2012-08-08T12:05:11-07:00 2011-09-24 990 2010-09-26 010211501 Eastern Maine Medical Center EAST 2079737064 PO Box 404 489 State Street Bangor ME 04402 Derrick Hollings 2012-08-08 2010 2016-02-24 21:20:13Z Derrick Hollings 43 Whiting Hill Road Brewer ME 044121005 1174585856 false false 5247 X www.emmc.org X 1892 ME Eastern Maine Medical Center strives to provide exceptional primary and specialty healthcare with a passionate pursuit of excellence in patient safety, clinical quality, and service. Our mission is to care for patients, families, communities, and one another. 18 13 3975 453 76261 -3579 5439972 6997361 1057449031 1124604344 5199269 1890054 1444372 1713647 1069532644 1135205406 0 0 309762059 303365535 0 0 744266642 813219289 1054028701 1116584824 15503943 18620582 439221907 459472780 200836889 220225914 238385018 239246866 X Eastern Maine Medical Center strives to provide exceptional primary and specialty healthcare with a passionate pursuit of excellence in patient safety, clinical quality, and service. Our mission is to care for patients, families, communities, and one another. false false 970389725 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 38027834 Medicaid shortfalls (at cost) 90,011 persons served 26341964 Medicare shortfalls (at cost) 113,012 persons served 12100419 1125656274 1046859942 true true false true false false false false false true true false false true true true false true false false false false false false false false true true false false true true false false false false false true false false true true true false false false false true true true true false true 180 0 true 3975 true true true false false false false false false false false false 0 false false false false false false false false false false false X 18 13 true false true false true true true true true false false false true true true true true false true true false false ME X X X Jeffrey A Sanford 2079737894 43 Whiting Hill Road Brewer ME 04412 X Wayne R Waterman MD 40.00 X 706065 0 20835 Senator Kevin L Raye 0.50 X 0 0 0 Scott Solman 0.50 X 0 0 0 Scott Oxley Interim CFO 1.00 X X 0 224118 37974 Sally Arata 0.50 X 0 0 0 Robert A Clough MD 40.00 X 866020 0 35219 Michael P Donahue 50.00 X 264395 0 30507 Michael J McInnis 1.00 X X 0 0 0 Michael A Johnson MD 40.00 X 823245 0 35682 Mary M Hood PresidentCEO 20.00 X X 0 687601 176301 Mary Cathcart 0.50 X 0 0 0 Lorraine A Rodgerson RN 50.00 X 231799 0 41316 Liane E M Judd 0.50 X X 0 0 0 Leonard Giambolvo 0.00 X 0 212151 33578 Larry D Flanagan MD 40.00 X 680342 0 48007 Julie Long MD 50.00 X 494766 0 17258 John Miller 0.50 X 0 0 0 John M Long Sr MD 0.50 X 0 0 0 John D Klemperer MD 40.00 X 566393 0 39257 John A Vickery Sr 0.50 X 0 0 0 Jill McDonald 50.00 X 134209 0 26366 Jennifer Brooker 0.50 X 0 0 0 James A Raczek MD 50.00 X 373941 0 48621 Iyad Sabbagh MD 50.00 X 230178 0 39522 Helen Q McKinnon RN 50.00 X 220933 0 48607 Glenn Martin VP Gen Counsel 14.00 X 0 216806 39152 George F Eaton II Esq 0.50 X 0 0 0 Gary Eckmann 0.50 X 0 0 0 G Gregory Howat Esq 50.00 X 236189 0 44334 Elmer Doucette 50.00 X 240220 0 39534 Elizabeth C Warren 0.50 X 0 0 0 EE comp is for admin svcs 0.00 X 0 0 0 Donald Hagstrom 0.50 X 0 0 0 Derrick Hollings 1.00 X 0 0 0 Deborah Carey Johnson CEO 50.00 X X 473324 0 330224 David L Levy MD 0.50 X 0 0 0 Daniel B Coffey Exec VPCFO 1.00 X 0 2007050 46104 Arthur A Comstock 0.50 X 0 0 0 6542019 3347726 1178398 345 true true false 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 65 3886482 1198444 1912435 51216 6997361 Patient Care Services 621990 560645943 560645943 Patient Care Service 621990 560639690 560635898 3792 Healthcare Education 611710 424290 424290 Cafeteria 722210 2894421 4537 2889884 1124604344 1256096 1256096 0 0 43366 12000 2395 7000 40971 5000 45971 5000 40971 39997286 7727 39347580 23475 649706 -15748 633958 633958 0 0 0 Telephone 517000 479423 479423 Clinical Engineering 541300 534263 504575 29688 340B Pharmacy Benefits 621990 620746 620746 33244 33244 1667676 1135205406 1122690129 76261 5441655 0 0 0 0 3566243 2041843 1524400 0 243859542 236423469 7436073 10302005 9855928 446077 30960612 27264195 3696417 14677133 13768864 908269 0 387533 125512 262021 98976 98976 0 0 237068 17918 219150 78630459 38594744 40035715 721307 713801 7506 100583943 97164409 3419534 4517313 3524474 992839 0 9945983 7537246 2408737 698942 624121 74821 0 1233611 1168135 65476 3253634 3081509 172125 0 22058835 16385391 5673444 6807850 6513410 294440 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 1040656 660218 380438 1116584824 1046859942 69724882 0 14415 14545 17292562 21679210 208350 160017 106559119 102619912 15548 29818 0 1137829 1265828 2645584 2339963 8157802 12873521 429730620 261822102 174314424 167908518 44273838 58700535 0 0 2450 0 84599986 91880913 439221907 459472780 61676136 70292273 130909 210796 67282118 65353071 71747726 84369774 200836889 220225914 X 210111058 212116573 17909894 16791222 10364066 10339071 238385018 239246866 439221907 459472780 X 18620582 -17758734 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 55323 55323 false false Part II-B, Line 1i Part II-B, Line 1i - Other Activities Description Non-deductible dues 21974979 148655 236593 1341607 21018620 20890628 54006 2264755 1234409 21974980 22052765 42199 -160607 1043729 20890628 0.01500 0.98500 false true true 2150395 2150395 110648448 55071572 55576876 10599807 2222939 8376868 275058190 196469568 78588622 31273780 8058023 23215757 167908518 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 91880913 Reserve for Asset Disposal Costs 636400 Notes Payable to Related Org, EMHS 668666 Lt Liability - Cerner RHO 1418178 Liability Under Cap Lease Obligation 1298672 Accrued Post Retirement Benefits 80347858 84369774 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. true true true X true X true true true false true true 3559 12100419 12100419 0.02180 90011 113272827 75244993 38027834 0.06860 2926814 2926814 0.00530 93570 128300060 75244993 53055067 0.09570 17 2224 2189851 2189851 0.00400 9 1001 732055 732055 0.00130 1 22949 22949 4 1515 984212 984212 0.00180 1 60 448 448 32 4800 3929515 3929515 0.00710 32 98370 132229575 75244993 56984582 0.10280 1 2 170 170 3 71 11064 11064 4 73 11234 11234 true 9432342 212216115 238558079 -26341964 X false false 1 0 Eastern Maine Medical Center

489 State Street Bangor ME 04401

X X X X Eastern Maine Medical Center 1 true X X X X X X X X X 11 true true true X X X X X X X X false true true 200.0000 true 300.0000 true X true true X true X true X X true X false false 12 Lafayette Family Cancer Center

33 Whiting Hill Road Brewer ME 04412

Med Office Building-Cancer treatment EMMC-Phy Prac in Webber Bld

417 State Street Bangor ME 04401

Med Ofice Building-physician svc EMMC-Gynecology Associates

404 State St Suite 310 Bangor ME 04401

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

55 Broadway Suite 2 Bangor ME 04401

Med Office Building-physician svc EMMC-Neuropsychology of ME

824 Stillwater Ave Ste B Bangor ME 04401

Med Office Building-physician svc EMMC Orono Family Medicine

84 Kelly Road Orono ME 04473

Med Office Building-physician svc Husson Family MedPedInternal

302 Husson Ave Bangor ME 04401

Med Office Building-physician svc Lincoln Lake Regional Dialysis

250 Enfield Rd Lincoln ME 04457

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

290 State Street Bangor ME 04401

Med Office Building-outpatient svc EMMC-Family Medicine of Brewer

234 State Street Brewer ME 04412

Med Office Building-physician svc EMMC-Ellsworth Dialysis

11 Short Street Ellsworth ME 04605

Med Office Building-dialysis svc Eastern Maine Healthcare Mall

885-925 Union Street Bangor ME 04401

Medical Office Building - physician svc, Part 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. Number of Hospital Faciltiy - 0 Part V, Line 19d - Other Billing Determination of Individuals Without Insurance Part V, Section B is optional for tax year 2011. 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). 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. X true true X X X X X false true false false false false false false false false 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 18867 16352 901239 Michael P Donahue 241016 13363 10016 18767 11740 294902 Michael A Johnson MD 624556 181379 17310 17150 18532 858927 Mary M Hood PresidentCEO 601376 74181 12044 159332 16969 863902 Lorraine A Rodgerson RN 216757 13954 1088 21627 19689 273115 Leonard Giambolvo 171977 40174 27487 6091 245729 Larry D Flanagan MD 547329 96753 36260 21900 26107 728349 Julie Long MD 471000 23766 3675 13583 512024 John D Klemperer MD 527950 36648 1795 17150 22107 605650 Jill McDonald 124744 8024 1441 11046 15320 160575 James A Raczek MD 332420 22308 19213 22050 26571 422562 Iyad Sabbagh MD 223329 5989 860 11949 27573 269700 Helen Q McKinnon RN 204834 13272 2827 22596 26011 269540 Glenn Martin VP Gen Counsel 203621 11865 1320 12812 26340 255958 G Gregory Howat Esq 201297 13580 21312 17825 26509 280523 Elmer Doucette 220141 14377 5702 16580 22954 279754 Deborah Carey Johnson CEO 422147 39505 11672 306617 23607 803548 Daniel B Coffey Exec VPCFO 356359 35707 1614984 29400 16704 2053154 1593659 Sch J, Part I, Line 1a Part I, Line 1a: Relevant information in regards to selections on 1a. Michael Donahue, officer and John D. Klemperer, MD, highly compensated employee received an employee stipend towards a fitness center. The taxable benefit for each was for $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. Maine Health and Higher Educational Facilities Authority 010314384 560427GZ3 2010-04-22 72656251 Refund 1998 & 1999 issue, Outpatient Cancer Center, Parking false false true 76541297 5354450 31034511 652336 39500000 2010 false true true true false false false false false true false false false NA false NA false false Wayne R Waterman MD X 33521 29818 false false true 29818 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 X 1 500 FMV X 835 FMV X 535 FMV X 1 1175 FMV X 7 1170 FMV 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 false true false Form 990, Part VI, Line 14 - Explanation of Written Document Retention Eastern Maine Healthcare Systems (EMHS) has had a written document retention and destruction policy since July 2007. The policy is a system-wide policy which applies to Eastern Maine Medical Center, a related organization of EMHS. Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Eastern Maine Medical Center makes its governing documents, conflict of interest policy and financial statements available to the public upon request. Form 990, Part VI, Line 15b Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees Compensation of other officers and key employees of the organization is established by the Human Resources department who utilize external market research to establish compensation ranges for specific positions. On an annual basis, the compensation ranges are compared to the updated survey information. The hiring manager will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials. Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts The organization requests updates of potential conflicts and relationships from the officers and Board members on an annual basis. The request requires disclosure of all business relationships, board memberships, and family relationships. A database is maintained that is compared to payroll records and the accounts payable vendor list to identify any potential conflicts of interest. Transactions are reviewed for reasonableness as an arm's length transaction. The first agenda item for board meetings and board committee meetings is for members to declare any conflict of interest with upcoming agenda items or deliberations. At any point when consideration is being given to purchase/contract with a party in interest, the member with the conflict is either excused from the discussion and consideration process or abstains from voting on the matter. All transactions identified with parties in interest are disclosed within the Form 990. All are deemed to be arm's length transactions. Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: Form 990 Review Process Form 990 is 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 7a Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body Each year at their annual meeting, the directors elect replacements for those directors whose terms are expiring Election of directors is subject to ratification by EMHS. Form 990, Part VI, Line 6 Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Eastern Maine Medical Center (the "Corporation") is a Maine nonprofit corporation. Eastern Maine Healthcare Systems ("EMHS"), also a Maine nonprofit corporation, is the sole corporate member of the Corporation. Form 990, Part VI, Line 4 Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents The organization amended the 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 2 Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Gary Eckmann, trustee and John M. Long, MD, trustee are board members of Ronald McDonald House.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 III, Line 4d Form 990, Part III, Line 4d : Other Program Services Description OTHER PROGRAM SERVICES 4: Provide healthcare services regardless of ability to pay as well as education, research and promotion of health. Provided other uncompensated care (at cost) of $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 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 N/A true Rosscare Nursing Homes Inc 43 Whiting Hill Road Brewer ME 04412 010430751 Operation of nursing homes ME 501(c)(3) 9 Rosscare true Rosscare 43 Whiting Hill Road Brewer ME 04412 010391038 Provide services to elderly ME 501(c)(3) PF EMHS true Eastern Maine Healthcare Real Estate 43 Whiting Hill Road Brewer ME 04412 010391036 Leases real estate ME 501(c)(2) EMHS true Dirigo Pines Development Company LLC 9 Alumni Drive Orono ME 04473 010537924 RetCottag ME AHS C Dirigo Funding LLC 9 Alumni Drive Orono ME 04473 010599968 Prov Finance ME AHS C Dirigo Pines Inn LLC 9 Alumni Drive Orono ME 04473 020547749 Contin Care ME Rosscare C Dirigo Pines Retirement Community LLC 9 Alumni Drive Orono ME 04473 010537924 Holding Co. 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