2011-08-01T12:53:32-07:00 2010-09-25 Baker Newman & Noyes LLC PO Box 507 Portland ME 04112 990 2009-09-27 010372148 THE AROOSTOOK MEDICAL CENTER AROO 2077684250 PO BOX 151 PRESQUE ISLE ME 04769 C BRUCE SANDSTROM 2011-08-01 2009 2016-02-24 21:20:13Z DAVID A PETERSON 140 ACADEMY STREET PRESQUE ISLE ME 04769 215142497 false false 5247 X WWW.TAMC.ORG X 1981 ME TO RESTORE, MAINTAIN AND IMPROVE THE HEALTH OF OUR COMMUNITY 17 9 1158 104 0 108075 536782 199579625 206181297 237539 269032 1843445 2061375 201768684 209048486 0 0 57811791 60854362 0 81193 142785346 147479985 200597137 208334347 1171547 714139 65318703 67656383 31184154 33715593 34134549 33940790 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 179981758 206070315 PROVISION OF ACUTE & SUBACUTE HOSPITAL CARE RELATED TO OUTPATIENT CLINICS AND HEALTH CARE SERVICES. SERVED 29,921 PATIENT DAYS OF ROUTINE SERVICES AND 83,338 OUTPATIENTS. PROVIDED SERVICES REGARDLESS OF ABILITY TO PAY AS WELL AS EDUCATION AND PROMOTION OF HEALTH. PROVIDED UNCOMPENSATED CARE (AT COST) OF $1,360,326. 9930297 MEDICARE SHORTFALLS (AT COST). 8698 PERSONS SERVED 2595316 MEDICAID SHORTFALLS (AT COST). 6,500 PERSONS SERVED 1360326 193867697 true true false true false false false false false true true false true false false false false false false false false true false false true true false false false false false false false false true false true false false false false true true true false false 133 0 true 1158 true false false false false false false false false false false false 0 false false false false false false false false 17 9 false false false false false false false true true false true true true true true true true true true false true true ME X X X C BRUCE SANDSTROM VP CFO 2077684250 140 ACADEMY STREET PRESQUE ISLE ME 04769 TIM DOAK 2.00 X 0 0 0 STEPHEN A POITRAS 40.00 X 175474 0 19046 STACY JANDREAU MD 40.00 X 258796 0 31593 ROBERT W RICE MD 40.00 X 502771 0 30472 RICHARD DEBOWSKY MD 40.00 X 501378 0 23531 QUANG T NGUYEN MD 40.00 X 538910 0 6151 PETER ST JOHN 2.00 X X 0 0 0 M MICHELLE HOOD 2.00 X 0 730450 32865 LYNN LOMBARD 2.00 X X 0 0 0 LUIS R JIMENEZ MD 40.00 X 492551 0 31885 LEHRLE KIEFFER 2.00 X 0 0 0 LARRY LAPLANTE 2.00 X 0 0 0 JOE LALLANDE 2.00 X 0 0 0 JEANPIERRE MICHAUD MD 40.00 X 592752 0 35420 JAY REYNOLDS MD 40.00 X 192740 0 29778 GENE LYNCH II 2.00 X X 0 0 0 DONALD L SAWYER MD 0. X 365892 0 31001 DAVID A PETERSON 40.00 X X 390213 0 320019 CARL FLORA 2.00 X X 0 0 0 C BRUCE SANDSTROM 40.00 X 187339 0 65659 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 4198816 730450 657420 73 false true false R&L REAL ESTATE LLC PO BOX 4135 PRESQUE ISLE ME 04769 PROPERTY LEASE 479865 NORTHERN MAINE SPEECH PATHOLOGY PO BOX 308 PRESQUE ISLE ME 04769 CONSULTING 123996 JONATHAN HERLAND MD 36 PENN PLAZA BANGOR ME 04401 CONSULTING 101300 FRESH AIR LLC 137 BENNETT DRIVE PRESQUE ISLE ME 04769 AIR AMBULANCE 402112 4 75000 461782 217278 536782 SALES & CONTRACT REVENUE 621990 110982 110982 PATIENT SERVICE REVENUE 900099 206070315 206070315 206181297 421127 421127 0 0 40386 40386 40386 40386 5829828 112088 5843657 250354 -13829 -138266 -152095 -152095 0 0 0 OTHER REVENUE 900099 710487 710487 FOOD SERVICES 722210 382644 382644 ADMINISTRATIVE SERVICES 561000 405044 405044 522814 522814 2020989 209048486 208242672 269032 0 0 0 0 2717903 826099 1891804 0 48042736 42945804 5096932 1171967 1047631 124336 5646038 5047041 598997 3275718 2836969 438749 0 347133 347133 63500 63500 0 0 11946 11946 7677317 6437110 1240207 179534 150532 29002 14472731 12066704 2324834 81193 0 0 2989590 2197243 792347 778109 652412 125697 0 19117 19117 591915 496296 95619 0 3643301 3054756 588545 1500986 1258514 242472 STATE TAX ASSESSMENT 2178752 2178752 REPAIRS & MAINTENANCE 845398 708831 136567 PROVISION FOR BAD DEBTS 3098758 3098758 CONTRACTUAL ALLOWANCES 105316261 105316261 CHARITY CARE 2979952 2979952 785685 568032 217653 208334347 193867697 14385457 81193 5606 5606 7450093 7339373 20808 13000 6333997 7543084 0 0 0 1637085 1606230 970861 915273 75541285 46844524 29238357 28696761 3382299 4193409 1241430 544318 0 0 15038167 16799329 65318703 67656383 8398991 10038952 14044885 12894875 8740278 10781766 31184154 33715593 X 32611580 32261979 846254 1002096 676715 676715 34134549 33940790 65318703 67656383 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 7533 7533 false false Part II-B, Line 1i Part II-B, Line 1i - Other Activities Description 16.2% OF MHA DUES ($7,533) WERE ALLOCATED TO LOBBYING. 1412036 114254 13829 1512461 1540366 -117414 10916 1412036 0.45000 0.55000 false true true 194386 194386 41775623 23767575 18008048 3242328 456086 2786242 29912566 22620863 7291703 416382 416382 28696761 OTHER RECEIVABLES 846428 OTHER ASSETS, NET 950216 ESTIMATED THIRD-PARTY SETTLEMENTS 14755237 DUE FROM AFFILIATES 52196 DEFERRED FINANCING COSTS, NET 195252 16799329 ESTIMATED THIRD-PARTY SETTLEMENTS 7219021 DUE TO AFFILIATES 295125 DEFERRED COMPENSATION 3267620 10781766 209048486 208334347 714139 74626 14426 -996949 -907897 -193758 100855154 74626 14426 89052 100766102 108282384 108282384 209048486 100038134 100038134 108296213 108296213 208334347 Part XIII, Line 4b Part XIII, Line 4b: Other revenue amounts included on 990 but not included in F/S CONTRACTUAL ALLOWANCES $XXX-XX-XXXX CHARITY CARE $2979952 Part XII, Line 4b Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S CONTRACTUAL ALLOWANCES $XXX-XX-XXXX REALIZED LOSS ON SALE ON INVESTMENTS $-13829 CHARTIY CARE $2979952 Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances TRANSFER TO AFFILIATES $ -493396 LOSS ON EARLY EXTINGUISHMENT OF DEBT $ -503553 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 727 1360326 1360326 0.00650 6500 17524164 14928848 2595316 0.01250 562214 562214 0.00270 7227 19446704 14928848 4517856 0.02170 22 1635 127783 4008 123775 0.00060 5 629 100874 17075 83799 0.00040 1 301 22870 22870 0.00010 6 802 92916 92916 0.00040 34 3367 344443 21083 323360 0.00160 34 10594 19791147 14949931 4841216 0.02320 1 3288 3288 1 190 2310 2310 2 190 5598 5598 true 1391555 32979520 42811189 -9831669 X true true AROOSTOOK MRI OUTPATIENT MRI 0.50000 COUNTY PHYSICAL THERAPY OUTPATIENT PHYSICAL THERAPY 0.50000 NORTH STREET LABORATORY

23 NORTH STREET STE 3 PRESQUE ISLE ME 04769

OUTPATIENT LABORATORY SERVICES OUTPATIENT SPECIALTY CLINICS

146 ACADEMY STREET STE 1C PRESQUE ISLE ME 04769

OUTPATIENT PHYSICIAN CLINICS AROOSTOOK CANCER CARE

140 ACADEMY STREET PRESQUE ISLE ME 04769

OUTPATIENT PHYSICIAN CLINIC AROOSTOOK HEART & LUNG CENTER

146 ACADEMY STREET STE B PRESQUE ISLE ME 04769

OUTPATIENT PHYSICIAN CLINIC NEPHROLOGY SERVICES

19 NORTH STREET PRESQUE ISLE ME 04769

OUTPATIENT PHYSICIAN CLINIC WALK IN CARE

23 NORTH STREET STE 2 PRESQUE ISLE ME 04769

OUTPATIENT PHYSICIAN SLEEP MEDICINE & DISORDERS CTR

140 ACADEMY STREET STE 2 3 PRESUE ISLE ME 04769

OUTPATIENT PHYSICIAN CLINIC WOMENS HEALTH CENTER

140 ACADEMY STREET STE 6 PRESQUE ISLE ME 04769

OUTPATIENT PHYSICIAN CLINIC GENERAL & VASCULAR SURGERY CTR

146 ACADEMY STREET STE 1A PRESQUE ISLE ME 04769

OUTPATIENT PHYSICIAN CLINIC OBGYN MIDWIFERY SERVICES

140 ACADEMY STREET STE 4 PRESQUE ISLE ME 04769

OUTPATIENT PHYSICIAN CLINIC ORTHOPEDICS & SPORTS MEDICINE

140 ACADEMY STREET STE 9 PRESQUE ISLE ME 04769

OUTPATIENT PHYSICIAN CLINIC OCCUPATIONAL HEALTH & WELLNESS

146 ACADEMY STREET PRESQUE ISLE ME 04769

OUTPATIENT PHYSICIAN CLINIC GREEN RIDGE NEURO REHAB

146 ACADEMY ST STE 5 PRESQUE ISLE ME 04769

OUTPATIENT PHYSICIAN CLINIC ASHLAND HEALTH CENTER

33 WALKER STREET ASHLAND ME 04732

OUTPATIENT PHYSICIAN CLINIC COUNTY DIALYSIS

21 NORTH STREET PRESQUE ISLE ME 04769

OUTPATIENT DIALYSIS CENTER AROOSTOOK PEDIATRICS

23 NORTH STREET STE 1 PRESQUE ISLE ME 04769

OUTPATIENT PHYSICIAN CLINIC FAMILY PRACTICE & INTERNAL MED

23 NORTH STREET STE 4 PRESQUE ISLE ME 04769

OUTPATIENT PHYSICIAN CLINIC MARS HILL HEALTH CENTER

106 MAIN STREET MARS HILL ME 04758

OUTPATIENT PHYSICIAN CLINIC CARIBOU HEALTH CENTER

118 BENNETT DRIVE STE 130 CARIBOU ME 04736

OUTPATIENT PHYSICIAN CLINIC FORT FAIRFIELD HEALTH CENTER

23 HIGH STREET FORT FAIRFIELD ME 04742

OUTPATIENT PHYSICIAN CLINIC AROOSTOOK HEALTH CENTER

15 HIGHLAND AVENUE MARS HILL ME 04757

NURSING HOME, OUTPATIENT CLINICS THE AROOSTOOK MEDICAL CENTER

140 ACADEMY STREET PRESQUE ISLE ME 04769

X X X 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. 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 CORRECT 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. 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. 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 THE AROOSTOOK MEDICAL CENTER. AN ACCOUNT MAY BE RECONSIDERED FOR CHARITY CARE AT ANY TIME WHEN NEW INFORMATION IS AVAILABLE ABOUT A PATIENT'S INABILITY TO PAY. N/A THE EMHS COMMUNITY HEALTH NEEDS ASSESSMENT EXAMINES THE HEALTH STATUS OF THE RESIDENTS OF AROOSTOOK COUNTY 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. IN ORDER TO COMPLETE THE STUDY, ORIGINALLY CONDUCTED IN 2001 AND REPEATED IN 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). IN 2010, EMHS PARTNERED WITH TWO OTHER MAINE HEALTH SYSTEMS TO REPEAT THE ASSESSMENT; RESULTS ARE EXPECTED IN EARLY 2011. 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. 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. 71,488) SPANS 6,453 SQUARE MILES AND INCLUDES 2 CITIES, 54 TOWNS, 11 PLANTATIONS AND 108 UNORGANIZED TOWNSHIPS. CENSUS 2000 REVEALS THE FOLLOWING AROOSTOOK COUNTY DATA:- THE MEDIAN AGE OF AROOSTOOK COUNTY IS 40.7 YEARS. WITH 20 PERCENT OF THE POPULATION 65 YEARS OF AGE OR OLDER, AROOSTOOK COUNTY HAS A HIGHER PERCENTAGE OF OLDER ADULTS THAN THE STATE OF MAINE (14.5%)AND THE UNITED STATES (12.4%).- OVER 97 PERCENT OF AROOSTOOK COUNTY IS WHITE, WHICH IS COMPARABLE WITH MAINE OVERALL. THE NEXT LARGEST RACIAL/ETHNIC GROUP IN AROOSTOOK COUNTY IS NATIVE AMERICAN (1.4%), WHICH IS MORE PROMINENT THAN IN MAINE OVERALL (0.6%).- NEARLY 77% OF INDIVIDUALS 25 YEARS OF AGE AND OVER IN AROOSTOOK COUNTY HAVE AT LEAST A HIGH SCHOOL DIPLOMA OR EQUIVALENT AND 14.6% HAVE A BACHELOR'S DEGREE OR HIGHER. THIS IS LOWER THAN STATE (HIGH SCHOOL 85.4%, BACHELOR'S DEGREE 22.9%) AND NATIONAL AVERAGES (HIGH SCHOOL 80.4%, BACHELOR'S DEGREE 24.4%).- THE MEDIAN HOUSEHOLD INCOME IN AROOSTOOK COUNTY ($28,837) IS CONSIDERABLY LESS THAN STATE ($37,240) AND NATIONAL ($41,994) FIGURES. - AROOSTOOK COUNTY HAD A NEGATIVE 15% POPULATION CHANGE BETWEEN THE YEARS OF 1990 AND 2000. IN THE SAME PERIOD OF TIME, MAINE NOTED A 3.8% POPULATION INCREASE. THROUGH PUBLIC HEALTH SCREENINGS, PROFESSIONAL AND COMMUNITY EDUCATION, AND CHARITY CARE, TAMC, AS A MEMBER OF EMHS SYSTEM, WORKS HARD TO MAKE A DIFFERENCE IN OUR COMMUNITY. THROUGH EXECUTIVE-LEVEL 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 PROVIDE MONETARY SPONSORSHIP TO THE NORDIC HERITAGE SPORT CLUB TO HELP WITH COMMUNITY TOURISM AND HEALTHY LIFESTYLE ENHANCEMENT. THROUGH THE FISCAL YEAR 2010, TAMC DELIVERED A TOTAL COMMUNITY BENEFIT OF APPROXIMATELY $65,000 FOR COMMUNITY BUILDING ACTIVITIES. TAMC WORKS TO IMPROVE THE HEALTH OF OUR COMMUNITY THROUGH A VARIETY OF HEALTH PROMOTION ACTIVITIES, SUCH AS: LET'S GO AROOSTOOK, AN INITIATIVE THAT PROMOTES HEALTHY LIFESTYLE CHOICES FOR CHILDREN, YOUTH, AND ADULTS; HEALTHY AGING, A MONTHLY HEALTHCARE LECTURE DESIGNED FOR SENIOR CITIZENS; SENIOR CONNECTION, A PROGRAM FOR OLDER ADULTS THAT PROVIDES HEALTH SCREENINGS AND INFORMATION, AND LIVING WELL, A CHRONIC DISEASE MANAGEMENT SERIES. WE ALSO SUPPORT WORKFORCE DEVELOPMENT THROUGH OUR SURVIVOR CAMP, EXPLORERS PROGRAM, AND BOONE LECTURE. IN FISCAL YEAR 2010, TAMC CONTRIBUTED $287,621 IN CASH AND IN-KIND SERVICES TO DEVELOP AND MAINTAIN PROGRAMS DEVOTED TO THE HEALTH OF OUR COMMUNITIES. USING THE DATA IN THE EMHS COMMUNITY HEALTH NEEDS ASSESSMENT, TAMC COLLABORATES WITH OTHER HOSPITALS IN THE EMHS SYSTEM AND WITH OTHER COMMUNITY ORGANIZATIONS ON SOLUTIONS TO SIGNIFICANT COMMUNITY HEALTHCARE PROBLEMS, SUCH AS FLU PANDEMIC, WORKFORCE SHORTAGE, CARDIOVASCULAR DISEASE, CHRONIC DISEASE SELF-MANAGEMENT, DIABETES, YOUTH OBESITY, SEDENTARY LIFESTYLE AND ACCESS TO PRIMARY CARE PROVIDERS. TAMC TAKES THE LEAD ROLE FOR EMHS IN AROOSTOOK COUNTY ON THESE ISSUES AND EMHS PROVIDES SUPPORT AND ADDITIONAL RESOURCES AS NECESSARY. ME X X X false true false false false false false true false false STEPHEN A POITRAS 124899 46700 3875 1899 17147 194520 36300 STACY JANDREAU MD 228135 4500 26161 3738 27855 290389 ROBERT W RICE MD 312160 150498 40113 3901 26571 533243 RICHARD DEBOWSKY MD 439838 38200 23340 4660 18871 524909 QUANG T NGUYEN MD 428632 76924 33354 4616 1535 545061 M MICHELLE HOOD 589051 107408 33991 16400 16465 763315 LUIS R JIMENEZ MD 219978 250000 22573 5628 26257 524436 JEANPIERRE MICHAUD MD 426575 125507 40670 6805 28615 628172 JAY REYNOLDS MD 160069 32671 7888 21890 222518 DONALD L SAWYER MD 175481 157112 33299 4902 26099 396893 DAVID A PETERSON 314227 75986 301062 18957 710232 C BRUCE SANDSTROM 147448 39891 49366 16293 252998 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. THE AMOUNT ENTERED FOR STEPHEN A.POITRAS REPRESENTS A WITHDRAWAL FROM HIS 457(F) PLAN OF WHICH $36,300 WAS REPORTED IN PRIOR 990. MAINE HEALTH & HIGHER EDUCATION FACILITIES AUTHORITY 140553010 560427JF4 2010-06-24 7683726 REFUNDING OF 2001A BOND ISSUE false false 10166849 976550 9101352 87568 1379 2001 false true true true false false false false true true false false false false false false JUDY ST JOHN SPOUSE OF DIRECTOR 24819 EMPLOYED BY ORGANIZATION false BEVERLY MCCRUM SPOUSE OF DIRECTOR 33275 EMPLOYED BY ORGANIZATION false ANNE LAPLANTE SPOUSE OF DIRECTOR 64849 EMPLOYED BY ORGANIZATION false THOMAS CONANT SPOUSE OF DIRECTOR 36774 EMPLOYED BY ORGANIZATION false X 1 200000 APPRAISAL AVGS X DEBIT CARDS 1 200 FMV X WOODEN CARS 1 1500 FMV X REMOTE STAND 1 123 FMV X BOOK 1 15 FMV X FITNESS CERT 1 2550 FMV X 26" LCD TV 1 375 FMV X RESTAURANT FOOD 1 36 FMV X RESTAURANT FOOD 1 40 FMV X GREEN FEES 1 56 FMV X RESTAURANT FOOD 1 65 FMV X RESTAURANT FOOD 1 30 FMV X RESTAURANT FOOD 1 96 FMV X AIR FARE 1 500 FMV X WATER & SODA 1 150 FMV X 2 WAY RADIO 1 500 FMV X TISSUE BOXES 1 50 FMV X HOCKEY TICKETS 1 44 FMV X FORMAL DRESS 1 250 FMV X CANDLE 1 25 FMV X FITNESS CERT 1 440 FMV X RESTAURANT GIFT 1 50 FMV X JEWELRY 1 40 FMV X RESTAURANT GIFT 1 50 FMV X HOTEL ROOM 1 130 FMV X RESTAURANT GIFT 1 60 FMV X JEWELRY 1 795 FMV X ADVERTISING 1 1000 FMV X HOTEL ROOM 1 250 FMV X CPAP UNIT 1 600 FMV X KNITTED ITEMS 1 225 FMV X CARE BOXES 1 400 FMV X WATER & SODA 1 555 FMV X 2-WAY RADIOS 1 520 FMV X CEMENT BENCH 1 100 FMV X CLOTHING 1 158 FMV X BEANIE BABIES 1 300 FMV X MEDICAL EQUIP 1 5000 FMV 1 false true false 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 III, Line 4d Form 990, Part III, Line 4d : Other Program Services Description OTHER PROGRAM SERVICES 4: MEDICARE SHORTFALLS (AT COST). 8698 PERSONS SERVED HORIZONS HEALTH SERVICES PO BOX 151 140 ACADEMY STREET PRESQUE ISLE ME 04769 010504393 PROVIDE PATIENT CARE ME 501(C)(3) 3 TAMC 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 TAMC TITLE CORP PO BOX 151 140 ACADEMY STREET PRESQUE ISLE ME 047690151 010389226 REAL ESTATE HOLDING COMPANY ME 501(C)(2) - TAMC SEBASTICOOK VALLEY HLTH CONVENIENT CARE 447 NORTH MAIN STREET PITTSFIELD ME 04967 273129791 PROVIDE PATIENT CARE ME 501(C)(3) 3 SVH SEBASTICOOK VALLEY FAMILY PRACTICE ASSOC 447 NORTH MAIN STREET PITTSFIELD ME 04967 011357854 PROVIDE PATIENT CARE ME 501(C)(3) 9 SVH SEBASTICOOK VALLEY HOSPITAL SVH 447 NORTH MAIN STREET PITTSFIELD ME 04967 010263628 CRITICAL CARE HOSPITAL ME 501(C)(3) 3 EMHS EASTERN MAINE HOMECARE PO BOX 688 CARIBOU ME 04736 010328442 PROVIDE HOME HEALTH AND HOSPICE SERVICES ME 501(C)(3) 9 EMHS BLUE HILL MEMORIAL HOSPITAL FOUNDATION 57 WATER STREET BLUE HILL ME 046145231 010388639 RAISE FUNDS FOR EXEMPT ORGANIZATIONS ME 501(C)(3) 11 TYPE II BHMH BLUE HILL MEMORIAL HOSPITAL BHMH 57 WATER STREET BLUE HILL ME 046145231 010227195 PROVIDE HEALTHCARE SERVICES ME 501(C)(3) 3 EMHS CA DEAN MEMORIAL HOSP & NURSING HOME PRITHAM AVENUE PO BOX 1129 GREENVILLE ME 044411129 043341666 PROVIDE HEALTHCARE SERVICES ME 501(C)(3) 3 EMHS INLAND FAMILY PRACTICE ASSOCIATES LLC 200 KENNEDY MEMORIAL DRIVE WATERVILLE ME 04901 272942245 PROVIDE PATIENT CARE ME 501(C)(3) 3 INLAND HOSPITAL INLAND FOUNDATION 200 KENNEDY MEMORIAL DRIVE WATERVILLE ME 04901 010542905 RAISE FUNDS FOR EXEMPT ORGANIZATIONS ME 501(C)(3) 11 TYPE II INLAND HOSPITAL 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 INLAND HOSPITAL 200 KENNEDY MEMORIAL DRIVE WATERVILLE ME 04901 010217211 PROVIDE HEALTHCARE SERVICES ME 501(C)(3) 3 EMHS ROSSCARE NURSING HOMES INC 43 WHITING HILL ROAD STE 400 BREWER ME 04412 010430751 OPERATION OF NURSING HOMES ME 501(C)(3) 9 ROSSCARE ROSSCARE 43 WHITING HILL ROAD STE 400 BREWER ME 04412 010391038 PROVIDE TREATMENT AND HOUSING TO ELDERLY ME 501(C)(3) PF EMHS ME INSTITUTE FOR HUMAN GENETICS & HEALTH 43 WHITING HILL ROAD BREWER ME 04412 550894346 BIOMEDICAL RESEARCH AND DEVELOPMENT ME 5019C)(3) 9 EMHS 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 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 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 EASTERN MAINE MEDICAL CENTER EMMC PO BOX 404 489 STATE STREET BANGOR ME 044020404 010211501 PROVIDE HEALTHCARE SERVICES ME 501(C)(3) 3 EMHS MEADOW WOOD LLC 43 WHITING HILL ROAD BREWER ME 04412 272935243 PROVIDE PATIENT CARE ME 501(C)(3) 9 AHI ACADIA HEALTHCARE INC AHI 43 WHITING HILL ROAD BREWER ME 04412 223183888 PROVIDE HEALTHCARE SERVICES ME 501(C)(3) 9 AHC ACADIA HOSPITAL CORPORATION AHC 43 WHITING HILL ROAD BREWER ME 04412 010459837 PROVIDE HEALTHCARE SERVICES ME 501(C)(3) 3 EMHS EASTERN MAINE HEALTHCARE REAL ESTATE 43 WHITING HILL ROAD BREWER ME 04412 010391036 LEASES REAL ESTATE ME 501(C)(2) - EMHS 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 - 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 ST 6TH FLOOR STE 3 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 STE 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 true false true true true true AFFILIATED MATERIEL SERVICES o 210214 AFFILIATED LABORATORY INC l 581888 HORIZONS HEALTH SERVICES q 311000 HORIZONS HEALTH SERVICES k 240755 TAMC ENDOWMENTS c 75000 TAMC TITLE CORP j 59455 EASTERN MAINE HOMECARE k 160872 EASTERN MAINE HOMECARE a 2040 HEALTHCARE CHARITIES r 180023 HEALTHCARE CHARITIES l 79500 EASTERN MAINE MEDICAL CENTER EMMC o 303063 EASTERN MAINE MEDICAL CENTER EMMC l 255924 EASTERN MAINE HEALTHCARE SYSTEMS EMHS q 182396 EASTERN MAINE HEALTHCARE SYSTEMS EMHS o 8090042 EASTERN MAINE HEALTHCARE SYSTEMS EMHS l 1431097