2012-08-10T11:21:20-07:00 2011-09-24 EASTERN MAINE HEALTHCARE SYSTEMS 43 WHITING HILL RD BREWER ME 044121005 990 2010-09-26 010372148 THE AROOSTOOK MEDICAL CENTER AROO 2077684250 PO BOX 151 PRESQUE ISLE ME 04769 C BRUCE SANDSTROM 2012-08-10 2010 2016-02-24 21:20:13Z SYLVIA GETMAN 140 ACADEMY STREET PRESQUE ISLE ME 04769 220234862 false false 5247 X WWW.TAMC.ORG X 1981 ME THE MISSION OF THE AROOSTOOK MEDICAL CENTER IS TO RESTORE, MAINTAIN, AND IMPROVE THE HEALTH OF OUR FRIENDS AND NEIGHBORS IN A COMPASSIONATE AND PROFESSIONAL ENVIRONMENT. 16 8 1157 96 0 536782 190953 206181297 214117508 269032 467532 2061375 1872091 209048486 216648084 0 0 60854362 61167015 0 80458 147479985 151729809 208334347 212896824 714139 3751260 67656383 72008376 33715593 34686323 33940790 37322053 X THE MISSION OF THE AROOSTOOK MEDICAL CENTER IS TO RESTORE, MAINTAIN, AND IMPROVE THE HEALTH OF OUR FRIENDS AND NEIGHBORS IN A COMPASSIONATE AND PROFESSIONAL ENVIRONMENT. false false 185816012 215989599 PROVISION OF ACUTE & SUBACUTE HOSPITAL CARE RELATED TO OUTPATIENT CLINICS AND HEALTH CARE SERVICES. SERVED 30,928 PATIENT DAYS OF ROUTINE SERVICES AND 79,962 OUTPATIENTS. PROVIDED SERVICES REGARDLESS OF ABILITY TO PAY AS WELL AS EDUCATION AND PROMOTION OF HEALTH. PROVIDED UNCOMPENSATED CARE (AT COST) OF $1,228,781. 8864440 MEDICARE SHORTFALLS (AT COST). 7687 PERSONS SERVED 2598952 MEDICAID SHORTFALLS (AT COST). 6,617 PERSONS SERVED 1228781 198508185 true true false true false false false false false true true false false true true true false true false false false false false false false false true true false false true true false false false false false false false false true false false false false false false true true true true false true 139 0 true 1157 true false false false false false false false false false false false 0 false false false false false false false false false false false X 16 8 false false false false true true true true true false false false true true true true true false true false true true ME X X X C BRUCE SANDSTROM VP CFO 2077684250 140 ACADEMY STREET PRESQUE ISLE ME 04769 SYLVIA GETMAN 40.00 X X 126913 0 8112 STACY JANDREAU MD 40.00 X 252929 0 39491 ROGER PELLI DO 40.00 X 237019 0 20643 ROBERT W RICE MD 40.00 X 471851 0 30962 RICHARD DEBOWSKY MD 40.00 X 454507 0 28063 QUANG T NGUYEN MD 40.00 X 443272 0 28925 PETER ST JOHN 2.00 X X 0 0 0 MARYANNE MOORE 40.00 X 420495 0 29546 MAHENDRA SHETH 40.00 X 481199 0 28841 M MICHELLE HOOD 2.00 X 0 687602 176301 LYNN LOMBARD 2.00 X X 0 0 0 LEHRLE KIEFFER 2.00 X 0 0 0 LARRY LAPLANTE 2.00 X 0 0 0 JOE LALLANDE 2.00 X X 0 0 0 JEANPIERRE MICHAUD MD 40.00 X 461125 0 34904 JAY REYNOLDS MD 40.00 X 214870 0 39313 GENE LYNCH II 2.00 X X 0 0 0 DAVID PETERSON 0.00 X 1017177 0 26899 CARL FLORA 2.00 X 0 0 0 C BRUCE SANDSTROM 40.00 X 183593 0 63240 BRETT VARNUM 2.00 X 0 0 0 BETTY KENT-CONANT 2.00 X 0 0 0 BARRY MCCRUM 2.00 X 0 0 0 ALBERT HOBBS 2.00 X 0 0 0 ALAN LANDEEN 2.00 X 0 0 0 4764950 687602 555240 77 true true false R&L REAL ESTATE LLC PO BOX 4135 PRESQUE ISLE ME 04769 PROPERTY LEASE 520433 NORTHERN RADIOLOGICAL ASSOC 49 SECOND STREET PRESQUE ISLE ME 04769 CONTRACTED SERVICES 141411 JONATHAN HERLAND MD 36 PENN PLAZA BANGOR ME 04401 CONSULTING 144300 FRESH AIR LLC 137 BENNETT DRIVE PRESQUE ISLE ME 04769 AIR AMBULANCE 582701 DAUDI MANAGEMENT INC 181 ACADEMY STREET SUITE 3 PRESQUE ISLE ME 04769 CONTRACTED SERVICES 124836 5 60000 130953 4127 190953 SALES & CONTRACT REVENUE 621990 153679 153679 PATIENT SERVICE REVENUE 621990 213963829 213963829 214117508 511392 511392 0 0 21607 14842 6765 6765 6765 3525426 2650 3539884 32052 -14458 -29402 -43860 -43860 0 0 0 OTHER REVENUE 900099 639682 639682 FOOD SERVICES 722210 396812 396812 ADMINISTRATIVE SERVICES 561000 324486 324486 504346 504346 1865326 216648084 215989599 467532 0 0 0 0 1887407 823252 1064155 0 49558564 43720211 5838353 1366649 1205648 161001 4966406 4381328 585078 3387989 2939499 448490 0 437190 437 436753 63504 63504 0 0 5186 5186 7468990 6221133 1247857 171109 142522 28587 13213692 10939046 2194188 80458 0 0 3629873 2928532 701341 674310 561652 112658 0 46950 46950 458613 381992 76621 0 3565336 2969669 595667 1822075 1517658 304417 STATE TAX ASSESSMENT 2328967 2328967 REPAIRS & MAINTENANCE 952652 793491 159161 PROVISION FOR BAD DEBTS 3128993 3128993 CONTRACTUAL ALLOWANCES 110031970 110031970 CHARITY CARE 2807318 2807318 923081 684867 238214 212896824 198508185 14308181 80458 5606 4530 7339373 13842188 13000 0 7543084 8057257 0 0 0 1606230 1922720 915273 1975375 76413490 48622355 28696761 27791135 4193409 3365252 544318 620691 0 0 16799329 14429228 67656383 72008376 10038952 8885346 12894875 11688982 10781766 14111995 33715593 34686323 X 32261979 35712819 1002096 932519 676715 676715 33940790 37322053 67656383 72008376 X 3751260 -369997 X false true true X false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 11415 11415 false false Part II-B, Line 1i Part II-B, Line 1i - Other Activities Description 15.5% OF MHA DUES ($7,351) WERE ALLOCATED TO LOBBYING.24.6% OF AHA DUES ($4,064) WERE ALLOCATED TO LOBBYING. 1512461 -32008 14458 1465995 1412036 114254 13829 1512461 1540366 -117414 10916 1412036 0.42000 0.58000 false true true 194386 194386 42116012 25077818 17038194 3242328 661368 2580960 29674477 22883169 6791308 1186287 1186287 27791135 OTHER RECEIVABLES 433665 OTHER ASSETS, NET 1044642 ESTIMATED THIRD-PARTY SETTLEMENTS 12765060 DUE FROM AFFILIATES 10953 DEFERRED FINANCING COSTS, NET 174908 14429228 Other Liabilities 173655 ESTIMATED THIRD-PARTY SETTLEMENTS 9972527 DUE TO AFFILIATES 324195 DEFERRED COMPENSATION 3641618 14111995 Part X Part X : FIN48 Footnote The Aroostook Medical Center is a tax-exempt organization pursuant to Section 501(c)(3) of the Internal Revenue Code. Tax-exempt organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the Financial Accounting Standards Board, assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. The Corporation has evaluated the position taken on its filed tax return. The Corporation has concluded no uncertain income tax positions exist at September 24, 2011. The Corporation's tax years from 2008 through 2011 are open and subject to examination. Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances Transfer to exempt subsidiary - Horizons Health Services $ -190868 Capital contributions released $ -13001 Transfer to exempt parent - Eastern Maine Healthcare Systems $ -86868 Part V, Line 4 Part V, Line 4: Intended uses of the endowment fund. PART V, LINE 4: ENDOWMENT ASSETS ARE USED FOR THE CORPORATION'S CAPITAL EQUIPMENT NEEDS true true true X false true true false false true true 687 1228781 1228781 0.01270 6617 17311344 14712392 2598952 0.02680 547353 547353 0.00560 7304 19087478 14712392 4375086 0.04510 8 1298 90939 90939 0.00090 1 54 35668 17190 18478 0.00020 6 36 74862 74862 0.00080 15 1388 201469 17190 184279 0.00190 15 8692 19288947 14729582 4559365 0.04700 true 1353463 37268251 46132691 -8864440 X false false AROOSTOOK MRI OUTPATIENT MRI 0.50000 COUNTY PHYSICAL THERAPY OUTPATIENT PHYSICAL THERAPY 0.50000 1 0 THE AROOSTOOK MEDICAL CENTER

140 ACADEMY STREET PRESQUE ISLE ME 04769

X X X THE AROOSTOOK MEDICAL CENTER 1 true X X X X X X X X X 11 true true true X X X X X X false true true 200.0000 false true X true true X true X true X X true X false false 21 NORTH STREET LABORATORY

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OUTPATIENT LABORATORY SERVICES WOMENS HEALTH CENTER

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OUTPATIENT PHYSICIAN CLINIC MARS HILL HEALTH CENTER

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OUTPATIENT PHYSICIAN CLINIC CARIBOU HEALTH CENTER

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OUTPATIENT PHYSICIAN CLINIC NEPHROLOGY SERVICES

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OUTPATIENT PHYSICIAN CLINIC OCCUPATIONAL HEALTH & WELLNESS

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OUTPATIENT PHYSICIAN CLINIC TAMC NEURO REHAB

146 ACADEMY STREET STE 5 PRESQUE ISLE ME 04769

OUTPATIENT PHYSICIAN CLINIC ASHLAND HEALTH CENTER

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OUTPATIENT PHYSICIAN CLINIC AROOSTOOK HEART & LUNG CENTER

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OUTPATIENT PHYSICIAN CLINIC WALK IN CARE

23 NORTH STREET STE 2 PRESQUE ISLE ME 04769

OUTPATIENT PHYSICIAN CLINIC OUTPATIENT SPECIALTY CLINICS

146 ACADEMY STREET STE 1C PRESQUE ISLE ME 04769

OUTPATIENT PHYSICIAN CLINICS FORT FAIRFIELD HEALTH CENTER

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OUTPATIENT PHYSICIAN CLINIC AROOSTOOK HEALTH CENTER

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NURSING HOME, OUTPATIENT CLINIC RADIATION ONCOLOGY

140 ACADEMY STREET PRESQUE ISLE ME 04769

OUTPATIENT PHYSICIAN CLINIC AROOSTOOK CANCER CARE

140 ACADEMY STREET PRESQUE ISLE ME 04769

OUTPATIENT PHYSICIAN CLINIC SLEEP MEDICINE SERVICES

140 ACADEMY STREET STE 2 3 PRESQUE ISLE ME 04769

OUTPATIENT PHYSICIAN CLINIC AROOSTOOK PEDIATRICS

23 NORTH STREET STE 1 PRESQUE ISLE ME 04769

OUTPATIENT PHYSICIAN CLINIC OBGYN MIDWIFERY SERVICES

140 ACADEMY STREET STE 4 PRESQUE ISLE ME 04769

OUTPATIENT PHYSICIAN CLINIC FAMILY PRACTICE & INTERNAL MEDICINE

23 NORTH STREET STE 4 PRESQUE ISLE ME 04769

OUTPATIENT PHYSICIAN CLINIC GENERAL & VASCULAR SURGERY CTR

146 ACADEMY STREET STE 1A PRESQUE ISLE ME 04769

OUTPATIENT PHYSICIAN CLINIC ORTHOPEDICS & SPORTS MEDICINE

140 ACADEMY STREET STE 9 PRESQUE ISLE ME 04769

OUTPATIENT PHYSICIAN CLINIC Part VI - Additional Information Part I, line 6a - The TAMC community benefit report is contained in an annual community benefit report prepared by Eastern Maine Healthcare Systems which is the parent organization of all related organizations.Part I, line 7 - Worksheet 2, Ratio of Patient Care Cost-to-Charges is used in calculations.Part I, line 7, Column F - $3,128,993 of bad debt expense, $2,807,318 of charity care, $110,031,970 of contractual allowances is included on Form 990, Part IX, line 25, column (A). Part V - Explanation of Number of Facility Type N/A Part VI - States Where Community Benefit Report Filed ME Part VI - Affilated Health Care System Roles and Promotion TAMC USES NEEDS ASSESSMENT DATA TO COLLABORATE WITH LOCAL HOSPITALS AND OTHER EMHS MEMBER HOSPITALS TO IDENTIFY AND IMPLEMENT SOLUTIONS TO HEALTH ISSUES INCLUDING CARDIOVASCULAR DISEASE, DIABETES, YOUTH OBESITY, SUBSTANCE ABUSE, AND MORE. TAMC COORDINATES EMHS' COMMUNITY HEALTH IMPROVEMENT INITIATIVES IN AROOSTOOK COUNTY. Part VI - Explanation Of How Organization Furthers Its Exempt Purpose ACTIVITIES UNDERTAKEN BY TAMC TO ENHANCE COMMUNITY HEALTH INCLUDE PARTNERING WITH LOCAL ORGANIZATIONS (LET'S GO YOUTH OBESITY INITIATIVE AND HEALTHY AROOSTOOK) OFFERING EDUCATIONAL LUNCHEONS AND SCREENINGS THROUGH THE SENIOR CONNECTION PROGRAM, PROVIDING TITLE-LEVEL SUPPORT TO THE MAINE WINTER SPORTS CENTER TO FUND NORDIC AND ALPINE SKIING EDUCATION FOR YOUTH, HOLDING COMMUNITY SCREENINGS IN SIX COMMUNITIES, AND COLLABORATING WITH THE AMERICAN CANCER SOCIETY TO HOLD A REGIONAL CANCER CONFERENCE. IN FISCAL YEAR 2011, TAMC CONTRIBUTED IN CASH AND IN-KIND SERVICES TO DEVELOP AND MAINTAIN PROGRAMS DEVOTED TO THE HEALTH OF OUR COMMUNITIES. Part VI - Community Building Activities THROUGH SEVERAL ANNUAL PUBLIC HEALTH SCREENINGS, PROFESSIONAL AND COMMUNITY EDUCATION, AND CHARITY CARE, TAMC, AS A MEMBER OF EMHS SYSTEM, IS MAKING AN IMPORTANT DIFFERENCE IN OUR COMMUNITY. THROUGH LEADERSHIP PARTICIPATION ON THE BOARDS OF AROOSTOOK PARTNERSHIP FOR PROGRESS, LEADERS ENCOURAGING AROOSTOOK DEVELOPMENT, AND UNITED WAY OF AROOSTOOK, WE ARE SUPPORTING ECONOMIC DEVELOPMENT WITHIN OUR COMMUNITY. WE ALSO SPONSOR LOCAL SKI PROGRAMS TO SUPPORT COMMUNITY TOURISM AND HEALTHY LIFESTYLE ENHANCEMENT. IN FISCAL YEAR 2011, TAMC DELIVERED A COMMUNITY BENEFIT FOR COMMUNITY BUILDING ACTIVITIES. Part VI - Community Information THE AROOSTOOK MEDICAL CENTER'S (TAMC) PRIMARY SERVICE AREA SERVES OVER 27,000 PEOPLE AND INCLUDES 21 TOWNS AND 1 CITY IN CENTRAL AROOSTOOK COUNTY. THE NORTHERNMOST COUNTY IN MAINE AND THE LARGEST, AROOSTOOK COUNTY (POP. 72,421) SPANS 6,453 SQUARE MILES AND INCLUDES 2 CITIES, 54 TOWNS, 11 PLANTATIONS AND 108 UNORGANIZED TOWNSHIPS. U.S. CENSUS BUREAU DATA FROM 2000 AND 2010 REVEALS THE FOLLOWING AROOSTOOK COUNTY DATA:- THE MEDIAN AGE OF AROOSTOOK COUNTY IS 45.3 YEARS. WITH 19% OF THE POPULATION 65 YEARS OF AGE OR OLDER, AROOSTOOK COUNTY HAS A HIGHER PERCENTAGE OF OLDER ADULTS THAN THE STATE OF MAINE (15.9%)AND THE UNITED STATES (13%). MAINE IS THE OLDEST STATE IN THE U.S., AND AROOSTOOK COUNTY IS THE SECOND OLDEST COUNTY IN MAINE.- OVER 95% OF AROOSTOOK COUNTY IS WHITE, WHICH IS COMPARABLE WITH MAINE OVERALL. THE NEXT LARGEST RACIAL/ETHNIC GROUP IN AROOSTOOK COUNTY IS NATIVE AMERICAN (1.7%), WHICH IS MORE PROMINENT THAN IN MAINE OVERALL (0.6%).- NEARLY 84% OF INDIVIDUALS 25 YEARS OF AGE AND OVER IN AROOSTOOK COUNTY HAVE AT LEAST A HIGH SCHOOL DIPLOMA OR EQUIVALENT AND 16.2% HAVE A BACHELOR'S DEGREE OR HIGHER. THIS IS LOWER THAN STATE (HIGH SCHOOL 89.8%, BACHELOR'S DEGREE 26.5%) AND NATIONAL AVERAGES (HIGH SCHOOL 85%, BACHELOR'S DEGREE 27.9%). THE PERCENT OF THE POPULATION WITHOUT A DIPLOMA IN AROOSTOOK COUNTY IS THE HIGHEST IN MAINE.- THE MEDIAN HOUSEHOLD INCOME IN AROOSTOOK COUNTY ($36,574) IS CONSIDERABLY LESS THAN STATE ($46,933) AND NATIONAL ($51,914) FIGURES. Part VI - Patient Education of Eligibility for Assistance FINANCIAL ASSISTANCE OR FREE CARE IS AVAILABLE ONLY FOR MEDICALLY NECESSARY SERVICES. POSTERS ARE DISPLAYED IN PATIENT CARE AREAS, INFORMATION AND FORMS ARE AVAILABLE ONLINE ON THE HOSPITAL WEBSITE, AND PATIENT BILLING REPRESENTATIVES ARE ALSO AVAILABLE TO TAKE CALLS AND TO ANSWER QUESTIONS. Part VI - Needs Assessment EMHS, THE PARENT COMPANY OF THE AROOSTOOK MEDICAL CENTER, ROUTINELY CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT (HEREAFTER NEEDS ASSESSMENT) ACROSS THE SERVICE AREA OF ALL OF ITS MEMBER HOSPITALS. THE MOST RECENT ASSESSMENT, PUBLISHED IN 2011, WAS CONDUCTED UNDER A CONTRACT WITH THE UNIVERSITY OF NEW ENGLAND CENTER FOR HEALTH PLANNING, POLICY AND RESEARCH (CHPPR) AND THE UNIVERSITY OF SOUTHERN MAINE'S MUSKIE SCHOOL FOR PUBLIC HEALTH. USING A METHODOLOGY DEVELOPED BY CHPPR OVER DECADES OF WORK, THE ASSESSMENT INTEGRATES PRIMARY DATA FROM A TELEPHONE SURVEY TO HEADS OF HOUSEHOLDS WITH SECONDARY DATA RETRIEVED FROM STATE DATABASES (ED USAGE, MORTALITY, CANCER REGISTRY, ETC.). THAT DATA IS REVIEWED IN THE CONTEXT OF MULTIPLE HEALTH RELATED DOMAINS TO DEVELOP A COMPOSITE VIEW OF HEALTH STATUS, BEHAVIORAL RISKS, AND BARRIERS TO ACCESS AND CARE. RESULTS ARE COMPARED TO NATIONAL AND STATE BENCHMARKS TO PRODUCE PRIORITIES AND RECOMMENDATIONS AS PREPARED BY THE CONSULTANTS. Number of Hospital Faciltiy - 0 Part V, Line 19d - Other Billing Determination of Individuals Without Insurance Part V, Section B is optional for tax year 2011. The Aroostook Medical Center (TAMC) has elected to not complete lines 8 through 21. The software will not allow TAMC 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. The Aroostook Medical Center (TAMC) has elected to not complete lines 8 through 21. The software will not allow TAMC 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. The Aroostook Medical Center (TAMC) has elected to not complete lines 8 through 21. The software will not allow TAMC 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. The Aroostook Medical Center (TAMC) has elected to not complete lines 8 through 21. The software will not allow TAMC 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. The Aroostook Medical Center (TAMC) has elected to not complete lines 8 through 21. The software will not allow TAMC 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. The Aroostook Medical Center (TAMC) has elected to not complete lines 8 through 21. The software will not allow TAMC to leave these responses blank. Number of Hospital Faciltiy - 0 Part V, Line 7 - Explanation of Needs Not Addressed and Reasons Why Because the Needs Assessment examines both broad and specific health needs for the entire region and a substantial number of opportunities were identified, a regional approach is needed to achieve the best results. As such, The Aroostook Medical Center continues to work with community partners to address the needs identified in the Needs Assessment, and the priorities in the Needs Assessment are considered when the organization develops operational plans for the year. Number of Hospital Faciltiy - 0 Part V, Line 6i - Describe Other Needs Identified 6a The Aroostook Medical Center regularly utilizes the information in the Needs Assessment to identify and prioritize community health improvement and other activities.6b Initiatives driven in part or in full by the Needs Assessment included continued engagement with Healthy Aroostook to provide education, participation in a youth obesity collaborative, development of a senior health program, coordination of workforce development initiatives intended to ensure the long-term strength of the local healthcare workforce, implementing a program to provide scales to eligible congestive heart failure patients in order to reduce problems that could lead to hospitalization, and coordination of a bath salts awareness night with a local service organization. TAMC is also participating in the Pioneer Accountable Care pilot program designed to reduce costs and improve health outcomes, particularly among those living with chronic diseases.6g Breakout #1 - Access, Quality and Effectiveness-Opportunities identified by a group of community stakeholders include improving access to dental health, improving transportation option, strengthening alternatives to the emergency department, increasing availability of primary care providers, improving patient education, and ensuring the use of best practices.Breakout #2 - Chronic Disease-Opportunities identified by a group of community stakeholders include improving patient self-management, building community care teams, continued implementation of electronic health records, enhancing the use of telehealth services, expanding the role of behavior health providers, and using evidence-based guidelines in chronic disease management.Breakout #3 - Mental Health and Substance Abuse-Opportunities identified by a group of community stakeholders include improving the integration of care, providing continuity of services, educating the community about existing services, and addressing barriers to integration of care, including high turnovers of providers. Recommendations for substance abuse include building community-level prevention programs and refining tools to help primary care and emergency departments diagnose and treat substance abuse issues.Breakout #4 - Prevention, Obesity-Opportunities identified by a group of community stakeholders include addressing economic and literacy barriers to accessing resources, creating incentives/disincentives programs in the workplace, and making available an online resource information guide. Number of Hospital Faciltiy - 0 Part V, Line 5c - Description of Making Needs Assessment Widely Available In conjunction with EMHS, The Aroostook Medical Center hosted a community forum to present an overview of local assessment results and recommendations. Invitees included: Other area hospitals, Physician leaders, Federally Qualified Health Centers, Healthy Maine Partnerships, District Liaisons linked to Maine CDC, Home Health and Long Term Care leaders, Social Service Agencies, Leaders of the tribal communities, Business leaders, Legislative leaders, Representatives of the State administration.Attendees were provided an executive summary of the assessment as well as a summary table of data reflective of the service area. A presentation was made by EMHS staff who were members of the assessment development steering committee providing selected data results, trends over time and the priorities and recommendations as suggested by the research consultants.In addition to the community forums, the entire statewide assessment (both narrative and data sets) were posted to the EMHS website. After the forums, Power Point presentations used at the Forum as well as input collection in the breakout sessions were also posted on the website. Forum participants were encouraged to go to the website to review the assessment in detail, and access the data for local planning. Media releases were also sent to local news outlets in combination with the forums, encouraging new articles on the forum and inviting all members of the public to view the report on the website.Instructions on the website assist viewers to download and/or print sections of the report. Individuals without computer or printer access were provided a phone number where they can request a printed assessment. Number of Hospital Faciltiy - 0 Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment The needs assessment was developed as a statewide collaborative between the state's three largest health systems: EMHS (in central, eastern and northern Maine), MaineGeneral (in central Maine) and MaineHealth (in southern Maine). Multiple collaborators were involved in the dissemination of the assessment findings and establishment of priorities (see Section 5). Number of Hospital Faciltiy - 0 Part V, Line 3 - Account Input from Person Who Represent the Community On a statewide basis, the research consultants developed an advisory committee that met two times during the assessment research and drafting of the publication. These individuals represented a broad spectrum of backgrounds, and they are named: Carol Bell, Healthy Maine Partnership Director; Kelly Bentley, Healthy Maine Partnership Director; Gail Dana-Sacco, Wabanaki Center (serving tribal populations); Patricia Hart, Maine Development Foundation; Barbara Leonard, MPH, Maine Health Access Foundation (philanthropic foundation focused on access to care in Maine); Becca Matusovich, Maine Center for Disease Control; Lisa Miller, Bingham Foundation (philanthropic foundation); Dora Ann Mills, MD, Maine Center for Disease Control; Elizabeth Mitchell, Maine Health Management Coalition (representing the state's major employers, insurers and providers); Trish Riley, Governor's Office of Health Policy and Finance (GOHPF); Brian Rines, Advisory Committee for Health System Development (overseen by GOHPF); Rachel Talbot-Ross, Maine Chapter, NAACP; Ted Trainer, Public Health Coordinating Council; Shawn Yardley, City of Bangor, Department of Health and Welfare. In the local area served by the assessment, multiple parties were engaged in dissemination of the assessment findings and establishment of priorities. Number of Hospital Faciltiy - 0 Part V, Line 1j - Description of Other Needs Assessment 1a See Part VI - Community Information.1b The Aroostook Medical Center and its related physician practices utilize extensive electronic medical records, including disease registries, which provide a vast amount of data relative to patients in care. The needs assessment provides a much broader picture of the community as a whole, including the health status of individuals not in care, as well as functional health status and social-demographics (such as employment, income and educational levels). The local units of the state's public health infrastructure (known as Healthy Maine Partnerships) are also integrated into the process so that their data relative to health, environmental and social measures are part of the community dissemination process.1c The Aroostook Medical Center engaged multiple health resource leaders in the community forum invitation list (as described in Section 1g). Additional resources and leaders needed were identified in the breakout sessions (see question for breakout participants, Section 1g). In the hospital's service area, key collaborators going forward will include Healthy Aroostook, Aroostook Area Agency on Aging, school systems, home care agencies, local hospitals, and others.1d-1e-1f EMHS, the parent company of The Aroostook Medical Center, routinely conducts a community health needs assessment (hereafter needs assessment) across the service area of all its member hospitals. The most recent assessment, published in 2011, was conducted under a contract with the University of New England Center for Health Planning, Policy and Research (CHPPR) and the University of Southern Maine's Muskie School for Public Health. Using a methodology developed by CHPPR over decades of work, the assessment integrates primary data from a telephone survey to heads of households with secondary data retrieved from state databases (ED usage, Mortality, Cancer Registry, etc.). That data is reviewed in the context of multiple health related domains to develop a composite view of health status, behavioral risks, and barriers to access and care. Results are compared to national and state benchmarks to produce priorities and recommendations as prepared by the consultants.1g See question #3.1h On a statewide basis, the research consultants developed an advisory committee that met two times during the assessment research and drafting of the publication. These individuals represented a broad spectrum of backgrounds, and they are named: Carol Bell, Healthy Maine Partnership Director; Kelly Bentley, Healthy Maine Partnership Director; Gail Dana-Sacco, Wabanaki Center (serving tribal populations); Patricia Hart, Maine Development Foundation; Barbara Leonard, MPH, Maine Health Access Foundation (philanthropic foundation focused on access to care in Maine); Becca Matusovich, Maine Center for Disease Control; Lisa Miller, Bingham Foundation (philanthropic foundation); Dora Ann Mills, MD, Maine Center for Disease Control; Elizabeth Mitchell, Maine Health Management Coalition (representing the state's major employers, insurers and providers); Trish Riley, Governor's Office of Health Policy and Finance (GOHPF); Brian Rines, Advisory Committee for Health System Development (overseen by GOHPF); Rachel Talbot-Ross, Maine Chapter, NAACP; Ted Trainer, Public Health Coordinating Council; Shawn Yardley, City of Bangor, Department of Health and Welfare. In the local area served by the assessment, multiple parties were engaged in dissemination of the assessment findings and establishment of priorities (see Section 5). Part III, Line 9b - Provisions On Collection Practices For Qualified Patients Eastern Maine Healthcare Systems (EMHS) has had a written billing and collections policy since September 2010. The policy applies to The Aroostook Medical Center, a related organization of EMHS. Part III, Line 8 - Explanation Of Shortfall As Community Benefit Medicare losses are included as a community benefit because the losses are incurred in performing an important public service and Maine hospitals experience one of the lowest Medicare reimbursement rates in the country. Part III, Line 4 - Bad Debt Expense The allowance for doubtful accounts is provided based on an analysis by management of the collectibility of outstanding balances. Management considers the age of outstanding balances and past collection efforts in determining the allowance for doubtful accounts. Accounts deemed uncollectible are charged off against the established allowance. The costing methodology used to determine the amount reported on Line 2 is cost to charge ratio. Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used) TAMC DOES NOT PROVIDE DISCOUNTED CARE TO LOW INCOME INDIVIDUALS. TAMC PROVIDES FINANCIAL ASSISTANCE/FREE CARE BASED ON THE FPL IF GROSS INCOME IS AT OR BELOW 200% OF THE FPL, IF THE PATIENT IS A RESIDENT OF THE STATE OF MAINE OR A NON MAINE RESIDENT SEEKING EMERGENCY CARE, IF THE SERVICE OR SUPPLIES ARE A MEDICAL NECESSITY AND IF ALL THIRD PARTY PAYOR SOURCES HAVE BEEN EXHAUSTED. HOWEVER, PATIENTS WITH SELF-PAY BALANCES WILL BE OFFERED A DISCOUNT OFF CHARGES. X X X false true false false false false false true false false STACY JANDREAU MD 221583 5300 26046 13475 26016 292420 ROGER PELLI DO 211645 1776 23598 10701 9942 257662 ROBERT W RICE MD 303903 127895 40053 8575 22387 502813 RICHARD DEBOWSKY MD 430062 24445 11025 17038 482570 QUANG T NGUYEN MD 360620 49231 33421 5519 23406 472197 MARYANNE MOORE 332647 48100 39748 7350 22196 450041 MAHENDRA SHETH 448806 32393 11025 17816 510040 M MICHELLE HOOD 601376 74182 12044 159332 16969 863903 JEANPIERRE MICHAUD MD 424945 36180 11025 23879 496029 JAY REYNOLDS MD 171004 10000 33866 17185 22128 254183 DAVID PETERSON 203947 737339 75891 13475 13424 1044076 697707 C BRUCE SANDSTROM 142649 40944 46145 17095 246833 Sch J, Part I, Line 7 Part I, Line 7: Non-Fixed payments not listed above The amounts entered in Part II, B(ii) represent productivity incentive bonuses for the MD's. MAINE HEALTH & HIGHER EDUCATION FACILITIES AUTHORITY 010314384 560427JF4 2010-06-24 7683726 REFUNDING OF 2001A BOND ISSUE false false true 10166849 976550 9101352 87568 1379 2001 false true true true false false false false true true false false false false false false ANNE LAPLANTE SPOUSE OF DIRECTOR 55300 EMPLOYED BY ORGANIZATION false JUDY ST JOHN SPOUSE OF DIRECTOR 17471 EMPLOYED BY ORGANIZATION false BEVERLY MCCRUM SPOUSE OF DIRECTOR 16495 EMPLOYED BY ORGANIZATION false THOMAS CONANT SPOUSE OF DIRECTOR 30512 EMPLOYED BY ORGANIZATION false Schedule K, Part 1, Column E The issue price listed is The Aroostook Medical Center's share of the total pool issue amount of $96,755,000. Form 990, Part VI, Section B 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 The Aroostook Medical Center, a related organization of EMHS. Form 990 Pg1 Paid Preparer's Use Only Baker Newman & Noyes, LLC is the Paid Preparer.P.O. Box 507Portland, ME 04112 (207)879-2100 Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available NO DOCUMENTS TO THE PUBLIC. Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts A LIST OF ALL OFFICERS, DIRECTORS OR TRUSTEES AND KEY EMPLOYEES IS COMPILED EACH FISCAL YEAR. CONFLICT OF INTEREST REQUEST FORMS ARE DELIVERED TO EACH PERSON ON THE LIST. RESPONSES ARE COMPILED AND REVIEWED BY STAFF AND PRESENTED TO MANAGEMENT. Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: Form 990 Review Process THE FORM 990 IS PROVIDED IN ADVANCE TO THE ORGANIZATION'S BOARD OF DIRECTORS' AND IS THEN REVIEWED BY THE CFO AT A MONTHLY BOARD OF DIRECTORS' MEETING. Form 990, Part VI, Line 7a Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body Each year at their annual meeting, the directors elect replacements for those directors whose terms are expiring. Election of directors is subject to ratification by EMHS. Form 990, Part VI, Line 6 Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder The Aroostook Medical Center (the "Corporation") is a Maine nonprofit corporation. Eastern Maine Healthcare Systems ("EMHS"), also a Maine nonprofit corporation, is the sole corporate member of the Corporation. Form 990, Part III, Line 4d Form 990, Part III, Line 4d : Other Program Services Description OTHER PROGRAM SERVICES 4: MEDICARE SHORTFALLS (AT COST). 7687 PERSONS SERVED CAPITOL CONVENIENT CARE LLC 43 Whiting Hill Road Ste 500 Brewer ME 04412 273671960 Provide patient care ME 501(c)(3) 11 type II EMHS true HORIZONS HEALTH SERVICES PO BOX 151 140 ACADEMY STREET PRESQUE ISLE ME 04769 010504393 PROVIDE PATIENT CARE ME 501(C)(3) 3 TAMC true TAMC ENDOWMENTS PO BOX 151 140 ACADEMY STREET PRESQUE ISLE ME 04769 010389222 RAISE FUNDS FOR EXEMPT ORGANIZATIONS ME 501(C)(3) 11 TYPE I TAMC true TAMC TITLE CORP PO BOX 151 140 ACADEMY STREET PRESQUE ISLE ME 047690151 010389226 REAL ESTATE HOLDING COMPANY ME 501(C)(2) - TAMC true SEBASTICOOK VALLEY HLTH CONVENIENT CARE 447 NORTH MAIN STREET PITTSFIELD ME 04967 273129791 PROVIDE PATIENT CARE ME 501(C)(3) 3 SVH true SEBASTICOOK VALLEY FAMILY PRACTICE ASSOC 447 NORTH MAIN STREET PITTSFIELD ME 04967 011357854 PROVIDE PATIENT CARE ME 501(C)(3) 9 SVH true SEBASTICOOK VALLEY HEALTH SVH 447 NORTH MAIN STREET PITTSFIELD ME 04967 010263628 CRITICAL CARE HOSPITAL ME 501(C)(3) 3 EMHS true EASTERN MAINE HOMECARE PO BOX 688 CARIBOU ME 04736 010328442 PROVIDE HOME HEALTH AND HOSPICE SERVICES ME 501(C)(3) 9 EMHS true BLUE HILL MEMORIAL HOSPITAL 57 WATER STREET BLUE HILL ME 046145231 010227195 PROVIDE HEALTHCARE SERVICES ME 501(C)(3) 3 EMHS true CA DEAN MEMORIAL HOSP & NURSING HOME PRITHAM AVENUE PO BOX 1129 GREENVILLE ME 044411129 043341666 PROVIDE HEALTHCARE SERVICES ME 501(C)(3) 3 EMHS true INLAND FAMILY PRACTICE ASSOCIATES LLC 200 KENNEDY MEMORIAL DRIVE WATERVILLE ME 04901 272942245 PROVIDE PATIENT CARE ME 501(C)(3) 3 INLAND HOSPITAL true LAKEWOOD A CONTINUING CARE CENTER 220 KENNEDY MEMORIAL DRIVE WATERVILLE ME 04901 010421234 PROVIDE SKILLED AND LONG-TERM NURSING CARE ME 501(C)(3) 3 INLAND HOSPITAL true INLAND HOSPITAL 200 KENNEDY MEMORIAL DRIVE WATERVILLE ME 04901 010217211 PROVIDE HEALTHCARE SERVICES ME 501(C)(3) 3 EMHS true ROSSCARE NURSING HOMES INC 43 WHITING HILL ROAD STE 400 BREWER ME 04412 010430751 OPERATION OF NURSING HOMES ME 501(C)(3) 9 ROSSCARE true ROSSCARE 43 WHITING HILL ROAD STE 400 BREWER ME 04412 010391038 PROVIDE SERVICES TO ELDERLY ME 501(C)(3) PF EMHS true ME INSTITUTE FOR HUMAN GENETICS & HEALTH 43 WHITING HILL ROAD BREWER ME 04412 550894346 BIOMEDICAL RESEARCH AND DEVELOPMENT ME 501(c)(3) 9 EMHS true 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 NORUMBEGA MEDICAL SPECIALISTS LTD 43 WHITING HILL ROAD STE 400 BREWER ME 04412 010465231 PROVIDE PATIENT CARE AND EDUCATION ME 501(C)(3) 9 EMMC true EASTERN MAINE MEDICAL CENTER AUXILIARY 43 WHITING HILL ROAD BREWER ME 04412 010377901 FUND RAISING FOR EXEMPT EASTERN MAINE MEDICAL CENTER ME 501(C)(3) 9 EMMC true EASTERN MAINE MEDICAL CENTER EMMC PO BOX 404 489 STATE STREET BANGOR ME 044020404 010211501 PROVIDE HEALTHCARE SERVICES ME 501(C)(3) 3 EMHS true MEADOW WOOD LLC 43 WHITING HILL ROAD BREWER ME 04412 272935243 PROVIDE PATIENT CARE ME 501(C)(3) 9 AHI true ACADIA HEALTHCARE INC AHI 43 WHITING HILL ROAD BREWER ME 04412 223183888 PROVIDE HEALTHCARE SERVICES ME 501(C)(3) 9 AHC true ACADIA HOSPITAL CORPORATION AHC 43 WHITING HILL ROAD BREWER ME 04412 010459837 PROVIDE HEALTHCARE SERVICES ME 501(C)(3) 3 EMHS true EASTERN MAINE HEALTHCARE REAL ESTATE 43 WHITING HILL ROAD BREWER ME 04412 010391036 LEASES REAL ESTATE ME 501(C)(2) - EMHS true EASTERN MAINE HEALTHCARE SYSTEMS EMHS 43 WHITING HILL ROAD BREWER ME 04412 010527066 SUPPORTING ORGANIZATION FOR HEALTHCARE AFFILIATES ME 501(C)(3) 11 TYPE II - true DIRIGO PINES DEVELOPMENT COMPANY LLC 9 Alumni Drive ORONO ME 04473 010537924 RETCOTTAG ME AHS C CORP DIRIGO FUNDING LLC 9 Alumni Drive ORONO ME 04473 010599968 PROV FINANCE ME AHS C CORP DIRIGO PINES INN LLC 9 Alumni Drive ORONO ME 04473 020547749 CONTIN CARE ME ROSSCARE C CORP DIRIGO PINES RETIREMENT COMM LLC 9 Alumni Drive ORONO ME 04473 010537924 HOLDING CO. ME AHS C CORP MAINE NETWORK FOR HEALTH 80 Exchange Street 6th Floor Ste BANGOR ME 04401 010496352 SUPPORT SRV ME EMHS C CORP MERIDIAN MOBILE HEALTH LLC 931 Union Street PO Box 940 BANGOR ME 044020940 010512673 AMBULANCE ME AHS C CORP DE COLLECTIONS DBA AFFILIATED COLL INC PO Box 2759 BANGOR ME 044022759 010366209 COLLECTIONS ME AHS C CORP AFFILIATED PHARMACY SERVICES 917 Union Street Suite 7 BANGOR ME 04401 010587230 PHARMACY ME AHS C CORP AFFILIATED MATERIEL SERVICES PO Box 1300 BANGOR ME 044021300 010381189 PURCHASING ME AHS C CORP AFFILIATED LABORATORY INC PO Box 638 BANGOR ME 044020638 010381283 CLINICAL LAB ME AHS C CORP AFFILIATED HEALTHCARE MANAGEMENT PO Box 811 BANGOR ME 044020811 010349339 HLTHCR MGMT ME AHS C CORP AFFILIATED HEALTHCARE SYSTEMS AHS PO Box 940 BANGOR ME 044020940 010385322 HOLDING CO. ME EMHS C CORP true false true false false false false false false true true true false false true false true true AFFILIATED MATERIEL SERVICES o 194667 Actual AFFILIATED LABORATORY INC l 577449 Actual HORIZONS HEALTH SERVICES q 190868 FMV HORIZONS HEALTH SERVICES k 237457 FMV TAMC ENDOWMENTS c 60000 FMV TAMC TITLE CORP j 59455 FMV EASTERN MAINE HOMECARE k 99998 FMV EASTERN MAINE HOMECARE a 2040 FMV HEALTHCARE CHARITIES r 143039 FMV HEALTHCARE CHARITIES l 79500 FMV EASTERN MAINE MEDICAL CENTER EMMC o 308225 FMV EASTERN MAINE MEDICAL CENTER EMMC l 248390 FMV EASTERN MAINE HEALTHCARE SYSTEMS EMHS q 86868 FMV EASTERN MAINE HEALTHCARE SYSTEMS EMHS o 8181188 FMV EASTERN MAINE HEALTHCARE SYSTEMS EMHS l 1489014 FMV