2019-08-07T07:57:37-07:00 2018-09-30 990 2017-10-01 010372148 EASTERN MAINE HEALTHCARE SYSTEMS TAMC THE AROOSTOOK MEDICAL CENTER TAMC EAST 2079739081 PO BOX 151 PRESQUE ISLE ME 04769 John J Doyle NLH VP of Finance 2019-08-07 false 2017 2019-02-21 02:37:17Z John J Doyle 330927540 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. 14 9 1233 74 0 61863 508237 321978 305102148 320045798 -333008 1662634 5874375 8750082 311151752 330780492 33500 36050 0 82654695 87590911 0 0 226766667 237856712 309454862 325483673 1696890 5296819 77839817 72042608 55444923 46670574 22394894 25372034 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 284239703 36050 330284598 PROVISION OF ACUTE & SUBACUTE HOSPITAL CARE RELATED TO OUTPATIENT CLINICS AND HEALTH CARE SERVICES. SERVED 29,690 PATIENT DAYS OF ROUTINE SERVICES AND 83,125 OUTPATIENTS. PROVIDED SERVICES REGARDLESS OF ABILITY TO PAY AS WELL AS EDUCATION AND PROMOTION OF HEALTH. PROVIDED OTHER UNCOMPENSATED CARE (AT COST) OF $3,328,421. 21021418 MEDICARE SHORTFALLS (AT COST). 76,628 PERSONS SERVED 3043370 MEDICAID SHORTFALLS (AT COST). 24,790 PERSONS SERVED 1378365 309682856 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 true false true false false false false false false false false false true false false false false false false true true true false false true 135 0 true 1233 true true true false false false false false false 0 false false false false false false false false false false X 14 9 false false true false true true true true true false false true true true true true true true false true true ME X X X John J Doyle 2079739081 43 Whiting Hill Road Brewer ME 04412 RICHARD DUNCAN Trustee/ViceChr 1.00 0.00 X X 0 0 0 CAROL BELL Trustee/Chair 1.00 0.00 X X 0 0 0 DAVID WEED MD Pres Med Staff 50.00 0.00 X 500102 0 26998 M MICHELLE HOOD President EMHS 1.00 50.00 X X 0 958052 284585 HOLLY JOHNSON Trustee 1.00 0.00 X 0 0 0 WENDY BOUCHER MD VP Med Staff 50.00 0.00 X 573306 0 18854 JOHN HERWEH Trustee 1.00 0.00 X 0 0 0 LYNN LOMBARD Trustee 1.00 0.00 X 0 0 0 GENE LYNCH Trustee 1.00 0.00 X 0 0 0 PETER ST JOHN Trustee 1.00 0.00 X 0 0 0 JANE TOWLE Trustee 1.00 0.00 X 0 0 0 BARRY MCCRUM Trustee 1.00 0.00 X 0 0 0 SERGIO LEMA-GUTIERREZ MD Trustee 50.00 0.00 X 290292 0 35575 SCOTT VIOLETTE Trustee 1.00 0.00 X 0 0 0 STEVE ST PIERRE Trustee 1.00 0.00 X 0 0 0 GREG CLARK Trustee 1.00 0.00 X 0 0 0 MARK WILCOX Trustee 1.00 0.00 X 0 0 0 MAURA KELLY VP Finance Svcs 50.00 0.00 X 249618 0 23925 ANTHONY FILER Sr VP/CFO/Treas 1.00 50.00 X 0 496014 29454 GREGORY LAFRANCOIS SVP, President 50.00 0.00 X 286242 0 1592 GLENN MARTIN VP/Gen Csl/Sec 1.00 50.00 X 0 445839 94023 JAY REYNOLDS MD CMO/CCO 50.00 0.00 X 284608 0 42341 ROGER PELLI DO VP, CMIO 50.00 0.00 X 259575 0 31874 GLENDA DWYER VP, COO 50.00 0.00 X 277853 0 25920 YOOSUF SIDDIQUI VP HR/NW Region 1.00 50.00 X 0 133259 36242 NATHAN UEBELHOER PHYSICIAN 40.00 0.00 X 624805 0 10630 MARK MORIN OPHTHAMOLOGY 40.00 0.00 X 606289 0 35177 MARK A BILLINGTON SURGEON 40.00 0.00 X 581016 0 20511 DAVID F HORNE DERMATOLOGY 40.00 0.00 X 555918 0 9802 ALAN P MAUTZ PHYSICIAN 40.00 0.00 X 539031 0 39900 C BRUCE SANDSTROM Former VP of Finance 0.00 50.00 X 0 337913 17360 JOY BARRESI SAUCIER Former VP STRATEGY & COMM BENEFITS 40.00 0.00 X 110918 0 4851 ROLAND E JOY FORMER VP PATIENT CARE SERVICES 40.00 0.00 X 78501 0 8894 5818074 2371077 798508 107 true true false COMPHEALTH INC PO BOX 972651 DALLAS TX 753972651 PHYSCN FEES-LOCUMS 3584421 AMERICAN MOBILE NURSE DBA 2735 COLLECTION CENTER DRIVE CHICAGO IL 60693 TEMP STAFF 2033053 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 753972633 PHYSCN FEES-LOCUMS 910990 FRESH AIR LLC 12 AIRPORT DRIVE CARIBOU ME 04736 AIR AMBULANCE 528648 AROOSTOOK MRI LLC PO BOX 6600 NEWPORT BEACH CA 92658 PURCHASE SERVICE 506646 17 139192 182786 15125 321978 Cafeteria 722210 426782 426782 LiveSafe Revenue 624200 218987 218987 Program Service 621990 319400029 319400029 320045798 1635397 1569341 66056 0 0 27425 54369 -26944 -26944 -26944 35168 7931 27237 27237 27237 0 0 165371 84748 80623 80623 340B Revenue 621990 8643728 8643728 Meaningful Use 621990 48478 48478 Misc Revenue 900099 4197 4197 8696403 330780492 329857816 600698 36050 36050 0 0 0 2928675 2367298 561377 0 69369655 63345697 6023958 1746613 1570724 175889 9300472 8345601 954871 4245496 3817961 427535 0 4362 4362 15778 15778 0 0 0 14051713 10349625 3702088 80958 124 80834 2801241 2029442 771799 3017581 2687402 330179 0 2587395 1904565 682830 556624 437834 118790 0 140331 102096 38235 838128 838128 0 3832869 3204287 628582 1311356 1274268 37088 CONTRACTUAL ALLOWANCES 175829659 175829659 MEDICAL SUPPLIES EXPENSE 16409993 16409993 PROVISION FOR BAD DEBTS 8571822 8571822 Charity Care 4049326 4049326 3757576 3349082 408494 325483673 309682856 15800817 0 3740 3840 100 0 9506 25218635 21689551 0 0 649349 654735 2198408 2254826 1405780 1020055 93986463 61078070 34790766 32908393 0 0 0 0 13573039 13501702 77839817 72042608 28952892 19805200 6695 26485336 26865374 55444923 46670574 X 15158148 18691062 4512573 3956599 2724173 2724373 22394894 25372034 77839817 72042608 X 5296819 -1398932 -920747 X false true X true false X false false false false false false false false false false true 9821 9821 false false Part II-B, Line 1i - Other Activities Description Non-deductible portion of dues. 2941700 3201633 -601 52260 6090472 3203458 365752 609560 17950 2941700 2948531 265032 4859 5246 3203458 3058725 5000 -75498 19939 19757 2948531 1909135 1169884 20294 3058725 1.00000 false true true 227598 227598 43484565 27829634 15654931 3289600 2118071 1171529 43608859 29023245 14585614 3375841 2107120 1268721 32908393 Assets whose use is limited 88772 Board Designated Other 6273011 Investments in County Physical Therapy 371517 Other Assets 87430 Permanently Donor Restricted Funds 2724373 Temporarily Donor Restricted Funds 3956599 13501702 Amounts due to Related Org 20335965 Reserve for Asset Disposal Costs 258912 Reserve for Retiree Health Benefits 6270497 26865374 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 false false true true 512 1378365 1378365 0.01010 24790 14498146 11454776 3043370 0.02220 227396 227396 0.00170 25302 16103907 11454776 4649131 0.03400 7 196625 196625 0.00140 2 512411 512411 0.00370 16 78650 78650 0.00060 25 787686 787686 0.00570 25 25302 16891593 11454776 5436817 0.03970 1 26 80489 6500 73989 0.00100 1 26 80489 6500 73989 0.00100 true 3328421 48516457 69537875 -21021418 X true true COUNTY PHYSICAL THERAPY OUTPATIENT PHYSICAL THERAPY 0.50000 1 1 The Aroostook Medical Center 140 Academy Street Presque Isle ME 04769 www.tamc.org 37937 X X X The Aroostook Medical Center 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 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. 110 respondents from Aroostook county participated in the survey.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; Obtained stakeholder input on identifying significant health needs based on review of shared CHNA data; Solicited stakeholder feedback on prioritizing significant health needs, and; Identified 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 January 11, 2016 Presque Isle Chapter of Rotary International Shared CHNA Community Engagement Forum and provided valuable feedback on the Shared CHNA.Details about organizations: Representatives from The Aroostook Medical Center (serves low income patients on MaineCare and medically underserved patients through low cost/free care), Presque Isle city government (city council, city manager, fire chief), University of Maine at Presque Isle (UMPI), Northern Maine Community College (NMCC), and various local businesses were present. The Rotary Club acts as a funding agency to the United Way and other local charities. 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 Maines 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 The Aroostook Medical Center (TAMC). Part V, Line 11 - Explanation of Needs Not Addressed and Reasons Why Priorities of Focus - Based on the Aroostook County needs identified during the Community Health Needs Assessment, TAMC has selected the following areas for which we can make a positive impact within our region. Going forward, these priorities will be a focus of our community outreach and operational resources.1. Decrease youth obesity.2. Decrease number of adults age 20-60 with cardiovascular disease risk factors. 3. Improve health status of adults over 65 with 3 or more chronic conditions.4. Decrease inappropriate emergency department utilization by the Medicaid population.5. Improve access to behavioral health services.6. Increase early identification of domestic violence and link victims with appropriate resources.Secondary Focus - For the following community needs, TAMC will play a collaborative role by partnering with and supporting the organizations in the community that are already focused on these areas.1. Oral Health2. Transportation3. Affordable Housing4. Economic Development5. Educational Attainment Part V, Line 16j - Other Means Hospital Facility Publicized the Policy Response for 7a (list url) is https://northernlighthealth.org/A-R-Gould-HospitalResponse for 7b (list url) is https://northernlighthealth.org/Community-Health-Needs-Assessment/2016-CHNA-ReportsResponse for 10 (list url) is https://northernlighthealth.org/Community-Health-Needs-Assessment/2016-CHNA-Reports/Community-Health-StrategyResponse for 16a, 16b, 16c (list url) is http://northernlighthealth.org/A-R-Gould-Hospital under "Bill Pay & Financial Assistance" AROOSTOOK GENERAL & VASCULAR SURGERY CTR 146 ACADEMY STREET STE 1A PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC FAMILY PRACTICE & INTERNAL MEDICINE 23 NORTH STREET STE 4 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC OBGYN MIDWIFERY 140 ACADEMY STREET STE 4 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC AROOSTOOK PEDIATRICS 23 NORTH STREET STE 1 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC SLEEP MEDICINE SERVICES 140 ACADEMY STREET STE 3 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC AROOSTOOK CANCER CARE 140 ACADEMY STREET PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC COUNTY DIALYSIS CENTER 23 NORTH STREET SUITE 5 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC AROOSTOOK HEALTH CENTER 15 HIGHLAND AVENUE PO BOX 40 MARS HILL ME 04758 NURSING HOME, OUTPATIENT CLINIC FORT FAIRFIELD HEALTH CENTER 23 HIGH STREET FORT FAIRFIELD ME 04742 OUTPATIENT PHYSICIAN CLINIC OUTPATIENT SPECIALTY CLINICS 146 ACADEMY STREET SUITE 3 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINICS WALK IN CARE 23 NORTH STREET STE 2 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC AROOSTOOK HEART & LUNG CENTER 146 ACADEMY STREET STE 1B PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC TAMC UROLOGY SERVICES 140 ACADEMY STREET STE 5 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NEPHROLOGY SERVICES 146 ACADEMY STREET PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC CARIBOU HEALTH CENTER 118 BENNETT DRIVE STE 130 CARIBOU ME 04736 OUTPATIENT PHYSICIAN CLINIC MARS HILL HEALTH CENTER 106 MAIN STREET MARS HILL ME 04758 OUTPATIENT PHYSICIAN CLINIC WOMENS HEALTH CENTER 140 ACADEMY STREET STE 6 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC TAMC EYE SERVICES 146 ACADEMY STREET SUITE D PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC CROWN AMBULANCE 140 ACADEMY STREET PRESQUE ISLE ME 04769 AMBULANCE SERVICE TAMC ORTHOPEDIC SERVICES 140 ACADEMY STREET SUITE 10 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINICS SLEEP DISORDERS CENTER 140 ACADEMY STREET SUITE 2 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINICS TAMC EARS NOSE and THROAT 140 ACADEMY STREET SUITE 12 PRESQUE ISLE ME 04758 OUTPATIENT PHYSICIAN CLINIC CROWN AMBULANCE AROOSTOOK HEALTH CENTER 18 HIGHLAND AVENUE MARS HILL ME 04769 AMBULANCE SERVICE CROWN AMBULANCE COMMUNITY GENERAL HOSPITAL 23 GREEN STREET FORT FAIRFIELD ME 04742 AMBULANCE SERVICE CROWN AMBULANCE 6 VICTORIA STREET WADE ME 04786 AMBULANCE SERVICE CROWN AMBULANCE 119 WEINMAN DRIVE LIMESTONE ME 04750 AMBULANCE SERVICE Part I, Line 6a - Related Organization Community Benefit Report The Aroostook Medical Center 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 $8,571,822 of bad debt expense, $4,049,326 of charity care, $175,829,659 of contractual allowances is included on Form 990, Part IX, line column (A). Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense The costing methology 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 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. Part VI, Line 2 - Needs Assessment The Aroostook Medical Center uses quality and accountable care data to identify readmission trends. This data has resulted in additional hospital based services including: a community based pharmacist, a congestive heart clinic, and continuation of both inpatient and outpatient case management programs. Part VI, Line 3 - 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, Line 4 - Community Information The Aroostook Medical Center (TAMC) is the largest, most comprehensive healthcare organization in Aroostook County, Maine. Governed by a volunteer board of trustees, our active medical staff consists of over 60 physicians and 48 allied health professionals. As a member of EMHS (Eastern Maine Healthcare Systems), we are able to provide care not commonly found in rural areas, including outpatient hemodialysis, diagnostic heart catheterization, acute inpatient rehabilitation, and comprehensive cancer care (including both medical and radiation oncology and a PET CT service). A.R. Gould Memorial Hospital serves as the heart of TAMCs care delivery network, which includes Crown Emergency Care ambulance service, Crown Critical Care Transport ground and fixed-wing air transport service, several primary care centers, a broad scope of specialty services, and a 72 bed long-term skilled nursing and rehabilitation center. TAMC serves as EMHSs most northern member serving all of Aroostook County, Maine. As such, TAMC acts as a leader in the region to improve overall community wellness. TAMC leadership serves on the boards and subcommittees of the Aroostook District Public Health Council and several other health and economic development organizations.Aroostook County is home to 69,405 people, living in a region encompassing 6,671 square miles, with a population density of 10.1 people per square mile. Aroostook has 23.3% of the population over 65 years of age, which is higher than the Maine rate of 18.8%. Aroostook is predominately white (95.2%), with a small African American (0.9%), American Indian (1.6%) and Hispanic (1.1%) population. Aroostook trails Maine in education status with only 87.6% of adults having a high school diploma and only 18.5% having a bachelors degree. The median household income in Aroostook is $38,087 and over 17.7% of people live below the poverty level. Major industries include agriculture and forestry.Of Maines 16 counties, Aroostook County ranks fifteenth in health outcomes and sixteenth for quality of life. Top health issues include obesity, drug and alcohol abuse, cardiovascular disease, diabetes, and respiratory diseases. Factors influencing health in Aroostook include access to behavioral and mental health care, poverty, employment, health insurance, and transportation. Part VI, Line 4 - Community Building Activities TAMC hosted Survivor Health Career Exploration camp the summer of 2018, with 29 campers. The intent of the camp is to introduce students to careers in healthcare. Changes are underway for the 2019 season due to the decrease in campers. Changes have been made to transition from a one week camp residency program to a various training opportunities over their high school career. Part VI, Line 5 - Promotion of Community Health Collaboration is imperative in Aroostook County as TAMC works with numerous local and regional organizations to improve community health and engage people of all ages in healthy behaviors. Over the past year, TAMC has partnered with each of the Countys hospitals, the higher education institutions, the local Community Action Program, the local Agency on Aging, the Boys and Girls Club of America, residents of the Presque Isle Housing Authority, The United Way of Aroostook, and several other organizations to bring a variety of programs to the community. From promoting physical activity, identifying those with food insecurity challenges, providing education about chronic disease management, working on cutting smoking rates, to provide education about opioid abuse, TAMC has helped positively affect the lives of thousands of residents in northern Maine across the age spectrum. In the fall of 2017, TAMC provided free influenza vaccinations to 904 County residents, in addition to our employees and school staff at various schools. 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. TAMC is a member of EMHS. EMHS (Eastern Maine Healthcare System) includes nine hospitals, numerous physician practices, long-term care facilities, home health and hospice, and ground and air emergency transport. EMHS has a proven record of quality outcomes, cost reduction, and highly engaged patients. The EMHS statewide network of care is tailored to the needs of communities and individuals, working to ensure that the people of Maine have the care they need close to home. Promotion of health is a major priority for EMHS. EMHS leadership participates on the Maine CDC Public Health Statewide Coordinate Council and the Maine Public Health Association. EMHS coordinates several state-wide wellness initiatives. All hospitals are engaged around specific initiatives related to combatting opioid abuse and food insecurity.TAMC (The Aroostook Medical Center) serves as EMHSs most northern member serving all of Aroostook County, Maine. As such, TAMC acts as a leader in the region to improve overall community wellness. TAMC leadership serves on the board of the Maine CDC Aroostook District Public Health Council. Over the past year, TAMC has engaged with several community organizations to introduce a significant number of health promotion and wellness activities, including a women's health conference, year round family physical activity series, community health fair, wellness presentations for seniors, health screenings, chronic disease management classes, provided outreach to the local housing authority and local native American tribe focused on wellness activities, provider speakers for various community health events, and collaborated with a local Community Action Program to provide food insecurity screening and referral program for primary care patients. 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, AR Gould 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. AR Gould obtained information about the requirements and sought to implement them accordingly, but later identified some compliance gaps.The issues were discovered in fiscal year 2018 during an internal audit of AR Goulds 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 AR Gould is in compliance with Section 501(r). In addition, Northern Light Health continues to engage Northern Light Health Internal Audit to review AR Goulds compliance with Section 501(r).Specific issues and corrections:1. Incorrect calculation of Amounts Generally Billed (AGB) a. Requirement: A hospital facility may determine AGB for any emergency or other medically necessary care it provides to a FAP-eligible individual by multiplying the hospital facilitys gross charges for the care by one or more percentages of gross charges (AGB percentage(s)). A hospital facility using this method must calculate its AGB percentage(s) at least annually by dividing the sum of the amounts of all of its claims for emergency and other medically necessary care that have been allowed by health insurers during a prior 12-month period by the sum of the associated gross charges for those claims.b. Condition: AR Gould incorrectly calculated the AGB because it did not use actual amounts allowed by health insurers or associated gross charges in its calculation of AGB. Instead, AR Gould used adjusted net patient revenue divided by adjusted gross patient revenue in calculating the AGB.c. Corrective Action: In response, AR Gould recalculated the AGB using the required data and retroactively adjusted its AGB for FY 2017 and 2018 to the correct percentage. AR Gould has identified 2697 patient accounts affected by the correction and to date has corrected 1808 accounts and has adjusted $41,528 in order to restore each affected individual to the position in which he or she would have been had the failure not have occurred. Of this total adjustment amount, $9,146 was actually required to be refunded to the individual; the remainder was in the form of accounting adjustments only. At this time AR Gould has 889 accounts remaining to be corrected with an anticipated total adjustment of $78,750. d. Date Corrected: The new AGB was calculated in December 2018 and for 501(r) compliance purposes AR Gould applied the correct AGB to all patient accounts as of the beginning of October 2018. By October 1, 2019, AR Gould expects to restore each remaining affected individual to the position in which he or she would have been had the failure not have occurred.2. 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 AR Goulds 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. true LifeFlight Foundation PO Box 899 Camden ME 04843 522377085 501(c)(3) 10000 0 Aircraft-helicopters 1 0 Grantmaker's Description of How Grants are Used The Organization makes payments only to other not-for-profit organizations. Therefore, additional monitoring was not deemed necessary. X true true true true false false false false false false false false ALAN P MAUTZ PHYSICIAN 535704 400 2927 8805 31095 578931 ANTHONY FILER Sr VP/CFO/Treas 491229 4785 29454 525468 C BRUCE SANDSTROM Former VP of Finance 250885 83162 3866 5400 11960 355273 DAVID F HORNE DERMATOLOGY 489996 60000 5922 9450 352 565720 DAVID WEED MD Pres Med Staff 496193 3909 15225 11773 527100 GLENDA DWYER VP, COO 260519 8489 8845 12258 13662 303773 GLENN MARTIN VP/Gen Csl/Sec 420922 18282 6635 72657 21366 539862 GREGORY LAFRANCOIS SVP, President 284100 2142 1592 287834 JAY REYNOLDS MD CMO/CCO 282648 711 1249 14159 28182 326949 JOY BARRESI SAUCIER Former VP STRATEGY & COMM BENEFITS 51531 59387 4230 621 115769 M MICHELLE HOOD President EMHS 898292 51886 7874 262793 21792 1242637 MARK A BILLINGTON SURGEON 572964 8052 10533 9978 601527 MARK MORIN OPHTHAMOLOGY 573190 29425 3674 14543 20634 641466 MAURA KELLY VP Finance Svcs 225490 20000 4128 4414 19511 273543 NATHAN UEBELHOER PHYSICIAN 611241 10000 3564 9450 1180 635435 ROGER PELLI DO VP, CMIO 254797 500 4278 14425 17449 291449 ROLAND E JOY FORMER VP PATIENT CARE SERVICES 61037 17464 2393 6501 87395 SERGIO LEMA-GUTIERREZ MD Trustee 286989 2900 403 8051 27524 325867 WENDY BOUCHER MD VP Med Staff 571294 2012 18854 592160 YOOSUF SIDDIQUI VP HR/NW Region 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:Joy Barresi Saucier, officer $ 40Glenda Dwyer, officer 400David Weed, officer/trustee 195 The benefit is available for all employees.The following received a giftcard for $7:Mark Morin, highest compensated employee Jay Reynolds, officer Tina Weed fam mem=officer 57932 compensation false Beverly McCrum fam mem=brd mem 35410 compensation false Schedule L, Part V Supplemental Information Tina Weed is a family member of an officer and is an employee of TAMC.Beverly McCrum is a family member of a board member and is an employee of TAMC. Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: CHARITY CARE PROVIDED (AT COST). 512 PERSONS SERVED 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: OTHER PROGRAM SERVICES 6: In 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 7: 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. OTHER PROGRAM SERVICES 8: 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 9: 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 occupy a room on the first floor of the Lafayette Family Cancer Institute. They spend their time on the phone with patients, helping them with everything from finding discount drugs to managing their medications, and coordinating care with their medical team.Before this program was implemented, patients had no local source to obtain these medications and were forced to go through national mail order specialty pharmacies that were 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 Aroostook Medical Center (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 VP of Finance. It is also 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 TAMC and the system President/CEO (President) who serves on the board ex-officio are employed by the system parent, Eastern Maine Healthcare Systems (EMHS). 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 SVP, President of the direct subsidiaries, and other direct reports to the EMHS 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. The compensation of officers and key employees are reviewed by the system President/CEO and EMMC Executive & Finance committee. 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 Aroostook Medical Center makes its governing documents, conflict of interest policy and financial statements available to the public upon request. 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