2019-08-07T08:24:45-07:00 2018-09-30 990 2017-10-01 010198331 Maine Coast Regional Health Facilities DBA Maine Coast Memorial Hospital MAIN 2079739081 50 Union Street Ellsworth ME 04605 John J Doyle NLH VP of Finance 2019-08-07 false 2017 2019-02-21 02:37:17Z John J Doyle 182298468 false false X www.mcmhospital.org X 1964 ME The Hospital is a not-for-profit entity established to provide health care services through its acute care facility and physician practices. 13 9 770 76 0 1511261 871604 178940395 181341770 1360804 39701 563513 41406 182375973 182294481 0 0 56421035 54841463 0 0 130436627 131549532 186857662 186390995 -4481689 -4096514 58914249 61813387 42129626 49500605 16784623 12312782 X The Hospital is a not-for-profit entity established to provide health care services through its acute care facility and physician practices. false false 164194038 181375501 Provided healthcare services regardless of ability to pay as well as education and promotion of health. Provided $5,057,613 of other uncompensated care (at cost).Admissions 2,230Patient Days 7,874Average Stay 3.5 daysClinic Visits:Eleanor Widener Dixon Memorial Clinic 9,497S.W. Harbor Medical Center 4,847Emergency Room Visits 14,072Surgical Cases - Inpatient 428Surgical Cases - Outpatient 1,540Laboratory Tests: 244,146Radiology Exams:Diagnostic Radiology 14,097Ultrasound 5,717CT Scan 6,187Mammography 3,565Nuclear Medicine 500MRI 1,962Physical Therapy 73,324Births 230 9598758 Experienced Medicare shortfall (at cost). 51,944 persons served. 1828407 Experienced Medicaid shortfall (at cost). 12,249 persons served. 1181044 176802247 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 false true false false false false true true true false false true 87 0 true 770 true false false false false false false false false 0 false false false false false false false false false false X 13 9 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 Doyle 2079739081 43 Whiting Hill Road Brewer ME 04412 Douglas MacGregor Ex-officio 50.00 0.00 X 253506 0 28576 Jeffrey Dow Trustee 1.00 0.00 X 0 0 0 Debra Ehrlenbach Trustee 1.00 0.00 X 0 0 0 Scott Hammond Trustee/Chair 2.00 0.00 X X 0 0 0 Mary M Hood Ex-Officio 1.00 50.00 X X 0 958052 284585 Sally Hutchins Trustee/Vice Ch 1.00 0.00 X X 0 0 0 Scott Kimball Trustee 1.00 0.00 X 0 0 0 Alan Nauss MD Trustee 1.00 0.00 X 0 0 0 Peter Witham MD Ex-Officio 50.00 0.00 X 207920 0 25927 Curtis Simard Trustee 1.00 0.00 X 0 0 0 Karen Stanley Trustee 1.00 0.00 X 0 0 0 Kevin Tesseo Trustee 1.00 0.00 X 0 0 0 Adin Tooker Trustee 1.00 0.00 X 0 0 0 John Ronan Ex-officio 25.00 25.00 X X 159204 159204 68824 Kristin Cyr VP Patient Care 25.00 25.00 X 71761 71761 28152 Anthony Filer Treasurer 1.00 50.00 X 0 496014 29454 Ardelle Bigos VP Patient Care 25.00 25.00 X 116684 116684 27892 Paul Bolin VP, CHRO 1.00 50.00 X 0 336066 47158 Glenn Martin Secretary 1.00 50.00 X 0 445839 94023 Wendy Jones VP, Finance 25.00 25.00 X 97218 97218 38894 Sheena Whittaker MD VP Sr Phys Exec 50.00 0.00 X 280721 0 33730 Mark Hankinson VP Operations 25.00 25.00 X 79915 79915 18504 Bruce Hamilton-Dick Physician 50.00 0.00 X 820635 0 37261 Paul R Benoit Physician 50.00 0.00 X 568823 0 36828 Elaine Mau Physician 50.00 0.00 X 561512 0 13685 Davor Sklizovic Physician 50.00 0.00 X 495264 0 35637 Martin Curlik Physician 50.00 0.00 X 416961 0 26272 Chris D Frauenhofer Former VP, Finance 50.00 0.00 X 237291 0 35755 Charles Therrien Former SVP & President 50.00 0.00 X 390996 0 68973 4758411 2760753 980130 80 true true false CHG Companies PO Box 972651 Dallas TX 753972651 Contract Labor 691044 Weatherby Locums Inc PO Box 972633 Dallas TX 753972633 Contract Labor 648239 Dahl Chase Diagnostic Services 417 State Street Bangor ME 04401 Lab Services 565675 AMN Healthcare 12400 High Bluff Drivef San Diego CA 92130 Contract Labor 451067 Quest Diagnostics 14225 Newbrook Drive Chantilly VA 201512228 Lab Services 451052 14 493919 5000 372685 75470 871604 Cafeteria/Vending Revenue 722210 183603 183603 Patient Service Revenue 621990 181158167 181158167 181341770 43610 43610 0 0 7675 7675 7675 7675 78 3987 78 -3987 -3909 -3909 0 0 0 340b Pharmacy Benefits 621990 186731 186731 Meaningful Use 621990 -153000 -153000 33731 182294481 181191898 230979 0 0 0 0 1446295 1136014 310281 0 44145317 42362320 1782997 726615 697305 29310 6090674 5839929 250745 2432562 2334438 98124 0 0 34886 34886 0 0 0 9106607 4180981 4925626 82735 82735 2054608 1532109 522499 925842 888496 37346 0 1642998 1181252 461746 127832 108355 19477 0 12266 12266 453849 311411 142438 0 2360890 1619935 740955 1004480 963962 40518 Contractual Allowances 86422077 86422077 Provision for uncollectible ac 11003820 11003820 Medical Supplies Expense 10739597 10739597 Charity Care 2563235 2563235 3013810 2822010 191800 186390995 176802247 9588748 0 4060 4594 1460763 991386 0 19827298 24343269 0 0 116130 632833 561931 1122737 859042 32069378 8186317 25024059 23883061 0 0 0 300000 300000 10542499 10753974 58914249 61813387 28427135 36114839 68839 50000 13633652 13335766 42129626 49500605 X 12384232 8022975 1623505 1154004 2776886 3135803 16784623 12312782 58914249 61813387 X -4096514 64239 -439566 X false true X true false X false false false false false false false false false false true 4739 4739 false false Part II-B, Line 1i - Other Activities Description Non-deductible portion of dues 6064380 294678 454505 253535 6560028 18854258 494050 1815384 15099312 6064380 15420092 5298162 2019330 3883326 18854258 17840050 -1115765 1304193 15420092 21537888 -98438 3599400 17840050 0.71800 0.28200 false true true 308479 308479 14151225 2308572 11842653 1480696 626234 854462 12640425 4878804 7761621 3488553 372707 3115846 23883061 Assets whose use is limited 37963 Benefits Trust Assets 1616602 Board Designated Other 6426204 Permanently Donor Restricted Funds 1519201 Temporarily Donor Restricted Funds 1154004 10753974 Amounts due to Related Org 11746020 Liability Under Cap Lease Obligation 76904 Reserve for Asset Disposal Costs 14921 Reserve for Retiree Health Benefits 1497921 13335766 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 562 1181044 1181044 0.01370 12249 9139120 7310713 1828407 0.02120 131304 131304 0.00150 12811 10451468 7310713 3140755 0.03640 8 922 186146 186146 0.00220 1 11982 11982 0.00010 1 397 397 10 922 198525 198525 0.00230 10 13733 10649993 7310713 3339280 0.03870 1 20 4098 4098 1 15748 15748 0.00020 2 20 19846 19846 0.00020 true 5057613 25097203 34695960 -9598757 X true true 1 1 Maine Coast Memorial Hospital 50 Union St Ellsworth ME 04605 www.mcmhospital.org 38528 X X X Maine Coast 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 10, 2015 Hancock County Shared CHNA Community Engagement Input Forum and provided valuable feedback on the Shared CHNA.Details about organizations: State Government - representation from DHHS (low income, medically underserved); Non-profit hospitals (Maine Coast Memorial Hospital, Blue Hill Memorial Hospital, Mount Desert Island Hospital providing services to MaineCare populations (medically underserved); Healthy Acadia and Healthy Peninsula provide individuals with health supports and coordination of education and prevention services. Non-profit agency- SAGE and GLSEN: provide advocacy and services for LGBT community. Beth Wright provides resources and care for individuals and families with cancer in both counties. Birch Bay and Hancock County Hospice/Home Care provide services for seniors and aging population (low income). Hancock County EMA provides emergency management to all of Hancock County towns. 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 TAMC. Part V, Line 13h - Other Factors Used in Determing Amounts Charged Patients FPG family income Part V, Line 16j - Other Means Hospital Facility Publicized the Policy Response for 7a (list url) is https://northernlighthealth.org/Maine-Coast-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-Strategy16j. Response for 16a, 16b, 16c (list url) is https://northernlighthealth.org/Maine-Coast-Hospital under Bill Pay & Financial Assistance Coastal Health Center And The Coastal Skin Center 37 Commerce Park Ellsworth ME 04605 Physician Practice Ellsworth Family Practice 32 Resort Way Ellsworth ME 04605 Physician Practice Gouldsboro Rehabilitation Services 37 Clinic Road Gouldsboro ME 04607 Clinic Maine Coast Rehabilitation Services 65 Church Street Ellsworth ME 04605 Clinic Somesville Rehabilitation Services Route 102 Mount Desert ME 04660 Clinic Eleanor Widener Dixon Memorial Clinic 37 Clinic Road Gouldsboro ME 04607 Physician Practice Ellsworth Internal Medicine 32 Resort Way Ellsworth ME 04605 Physician Practice Maine Coast Pediatrics 32 Resort Way Ellsworth ME 04605 Physician Practice Southwest Harbor Medical Center 45 Herrick Road Southwest Harbor ME 04679 Physician Practice Downeast Dermatology 50 Union Street Ellsworth ME 04605 Physician Practice Frenchman Bay Orthopedics 50 Union Street Ellsworth ME 04605 Physician Practice Maine Coast General Surgery 50 Union Street Ellsworth ME 04605 Physician Practice Maine Coast Otolaryngology 50 Union Street Ellsworth ME 04605 Physician Practice Maine Coast Urology 50 Union Street Ellsworth ME 04605 Physician Practice Maine Coast Women Care 50 Union Street Ellsworth ME 04605 Physician Practice Neurology Services 50 Union Street Ellsworth ME 04605 Physician Practice Maine Coast Rheumatology 50 Union Street Ellsworth ME 04605 Physician Practice Cardiology 50 Union Street Ellsworth ME 04605 Physician Practice Oncology 50 Union Street Ellsworth ME 04605 Clinic Osteoporosis Clinic 50 Union Street Ellsworth ME 04605 Clinic Wound Center 50 Union Street Ellsworth ME 04605 Clinic Maine Coast Specialty Clinic 306 Main Street Ellsworth ME 04605 Physician Practice Maine Coast Podiatry 318 Main Street Ellsworth ME 04605 Clinic Part I, Line 6a - Related Organization Community Benefit Report Maine Coast 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 $11,003,820 of bad debt expense, $2,563,235 of charity care, $86,422,077 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 collection from outstanding balances. Management provides for probably 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 are screened for eligibility for charity care using an application and guidelines established by Maine Coast Memorial Hospital. 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 We notify patients and customers about access to Assistance in various ways. The simplest way is the signage, pamphlets and educational material located around the Organization and in the offices. In every Patient Access/Patient Financial Services area, is a sign explaining the availability of Free/Discounted care and the Federal Poverty guidelines. There are also pamphlets located in the outpatient areas explaining Free Care/Discounted Care and providing information on MaineCare. For inpatients, there is a book in the room which provides all the information on all programs available. Part VI, Line 4 - Community Information Located in Ellsworth, Maine, Maine Coast Memorial Hospital is a member of EMHS. The 64-bed, full-service hospital serves Hancock and western Washington Counties. Opened in 1956, our comprehensive healthcare facility provides emergency, primary and specialty care, acute inpatient, diagnostic, and surgical services. Maine Coast Memorial Hospital is accredited by The Joint Commission, reflecting our commitment to meeting the highest performance standards for patient safety and quality, and has received both national and state recognition for patient safety, outcomes, and patient satisfaction levels. Maine Coast Memorial Hospital strives to provide access to healthcare and improve the quality of health in the communities it serves. It does this through robust partnerships with other health care facilities and public service organizations. 2013 data shows Hancock County with a population of 54,845, 14 percent of whom live in poverty (21.5 percent of children in the county live in poverty.) 61.7 percent of the population is over age 18, and 20.7 percent of the population is over age 65. Statistically, residents of Hancock County are more likely to be uninsured than the rest of the state (14.7 percent versus 10.4 percent) and MaineCare enrollment is 23.6 percent, with 40.4 percent of children relying on MaineCare for access to healthcare. Residents of Hancock County are more prone to acute myocardial infarction (AMI) and higher rates of mortality related to AMI and coronary heart disease than the rest of the state of Maine. Statistically aligned with the rest of the state, Hancock County reports that 21.1 percent of adult residents have a history of depression, 15.7 percent have suffered from anxiety, and currently 14.9 percent of the population is receiving outpatient mental health treatment. Substance and alcohol misuse data shows that the county population aligns with the majority of the state in regards to substance abuse with an alcohol induced mortality rate of 8.7 per 100,000 and a drug induced mortality rate of 11.6 per 100,000. Per 100,000: emergency medical service overdose response in 2014 was 301.7. Emergency department visits and opiate poisoning per 100,000 population between 2009 and 2011 were 21.5 and 11.6, respectively. Overall substance misuse hospital admissions per 100,000 population were 184.4. Part VI, Line 4 - Community Building Activities Maine Coast Hospital's community building activities include community meals and support of the Downeast Treatment Center providing outpatient treatment for patients with Opiate Use Disorder through a hub and spokes care model. Part VI, Line 5 - Promotion of Community Health Maine Coast Regional Health Facilities is a local not for profit hospital that serves its local communities and people regardless of their ability to pay. Maine Coast provides financial assistance and sliding scale discounts to self-pay and low income patients. Also, the Hospital participates in government sponsored health care programs including Medicare, Medicaid, Champus and Tricare. The volunteer Board of Trustees sets the strategic direction for the Hospital and is comprised of community members from the Hospital's service area. This group is made up of local business owners, professionals and retirees. Maine Coast's non-profit status allows the Hospital to reinvest any excess of revenues over expense back into the Hospital to continuously improve the medical care it delivers. The Hospital allows access to healthcare that would otherwise be difficult. The Hospital is the main employer for the local physicians, including specialty physicians that would otherwise have to be accessed out of the area. 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 Maine Coast Hospital (Maine Coast 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. Maine Coast Hospital 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 Maine Coast 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 Maine Coast Hospital is in compliance with Section 501(r). In addition, Northern Light Health continues to engage Northern Light Health Internal Audit to review Maine Coast Hospitals 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: Maine Coast Hospital 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, Maine Coast Hospital used adjusted net patient revenue divided by adjusted gross patient revenue in calculating the AGB.c. Corrective Action: In response, Maine Coast Hospital recalculated the AGB using the required data and retroactively adjusted its AGB for FY 2017 and 2018 to the correct percentage. Maine Coast Hospital has identified 1,955 patient accounts affected by the correction and to date has corrected 352 accounts and has refunded $23,129 in order to restore each affected individual to the position in which he or she would have been had the failure not have occurred. At this time Maine Coast Hospital has 1,603 accounts remaining to be corrected with an anticipated total adjustment of $105,366. d. Date Corrected: The new AGB was calculated in December 2018 and for 501(r) compliance purposes Maine Coast Hospital applied the correct AGB to all patient accounts as of the beginning of October 2018. By October 1, 2019, Maine Coast Hospital 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 Maine Coast 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 Filer Treasurer 491229 4785 29454 525468 Ardelle Bigos VP Patient Care 109809 109809 4114 4114 2761 2761 2633 2633 11313 11313 130630 130630 Bruce Hamilton-Dick Physician 808038 12597 6817 30444 857896 Charles Therrien Former SVP & President 373011 14688 3297 57900 11073 459969 Chris D Frauenhofer Former VP, Finance 206630 7491 23170 4555 31200 273046 Davor Sklizovic Physician 490223 248 4793 5952 29685 530901 Douglas MacGregor Ex-officio 203265 34835 15406 5813 22763 282082 Elaine Mau Physician 559426 2086 4452 9233 575197 Glenn Martin Secretary 420922 18282 6635 72657 21366 539862 John Ronan Ex-officio 148405 148405 5186 5186 5613 5613 28973 28973 5439 5439 193616 193616 Kristin Cyr VP Patient Care 70835 70835 926 926 5005 5005 9071 9071 85837 85837 Mark Hankinson VP Operations 75819 75819 2659 2659 1437 1437 4341 4341 4911 4911 89167 89167 Martin Curlik Physician 394362 19035 3564 5849 20423 443233 Mary M Hood Ex-Officio 898292 51886 7874 262793 21792 1242637 Paul Bolin VP, CHRO 318091 7834 10141 15626 31532 383224 Paul R Benoit Physician 548059 20764 6175 30653 605651 Peter Witham MD Ex-Officio 194063 11704 2153 4802 21125 233847 Sheena Whittaker MD VP Sr Phys Exec 263047 13927 3747 5330 28400 314451 Wendy Jones VP, Finance 88780 88780 2982 2982 5456 5456 5747 5747 13700 13700 116665 116665 Part I, Line 1a: Relevant information in regards to selections on 1a. The following received a wellness program incentive:Mark Hankinson, officer $225John Ronan, director/officer 329Davor Sklizovic, highest compensated employee 35Peter Witham, director 15The benefit is available for all employees.Kristen Cyr, officer, received a $20 giftcard. X 35 FMV X 9050 FMV X 6 45549 FMV X 28 3646 FMV X Gift Certificat 63 17190 FMV false true false Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: Experienced Medicare shortfall (at cost). 51,944 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: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 ChairA 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.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 not integrated with the oncology practice so the physicians had a very difficult time Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents Amended and restated Articles of Incorporation as follows: Paragraph Fifth of Exhibit A: delete the second, third, fourth, fifth, and sixth sentences (removing references to Class A and B members) and replace with: It shall have one corporate member, which shall be Eastern Maine Healthcare Systems (the Member). The rights of the Member are set forth on APPENDIX 1 attached hereto and made a part hereof.Paragraph Sixth of Exhibit A: delete reference to Class B Member and replace with the Member. Appendix 1 to Exhibit A: delete reference to Class B Member and replace with the Member or EMHS. Delete reference to Maine Coast Healthcare Foundation. Amended Bylaws as follows:Article 1, Section 3 (registered Agent): delete reference to Class B member.Article II, Section 1 (Member): delete reference to Class A and Class B members and clarify that the Corporation has one corporate member, Eastern Maine Healthcare Systems (formerly the Class B member).Article II, Section 2: delete reference to the Class B Member and replace with EMHS. Delete reference to Maine Coast Healthcare Foundation.Articles III, IV, V: delete reference to the Class B Member throughout. Article IV, Section 5: deleted The President shall be the chief executive officer of the Corporation. Article V, Section 7 (Governance Committee): deleted CEO from second sentence. Article VIII, Section 5 (Independent Trustee): in subsections (a) and (b), deleted interim chief executive officer and replaced it with president. 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.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 Maine Coast 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 VP, Finance of Maine Coast Memorial Hospital. 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 Maine Coast Memorial Hospital and the system President/CEO (President) who serves on the board ex-officio are employed by 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 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 utilizes external market research to establish compensation ranges for specific positions. The compensation of officers and key employees are reviewed by the MCMH President and the VP of Human Resources.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 Maine Coast Memorial Hospital makes its governing documents, conflict of interest policy and financial statements available to the public upon request. Other Changes In Net Assets Or Fund Balances - Other Increases Net Change in Funds Held at Affiliates = $166110 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfer to exempt parent-Eastern Maine Healthcare Systems = -$605676 Eastern Maine Healthcare Systems EMHS 43 Whiting Hill Rd Brewer ME 04412 010527066 Supporting org for healthcare affiliates ME 501(c)(3) 12 Type II N/A true WorkHealth LLC 43 Whiting Hill Rd Brewer ME 04412 474315094 Provide healthcare services ME 501(c)(3) 12 Type II EMHS true Eastern Maine Healthcare Real Estate 43 Whiting Hill Rd Brewer ME 04412 010391036 Leases real estate ME 501(c)(2) EMHS true Acadia Hospital CorpAHC 43 Whiting Hill Rd Brewer ME 04412 010459837 Provide healthcare services ME 501(c)(3) 3 EMHS true Acadia Healthcare Inc AHI 43 Whiting Hill Rd Brewer ME 04412 223183888 Provide healthcare services ME 501(c)(3) 10 AHC true Restoration Health LLC 43 Whiting Hill Rd Brewer ME 04412 352449986 Provide mental & behavioral hlth srvs ME 501(c)(3) 10 AHI true Eastern Maine Medical Center EMMC PO Box 404 489 State Street Bangor ME 044020404 010211501 Provide healthcare services ME 501(c)(3) 3 EMHS true Eastern Maine Medical Center Auxiliary 43 Whiting Hill Rd Brewer ME 04412 010377901 Fund raising for exempt EMMC ME 501(c)(3) 10 EMMC true Norumbega Medical Specialists LTD 43 Whiting Hill Rd Suite 400 Brewer ME 04412 010465231 Provide patient care and education ME 501(c)(3) 10 EMMC true EMHS Foundation 43 Whiting Hill Rd Suite 400 Brewer ME 04412 222514163 Raise and manage funds for exempt orgs ME 501(c)(3) 12 Type II EMHS true Rosscare 43 Whiting Hill Rd Suite 400 Brewer ME 04412 010391038 Provide services to elderly ME 501(c)(3) PF EMHS true Rosscare Nursing Homes Inc 43 Whiting Hill Rd Suite 400 Brewer ME 04412 010430751 Operation of nursing homes ME 501(c)(3) 10 Rosscare true Inland Hospital 200 Kennedy Memorial Drive Waterville ME 04901 010217211 Provide healthcare services ME 501(c)(3) 3 EMHS true Lakewood 220 Kennedy Memorial Drive Waterville ME 04901 010421234 Provide skilled and LT nursing care ME 501(c)(3) 3 Inland Hospital true CA Dean Memorial Hospital Pritham Avenue PO Box 1129 Greenville ME 044411129 043341666 Provide healthcare services ME 501(c)(3) 3 EMHS true Blue Hill Memorial Hospital 57 Water Street Blue Hill ME 046145231 010227195 Provide healthcare services ME 501(c)(3) 3 EMHS true Sebasticook Valley Health SVH 447 North Main Street Pittsfield ME 04967 010263628 Critical Care Hospital ME 501(c)(3) 3 EMHS true Sebasticook Valley Family Practice Assoc 447 North Main Street Pittsfield ME 04967 010357854 Provide patient care ME 501(c)(3) 10 SVH true The Aroostook Medical Center TAMC PO Box 151 140 Academy Street Presque Isle ME 047690151 010372148 Provide healthcare services ME 501(c)(3) 3 EMHS true Horizons Health Services PO Box 151 140 Academy Street Presque Isle ME 047690151 010504393 Provide patient care ME 501(c)(3) 3 TAMC true Maine Coast Medical Realty 50 Union Street Ellsworth ME 04605 010390918 Lease medical facilities ME 501(c)(3) 12 Type I MCMH true Mercy Hospital 144 State Street Portland ME 04101 010211534 Provide healthcare services ME 501(c)(3) 3 EMHS true VNA Home Health & Hospice 50 Foden Road South Portland ME 04106 010246804 Provide home health and hospice services ME 501(c)(3) 10 EMHS 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 Rd Brewer ME 04412 452967056 Accountable Care Organization ME 501(c)(3) 12 Type II EMHS true Beacon Rural Health LLC 43 Whiting Hill Rd Brewer ME 04412 474483187 Accountable Care Organization ME 501(c)(3) 12 Type II EMHS true Beacon Health ACO Holdings LLC 43 Whiting Hill Rd Brewer ME 04412 364903784 Accountable Care Organization ME 501(c)(3) 12 Type II EMHS true LTC LLC 43 Whiting Hill Rd Brewer ME 04412 010211501 Operation of Nursing Homes ME 501(c)(3) 3 EMMC true Meridian Mobile Health LLC 43 Whiting Hill Rd Brewer ME 04412 010512673 Ambulance ME AHS false false M Drug LLC 43 Whiting Hill Rd Brewer ME 04412 272175482 Pharmacy ME AHS false false Alliance Health Documentation LLC 43 Whiting Hill Rd Brewer ME 04412 462751855 Transcription ME AHS false false Affiliated Healthcare Systems AHS 43 Whiting Hill Rd Brewer ME 04412 010385322 Holding company ME EMHS C true Affiliated Healthcare Management 43 Whiting Hill Rd Brewer ME 04412 010349339 Healthcare management ME AHS C true Affiliated Laboratory Inc 43 Whiting Hill Rd Brewer ME 04412 010381283 Clinical lab ME AHS C true Affiliated Materiel Services 43 Whiting Hill Rd Brewer ME 04412 010381189 Purchasing ME AHS C true Maine Coast Physician Affiliates 50 Union St Ellsworth ME 04605 010479952 Patient Care ME MCMH C true Beacon Direct 43 Whiting Hill Rd Brewer ME 04412 371864965 Healthcare Self-funded TPA ME EMHS C true false false false false false false false false false true true true true false false true true true true Eastern Maine Healthcare Systems EMHS m 4569795 FMV Eastern Maine Healthcare Systems EMHS p 8339568 FMV Eastern Maine Healthcare Systems EMHS r 605597 FMV Acadia Healthcare Inc AHI m 123855 FMV Eastern Maine Medical Center EMMC m 8859833 FMV Eastern Maine Medical Center EMMC p 122695 FMV EMHS Foundation m 189341 FMV EMHS Foundation s 493919 FMV Blue Hill Memorial Hospital l 426936 FMV Blue Hill Memorial Hospital m 85132 FMV Maine Coast Medical Realty k 145279 FMV Maine Coast Medical Realty q 69871 FMV Beacon Health LLC m 378516 FMV Affiliated Laboratory Inc m 598263 FMV