mem of officer | 696685 | pur legal svc-Eaton Peobo | false |
| Daniel B Coffey | |||
| officer=trustee | 189586 | nursing prog assis-Husson | false |
Schedule M IRS990ScheduleM
Works Of Art WorksOfArt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 500 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
Books And Publications BooksAndPublications
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Noncash Contribs Rptd F990 | 835 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
Clothing And Household Goods ClothingAndHouseholdGoods
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Noncash Contribs Rptd F990 | 535 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
Collectibles Collectibles
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 1175 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
Food Inventory FoodInventory
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 7 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 1170 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
Other Non Cash Contributions Table OtherNonCashContributionsTable (9 entries)
| Non Cash CheckboxNonCashCheckbox | DescriptionDescription | Number Of ContributionsNumberOfContributions | Noncash Contribs Rptd F990NoncashContribsRptdF990 | Method Of Determining RevenuesMethodOfDeterminingRevenues |
|---|---|---|---|---|
| X | Equip Upgrade | 1 | 37500 | FMV |
| X | Printing Costs | 1 | 488 | FMV |
| X | Jewelry | 1 | 1250 | FMV |
| X | Beanie Babies | 1 | 795 | FMV |
| X | Decorations | 1 | 500 | FMV |
| X | Basket/Liner | 1 | 260 | FMV |
| X | Kayaks | 2 | 629 | FMV |
| X | Whigs | 2 | 155 | FMV |
| X | Gift Cert | 17 | 5424 | FMV |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | true | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 Eastern Maine Medical Center, a related organization of EMHS. | |
| 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 19 |
| 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 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 15b |
| 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 12c |
| Form 990, Part VI, Line 11: Form 990 Review Process | Form 990 is provided to each board member either electronically or in hard copy with an opportunity to ask questions prior to filing with the IRS. | Form 990, Part VI, Line 11 |
| 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 7a |
| 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 6 |
| Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents | The organization amended the bylaw of the composition of its Ex Officio Board Members to not include the Chair of Eastern Maine Healthcare Systems as a Trustees ex officio with full voting rights. The organization also amended the bylaw of restriction to who as employees may serve on the Board of Trustees or Executive and Finance Commitee to include one or both of the elected Trustees who are members of the active Medical Staff. | Form 990, Part VI, Line 4 |
| 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.Scott Oxley, officer is President of Webber Building Condominium Association board and Helen McKinnon, officer is board member of Webber Building Condominium Association. | Form 990, Part VI, Line 2 |
| 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 $9,432,342.Eastern Maine Medical Center (EMMC) has served communities throughout our region for 119 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 20,688Percent Occupancy of Available Beds 76.8%Cardiac Catherization Procedures 5,843Cardiac Surgery Cases 393Emergency Room Visits 40,223Medical Imaging Procedures 142,143Surgery Cases 18,075Live Births 1,619Family Practice Visits 32,122Total Outpatient Visits 419,830Patient Days 101,823Services provided to those who could not pay $45,441,834 OTHER PROGRAM SERVICES 5: OTHER PROGRAM SERVICES 6: Please see the following publication for details of community benefit projects by EMMC along with other 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 7: 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 8: 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 p | Form 990, Part III, Line 4d |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (25 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | |
| 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 and Nursing | |||||||||||
| 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 | |
| Healthcare Charities | |||||||||||
| 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 | true | N/A | |
| Rosscare Nursing Homes Inc | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 010430751 | Operation of nursing homes | ME | 501(c)(3) | 9 | Rosscare | true | |
| Rosscare | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 010391038 | Provide services to elderly | ME | 501(c)(3) | PF | EMHS | true | |
| Eastern Maine Healthcare Real Estate | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 010391036 | Leases real estate | ME | 501(c)(2) | EMHS | true | ||
Form990 Schedule R Part IV Form990ScheduleRPartIV (12 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||
| 80 Exchange St 6th Floor 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 | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (34 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Meridian Mobile Health LLC | ||
| l | 449286 | FMV |
| Meridian Mobile Health LLC | ||
| k | 76189 | FMV |
| Meridian Mobile Health LLC | ||
| a | 12000 | FMV |
| DE Collections DBA Affiliated Collecti | ||
| l | 425445 | FMV |
| Affiliated Materiel Services | ||
| o | 19822541 | FMV |
| Affiliated Materiel Services | ||
| l | 3276741 | FMV |
| Affiliated Laboratory Inc | ||
| l | 15922885 | FMV |
| Affiliated Laboratory Inc | ||
| k | 76748 | FMV |
| Affiliated Healthcare Management | ||
| l | 3140521 | FMV |
| Affiliated Healthcare Management | ||
| k | 55641 | FMV |
| Blue Hill Memorial Hospital | ||
| k | 706091 | FMV |
| Maine Institute for Human Genetics and H | ||
| a | 86 | FMV |
| The Aroostook Medical Center TAMC | ||
| k | 556615 | FMV |
| Sebasticook Valley Health SVH | ||
| k | 500079 | FMV |
| CA Dean Memorial Hospital and Nursing | ||
| k | 178950 | FMV |
| Inland Hospital | ||
| k | 2058926 | FMV |
| Inland Hospital | ||
| a | 10077 | FMV |
| Norumbega Medical Specialists LTD | ||
| l | 70000 | FMV |
| Norumbega Medical Specialists LTD | ||
| k | 1639346 | FMV |
| Healthcare Charities | ||
| r | 3362599 | FMV |
| Healthcare Charities | ||
| l | 1458000 | FMV |
| Healthcare Charities | ||
| j | 121178 | FMV |
| Eastern Maine Medical Center Auxiliary | ||
| k | 174145 | FMV |
| Acadia Hospital Corp AHC | ||
| o | 257893 | FMV |
| Acadia Hospital Corp AHC | ||
| l | 659547 | FMV |
| Acadia Hospital Corp AHC | ||
| k | 541610 | FMV |
| Eastern Maine Healthcare Systems EMHS | ||
| r | 1018754 | FMV |
| Eastern Maine Healthcare Systems EMHS | ||
| q | 483000 | FMV |
| Eastern Maine Healthcare Systems EMHS | ||
| o | 39095331 | FMV |
| Eastern Maine Healthcare Systems EMHS | ||
| l | 32867366 | FMV |
| Eastern Maine Healthcare Systems EMHS | ||
| k | 800715 | FMV |
| Eastern Maine Healthcare Systems EMHS | ||
| j | 3724719 | FMV |
| Rosscare | ||
| r | 427361 | FMV |
| Eastern Maine Healthcare Real Estate | ||
| j | 60476 | FMV |