2018-08-03T13:05:21-07:00 2017-09-30 990 2016-10-01 010211534 Mercy Hospital MERC 2079739081 144 State Street Portland ME 04101 John J Doyle EMHS VP OF FINANCE 2018-08-03 false 2016 2022-09-23 18:48:47Z John Doyle 515114518 false false X www.mercyhospital.org X 1945 ME Mercy Hospital carries out the healing work of Christ by providing clinically excellent, compassionate healthcare for all, with special concern for the poor and disadvantaged. 19 13 1943 213 0 1837992 1306793 536235467 512320542 43080 276027 1545696 938021 539662235 514841383 0 0 125969255 113670752 0 0 430879982 404944509 556849237 518615261 -17187002 -3773878 164192184 151253463 135130516 117003547 29061668 34249916 X Mercy Hospital carries out the healing work of Christ by providing clinically excellent, compassionate healthcare for all, with special concern for the poor and disadvantaged. false false 453874325 513047348 Provide healthcare services regardless of ability to pay as well as education, research and promotion of health. Provided other uncompensated care (at cost) of $6,492,199 31813057 Medicare shortfalls (at cost) 36,312 persons served 6353030 Medicaid shortfalls (at cost) 14,585 persons served 3504425 495544837 true true false true false false false false false true true false false true true true false true false false false false false false false false true true false false true true false false false false false false false false false true true true false false false true true true false false true 164 0 true 1943 true false false false false false false false false 0 false false false false false false false false false false X 19 13 true true true false true true true true true false false true true true true true true true false false ME X X X John J Doyle 2079739081 43 Whiting Hill Road Brewer ME 044121005 Chris Howard Trustee/Chair 2.00 0.00 X X 0 0 0 Jay Eckersley Trustee 1.00 50.00 X X 0 427064 0 Daniel McGarvey Trustee 1.00 0.00 X 0 0 0 M Michelle Hood Trustee/Ex Off 1.00 50.00 X X 0 885839 271712 Sr Michele Aronica RSM Trustee 1.00 0.00 X 0 0 0 Lauren Epstein Trustee 1.00 0.00 X 0 0 0 Sr Mary Morey RSM Trustee 1.00 0.00 X 0 0 0 Jim Koelbl DDS Trustee 1.00 0.00 X 0 0 0 Joseph Gray Trustee 1.00 0.00 X 0 0 0 Karen Hart Trustee 1.00 0.00 X 0 0 0 Benjamin Russell MD Trustee/Ex Off 50.00 0.00 X 305220 0 27318 Margaret Hourigan Trustee 1.00 0.00 X 0 0 0 Douglas McKeown Trustee 1.00 0.00 X 0 0 0 Paul Lones Trustee,Vice Ch 2.00 0.00 X X 0 0 0 Charlie Therrien Pres/Ex Off 50.00 50.00 X X 337413 48202 59469 William Schirmer MD Trustee 1.00 0.00 X 0 0 0 David L Small Trustee 1.00 0.00 X 0 0 0 Sister Kathleen M Smith RSM Trustee 1.00 0.00 X 0 0 0 John Southall MD Trustee/Ex Off 50.00 0.00 X 284328 0 32571 Debra D Taylor Trustee 1.00 0.00 X 0 0 0 Sarah Ketchum Trustee/Ex Off 50.00 0.00 X 228146 0 37028 Glenn Martin Secretary 1.00 50.00 X 0 368621 90480 Tony Filer Treasurer 1.00 50.00 X 0 177611 2703 Peter Igneri VP Phys PT YR 50.00 0.00 X 18486 0 2452 Paul Bolin VP, CHRO 1.00 50.00 X 0 197240 42346 Bette Neville VP Nursing/CNO 50.00 0.00 X 170111 0 32123 Robert Nutter VP & COO 50.00 0.00 X 268592 0 39363 Bruce Sandstrom VP of Finance 50.00 50.00 X 250119 54176 18135 Scott Rusk MD VP MD Admin/CMO 50.00 0.00 X 336291 0 33424 Melissa Skahan VP Mission Int 50.00 0.00 X 119695 0 27172 Christopher Kleeman Medical Director 50.00 0.00 X 584919 0 31639 John Wahlig Physician 50.00 0.00 X 1051979 0 36036 Lee Thibodeau Physician 50.00 0.00 X 890416 0 37316 Gregory Pomeroy Medical Director 50.00 0.00 X 706908 0 27052 Robert Galler Physician 50.00 0.00 X 711862 0 25947 Eileen Skinner Former Sr VP 50.00 0.00 X 487131 0 23886 Colleen Hilton Former Officer 1.00 50.00 X 0 227916 38479 Theodore Helberg Former VP HR South 1.00 50.00 X 0 173037 24799 6751616 2559706 961450 181 true true false ACCRETIVEHEALTH INC 39918 TREASURY CENTER CHICAGO IL 60694 REVENUE CYCLE MGMT 10285355 DIRIGO MANAGEMENT COMPANY ONE CITY CENTER PORTLAND ME 04101 PROPERTY MGMT 4989039 ALLSCRIPTS HEALTHCARE LLC PO BOX 1473 ESCONDIDO CA 92033 Software Support 1869115 GE MEDICAL SYSTEMS PO BOX 641936 PITTSBURGH PA 15264 MEDICAL EQUIP MAINT 953245 SEABREEZE PROPERTY SERVICES 415 PRESUMPSCOT STREET Portland ME 04103 Maintenance Contract 840474 37 594942 711851 42491 1306793 Cafeteria 722210 740279 740279 Education 611710 15681 15681 Patient Service 621990 511564582 511564582 512320542 23398 23398 0 0 188258 12762 175496 175496 175496 441062 188433 252629 252629 252629 0 0 107659 71940 35719 35719 Ins Proceeds-Flood Damage 524298 33083 33083 Meaningful Use 621990 693723 693723 726806 514841383 512307069 1227521 0 0 0 0 2616265 1815453 800812 0 88956640 84581693 4374947 2783442 2649312 134130 13669364 12928387 740977 5645041 5373015 272026 0 585 585 44603 44603 0 0 24546 18124 6422 21081313 13743759 7337554 355585 317495 38090 5766031 4280811 1485220 8755000 8281796 473204 0 5804336 4282496 1521840 64839 61809 3030 0 280578 225823 54755 2388318 1763498 624820 0 7161702 5443310 1718392 2637208 2510125 127083 Contractual Allowances 277444445 277444445 Medical Supplies Expense 38933983 38933983 Provision for uncollectible ac 15904354 15904354 Charity Care 8709325 8709325 9587758 6275824 3311934 518615261 495544837 23070424 0 5410 4960 4322925 257784 0 33082614 28401569 0 0 97316 47046 4059505 4353525 797455 1195842 142321574 43056987 104200298 99264587 0 0 0 3171667 3149000 14454994 14579150 164192184 151253463 53527649 39519529 82292 125882 56182074 54117949 6687489 5924382 18651012 17315805 135130516 117003547 X 20358614 25039330 6776487 7212788 1926567 1997798 29061668 34249916 164192184 151253463 X -3773878 58596 8903530 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 16801 16801 false false Part II-B, Line 1i - Other Activities Description Non-deductible dues 1926568 1600 69630 1997798 1857178 150 69240 1926568 1889542 -32364 1857178 1835722 53820 1889542 1778042 59976 -2297 1835722 1.00000 false true true 10842229 10842229 77579877 12509006 65070871 2074305 853179 1221126 46923134 29252288 17670846 4902029 442514 4459515 99264587 A/R Workers Compensation Insurance 1132239 Assets whose use is limited 165282 Beneficial Interest in Perpetual Trusts 850372 Board designated funds-Other 3679352 Investment in Net Assets held @ EMHSF 8219544 Self Insurance & Pension Plans 391691 Temporarily Donor Restricted Funds 140670 14579150 Affiliation Reserve for Indem Liab 51250 Amounts due to Related Org 5941538 Deferred Compensation 3668282 Deferred Landmark Amort on MOB 322574 Deferred Oper Lease Costs 1563601 Liability Under Cap Lease Obligation 398017 LT Charitable Gift Annuity 9806 Reserve for Asset Disposal Costs 471612 Reserve for Self-Insurance Program 1551485 Transition Cost Reserve - Mission Manage 118371 Unfavorable Val of Oper Lease 3219269 17315805 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 ("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 1249 3504425 3504425 0.01620 14585 20463624 14110594 6353030 0.02930 65046 65046 0.00030 15834 24033095 14110594 9922501 0.04580 24 379 906051 906051 0.00420 10 77756 77756 0.00040 5 91386 91386 0.00040 39 379 1075193 1075193 0.00500 39 16213 25108288 14110594 10997694 0.05080 2 432609 432609 0.00200 2 4330 4330 4 436939 436939 0.00200 true 6492199 71926302 103739359 -31813057 X true true 1 1 Mercy Hospital 144 State Street Portland ME 04101 www.mercyhospital.org 38065 X X X Mercy Hospital 1 false false true X X X X X X X X X 16 true true true true X https://mercyhospital.org/ X www.emhs.org/Community-Benefit/CHNA.aspx X true 16 true http://www.emhs.org/Community-Benefit/CHNA/ false false true X 150.0000 250.0000 true true X X X true X See Part V, Line 16i-j for URL X See Part V, Line 16i-j for URL X See Part V, Line 16i-j 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 January 11, 2016 Cumberland County Shared CHNA Community Engagement Forum and provided valuable feedback on the Shared CHNA.Details about organizations: Sample of organizations United Way, ME Health Access Foundation, Southern ME Area Agency on Aging, Preble St. Resource Center, legislator, Somali community members, USM/UNE/SMCC/Tufts medical School, ME Health Mgt Coalition, MaineMedical Center (hospital facility), Spring Harbor Hospital, Mercy Hospital, Bridgton Hospital, HMP, & Portland Public Health. Hospitals and health care providers serve low income patients through Medicare/MaineCare and provide low-cost/no-cost services to medically underserved residents. Many public health programs and services, social service agencies, funding agencies, and non-profit agencies specifically serve racial/ethnic minorities, low-income, and medically underserved residents. Somali community members attended the forum. 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 11 - Explanation of Needs Not Addressed and Reasons Why Mercy Hospital non-selected priorities:Unemployment/economic opportunityHunger/food insecurityOral HealthDental CareFearBrief explanation why they were not included: While we support the non-selected priorities, we are not positioned to impact them directly in 2014/2015. Our 2013 CHNA recognized the significant need for oral health services for the vulnerable, the task force felt that Mercy Hospital was not positioned to address directly. Part V, Line 13b - Criteria For Providing Discounted Care If Not FPG Due to software glitch, this is in reference to Part V, Line 14 Explain Method for Applying for Financial Assistance - See Part VI, Additional Information for explanation. Part V, Line 16i - Other Means Hospital Facility Publicized the Policy Response for 16a, 16b, 16c (list url) is https://mercyhospital.org/For-Patients-Visitors/Appointments-and-Billing.aspx under Financial Assistance Program. All About Women 195 Fore River Parkway Suite 310 Portland ME 04102 Medical Office Building - Physician Svc Breast Care Specialists of Maine 195 Fore River Parkway Suite 250 Portland ME 04102 Medical Office Building - Physician Svc Gorham Crossing Primary CareExpress Care 19 South Gorham Crossing Gorham ME 04038 Medical Office Building - Physician Svc HematologyOncology Clinic 195 Fore River Parkway Suite 360 Portland ME 04102 Medical Office Building - Physician Svc Lymphadema Clinic 1364 Congress Street Suite 3 Portland ME 04102 Medical Office Building - Physician Svc Maine Spine Surgery 195 Fore River Parkway Suite 440 Portland ME 04102 Medical Office Building - Physician Svc The Mattina R Proctor Diabetes Center 144 State Street 4th Floor Portland ME 04101 Medical Office Building - Physician Svc Mercy Cardiology 144 State Street 5th Floor Portland ME 04101 Medical Office Building - Physician Svc Mercy Gastroenterology at Casco Bay 25 Long Creek Drive South Portland ME 04106 Medical Office Building - Physician Svc Mercy Mammography 195 Fore River Parkway Suite 260 Portland ME 04102 Medical Office Building - Mammography Svc Mercy Pain Center 144 State Street 1st Floor Portland ME 04101 Medical Office Building - Physician Svc Mercy Physical Therapy 1364 Congress Street Suite 3 Portland ME 04102 Medical Office Building - Physical Therapy Svc Mercy Primary Care South 778 Main Street Suite 1 South Portland ME 04106 Medical Office Building - Physician Svc MKM ENT Associates 43 Baxter Boulevard Portland ME 04101 Medical Office Building - Physician Svc New England Eating Disorder Program 144 State Street 6th Floor Portland ME 04101 Medical Office Building - Physician Svc New England Foot & Ankle Specialists 195 Fore River Parkway Suite 210 Portland ME 04102 Medical Office Building - Physician Svc Portland Internal Medicine 43 Baxter Boulevard Portland ME 04101 Medical Office Building - Physician Svc Portland Surgical Associates 195 Fore River Parkway Suite 420 Portland ME 04102 Medical Office Building - Physician Svc Pulmonary Critical Care & Sleep Medicine 144 State Street 3rd Floor Portland ME 04101 Medical Office Building - Physician Svc West Falmouth Family Practice 75 Gray Road Falmouth ME 04105 Medical Office Building - Physician Svc Westbrook Express Care 40 Park Road Westbrook ME 04092 Medical Office Building - Physician Svc Windham Family Practice & Express Care 409 Roosevelt Trail Windham ME 04062 Medical Office Building - Physician Svc Wound Healing Center 144 State Street 4th Floor Portland ME 04101 Medical Office Building - Physician Svc Yarmouth Primary Care & Express Care 385 Route One Yarmouth ME 04096 Medical Office Building - Physician Svc Dr Harry E Davis Pediatrics Center 195 Fore River Parkway Suite 160 Portland ME 04102 Medical Office Building - Physician Svc Mercy Outpatient Addiction Services 144 State Street 3rd Floor Portland ME 04101 Medical Office Building - Physician Svc Part I, Line 6a - Related Organization Community Benefit Report The Mercy 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 $15,904,354 of bad debt expense, $8,709,325 of charity care, $277,444,445 of contractual allowances is included on Form 990, Part IX, line 25, column (A). Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense The costing methodology used to determine the amount is cost to charge ratio. Part III, Line 4 - Bad Debt Expense Patient and trade accounts receivable are stated at the amount management expects to collect from outstanding balances. Management provides for probable uncollectible amounts through a charge to earnings and a valuation allowance based on its assessment of the current status of individual accounts. Balances that are still outstanding after management has used reasonable collection efforts are written off through a charge to the valuation allowance and the applicable patient accounts receivable. Credit is extended without collateral. Part III, Line 8 - Explanation Of Shortfall As Community Benefit Medicare losses should be treated as a community benefit because the losses are incurred in performing an important public service and Maine hospitals experience one of the lowest Medicare reimbursement rates in the country. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients All account guarantors who express an inability to pay inpatient and outpatient services will be screened for eligibility for charity care using an application and guidelines established by Mercy Hospital. An account may be reconsidered for charity care at any time when new information is available about a patients inability to pay. Part VI - Patient Education of Eligibility for Assistance Mercys Financial Assistance policy describes how the organization informs and educates patients on Financial Assistance. Public Notice of the availability of assistance through this policy is made through each of the following means: 1. Posting notices in a visible manner in locations where there is a high volume of inpatient or outpatient admitting/registration, such as emergency departments, billing offices, admitting offices, and hospital outpatient service settings. 2. Posting notice of the availability of assistance and contact names and phone numbers on Mercy Hospitals website. 3. Providing uninsured patients a matrix outlining the types of financial assistance available. Upon request, a full text copy of the Financial Assistance policy is made available. Mercy Hospital has developed a professional model for financial counseling for all patients without insurance and has staff onsite to meet individually from 8am to 5pm on Monday through Friday. This includes comprehensive screens for potential resources such as governmental insurance and disability, enrollment on the Health Insurance Marketplace, and commercial insurance. Financial counselors have daily huddles, assigned work lists, and accountabilities to engage and develop an ongoing rapport with uninsured and vulnerable populations. They are available Monday through Friday from 8am-5pm and routinely meet with patients in the community to complete applications. With the advent of the ACA, the financial counselors have all been trained to act as Certified Application Counselors and helped to enroll both Mercy patients as well as to provide staffing for the community at the Portland Public Library. Part VI - Community Information Mercy Hospital is a community hospital comprised of two acute inpatient locations, six primary care practices, five Express Care facilities, and 13 specialty practices. Mercys service area is the greater Portland metropolitan area, roughly comprised of Maines Cumberland County. The Portland area is experiencing an increase in diversity, with at least six percent of area residents born outside of the United States. Many of these new Mainers are refugees and asylum-seekers, who bring a unique set of circumstances and health needs to the community. Approximately 11 percent of Cumberland county households fall below the federal poverty level.Mercy is a Catholic hospital founded by the Sisters of Mercy in 1918. Its mission is to carry out the healing work of Christ by providing clinically excellent, compassionate health care for all, with special concern for the poor and disadvantaged. It has fulfilled that mission for nearly 100 years, both in the hospital and in the community. Mercys mission-based programs such as McAuley Residence, a comprehensive program with housing for women battling opioid use disorder and their children and Garys House, a hospitality house are tremendous community resources. The Medical Neighborhood project, a formal health collaborative created by Mercy, proactively seeks uninsured and under-insured persons in Greater Portland to complete a comprehensive search of all coverage options and facilitate access to concrete supports such as housing, food, and employment services. Mercy Hospital served as the convener and facilitates the ongoing work of the Greater Portland Addiction Collaborative, a formal collaborative charged with optimizing the care delivery system and creating safe, sober housing for uninsured persons with opioid use disorder. Mercys financial counselors routinely meet patients at the local shelters or other social service agencies. Part VI - Community Building Activities Mercy Hospital's community building activities include participating in community events with Portlands Public Health and Health Equity Departments, non-profit community-based organizations, social service providers, and faith communities to deliver health education sessions for the general public and vulnerable populations several times throughout the year. Garys House, a department of Mercy Hospital, is a safe, comfortable, and affordable home-away-from-home for families and individuals with loved ones receiving medical treatment in any greater Portland area hospital. Nine individual apartments and beautiful dining area and kitchen facilities provide respite for families. A donation of $15 per night is accepted for those able to pay for lodging. Several local organizations such as the United Way and UNUM volunteer regularly at Garys House. Mercy Hospital also provides $25,000 to the City of Portlands Health Equity Department each year in support of the Community Health Outreach Workers, whose role is to provide health education, outreach, and patient navigation for vulnerable populations. Part VI - Explanation Of How Organization Furthers Its Exempt Purpose The majority of Mercy Hospitals Board of Directors resides in the primary service area and is not employees or independent contractors. Mercy also has an open medical staff. Mercy Hospital donates food weekly as part of a food rescue program to local food pantries and soup kitchens. Part VI - Affilated Health Care System Roles and Promotion 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 - States Where Community Benefit Report Filed N/A Part VI - Additional Information CONTINUATION OF 990 PART V, LINE 11, PAGE 8Health Education - Mercy Hospital participates in community events with the Greater Portland Immigrant and Refugee Health Collaborative, Public Health Departments, non-profits, and Portlands Health Equity Department to deliver health education sessions for the general public and vulnerable populations several times throughout the year.Actions taken by Mercy Hospital to address this priority in FY17: Food and health education remained a priority for Mercy Hospital as many providers, clinical leaders, and staff embrace the opportunity to provide education and volunteer. The new partnerships with local parish in the poorest neighborhood in Portland allowed Portland Internal Medicine, Surgical Services, and other departments to organize food drives, volunteer at food pantry, and provide a valuable food resource to a food insecure population. Wayside Cafs allowed staff to volunteer at local schools, Salvation Army, and directly with Wayside for food prep and delivery. The Digestive Health presentations by Mercy Gastroenterologist at WEX and UNUM were well received. Each presentation had roughly thirty participants.Mercy Hospital considered all priorities identified in the Shared CHNA, as well as other sources, through an extensive review process. While the full spectrum of needs is important, Mercy Hospital is currently poised to focus only on the highest priorities at this time. A number of priorities not selected, due to a variety of reasons are listed below:Unemployment/economic opportunityOral HealthDental CareFearWhile we support the non-selected priorities, we are not positioned to impact them directly. Our CHNA recognized the significant need for oral health services for the vulnerable, but the task force felt that Mercy Hospital was not positioned to address directly.-----------------------------------------------------------------------------------Disclosure in accordance with Revenue Procedure 2015-21:Part V Facility Information, Section B Facility Policies and PracticesIn accordance with Revenue Procedure 2015-21, Mercy is disclosing the following information with respect to Section 501(r) issues that were discovered during the 2017 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. Mercy obtained information about the requirements and sought to implement them accordingly, but later identified some compliance gaps due to the detailed nature of the regulations.The issues were discovered in fiscal year 2017 during an internal audit of Mercys compliance with Sections 501(r)(3-4). The correction of these issues did not result in any changes to our overall processes and, therefore, Mercy has not identified any persons directly affected by these issues. All individuals would have been in the same position had these issues not occurred.To ensure full compliance with Section 501(r) regulations, EMHS Community Health and Revenue Cycle Departments perform routine reviews to assure Mercy is in compliance with Section 501(r). In addition, EMHS continues to engage EMHS Internal Audit to review Mercys compliance with Section 501(r).Specific issues and corrections:1. Information in the FAP regarding Amounts Generally Billed (AGB) a. Requirement: The FAP must include the method the hospital facility uses to determine the amounts generally billed to individuals who have insurance covering emergency or other medically necessary care and must state the AGB percentages or explain how members of the public may readily obtain such percentages.b. Condition: While the Plain Language Summary (PLS) indicated that AGB will be calculated using the look-back method, based on actual past claims paid to the hospital by Medicare and by other private insurers, the FAP did not adequately explain the method used to determine AGB, state the AGB percentages or explain how members of the public may readily obtain the AGB percentages (and these AGB percentages also were not otherwise readily available). c. Corrective Action: The FAP was updated to explain the method used to determine AGB. The FAP was also updated to state To request a free written description of how EMHS calculates the AGB or to find out the actual AGB for a particular EMHS hospital, please contact (207) 973-6473 or (207) 973-4483 or on the Web at http://emhs.org/Billing-help.aspx. Mercys AGB percentage was added to this Web site. d. Date Corrected: These revisions to the FAP were approved by EMHS Leadership in Fiscal Year 2017 and the EMHS Board of Directors at its October 4, 2017 meeting. The updated FAP was widely publicized upon approval by the EMHS Board of Directors. The AGB percentages were added to the EMHS Web site in January 2018.2. Presumptive eligibilitya. Requirement: The FAP must include whether and under what circumstances prior FAP-eligibility determinations are used for presumptive eligibility.b. Condition: The FAP explained that approved applications from one EMHS Member Organization will be honored at another EMHS Member Organization, but did not fully describe the circumstances under which prior FAP-eligibility determinations are used for presumptive eligibility.c. Corrective Action: The FAP has been updated to fully describe whether and under what circumstances prior-FAP eligibility determinations are used for presumptive eligibility. d. Date Corrected: These revisions to the FAP were approved by EMHS Leadership on May 1, 2018 and the revised FAP has been widely publicized. 3. Emergency Medical Care Language in the FAPa. Requirement: A written policy must be established to require that care will be provided, without discrimination, for emergency medical conditions to individuals regardless of whether they are FAP-eligible.b. Condition: It was and is Mercys practice to provide care for emergency conditions to individuals regardless of whether they are FAP-eligible; however, upon review of Mercys FAP it was determined that this practice was not explicitly stated.c. Corrective Action: The FAP was updated to explicitly state that EMHS Hospitals will provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility for assistance under the FAP and as required under the EMHS Emergency Medical Care Policy. d. Date Corrected: These revisions to the FAP were approved by EMHS Leadership in Fiscal Year 2017 and the EMHS Board of Directors at its October 4, 2017 meeting. The updated FAP was widely publicized upon approval by the EMHS Board of Directors. 4. Billing and Collection Practicesa. Requirement: The FAP (or separate billing and collection policy) must include information on the actions the hospital will take to collect outstanding balances, including the reasonable efforts made to determine FAP eligibility. This information must be widely publicized along with the FAP.b. Condition: The billing and collection practices were adequately described in the Billing and Collections Policy which was referenced in the widely publicized FAP. However, the Billing and Collections Policy itself was not widely publicized.c. Corrective Action: The required billing and collection practices were added to the FAP. d. Date Corrected: These revisions to the FAP were approved by EMHS Leadership in Fiscal Year 2017 and the EMHS Board of Directors at its October 4, 2017 meeting. The updated FAP was widely publicized upon approval by the EMHS Board of Directors.5. Widely Publicized a. Requirement: In order to ensure the FAP is widely publicized , a hospital must take several actions, one of which is to include a conspicuous written notice on billing statements that notifies and informs recipients about the availability of financial assistance under the hospital facilitys FAP and includes the telephone number of the hospital facility office or department that can provide information about the FAP and FAP application process and the direct Web site address (or URL) where copies of the FAP, FAP application form and plain language summary of the FAP may be obtained.b. Condition: While Mercys billing statements included a conspicuous written notice to notify recipients about the availability of financial assistance, telephone numbers to the department that can provide more information about financial assistance, and the EMHS billing help Web site address, the billing statements did not clearly state the FAP documents could be obtained from the Web site address provided.c. Corrective Action: Billing statements were updated in Fiscal Year 2017 to clarify that certain FAP-related documents may be obtained from the Web site address provided on the statement. In Fiscal Year 2018, Mercy made additional revisions to further clarify the language included on the billing statements.d. Date Corrected: June 15, 2017 with additional revisions made in Fiscal Year 2018.Continued in Schedule O in Addi X true true true true false false false false false true false false Benjamin Russell MD Trustee/Ex Off 288761 12947 3512 6003 21315 332538 Bette Neville VP Nursing/CNO 166220 3891 4351 27772 202234 Bruce Sandstrom VP of Finance 221852 8579 25398 45320 2869 277 3824 2970 10554 787 264497 57933 Charlie Therrien Pres/Ex Off 288916 41274 45208 6458 3289 470 42612 6088 9423 1346 389448 55636 Christopher Kleeman Medical Director 358684 222232 4003 712 30927 616558 Colleen Hilton Former Officer 210159 13104 4653 16675 21804 266395 Eileen Skinner Former Sr VP 112183 374948 17840 6046 511017 Glenn Martin Secretary 362009 6612 69889 20591 459101 Gregory Pomeroy Medical Director 505803 198583 2522 5709 21343 733960 Jay Eckersley Trustee 427064 427064 John Southall MD Trustee/Ex Off 263447 20128 753 6495 26076 316899 John Wahlig Physician 853473 197037 1469 6625 29411 1088015 Lee Thibodeau Physician 821752 61566 7098 6625 30691 927732 M Michelle Hood Trustee/Ex Off 870512 15327 250857 20855 1157551 Paul Bolin VP, CHRO 192976 4264 13113 29233 239586 Robert Galler Physician 696705 15157 25947 737809 Robert Nutter VP & COO 265299 3293 9938 29425 307955 Sarah Ketchum Trustee/Ex Off 225187 1026 1933 5900 31128 265174 Scott Rusk MD VP MD Admin/CMO 313168 23123 6625 26799 369715 Theodore Helberg Former VP HR South 141244 31793 16230 8569 197836 Tony Filer Treasurer 57284 120327 2703 180314 Part I, Line 1a: Relevant information in regards to selections on 1a. Christopher Kleeman, highest compensated employee, received a wellness program incentive for $40.Melissa Skahan, officer, received a wellness program incentive for $47.The benefit is available for all employees. Part I, Line 7: Non-Fixed payments not listed above Physician bonuses reported in Part II, column (ii) are based on worked RVUs. A Maine Health & Higher Edu 010314384 560425G61 2014-04-04 61055000 Refinance 2006H Bonds false false false A 6530000 61055000 54044888 478932 6531180 2010 false true true true A false false false false false true A false true false NA false NA false false A true Part VI Part II, line 5, Column A, Proceeds in Refunding Escrows is held by MHHEFA.Part IV, Line 7, Column A, The issuer (MHHEFA) has established written procedures to monitor the requirements of Section 148. The organization has entered into a tax regulatory agreement with the issuer that requires the organization to comply with the requirements of Section 148. The organization is working to establish its own written procedures to monitor such requirements. Mary M Hood officer=brd member 122987 MHA membership dues false Schedule L, Part V Supplemental Information Mary M. Hood, board member/officer is a board member of Maine Hospital Association. X 5 1725 FMV X 9614 FMV X 15 4585 FMV X Gift Cert 51 25543 FMV X Jewelry 2 725 FMV X Toys 1 299 FMV false true false Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: Charity care provided (at cost): 1,249 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:Coming together is a beginning; keeping together is progress; working together is success. The man who spoke these words understood the value of teamwork. He embraced technology in a way that nobody else had before him. His vision, passion, and innovation revolutionized the world. He made it possible for families to feel more connected despite living long distances apart. In many ways, EMHS shares the same goals championed 100 years ago by industrialist and automaker, Henry Ford.Like Ford, we know that we are succeeding by working together. Our new integrated, systemwide electronic health record (EHR) will allow all our hospitals, primary care practices, and other members within the EMHS family to share information seamlessly. Using this system, we can collaborate more effectively and improve patient care.By mass-producing the automobile, Ford helped rural Americans feel connected. We are connecting people through technology, too. People who live in rural communities can talk one-on-one through a computer screen with doctors who may be several states away, thanks to our investments in telemedicine. Patients have access to specialists that would have been out of reach without this technology.Ford was an innovator. We too are embracing innovation in the way we deliver care. Our partnership with Dana-Farber Cancer Institute affords opportunities for cancer patients to access clinical trials closer to home at our Lafayette Family Cancer Center in Brewer. We are using paramedics to make routine house calls in our rural communities to perform wellness checks. This service is helping patients avoid trips to the hospital or doctors office while getting compassionate care in the comfort of their own homes.Of course, all of these initiatives require dedicated people who are committed to teamwork. Its the very reason why we take extraordinary measures to recruit and retain our employees. We have added a new nurse residency program, which is already showing signs of success in addressing a critical statewide nursing shortage and providing our nurses the tools they need to thrive. By working together, we can continue to do great things.To borrow another line from Henry Ford, If everyone is moving forward together, then success takes care of itself. In the pages that follow are numerous testaments to the innovative spirit underscoring many successes this past year throughout our system. While the hard work will continue, we are pleased to share with you the progress we are making towards achieving our vision to be a nationally recognized model of excellence in healthcare.M. Michelle Hood, FACHEEMHS President and CEOBarry McCrumEMHS Board ChairCONNECTING WORLD CLASS CARETerry White longs for the day that she can return to the sandy shores of Myrtle Beach to feel the warm Carolina sunshine on her face and the ocean waves splashing upon her feet. She has plans to go back to visit family and wont let cancer slow her down. My journey is not over just because I have this disease, Terry said. It doesnt mean life doesnt go on. I definitely have a lot of life to live.Terry was diagnosed with breast cancer a decade ago. I was 38 when I found a lump in my breast in the shower one morning and immediately called my primary care physician. Unfortunately, the cancer became metastatic, meaning it spread to other parts of her body. I went from being a survivor to a lifer because I live with cancer every day, and Ill live with it every day until the end, she said. Terry has gone through several treatments of radiation and chemotherapy over the years.During a recent visit to EMMC Cancer Care at the Lafayette Family Cancer Center in Brewer, she was comfortably dressed in jeans and a maroon blouse, and wore a hat on her head. Because the cancer spread to the bone marrow in her leg, she wore a knee brace to alleviate pain. Whats remarkable about Terry is how she projects a positive attitude. A powerful storm that day was toppling trees and knocking down power lines outsideit wasnt enough to stop her from making the 30-minute ride to the treatment center from her home in Pittsfield or to diminish her optimism. Research today has given us treatments that are light years ahead of what we used to have, she said.Terry is hopeful because she is taking part in a clinical trial thanks to a collaborative partnership between Dana-Farber Cancer Institute in Boston and EMMC Cancer Care. She is taking an experimental drug under the coordinated care of her medical team in Brewer and the Dana-Farber specialists in Boston. The treatment I come for is administered by a syringe. I dont have to sit there for four hours waiting for this to be over and waiting for the side effects, she said.Eric Winer, MD, is chief clinical strategy officer at Dana-Farber and director of the Breast Oncology Center. He and other members of the Dana-Farber team visited EMMC Cancer Care last fall for a tour. Dana-Farber only partners with cancer centers that already deliver excellent care, Dr. Winer said. The goal of the collaborative for Dana-Farber is to extend its reach and bring clinical trials to people living in rural areas. When people participate in clinical trials, the hope is that they will do better than they might with standard care, but no matter what, they are contributing to the future of cancer care, he said.The staff at EMMC Cancer Care also benefits by being in the collaborative. They have more educational opportunities and access to medical specialists at Dana-Farber for rapid consultation on complex cases. Dana-Farber clinical care is provided in Boston and this collaborative brings their expertise to the heart of Maine, explained Thomas Openshaw, MD, medical director, Oncology Research at EMMC Cancer Care. The staff at EMMC and Dana-Farber have a firm resolve to help not only current patients, but also future patients to live better lives. Our whole goal is to try to cure whatever patients can be cured, and thats a large proportion of patients, and for the others to give them the best and the longest life that they can have, Dr. Winer said.That seems to be working for Terry White, whos already making travel plans to Myrtle Beach. It gives you a reason to go through what youre going through. Weve got to learn from it for the future, she said, adding, I want to be healthy for my family, I want to participate in life with my family and my friends, and continue to enjoy life.CONNECTING WITH TECHNOLOGYCharles A. Dean Memorial Hospital (CA Dean) in Greenville sits along the scenic shores of Moosehead Lake, one of Maines most treasured natural resources. Its a peaceful, idyllic spot that draws tourists from far and away who are eager to get away from the hustle and bustle of their daily grind. But beneath the hum of motorboats cruising along Moosehead Lake in the summer, or the snowmobiles skirting across its icy surface in winter; beneath the laughter of kids splashing in the water on a hot August day or pulling a trophy trout through the ice on a frigid February morning, there is a rural health problem that those visitors do not see. To be fair, it affects communities throughout Maine but has been more problematic in those towns and hamlets tucked far away from urban centers.There is very little rural mental health period, explains Joseph Babbitt, MD, an emergency room physician and hospitalist at CA Dean. Historically people in rural communities have had to travel hours to access psychiatric services. If they showed up at any rural hospital emergency room with a mental health crisis, they had to wait hours for an evaluation. Youve got an emotionally unstable patient who is in a very disruptive emergency waiting room environment, waiting 18 hours to have a mental health professional come assess them. That doesnt help anyone, Dr. Babbitt said.But technology is bridging the gap and allowing those who live in rural communities to have the same access to psychiatric services as their urban counterparts. Telemedicine is a medium that connects a patient with a practitioner via a screen, explained Gavin Ducker, MD, chief medical officer at Inland Hospital in Waterville.Inland Hospital and CA Dean use telemedicine to provide psychiatric services to patients through Acadia Hospital, which offers telepsychiatry services to 15 rural emergency departments and 12 rural primary care practices across the state. CA Dean uses telemedicine for behavioral health in its emergency department. Inland does, too, but also offers the service through its primary care practices. Our goal has been to deliver the care on site, in a place theyre familiar with, comfortable with, and would feel more relaxed, and hopefully in a more timely manner. Telemedicine has allowed us to do ju Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Mary Hood, trustee/officer and Charles Therrien, trustee/officer are board members of Maine Hospital Association. Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company Explanation: Eastern Maine Healthcare Systems (EMHS) has entered into an administrative and management service contract with BE Smith under which an employee was provided for the position of Interim President for Mercy Hospital (part-year).Jay Eckersley, Interim Sr VP & COO and Interim President for part of the year for Mercy Hospital of FY2017, is employed by BE Smith. He provides services as Interim Sr. VP & COO for EMHS and as Interim President for part of the year for Mercy. His CY2016 compensation and benefits received from BE Smith for services provided to EMHS and Mercy is $427,064. His position has leadership responsibility for Mercy's day-to-day operations. He was accountable for planning, organizing, and directing the hospital to ensure that quality patient care is provided and that the financial integrity of the hospital is maintained. He ensures compliance with applicable laws and regulations as well as all policies and procedures set forth by the Governing Board. Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents Amended Article IV (Officers), Section 5 (President) - to remove President as the chief executive officer of the Corporation.Amended Article IV (Officers), Section 7 (Treasurer & Assistant Treasurer) - to change the title of Chief Financial Officer to VP of Finance.Amended Article V (Committees), Section 7 (Governance Committee) to change the title President/CEO to President.Amended Article V (Committees), Section 10 (Finance Committee) to change the title of Chief Financial Officer to Assistant Treasurer.Amended Article VIII (Fiduciary Duty; Prohibited Transactions; Divided Loyalty; Independence), Section 5 (Independent Trustees), Subsection (a) and Subsection (b) to change the reference to interim chief executive officer to President.Amended to remove the reference to Mercy Health Systems of Maine (MHSM) as Class A non-voting member of Mercy Hospital (Mercy). MHSM was formally dissolved thereby establishing EMHS as the sole corporate member of Mercy. EMHS was previously the sole corporate member of MHSM, which was the Class A non-voting member of Mercy and EMHS was the Class B voting member of Mercy. Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Mercy 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 of Finance of Mercy 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 President of Mercy 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 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 meeting 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 - Officers & Key EmployeesCompensation of other officers and key employees of the organization is established by the Human Resources department who utilize external market research to establish compensation ranges for specific positions. On an annual basis, the compensation ranges are compared to the updated survey information.The hiring manager will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Mercy 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 Change in net assets held @ EMHS Foundation = $448936 Other Changes In Net Assets Or Fund Balances - Other Increases Transfer from exempt parent-Eastern Maine Healthcare Systems = $10068897 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfer to exempt parent - Eastern Maine Healthcare Systems = -$1614303 SCHEDULE H PART VI SUPPLEMENTAL INFORMATION Continuation of Disclosure in accordance with Revenue Procedure 2015-21:Schedule H, Part V Facility Information, Section B Facility Policies and Practices6. PLSa. Requirement: The PLS must include certain information, including a statement of the availability of translations of the FAP, FAP application form and PLS in other languages, and a statement that a FAP-eligible individual will not be charged more than AGB for emergency or other medically necessary care.b. Condition: While the PLS met most of the requirements of the regulation, it did not include a statement of the availability of translations of the FAP, FAP application form and PLS in other languages, and also did not clearly state that a FAP-eligible individual will not be charged more than AGB for emergency or other medically necessary care.c. Corrective Action: The PLS was updated to include a statement of the availability of translations of the FAP, FAP application form and PLS in other languages, and to clearly state that a FAP-eligible individual will not be charged more than AGB for emergency or other medically necessary care. d. Date Corrected: After the revisions to the FAP were approved by EMHS Leadership in Fiscal Year 2017 and the EMHS Board of Directors at its October 4, 2017 meeting, the PLS was updated and was widely publicized in October 2017. 7. PLS Eligibility Requirementsa. Requirement: The PLS must include certain information, including a brief description of the eligibility requirements and assistance offered under the FAP.b. Condition: Although patients from any state could be eligible to receive financial assistance under the FAP, the PLS indicated that financial assistance or free care was only available for medically necessary or emergency care services received by Maine residents. c. Corrective Action: The PLS was updated to indicate that non-Maine residents were eligible to receive financial assistance or free care for emergency care services. d. Date Corrected: After the revisions to the FAP were approved by EMHS Leadership in Fiscal Year 2017 and the EMHS Board of Directors at its October 4, 2017 meeting, the PLS was updated and was widely publicized in October 2017. 8. Translationsa. Requirement: To widely publicize its FAP, a hospital facility must accommodate all significant populations that have limited English proficiency (LEP) by translating its FAP, FAP application form and PLS into the primary language(s) spoken by such populations.b. Condition: While the FAP, FAP application and PLS were translated into the primary languages spoken by the populations served by Mercy, the instructions to the FAP application and the title and one paragraph of the Provider List attached to the FAP (i.e., the list of providers covered by the hospitals FAP) were not translated into these languages.c. Corrective Action: The FAP application instructions and the applicable language on the Provider List were translated into the required languages.d. Date Corrected: After the revisions to the FAP were approved by EMHS Leadership in Fiscal Year 2017 and the EMHS Board of Directors at its October 4, 2017 meeting, the FAP application instructions and Provider List were updated and were widely publicized in October 2017. Eastern Maine Healthcare Systems EMHS 43 Whiting Hill Road Brewer ME 04412 010527066 Supporting org for healthcare affiliates ME 501(c)(3) 12 Type II N/A true Acadia Hospital Corp AHC 43 Whiting Hill Road Brewer ME 04412 010459837 Provide healthcare services ME 501(c)(3) 3 EMHS true Acadia Healthcare Inc AHI 43 Whiting Hill Road Brewer ME 04412 223183888 Provide healthcare services ME 501(c)(3) 10 AHC true Meadow Wood LLC 43 Whiting Hill Road Brewer ME 04412 272935243 Provide patient care ME 501(c)(3) 10 AHI true Restoration Health LLC 43 Whiting Hill Road Brewer ME 04412 352449986 Provide mental & behavioral hlth srvs ME 501(c)(3) 10 AHI true Eastern Maine Medical Center PO Box 404 489 State St Bangor ME 044020404 010211501 Provide healthcare services ME 501(c)(3) 3 EMHS true Eastern Maine Medical Center Auxiliary 43 Whiting Hill Road Brewer ME 04412 010377901 Fund raising for exempt EMMC ME 501(c)(3) 10 EMMC true Norumbega Medical Specialists LTD 43 Whiting Hill Road Ste 400 Brewer ME 04412 010465231 Provide patient care and education ME 501(c)(3) 10 EMMC true EMHS Foundation 43 Whiting Hill Road Ste 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 Road Brewer ME 04412 010391038 Provide services to elderly ME 501(c)(3) PF EMHS true Rosscare Nursing Homes Inc 43 Whiting Hill Road Ste 400 Brewer ME 04412 010430751 Operation of nursing homes ME 501(c)(3) 10 Rosscare true 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 long-term nursing ca 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 TAMC Title Corp PO Box 151 140 Academy Street Presque Isle ME 047690151 010389226 Real estate holding company ME 501(c)(2) TAMC 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 Mercy Health System of Maine 144 State Street Portland ME 04101 010484074 Supporting org for healthcare affiliates ME 501(c)(3) 12 Type III Func Int 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 Eastern Maine Healthcare Real Estate 43 Whiting Hill Road Brewer ME 04412 010391036 Leases of real estate ME 501(c)(2) EMHS true Workhealth LLC 43 Whiting Hill Road Brewer ME 04412 474315094 Provide healthcare services ME 501(c)(3) 12 Type II EMHS true Maine Coast Healthcare Corporation 50 Union Street Ellsworth ME 04605 223176167 Provide dental services ME 501(c)(3) 12 Type II EMHS true Maine Coast Regional Health Facilities 50 Union street Ellsworth ME 04605 010198331 Provide healthcare services ME 501(c)(3) 3 EMHS true Maine Coast Medical Realty 50 Union Street Ellsworth ME 04605 010390918 Lease medical facilities ME 501(c)(3) 12 Type I MCMH true Lifestages Physician Services LLC 50 Foden Road South Portland ME 04106 821043752 Provide home health and hospice services ME 501(c)(3) 10 VNA true Beacon Health LLC 43 Whiting Hill Road Brewer ME 04412 452967056 Accountable care organization ME EMHS false false Beacon Rural Health LLC 43 Whiting Hill Road Brewer ME 04412 474483187 Accountable care organization ME EMHS false false Merdian Mobile Health LLC 43 Whiting Hill Road Brewer ME 04412 010512673 Ambulance ME AHS false false M Drug LLC 43 Whiting Hill Road Brewer ME 04412 272175482 Pharmacy ME AHS false false Alliance Healthcare Documentation LLC 43 Whiting Hill Road Brewer ME 04412 462751855 Transcription ME AHS false false Affiliated Healthcare Systems AHS 43 Whiting Hill Road Brewer ME 04412 010385322 Holding co. ME EMHS C true Affiliated Laboratory Inc 43 Whiting Hill Road Brewer ME 04412 010381283 Clinical lab ME AHS C true Affiliated Materiel Services 43 Whiting Hill Road Brewer ME 04412 010381189 Purchasing ME AHS C true Affiliated Healthcare Management 43 Whiting Hill Road Brewer ME 04412 010349339 Hlthcr mgmt ME AHS C true Maine Coast Physician Affiliates 43 Whiting Hill Road Ellsworth ME 04605 010479952 Patient Care ME MCMH C true Beacon Direct 43 Whiting Hill Road Brewer ME 04412 371864965 Healthcare Self Funded TPA ME EMHS C true false false false false false false false false false false false true true false false true false true true Eastern Maine Healthcare Systems EMHS m 17109405 FMV Eastern Maine Healthcare Systems EMHS p 17563121 FMV Eastern Maine Healthcare Systems EMHS r 1614303 FMV Eastern Maine Healthcare Systems EMHS s 10068897 FMV Eastern Maine Medical Center m 115655 FMV Eastern Maine Medical Center p 421871 FMV EMHS Foundation m 400000 FMV EMHS Foundation s 594943 FMV VNA Home Health & Hospice l 126858 FMV Workhealth LLC m 138022 FMV Beacon Health LLC m 372601 FMV Alliance Healthcare Documentation LLC m 431099 FMV Affiliated Laboratory Inc m 518585 FMV