2019-08-07T08:04:09-07:00 2018-09-30 990 2017-10-01 043341666 Eastern Maine Healthcare SystemsCADean Charles A Dean Memorial HospitalCADean EAST 2076955200 Pritham Avenue PO Box 1129 Greenville ME 04441 John J Doyle NLH VP of Finance 2019-08-07 false 2017 2019-02-21 02:37:17Z John J Doyle 22342610 false false 5247 X https://northernlighthealth.org/C-A-Dean-Hosp X 1996 ME The mission of Charles A. Dean Memorial Hospital is to provide a continuum of high quality holistic healthcare services. 11 7 188 61 0 280492 575290 22081113 21680068 119659 2650 38536 47444 22519800 22305452 17381 3042 0 11270196 11760617 0 0 10131191 8148028 21418768 19911687 1101032 2393765 11436448 12063920 9345164 7858810 2091284 4205110 X The mission of Charles A. Dean Memorial Hospital is to provide a continuum of high quality holistic healthcare services. false false 17071819 3042 21723947 The Charles A. Dean Memorial Hospital is a 25 bed Critical Access Hospital in rural northwestern Maine providing emergency, ambulance, inpatient acute care, outpatient surgery, specialty physician clinics and nursing home services to patients regardless of ability to pay. Provided $477,324 other uncompensated care (at cost).Additional Statistics:Northwoods Healthcare Clinic visits 11,448Hospital diagnostic and rehabilitation visits 18,356Emergency room visits 2,874 Hospital admissions 225Surgery cases 164Ambulance runs 289 821709 Experienced Medicare shortfall, $821,709 (at cost). 14,648 persons served. 395964 Provided charity care, $395,964 (at cost). 182 persons served. 51333 18340825 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 false false false false false false false false false false true false false false false false true true true false false true 44 0 true 188 true false false false false false false false false 0 false false false false false false false false false false X 11 7 false false true false true true true true true false false true true true true true true true false false ME X X X John J Doyle 2079739081 43 Whiting Hill Road Brewer ME 044121006 Marion Huntley Director 0.50 0.00 X 0 0 0 Steven Bilodeau Director 0.50 0.00 X 0 0 0 Darin M Peck MD CMO 40.00 0.00 X 292389 0 46170 Dwight Foote Jr Director 0.50 0.00 X 0 0 0 Stuart Watt Director 0.50 0.00 X 0 0 0 Linda D Gilbert Chairman 2.00 0.00 X X 0 0 0 Terri Vieira President 20.00 30.00 X X 112551 168826 77423 Sharon Hastings Director 0.50 0.00 X 0 0 0 David S Richards Vice Chairman 2.00 0.00 X X 0 0 0 Mary M Hood President CEO Ex-Officio 1.00 50.00 X X 0 958052 284585 Ronald Pelletier Director 0.50 0.00 X 0 0 0 Lorraine Rodgerson RN VP-Nursing & Op 40.00 0.00 X 163472 0 26357 Anthony J Filer Treasurer 1.00 50.00 X 0 496014 29454 Yoosuf Siddiqui VP/HR Northwest 0.50 40.00 X 0 133259 36242 Jennifer Goodrich VP/Finance 40.00 0.00 X 156755 0 26858 Glenn Martin VPGeneral Couns Secretary 1.00 50.00 X 0 445839 94023 Paul Potvin Physician 40.00 0.00 X 281039 0 24107 Joseph Babbitt Physician 40.00 0.00 X 357428 0 28494 Shannon M Meredith Physician 40.00 0.00 X 207401 0 20106 Galen G Durose Physician 40.00 0.00 X 200348 0 27662 Mario Turi Physician 40.00 0.00 X 246387 0 11349 Tracy Bonney-Corson Former VP/CNO 0.00 40.00 X 0 125075 22326 2017770 2327065 755156 17 true true false Dunbar & Brawn Construction 223 Hildreth Street North Bangor ME 04401 Construction 957991 Nurse Anesthesia of Maine 141 Main Street Suite 205 Brewer ME 04412 Anesthesia Services 119526 2 1423 294462 279405 3688 575290 Cafeteria 722210 7785 7785 Patient Care Services 621990 21672283 21672283 21680068 4635 4635 0 0 7140 3575 3565 3565 3565 30098 1500 30066 3517 32 -2017 -1985 -1985 0 0 0 Misc Revenue 621990 43879 43879 43879 22305452 21716162 14000 2042 2042 1000 1000 0 0 855521 528388 327133 0 8161330 7802699 358631 445826 427101 18725 1730418 1656366 74052 567522 543686 23836 0 12 12 30028 30028 0 0 0 1608578 1225014 383564 27411 27411 432922 320783 112139 481466 460465 21001 0 212493 164278 48215 59900 46757 13143 0 38060 36675 1385 151934 151934 0 533865 407660 126205 288669 281111 7558 Contractual Allowances 1550165 1550165 Medical Supplies Expense 822412 822412 Bad Debt Expense 640777 640777 Charity Care 531753 531753 737583 712348 25235 19911687 18340825 1570862 0 1995154 1730817 451191 383746 0 2211585 3335472 0 0 0 227196 214758 65223 53638 11765912 6489285 5166004 5276627 0 0 0 0 1320095 1068862 11436448 12063920 3637707 2238959 595 173117 136992 5533745 5482859 9345164 7858810 X 1154494 3497402 576307 347225 360483 360483 2091284 4205110 11436448 12063920 X 2393765 -279939 X false true X true false X false false false false false false false false false false true 3096 3096 false false Part II-B, Line 1i - Other Activities Description Non-deductible portion of dues. 706316 13298 -19753 699861 1005313 -294567 2325 2105 706316 907461 103830 1887 4091 1005313 919597 280 -6564 1960 3892 907461 891632 350 32946 1630 3701 919597 0.46000 0.54000 false true true 295740 295740 5975583 3458513 2517070 5439871 3030772 2409099 54718 54718 5276627 Board designated funds-Other 340612 Org costs & other long term investments 12552 Permanently Donor Restricted Funds 360483 Self-Insurance Funds Held by Trustee 7990 Temporarily Donor Restricted Funds 347225 1068862 Accrual for Post Retirement Benefit 1872876 Amounts due to Related Org 3591855 Capital Lease Obligation 18128 5482859 X Part V, Line 4: Intended uses of the endowment fund. Endowment Funds are designated for purposes that align within this organization's exempt purpose. Part X : FIN48 Footnote EMHS, its hospitals, and certain other affiliates have been determined by the Internal Revenue Service to be tax-exempt charitable organizations as described in Section 501(c)(3) or 501(c)(2) of the Internal Revenue Code (the 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. true true true X true X true true true false true true 182 395964 395964 0.02300 2792 1447265 1395932 51333 0.00300 7666 7666 0.00040 2974 1850895 1395932 454963 0.02640 7 1586 64697 64697 0.00380 4 103 1426 1426 0.00010 11 1689 66123 66123 0.00390 11 4663 1917018 1395932 521086 0.03030 1 14626 14626 0.00090 1 14626 14626 0.00090 true 477324 7694805 8516514 -821709 X true true 1 1 CA Dean Memorial Hospital 364 Pritham Avenue Greenville ME 04441 www.cadean.org 37959 X X X X CA Dean Memorial Hospital 1 false false true X X X X X X X X X 16 true true true true X See Part V, Line 16j for URL X See Part V, Line 16j for URL X true 16 true See Part V, Line 16j for URL false false true X 150.0000 250.0000 X true true X X X true X See Part V, Line 16j for URL X See Part V, Line 16j for URL X See Part V, Line 16j for URL X X X X X X X true X false X X X X true X false false Part V, Line 5 - Account Input from Persons Who Represent the Community The Maine Shared CHNA research team conducted a statewide survey among stakeholders to identify and prioritize significant health issues in communities across the state. The survey, coordinated with the Maine CDC, engaged public health expertise throughout the process. The survey was administered using a snowball approach where stakeholder agencies agreed to send the surveys to their members and stakeholders for participation. 1,639 people, representing more than 80 organizations and businesses in Maine, completed the survey. Respondents represented health care agencies, public health agencies, law enforcement, municipalities, schools, local businesses, social service agencies, and nongovernmental organizations. In addition to the stakeholder survey, each county conducted a number of community engagement opportunities (forums) to ensure broad interests of the local community were represented; Obtain stakeholder input on identifying significant health needs based on review of shared CHNA data; Solicit stakeholder feedback on prioritizing significant health needs, and; Identify local assets and resources that potentially may address local health priorities. The local forums were conducted in collaboration with the Maine CDC to solicit input from individuals representing populations with health disparities. The following organizations were in attendance at the November 12, 2015 Piscataquis County Shared CHNA Community Engagement Input Forum and provided valuable feedback on the Shared CHNA.Details about organizations: Government - representation from DHHS (low income, medically under-served); Non-profit hospitals Mayo Regional Hospital, Eastern Maine Medical Center, EMHS, Charles A. Dean Memorial Hospital providing services to MaineCare populations (MaineCare-low income; free/low cost care through medical centers=medically underserved); Piscataquis Public Health Coalition provide education and health promotion through educational programs, local health resources, and health and environmental policy change. Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs Assessment The Shared CHNA was conducted through the Maine Shared Health Needs Assessment Planning Process (SHNAPP) a collaborative effort among Maine's four largest health-care systems Central Maine Healthcare, Eastern Maine Healthcare Systems (EMHS), MaineGeneral Health, MaineHealth and the Maine Center for Disease Control and Prevention, an office of the Maine Department of Health and Human Services (DHHS). EMHS member organizations participating in the Shared CHNA included Acadia Hospital, Blue Hill Memorial Hospital, Charles A. Dean Memorial Hospital, Eastern Maine Medical Center, Inland Hospital, Maine Coast Memorial Hospital, Mercy Hospital, Sebasticook Valley Health, and TAMC. Part V, Line 11 - Explanation of Needs Not Addressed and Reasons Why Non-Selected priorities:TransportationLack of insurance/unable to pay for the careHunger/Food InsecuritiesWe did not choose the priorities listed because we know that theyre important, but we have current processes in place to help with these concerns. For transportation, CA Dean has purchased a courtesy van which is not advertised, but is used to pick up/drop off patients free of charge. The lack of insurance/unable to pay for care issue has been addressed by our newly certified patient financial counselor who is also a Certified Application Specialist for the Healthcare Marketplace. She also works to help those who do not have the means to pay fill out paperwork for MaineCare and Free Care if needed. We have worked with the local school to develop the backpack program which is a program that sends backpacks full of healthy food home with children who need it each night and over the weekends. Part V, Line 13h - Other Factors Used in Determing Amounts Charged Patients Income Level Part V, Line 16j - Other Means Hospital Facility Publicized the Policy Response for 7a (list URL) is https://northernlighthealth.org/C-A-Dean-HospitalResponse for 7b (list URL) is https://northernlighthealth.org/Community-Health-Needs-Assessment-2016-CHNA-ReportsResponse for 10a (list URL) is https://northernlighthealth.org/Community-Health-Needs-Assessment-2016-CHNA-Reports/Community-Health-StrategyResponse for 16a, 16b, 16c (list url) is https://northernlighthealth.org/C-A-Dean-Hospital under "Bill Pay & Financial Assistance" Northwoods Healthcare 364 Pritham Avenue Greenville ME 04441 Outpatient clinic Northwoods Healthcare 7 Greenville Road Monson ME 04464 Outpatient clinic Northwoods Healthcare 22 Haley Court Road Sangerville ME 04479 Outpatient clinic Northwoods Healthcare 364 Pritham Avenue Greenville ME 04441 Specialty Clinics Part I, Line 6a - Related Organization Community Benefit Report The Charles A Dean Memorial Hospital 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 - Explanation of Costing Methodology Ratio of Patient Care Cost-to-Charges is used in calculations. Part I, Line 7, Column F - Explanation of Bad Debt Expense $640,777 of bad debt expense, $531,753 of charity care and $1,550,165 of contractual allowances is included on Form 990, Part IX, line 25, column (A) Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense The costing methodology used to determine the amount is cost to charge ratio. 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. Credit is extended without collateral. 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 9b - Provisions On Collection Practices For Qualified Patients 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 CA Dean. An account may be reconsidered for charity care at any time when new information is available about a patient's inability to pay. Part VI, Line 3 - Patient Education of Eligibility for Assistance CA Dean offers patients the resource of a Patient Financial Services representative in order to counsel them on what resources may be available to help meet the financial needs resulting from patient care. We also have a licensed clinical social worker available to patients should they need assistance with other federal, state or local programs. Part VI, Line 4 - Community Information Charles A. Dean Memorial Hospital immediately serves Greenville and the surrounding Moosehead Lake area. This area is completely rural. We have patients all throughout Piscataquis county. The population in the county is 17,124. Of that population, 18.5% are living in poverty with 28.9% of children living in poverty. The median household income is $36,646. The overall mortality rate per 100,000 population is 847.4. 14.4% are uninsured. Part VI, Line 4 - Community Building Activities CA Dean actively participates by fulfilling the needs of our civic, community and faith based organizations. We offer flu clinics and blood pressure clinics just to name a few. CA Dean works in collaboration with the school on a number of projects including; nutritious food 'back pack program', activities that promote health and wellness, and general health education. CA Dean sponsors a number of healthy lifestyle activities such as an annual triathlon and Bike and Boat. We also offer a Community Paramedicine Program in conjunction with ER, Inpatient, and the provider offices as a follow-up on patients in our communities. Part VI, Line 5 - Promotion of Community Health Charles A. Dean Memorial Hospital Board of Directors majority is independent. CA Dean extends medical staff privileges to all qualified physicians in the community for some of its departments. We have offered CME programs on site and invited medical staff to participate at no charge to them. Part VI, Line 6 - Affilated Health Care System The 2016 Shared Community Health Needs Assessment conducted by EMHS (Eastern Maine Healthcare Systems) in collaboration with several member/affiliated hospitals and the many public health and community organizations across the state. The Shared Community Health Needs Assessment informs initiatives to promote community health across the system as well as within each member hospitals local service area. Each member hospital adopted a local implementation strategy and community health improvement plan, tailored to meet local needs. Part VI, Line 7 - States Filing of Community Benefit Report N/A Part VI - Additional Information Disclosure in accordance with Revenue Procedure 2015-21:Part V Facility Information, Section B Facility Policies and PracticesIn accordance with Revenue Procedure 2015-21, Northern Light CA Dean Hospital (CA Dean Hospital) is disclosing the following information with respect to Section 501(r) issues that were discovered during the 2018 tax year and how these have been corrected to satisfy 501(r) requirements.For all items:A good-faith effort was made to implement the requirements of the Section 501(r) regulations. CA Dean Hospital obtained information about the requirements and sought to implement them accordingly, but later identified a compliance gap.The issue was discovered in fiscal year 2018 during an internal audit of CA Dean Hospitals compliance with Sections 501(r). To ensure full compliance with Section 501(r) regulations, Northern Light Healths Community Health and Revenue Cycle Departments perform routine reviews to assure CA Dean Hospital is in compliance with Section 501(r). In addition, Northern Light Health continues to engage Northern Light Health Internal Audit to review CA Dean Hospitals compliance with Section 501(r).Specific issue and correction:1. Widely Publicizeda. Requirement: In order to ensure the FAP is widely publicized, a hospital must take several actions, one of which is to make the FAP, FAP application form and a plain language summary of the FAP widely available on a Web site.b. Condition: On October 22, 2018, it was discovered that the link from CA Dean Hospitals Billing Help Web page did not map correctly to the Northern Light Health Financial Assistance page.c. Corrective Action: Northern Light Health Information Technology was contacted to resolve the mapping issue. Northern Light Health has since established a monthly review of all FAP-related mapping to verify functionality.d. Date Corrected: October 30, 2018. X true true false true false false false false false false false false Anthony J Filer Treasurer 491229 4785 29454 525468 Darin M Peck MD CMO 220444 69759 2186 18218 27952 338559 Galen G Durose Physician 174315 25198 835 27662 228010 Glenn Martin VPGeneral Couns Secretary 420922 18282 6635 72657 21366 539862 Jennifer Goodrich VP/Finance 149415 5107 2233 8835 18023 183613 Joseph Babbitt Physician 353008 4420 28494 385922 Lorraine Rodgerson RN VP-Nursing & Op 156522 5414 1536 7202 19155 189829 Mario Turi Physician 243726 2661 11349 257736 Mary M Hood President CEO Ex-Officio 898292 51886 7874 262793 21792 1242637 Paul Potvin Physician 277864 3175 24107 305146 Shannon M Meredith Physician 186580 20000 821 20106 227507 Terri Vieira President 106211 159316 4684 7027 1656 2483 21652 32479 9317 13975 143520 215280 Tracy Bonney-Corson Former VP/CNO 116079 4520 4476 4191 18135 147401 Yoosuf Siddiqui VP/HR Northwest 126867 4753 1639 8038 28204 169501 Part I, Line 1a: Relevant information in regards to selections on 1a. The following received a wellness program incentive:Joseph Babbitt, highest compensated employee $130Galen G Durose, highest compensated employee $137Daren Peck, director $532 This benefit is available for all employees. Linda D Gilbert VP at Bank VP=Chair Brd 136992 unsec note w/bank false Schedule L, Part V Supplemental Information Linda D. Gilbert, Charles A. Dean Board Chairman is a Camden National Bank VP. Camden National Bank is Charles A. Dean's primary bank, holding deposits of $716,590 and a note for $136,992. Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: The Charles A. Dean Memorial Hospital is a 25 bed Critical Access Hospital in rural northwestern Maine providing emergency, ambulance, inpatient acute care, outpatient surgery, specialty physician clinics and nursing home services to patients regardless of ability to pay. Provided $477,324 other uncompensated care (at cost).Additional Statistics:Northwoods Healthcare Clinic visits 11,448Hospital diagnostic and rehabilitation visits 18,356Emergency room visits 2,874 Hospital admissions 225Surgery cases 164Ambulance runs 289 OTHER PROGRAM SERVICES 5: Please see the following excerpt from the EMHS Annual Report to the Community for details of community benefit projects at EMHS members:A New DayIn Maine, we have a tradition of leading the way and using our common sense and Yankee ingenuity to make life better for ourselves, our families, and our communities. It appears in our state motto Dirigo from the Latin word for I lead. We were the first state to elect a woman, Margaret Chase Smith, to both houses of Congress. We are home to the countrys first veterans hospital, and we are the first state to greet a new day as the rays of the sun touch our easternmost peaks and shores before any other place across the continental United States.The light of a new day symbolizes a rebirth or an awakening. And this renewed purpose to make healthcare work for people across our great state is what we are experiencing as we embrace our new name-Northern Light Health.In the pages of this years annual report, you will see examples of how we are rolling up our sleeves to raise quality through innovation, teamwork, and efficiency. We have fostered new clinical relationships with Massachusetts General Hospital, a world-class medical research hospital. We are using population health data in new ways to be smarter about how we deliver care. And we have created new programs that bring healthier locally-sourced foods to our hospitals while supporting the hard-working farmers and fishermen who make up the very core of our identity here in Maine.We are working to make healthcare more accessible and straightforward while also making great strides to reduce our costs and improve our operating margins. We are finding new ways to guide our patients and deliver care based on the needs of each person. Its a New Day in Maine. We invite you to join us on this new journey.M. Michelle Hood, FACHENorthern Light Health President and CEOBarry McCrumNorthern Light Health Board Chair OTHER PROGRAM SERVICES 6: A New LightWelcome to Northern Light HealthOpen up, give me a big ahhh, Sheena Whittaker, MD, a pediatrician at Northern Light Pediatrics in Ellsworth asks of her 12-year old patient, Ellis, as she shines a light in his mouth. They are in a pediatrics exam room where Ellis is getting a check up. The windows allow in a generous amount of light; the walls are warm yellow and decorated with Dr. Seuss decals like the Cat in the Hat. Dr. Whittaker wears many hats too. Not only is she a pediatrician, but she is also the senior physician executive for Northern Light Maine Coast Hospital in Ellsworth.Medicine is very controlled, and its very scientific and careful, and it should be; but kids bring a fun aspect to it, Dr. Whittaker explains. If we can fortify children to be strong mentally, physically, emotionally, and psychologically, were going to produce stronger, kinder, healthier children, a better adult population, and a stronger community.Dr. Whittaker may be based at Maine Coast Hospital, but she is part of Northern Light Health, formerly Eastern Maine Healthcare Systems. In addition to changing its name, Northern Light Health has re-identified its priorities and is becoming more integrated across the entire system which spans from Portland to Presque Isle and Greenville to Blue Hill.Dr. Whittaker sees the move to Northern Light Health as a step in the right direction that helps improve patient care. Being united medically means we have resources from the whole Northern Light Health system. Whether were at Northern Light Maine Coast, Northern Light Blue Hill, or Northern Light Eastern Maine Medical Center, we have access to all of the specialty services easily, consecutively, consistently. So, it doesnt matter which hospital a patient walks into, they are receiving the best medical care they possibly can get, explains Dr. Whittaker.Michelle Hood, FACHE, president and CEO of Northern Light Health, and Matt Weed, senior vice president and chief strategy officer have not only worked to implement this new brand identity but to spread the message of what it means beyond the name change. They also called on leaders and front line employees throughout the system to help.At Northern Light Health, we want to make healthcare work for everyone, whether thats an individual or a community. Were going to roll up our sleeves and bring a lot of energy and enthusiasm to our continuing work, explains Michelle. Were raising the bar and that is a simple but substantive way of saying we cant rest. Were always looking for a better way to do things. Our system is very broad not just in geography but in the types of services that we offer, and we want to meet people where they are.Northern Light Health is accomplishing this by making investments in telemedicine, converting to one unified electronic health record system that links all member hospitals together, and creating new clinical relationships with world-class organizations like Massachusetts General Hospital and Dana Farber Cancer Institute.A rebrand to Northern Light Health spans timeit celebrates how far we as a system have come, but it also creates a single shared starting line for where we need to go next, Matt explains. As chief strategy officer, Matt was instrumental in the rebranding effort which was a necessary evolution as healthcare in America is moving toward integrated systems. This in part is driven by economics and financial sustainabilityin all states including Maine, the healthcare industry is being required to coordinate expertise in a way that avoids unnecessary costs.Businesses, governments, and individual consumers are looking to contract with systems for their healthcare needs because this is how they will get the highest quality at the lowest cost. More importantly still, Matt feels that what people want is to know that when the need arises, they or their loved one will receive competent, compassionate care.This is the brand promise, concludes Matt. Its what our neighbors and our family members and a person were meeting for the first time can expect when they come to our physicians and to our hospitals, and when they interact with any other person or service in the system. If were not doing it perfectly today, were motivated and driven by the brand promise to improve; and if we are doing it perfectly today, the brand promise says we wake up and do it again tomorrow. OTHER PROGRAM SERVICES 7: A New FocusOncology Pharmacy Management ProgramLori Boynton is at her happiest at home in her backyard, a spacious spread of land in Lamoine with barns, a paddock, and animals. She finds a shady spot on a sunny summer day to feed afternoon snacks to her donkey, Clementine, and her mule, Mr. Tibbs. She cracks a smile and laughs as Clementine quickly scoffs down a fresh carrot. Im the beast of burden. They dont do any work at all, she laughs, I do all the work and thats my therapy which has been awesome.To look at Lori, with her thick wavy brown hair and healthy complexion, its hard to imagine that just months ago she was battling cancer and undergoing chemotherapy and radiation treatments.Its such a shocking thing when you hear you have cancer, and I just thought its going to be stage one, itll be no problem; it was actually stage three! It makes you think much differently about your time here, she says.Lori was diagnosed with stage III colon cancer in October 2017 and would undergo treatments through May 2018. She had to go to Northern Light Cancer Care for radiation treatments but was able to take oral chemotherapy medication at home. Having already started on chemotherapy treatments at the hospital, Lori knew how it made her feel.Youre kind of in the cloud. Its kind of foggy for lack of a better word. Before, I could multi-task and I could just keep things going in my brain and then it was gone!What Lori was experiencing is not uncommon, explains Sheila Pascual, MD, who was Loris oncologist, A lot of literature has been written about what they call chemo brain or brain fog and its a neural-cognitive dysfunction where theres a decline or deficit in memory, learning new things, attention.Lori might have been worried about trying to keep track of her medications, appointments, bills, and daily chores, except that she was an outpatient in Northern Light Pharmacys Oncology Pharmacy Management Program and she had help keeping track of it all. A team of pharmacists, nurses, and financial patient advocates oc Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents Amended Article X (General Provisions), Section 3 (Fiscal Year) - to change the end of the fiscal year of the Corporation from the last Saturday in September to September 30.Amended Article X (General Provisions), Section 4 (Bonding) - to remove the Bonding section in its entirety and replace it with: "Fidelity Coverage. The Corporation shall maintain appropriate fidelity coverage protecting the Corporation from losses caused by the fraudulent or dishonest acts of individuals handling or directing the use of corporate funds." Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder The Charles A. Dean Memorial Hospital (the "Corporation") is a Maine nonprofit corporation. Eastern Maine Healthcare Systems ("EMHS"), also a Maine nonprofit corporation, is the sole voting corporate member of the Corporation. 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 the EMHS Board of Directors. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders The EMHS President has authority to appoint and remove the SVP, President of the Corporation. EMHS also has joint and superior authority to approve, disapprove or initiate action with respect to the following matters: I.amendments to the corporations Articles of Incorporation or Bylaws;II.changes in legal form of organization of the Corporation;III.election of the Directors/Trustees of the Corporation;IV.action concerning the Corporations operating budget and capital expenditures;V.the Corporations acquisition of assets or assumption of liabilities of an unaffiliated third party;VI.transfer of 5% or more of the assets of the Corporation;VII.financing transactions concerning the Corporation; VIII.merger, consolidation, sale, lease, mortgage, pledge or other disposition of all or substantially all assets of the Corporation; IX.add or revise a health care service of the Corporation;X.discontinue or close a health care service of the Corporation;XI.action concerning the Corporations role in the EMHS Strategic Plan;XII.action concerning the Corporations participation in key strategic affiliations with third parties not affiliated with EMHS; andXIII.dissolution of the Corporation. Form 990, Part VI, Line 11b: Form 990 Review Process Form 990 is reviewed by the SVP, President and VP, Finance of CA Dean Memorial Hospital. It 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 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 15a: Compensation Review & Approval Process - CEO, Top Management The SVP, President of The Charles A. Dean Memorial Hospital (C.A. Dean), who is employed by C.A. Dean, reports directly to the system parent, Eastern Maine Healthcare Systems (EMHS) President/CEO (President) who serves on the board ex-officio. The EMHS Executive Performance Management Committee (the Committee) is responsible to monitor and evaluate the performance of the EMHS President, to set compensation of the EMHS President, and to review recommendations of the EMHS President with respect to compensation of the Chief Executive Officer of the direct subsidiaries, and other direct reports to the President. The Committee is comprised entirely of independent Directors per EMHS bylaws. Process:The Committee meets regularly throughout the fiscal year at the discretion of the Committee chair as well as on call of the Chair of the EMHS board. In carrying out its duties pursuant to the Bylaws, the Committee:-Assures that the executive compensation program is administered in a manner consistent with the EMHS executive compensation philosophy.-Reviews and updates the EMHS executive compensation philosophy which serves as the foundation on which all current and future executive compensation decisions are made.-Assures that value of compensation provided by EMHS does not exceed the value of services provided by the executive.-Reviews annual incentive compensation criteria for eligible executives, as defined by the EMHS President.-Reviews periodic compensation survey information and provides expert input to proposed changes to the executive compensation program.-Assures that a formal and timely performance management system is in place for executives.-Reviews incentive compensation criteria scoring and associated pay schedules for officers and key employees.-Provides any public statements regarding executive compensation practices at EMHS deemed appropriate.-Maintains minutes of the meetings and communicates actions to the EMHS Board of Directors.To accomplish this, the committee uses an external consultant with access to comparative data from independent sources and include national as well as regional data points. The EMHS President reviews all direct report compensation actions with the committee. In addition, the EMHS President ensures that any subsidiary policies and practices governing executive compensation are consistent with the committee's philosophy and practices statement.Form 990, Part VI, Line 15b - Compensation Review & Approval Process for Officers & Key EmployeesCompensation 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 19: Other Organization Documents Publicly Available The Charles A. Dean Memorial Hospital makes its governing documents, conflict of interest policy and financial statements available to thelic upon request. Other Changes In Net Assets Or Fund Balances - Other Decreases Change in net assets held @ EMHS Foundation = -$230720 Other Changes In Net Assets Or Fund Balances - Other Decreases Contribution To Strat Pool Per Affiliation Agreement = -$122838 Other Changes In Net Assets Or Fund Balances - Other Increases Post Retirement Health Benefit FAS158 = $73619 Eastern Maine Healthcare Systems EMHS 43 Whiting Hill Road Brewer ME 04412 010527066 Supporting organization for healthcare affiliates ME 501(c)(3) 12 Type II N/A true Eastern Maine Medical Center EMMC PO Box 404 489 State Street Bangor ME 044020404 010211501 Provide healthcare services ME 501(c)(3) 3 Eastern Maine Healthcare Systems true Eastern Maine Healthcare Real Estate 43 Whiting Hill Road Brewer ME 04412 010391036 Leases real estate ME 501(c)(2) Eastern Maine Healthcare Systems true Rosscare 43 Whiting Hill Road Ste 400 Brewer ME 04412 010391038 Provide services to elderly ME 501(c)(3) PF Eastern Maine Healthcare Systems true Rosscare Nursing Homes Inc 43 Whiting Hill Road Ste 400 Brewer ME 04412 010430751 Operation of nursing homes ME 501(c)(3) 10 Rosscare true Acadia Hospital Corp AHC 43 Whiting Hill Road Brewer ME 04412 010459837 Provide healthcare services ME 501(c)(3) 3 Eastern Maine Healthcare Systems 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) 10 Eastern Maine Medical Center true Acadia Healthcare Inc AHI 43 Whiting Hill Road Brewer ME 04412 223183888 Provide healthcare services ME 501(c)(3) 10 Acadia Hospital Corp true EMHS Foundation 43 Whiting Hill Road Ste 400 Brewer ME 04412 222514163 Raise and manage funds for exempt organizations ME 501(c)(3) 12 Type II Eastern Maine Healthcare Systems true Norumbega Medical Specialists LTD 43 Whiting Hill Road Ste 400 Brewer ME 04412 010465231 Provide patient care and education ME 501(c)(3) 10 Eastern Maine Medical Center true Inland Hospital 200 Kennedy Memorial Drive Waterville ME 04901 010217211 Provide healthcare services ME 501(c)(3) 3 Eastern Maine Healthcare Systems true Lakewood 220 Kennedy Memorial Drive Waterville ME 04901 010421234 Provide skilled and long-term nursing care ME 501(c)(3) 3 Inland Hospital true Sebasticook Valley Health SVH 447 North Main Street Pittsfield ME 04967 010263628 Critical care hospital ME 501(c)(3) 3 Eastern Maine Healthcare Systems 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 Eastern Maine Healthcare Systems true Horizons Health Services PO Box 151 140 Academy Street Presque Isle ME 047690151 010504393 Provide patient care ME 501(c)(3) 3 The Aroostook Medical Center true Blue Hill Memorial Hospital 57 Water Street Blue Hill ME 046145231 010227195 Provide healthcare services ME 501(c)(3) 3 Eastern Maine Healthcare Systems true Sebasticook Valley Family Practice Assoc 447 North Main Street Pittsfield ME 04967 010357854 Provide patient care ME 501(c)(3) 10 SVH true Restoration Health LLC 43 Whiting Hill Road Brewer ME 04412 352449986 Provide mental & behavioral hlth srvcs ME 501(c)(3) 10 Acadia Healthcare Inc true Mercy Hospital 144 State Street Portland ME 04101 010211534 Provide healthcare services ME 501(c)(3) 3 Eastern Maine Healthcare Systems true VNA Home Health & Hospice 50 Foden Road South Portland ME 04106 010246804 Provide home health and hospice services ME 501(c)(3) 10 Eastern Maine Healthcare Systems true WorkHealth LLC 43 Whiting Hill Road Brewer ME 04412 474315094 Provide healthcare services ME 501(c)(3) 12 Type II EMHS true Maine Coast Regional Health Facilities 50 Union Street Ellsworth ME 04605 010198331 Provide healthcare services ME 501(c)(3) 3 EMHS true Maine Coast Medical Realty 50 Union Street Ellsworth ME 04605 010390918 Lease medical facilities ME 501(c)(3) 12 Type 1 MCMH true Lifestages Physician Services LLC 50 Foden Road South Portland ME 04106 821043752 Provide home health and hospice services ME 501(c)(3) 10 VNA true Beacon Health LLC 43 Whiting Hill Road Brewer ME 04412 452967056 Accountable care organization ME 501(c)(3) 12 Type II Eastern Maine Healthcare Systems true Beacon Rural Health LLC 43 Whiting Hill Road Brewer ME 04412 474483187 Accountable care organization ME 501(c)(3) 12 Type II Eastern Maine Healthcare Systems true Beacon Health ACO Holdings LLC 43 Whiting Hill Road Brewer ME 04412 364903784 Accountable care organization ME 501(c)(3) 12 Type II Eastern Maine Healthcare Systems true LTC LLC 43 Whiting Hill Road Brewer ME 04412 010211501 Operation of nursing homes ME 501(c)(3) 3 Eastern Maine Medical Center true Meridian Mobile Health LLC 43 Whiting Hill Road Brewer ME 04412 010512673 Ambulance ME AHS false false M Drug LLC 43 Whiting Hill Road Brewer ME 04412 272175482 Pharmacy ME AHS false false Alliance Health Documentation LLC 43 Whiting Hill Road Brewer ME 04412 462751855 Transcription ME AHS false false Affiliated Healthcare Systems AHS 43 Whiting Hill Road Brewer ME 04412 010385322 Holding Co. ME EMHS C true Affiliated Healthcare Management 43 Whiting Hill Road Brewer ME 04412 010349339 Hlthcr mgmnt ME AHS C true Affiliated Laboratory Inc 43 Whiting Hill Road Brewer ME 04412 010381283 Clinicl lab ME AHS C true Affiliated Materiel Services 43 Whiting Hill Road Brewer ME 04412 010381189 Purchasing ME AHS C true Maine Coast Physician Affiliates 50 Union Street Ellsworth ME 04605 010479952 Patient Care ME MCMH C true Beacon Direct 43 Whiting Hill Road Brewer ME 04412 371864965 Healthcare Self-funded TPA ME EMHS C true false false false false false false false false false false false true true false false true false true true Eastern Maine Healthcare Systems EMHS m 1152485 FMV Eastern Maine Healthcare Systems EMHS p 2359323 FMV Eastern Maine Healthcare Systems EMHS r 122838 FMV Eastern Maine Medical Center EMMC m 164833 FMV EMHS Foundation m 58550 FMV EMHS Foundation s 294462 FMV Sebasticook Valley Health SVH m 64386 FMV Beacon Health LLC m 101129 FMV Affiliated Laboratory Inc m 168767 FMV