2017-08-09T08:26:21-07:00 2016-09-24 990 2015-09-27 010372148 EASTERN MAINE HEALTHCARE SYSTEMS TAMC THE AROOSTOOK MEDICAL CENTER TAMC EAST 2079739081 PO BOX 151 PRESQUE ISLE ME 04769 John J Doyle System Controller 2017-08-09 false 2015 2021-01-29 14:40:06Z John J Doyle 285503988 false false 5247 X WWW.TAMC.ORG X 1981 ME THE MISSION OF THE AROOSTOOK MEDICAL CENTER IS TO RESTORE, MAINTAIN, AND IMPROVE THE HEALTH OF OUR FRIENDS AND NEIGHBORS IN A COMPASSIONATE AND PROFESSIONAL ENVIRONMENT. 14 8 1194 103 0 858017 1109211 249234999 276898703 373228 84125 1271582 178204 251737826 278270243 17500 0 73356459 77242898 0 0 177094728 212115300 250451187 289375698 1286639 -11105455 86847086 80435491 52053066 59359370 34794020 21076121 X THE MISSION OF THE AROOSTOOK MEDICAL CENTER IS TO RESTORE, MAINTAIN, AND IMPROVE THE HEALTH OF OUR FRIENDS AND NEIGHBORS IN A COMPASSIONATE AND PROFESSIONAL ENVIRONMENT. false false 251872836 17500 277005914 PROVISION OF ACUTE & SUBACUTE HOSPITAL CARE RELATED TO OUTPATIENT CLINICS AND HEALTH CARE SERVICES. SERVED 29,965 PATIENT DAYS OF ROUTINE SERVICES AND 93,296 OUTPATIENTS. PROVIDED SERVICES REGARDLESS OF ABILITY TO PAY AS WELL AS EDUCATION AND PROMOTION OF HEALTH. PROVIDED OTHER UNCOMPENSATED CARE (AT COST) OF $3,437,402. 13535157 MEDICARE SHORTFALLS (AT COST). 75,617 PERSONS SERVED 3287187 MEDICAID SHORTFALLS (AT COST). 27,242 PERSONS SERVED 1880968 270576148 true true false true false false false false false true true false false true true true false true false false false false false false false false true true true false true false false false false false false false false false true false false false false false false true true true true false true 174 0 true 1194 true false false false false false false false false 0 false false false false false false false false false false X 14 8 false false false false true true true true true false false true true true true true true true false true true ME X X X John J Doyle 2079739081 43 Whiting Hill Road Brewer ME 04412 RICHARD DUNCAN Trustee 2.00 0.00 X 0 0 0 CAROL BELL Vise Chair 2.00 0.00 X X 0 0 0 DAVID WEED MD VP MED STAFF 40.00 0.00 X 521933 0 25653 M MICHELLE HOOD President EMHS 1.00 50.00 X X 0 985581 270403 BRETT VARNUM Trustee 2.00 0.00 X 0 0 0 HOLLY JOHNSON Trustee 2.00 0.00 X 0 0 0 JOSEPH LALLANDE Trustee 2.00 0.00 X 0 0 0 ALAN LANDEEN Trustee 2.00 0.00 X 0 0 0 LYNN LOMBARD Trustee 2.00 0.00 X 0 0 0 GENE LYNCH Trustee 2.00 0.00 X 0 0 0 SYLVIA GETMAN President & CEO 40.00 0.00 X X 370479 0 100155 PETER ST JOHN Trustee 2.00 0.00 X 0 0 0 BARRY MCCRUM Trustee 2.00 0.00 X 0 0 0 SERGIO LEMA-GUTIERREZ MD VP Med Staff 40.00 0.00 X 264417 0 16809 STEVE ST PIERRE Chairman 2.00 0.00 X X 0 0 0 GLENDA DWYER Interim Preside 40.00 0.00 X X 179425 0 27390 PETER MORNINGSTAR MD Pres Medi Staff 40.00 0.00 X 240240 0 37235 MAURA KELLY CFO 40.00 0.00 X 18462 0 0 JIM MCKENNEY VP Support Svc 40.00 0.00 X 147277 0 33565 BRUCE SANDSTROM CFO-PART YEAR 40.00 0.00 X 287297 0 23435 JAY REYNOLDS MD VP/CMO/COO 40.00 0.00 X 253747 0 47199 ROGER PELLI DO CMIO 40.00 0.00 X 285726 0 29710 ROLAND JOY VP Pat Care Svc 40.00 0.00 X 183642 0 16740 YOOSUF SIDDIQUI VP HR 0.00 40.00 X 0 130272 28404 JOY BARRESI SAUCIER VP Strategy/Com 40.00 0.00 X 144798 0 16471 Gary A Wikert UROLOGIST 40.00 0.00 X 550071 0 8822 ARJUN SOOD ONCOLOGIST 40.00 0.00 X 530459 0 13445 RICHARD LEIDINGER UROLOGIST 40.00 0.00 X 525474 0 23145 RUSSELL DONNELLY SURGEON 40.00 0.00 X 523496 0 10070 MARK E MORIN PHYSICIAN 40.00 0.00 X 505958 0 26306 5532901 1115853 754957 109 false true false COMPHEALTH INC PO BOX 972651 DALLAS TX 753972651 PHYSCN FEES-LOCUMS 899790 HUDSON STAFFING PLLC 4625 NADINE LN FRANKLIN TN 37064 TEMP STAFF 721470 FRESH AIR LLC 43 HIGH STREET CARIBOU ME 04736 AIR AMBULANCE 876683 AROOSTOOK MRI LLC PO BOX 6600 NEWPORT BEACH CA 92658 CONTRACTED SERVICES 500328 SECURITAS SEC SVCS USA INC PO BOX 403412 ATLANTA GA 303843412 TEMP STAFF-SECURITY 289514 18 879555 229656 12469 1109211 Cafeteria 722210 426010 426010 LiveSafe Revenue 624200 170580 170580 Program Service 621990 276302113 276302113 276898703 346677 346677 0 0 34200 75529 -41329 -41329 -41329 6725331 80515 7034330 34068 -308999 46447 -262552 -262552 0 0 160811 89818 70993 70993 EFFICIENCY ME INCENTIVE 621990 148250 148250 MISC REVENUE 900099 290 290 148540 278270243 276579904 581128 17500 17500 0 0 0 3271805 1923051 1348754 0 61199227 54219993 6979234 1707789 1504167 203622 7245244 6449551 795693 3818833 3363509 455324 0 9209 9209 41742 41742 0 0 545 545 12015006 7222128 4792878 200635 1613 199022 2971961 2228883 743078 1592076 1398978 193098 0 2920274 2101116 819158 995190 801516 193674 0 20242 1158 19084 431389 227235 204154 0 5753661 4450708 1302953 980106 917672 62434 CONTRACTUAL ALLOWANCES 152692002 152692002 MEDICAL SUPPLIES EXPENSE 16803292 16803292 PROVISION FOR BAD DEBTS 7877635 7877635 Charity Care 3036601 3036601 3773734 3337840 435894 289375698 270576148 18799550 0 3865 3715 2620427 1882787 0 26129579 20576569 0 0 378867 640432 2158307 2084926 1183192 1337376 99807201 62034213 36665290 37772988 0 0 0 0 17707559 16136698 86847086 80435491 28328067 33152188 94147 50905 6502077 17128775 26156277 52053066 59359370 X 27738680 14051974 4331167 4299974 2724173 2724173 34794020 21076121 86847086 80435491 X -11105455 204403 -2816847 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 17641 17641 false false Part II-B, Line 1i - Other Activities Description Non-deductible portion of dues. 2948531 265032 4859 5246 3203458 3058725 5000 -75498 19939 19757 2948531 1909135 1169884 20294 3058725 1709599 -28551 244429 16342 1909135 1465995 258319 14715 1709599 0.54000 0.46000 false true true 227598 227598 47418298 29136343 18281955 3253263 1671950 1581313 45536931 29368260 16168671 3371111 1857660 1513451 37772988 Assets whose use is limited 3171285 Board Designated Other 7500 Investments in County Physical Therapy 480168 Other Assets 87430 Permanently Donor Restricted Funds 2724173 Self-Insurance Funds Held by Trustee 5366168 Temporarily Donor Restricted Funds 4299974 16136698 2016 Bonds Held by EMHS, Related Organi 20535417 Reserve for Asset Disposal Costs 254692 Reserve for Retiree Health Benefits 5366168 26156277 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 827 1880968 1880968 0.01500 27242 16432495 13145308 3287187 0.02600 182388 182388 0.00100 28069 18495851 13145308 5350543 0.04200 16 43111 123312 9560 113752 0.00100 1 100 3540 3540 13 8330 86943 86943 0.00100 30 51541 213795 9560 204235 0.00200 30 79610 18709646 13154868 5554778 0.04400 1 584 584 1 40 1544 1544 2 40 2128 2128 true 3437402 39847270 53382427 -13535157 X true true COUNTY PHYSICAL THERAPY OUTPATIENT PHYSICAL THERAPY 0.50000 1 1 The Aroostook Medical Center 140 Academy Street Presque Isle ME 04769 www.tamc.org 37937 X X X The Aroostook Medical Center 1 false false true X X X X X X X X X 16 true true true true X http://tamc.org/ X www.EMHS.org/Community-Benefit/CHNA.aspx X true 16 true http://www.emhs.org/Community-Benefit/CHNA/2016-EMHS-Communi false false true X 150.0000 250.0000 X true true X X X X true X www.tamc.org/Patients-Visitors/Billing X www.tamc.org/Patients-Visitors/Billing X www.tamc.org/Patients-Visitors/Billing X X X X X X true X false 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 Presque Isle Chapter of Rotary International Shared CHNA Community Engagement Forum and provided valuable feedback on the Shared CHNA.Details about organizations: Representatives from The Aroostook Medical Center (serves low income patients on MaineCare and medically underserved patients through low cost/free care), Presque Isle city government (city council, city manager, fire chief), UMPI, NMCC, and various local businesses were present. The Rotary Club acts as a funding agency to the United Way and other local charities. Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs Assessment The Shared CHNA was conducted through the Maine Shared Health Needs Assessment Planning Process (SHNAPP) a collaborative effort among Maines four largest health-care systems Central Maine Healthcare, Eastern Maine Healthcare Systems (EMHS), MaineGeneral Health, MaineHealth and the Maine Center for Disease Control and Prevention, an office of the Maine Department of Health and Human Services (DHHS). EMHS member organizations participating in the Shared CHNA included Acadia Hospital, Blue Hill Memorial Hospital, Charles A. Dean Memorial Hospital, Eastern Maine Medical Center, Inland Hospital, Maine Coast Memorial Hospital, Mercy Hospital, Sebasticook Valley Health, and TAMC. Part V, Line 11 - Explanation of Needs Not Addressed and Reasons Why Priorities of Focus - Based on the Aroostook County needs identified during the Community Health Needs Assessment, TAMC has selected the following areas for which we can make a positive impact within our region. Going forward, these priorities will be a focus of our community outreach and operational resources.1. Decrease youth obesity.2. Decrease number of adults age 20-60 with cardiovascular disease risk factors. 3. Improve health status of adults over 65 with 3 or more chronic conditions.4. Decrease inappropriate emergency department utilization by the Medicaid population.5. Improve access to behavioral health services.6. Increase early identification of domestic violence and link victims with appropriate resources.Secondary Focus - For the following community needs, TAMC will play a collaborative role by partnering with and supporting the organizations in the community that are already focused on these areas.1. Oral Health2. Transportation3. Affordable Housing4. Economic Development5. Educational Attainment Part V, Line 13h - Other Factors Used in Determing Amounts Charged Patients Income Level Part V, Line 16i - Other Means Hospital Facility Publicized the Policy Visited patient rooms for self-pay admissions and offered the application. Posted signs and individual notices containing information on the availability of Financial Assistance are located in key public areas within the hospital. Signs and notices inform the patient of the availability of Financial Assistance and include eligibility criteria, instructions on how to apply and how to obtain additional information or assistance. The "Billing Help" section of the hospital web pages provides a link to the free care application form, instructions, Plain Language Summary, and eligibility criteria. Part V, Line 22d - Other Billing Determination of Individuals Without Insurance Hospital charges are discounted at 100% for patients who qualify for Financial Assistance with income at or below 150% FPL. The hospital also offers discounts at 50% for patients who fall within 151% to 250% of FPL. 24 AROOSTOOK GENERAL & VASCULAR SURGERY CTR 146 ACADEMY STREET STE 1A PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC FAMILY PRACTICE & INTERNAL MEDICINE 23 NORTH STREET STE 4 PRESQUE ISLE ME 04736 OUTPATIENT PHYSICIAN CLINIC OBGYN MIDWIFERY 140 ACADEMY STREET STE 4 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC AROOSTOOK PEDIATRICS 23 NORTH STREET STE 1 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC SLEEP MEDICINE SERVICES 140 ACADEMY STREET STE 3 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC AROOSTOOK CANCER CARE 140 ACADEMY STREET PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC COUNTY DIALYSIS CENTER 23 NORTH STREET SUITE 5 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC AROOSTOOK HEALTH CENTER 15 HIGHLAND AVENUE PO BOX 40 MARS HILL ME 04758 NURSING HOME, OUTPATIENT CLINIC FORT FAIRFIELD HEALTH CENTER 23 HIGH STREET FORT FAIRFIELD ME 04742 OUTPATIENT PHYSICIAN CLINIC OUTPATIENT SPECIALTY CLINICS 19 NORTH STREET PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINICS WALK IN CARE 23 NORTH STREET STE 2 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC AROOSTOOK HEART & LUNG CENTER 146 ACADEMY STREET STE 1B PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC TAMC UROLOGY SERVICES 140 ACADEMY STREET STE 5 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NEPHROLOGY SERVICES 19 NORTH STREET PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC CARIBOU HEALTH CENTER 118 BENNETT DRIVE STE 130 CARIBOU ME 04736 OUTPATIENT PHYSICIAN CLINIC CENTRAL AROOSTOOK HEALTH CENTER 106 MAIN STREET MARS HILL ME 04758 OUTPATIENT PHYSICIAN CLINIC WOMENS HEALTH CENTER 140 ACADEMY STREET STE 6 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC TAMC EYE SERVICES 146 ACADEMY STREET SUITE D PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC CROWN AMBULANCE 140 ACADEMY STREET PRESQUE ISLE ME 04769 AMBULANCE SERVICE TAMC ORTHOPEDIC SERVICES 140 ACADEMY STREET SUITE 10 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINICS SLEEP DISORDERS CENTER 140 ACADEMY STREET SUITE 2 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINICS TAMC EARS NOSE and THROAT 140 ACADEMY STREET SUITE 12 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC CROWN AMBULANCE AROOSTOOK HEALTH CENTER 18 HIGHLAND AVENUE MARS HILL ME 04769 AMBULANCE SERVICE CROWN AMBULANCE COMMUNITY GENERAL HOSPITAL 23 GREEN STREET FORT FAIRFIELD ME 04742 AMBULANCE SERVICE Part I, Line 6a - Related Organization Community Benefit Report The TAMC 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 $7,877,635 of bad debt expense, $3,036,601 of charity care, $152,692,002 of contractual allowances is included on Form 990, Part IX, line 24, column (A). Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense The costing methology used to determine the amount is cost to charge ratio. Part III, Line 4 - Bad Debt Expense Patient and trade accounts receivable are stated at the amount management expects to collect from outstanding balances. Management provides for probable uncollectible amounts through a charge to earnings and a valuation allowance based on its assessment of the current status of individual accounts. Balances that are still outstanding after management has used reasonable collection efforts are written off through a charge to the valuation allowance and the applicable patient accounts receivable. Credit is extended without collateral. Part III, Line 8 - Explanation Of Shortfall As Community Benefit Medicare losses should be treated as a community benefit because the losses are incurred in performing an important public service, and Maine hospitals experience one of the lowest Medicare reimbursement rates in the country. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients All account guarantors who express an inability to pay inpatient and outpatient services will be screened for eligibility for charity care using an application and guidelines established by The Aroostook Medical Center. An account may be reconsidered for charity care at any time when new information is available about a patient's inability to pay. Part VI - Patient Education of Eligibility for Assistance Financial assistance or free care is available only for medically necessary services. Posters are displayed in patient care areas, information and forms are available online on the hospital website, and patient billing representatives are also available to take calls and to answer questions. Part VI - Community Information The Aroostook Medical Center (TAMC) is the largest, most comprehensive healthcare organization in Aroostook County, Maine. Governed by a volunteer board of trustees, our active medical staff consists of over 60 physicians and 48 allied health professionals. As a member of EMHS, we are able to provide care not commonly found in rural areas, including outpatient hemodialysis, diagnostic heart catheterization, acute inpatient rehabilitation, and comprehensive cancer care. A.R. Gould Memorial Hospital serves as the heart of TAMCs care delivery network, which includes Crown Emergency Care ambulance service, Crown Critical Care Transport ground and fixed-wing air transport service, several primary care centers, a broad scope of specialty services, and a 72 bed long-term skilled nursing and rehabilitation center. TAMC serves as EMHSs most northern member serving all of Aroostook County, Maine. As such, TAMC acts as a leader in the region to improve overall community wellness. TAMC leadership serves on the boards and subcommittees of the Aroostook District Public Health Council and several other health and economic development organizations.Aroostook County is home to 70,055 people, living in a region encompassing 6,671 square miles, with a population density of 10.8 people per square mile. Aroostook has 20.6% of the population over 65 years of age, which is higher than the Maine rate of 17.7%. Aroostook is predominately white (95.5%), with a small American Indian (1.8%) and Hispanic (1.1%) population. Aroostook trails Maine in education status with only 85.1% of adults having a high school diploma and less than 17% having a bachelors degree. The median household income in Aroostook is $37,855 and over 16% of people live below the poverty level. Major industries include agriculture and forestry.Of Maines 16 counties, Aroostook County ranks thirteenth in health outcomes and twelfth for quality of life. Top social concerns include unemployment/economic opportunity, substance abuse, domestic violence, isolation (physical and social) and affordable housing. Aroostook County has the highest rates of adult asthma, unmet mental health needs, and overweight youth. It has the second highest rate of heart disease in Maine. Part VI - Community Building Activities TAMC plays a role in regional economic development. Members of TAMC leadership served on the Aroostook Partnership for Progress and Leaders Encouraging Aroostook Development. TAMC supported community building economic development activities through sponsorships and partnerships, such as the Big Rock Youth Ski Development Program and the Fort Fair Field Community Garden and resulting concert kick-off event.In addition, TAMC is active in the development of future health professionals. TAMC collaborated with public schools and higher education institutions to allow job shadowing, student internships, and implemented a week-long summer camp for students entering 9th grade. TAMC also supported community building through hosting American Red Cross Blood Drives. Part VI - Explanation Of How Organization Furthers Its Exempt Purpose Collaboration is key in Aroostook County as TAMC works with numerous local and regional organizations to improve community health and engage people of all ages in healthy behaviors. Over the past year, TAMC has partnered with each of the Countys hospitals, the higher education institutions, ACAPs Heathy Aroostook program, the Aroostook Autism Support Group, United Way of Aroostook, and several other organizations to bring a variety of programs to the community. From promoting physical activity to collecting food for local pantries and a whole host of activities in between, TAMC has helped positively affect the lives of thousands of residents in northern Maine across the age spectrum. In the fall of 2015, TAMC provided free influenza vaccinations to more than 1,600 County residents. 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.TAMC is a member of EMHS. EMHS (Eastern Maine Healthcare System) includes nine hospitals, numerous physician practices, long-term care facilities, home health and hospice, and ground and air emergency transport. As a top-performing national Pioneer Accountable Care Organization (ACO), EMHS has a proven record of quality outcomes, cost reduction, and highly engaged patients. The EMHS statewide network of care is tailored to the needs of communities and individuals, working to ensure that the people of Maine have the care they need close to home. Promotion of health is a major priority for EMHS. EMHS leadership participates on the Maine CDC Public Health Statewide Coordinate Council and the Maine Public Health Association. EMHS coordinates several state-wide wellness initiatives, including Move & Improve and Raising Readers. Move and Improve is a community-based physical activity program designed to encourage and empower individuals to engage in a healthier lifestyle through physical activity; as the program utilizes the web to invite individuals and sites (work, school, community, etc.) to participate, it has been successful in reaching participants in over 400 Maine towns, 19 different states and a handful of different countries. Raising Readers gives all Maine children through age five at least a dozen beautiful books to call their very own; distribution occurs through collaboration with hospitals and physician offices.In addition, the EMHS community health work will advance as it continues its three-year initiative to improve the health of Maines population in the seven most northern counties. This opportunity is made possible through a $4.05 million cooperative agreement with the Centers for Disease Control and Prevention where EMHS will lead a collaborative of eleven Healthy Maine Partnerships and other strategic community partners to reduce barriers that affect health, such as improving access to healthy foods, increasing opportunities for physical activity, preventing and managing chronic diseases, and educating and empowering people to lead healthy lives. TAMC (The Aroostook Medical Center) serves as EMHSs most northern member serving all of Aroostook County, Maine. As such, TAMC acts as a leader in the region to improve overall community wellness. TAMC leadership serves on the board of the Maine CDC Aroostook District Public Health Council. Over the past year, TAMC has engaged with several community organizations to introduce a significant number of health promotion and wellness activities, including a women's health conference, men's health conference, year round family physical activity series, kids safety fair, community health fair, wellness presentations for seniors, health screenings, supported a tobacco cessation program for a partner agency, provided outreach to the local housing authority and local native American tribe focused on wellness activites, and collaborated with a local CAP agency to pilot a food insecurity screening and referral program for pediatric patients. Part VI - States Where Community Benefit Report Filed N/A true NORTHERN MAINE DEVELOPMENT CO 11 WEST PRESQUE ISLE ROAD CARIBOU ME 04736 010421222 501(c)(3) 7500 0 Operational Support 0 1 Grantmaker's Description of How Grants are Used The Organization makes payments only to other not-for-profit organizations. Therefore, additional monitoring was not deemed necessary. false true false false false false false false false false ARJUN SOOD ONCOLOGIST 517685 10813 1961 11212 2233 543904 BRUCE SANDSTROM CFO-PART YEAR 219862 64018 3417 12386 11049 310732 DAVID WEED MD VP MED STAFF 474492 43540 3901 14575 11078 547586 Gary A Wikert UROLOGIST 550014 57 7950 872 558893 GLENDA DWYER Interim Preside 160538 14149 4738 15033 12357 206815 JAY REYNOLDS MD VP/CMO/COO 229516 21723 2508 22565 24634 300946 JIM MCKENNEY VP Support Svc 125436 17277 4564 8454 25111 180842 JOY BARRESI SAUCIER VP Strategy/Com 130660 12277 1861 13088 3383 161269 M MICHELLE HOOD President EMHS 803333 167248 15000 250557 19846 1255984 MARK E MORIN PHYSICIAN 398381 105270 2307 7950 18356 532264 PETER MORNINGSTAR MD Pres Medi Staff 231496 7500 1244 11227 26008 277475 RICHARD LEIDINGER UROLOGIST 489176 30600 5698 23145 548619 ROGER PELLI DO CMIO 253083 25012 7631 11937 17773 315436 ROLAND JOY VP Pat Care Svc 162577 15353 5712 5556 11184 200382 RUSSELL DONNELLY SURGEON 498232 21700 3564 6705 3365 533566 SERGIO LEMA-GUTIERREZ MD VP Med Staff 239203 24919 295 7948 8861 281226 SYLVIA GETMAN President & CEO 316205 49770 4504 75300 24855 470634 YOOSUF SIDDIQUI VP HR 121719 6543 2010 5568 22836 158676 Tina Weed fam mem=officer 67810 compensation false Beverly McCrum fam mem=brd mem 48462 compensation false Schedule L, Part V Supplemental Information Tina Weed is a family member of an officer and is an employee of TAMC.Beverly McCrum is a family member of a board member and is an employee of TAMC. Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: MEDICARE SHORTFALLS (AT COST). 75,617 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:Oh, the places we will go!As parents and grandparents we know well the wit and wisdom of New England's own Theodor Geisel, better known as Dr. Seuss. He reminds us, "... the things you can find, if you don't stay behind!" Dr. Seuss teaches us that innovation, leadership, and curiosity are noble traits that take us far in life. As leaders, we carry these lessons with us today. EMHS tirelessly seeks opportunities to innovate delivery of care by challenging the status-quo and pushing our organization to fearlessly exceed expectations in today's ever-evolving healthcare landscape. When taking a look back at 2016, we celebrate the amazing work being done across EMHS. Here, leaders come in all forms and nowhere is it more evident than in our 2016 Annual Report. Within these pages, you will meet some 'Girls on the Run' in Hancock County who are joyful, healthy, and confident; a family that welcomed a new baby and was grateful for excellent Neonatal Intensive Care; and a homecare nurse who travels thousands of miles each year to care for her patients. You will also learn how EMHS is collaborating with our communities on core concerns, such as food insecurity and overcoming Maine's opioid epidemic, and about the continued advancement of our population health efforts. Finally, as a proud Maine company, EMHS was pleased to be a part of the Acadia National Park Centennial; we share a look at our participation in the celebration.And, in an effort to bring the EMHS experience even closer to you, we've created an interactive online report in addition to our printed version. On the web, you will find beautiful videos of the inspiring stories discussed here along with interactive graphs and maps. We are proud to be a leader in this dynamic healthcare world. EMHS continues to embrace today's challenges all the while reflecting on how we can use our resources to create outstanding experiences for our customers and help shape vibrant, healthy communities. We have a lot of work ahead of us in 2017, or, to paraphrase Dr. Seuss, "You're off to great places! You're off and away!"M. Michelle Hood, FACHEEMHS President and CEOEvelyn S. Silver, PhDEMHS Board ChairOn your mark, get set...EMHS youth programs start kids off right for the race of lifeRaising children in today's world provides unique challenges. Issues such as childhood obesity and the prevalence of mental health issues like anxiety and depression among our youth have garnered the attention of parents and healthcare providers.Fortunately, research has shown that providing our children with healthy activities that teach them the value of exercise. Eating well and being part of their communities can make a big difference in their long-term well-being.With that in mind, EMHS organizations offer creative programs and activities designed to support the healthy development of kids, many times in collaboration with other area organizations.A shining example of this approach can be seen in Presque Isle, where The Aroostook Medical Center (TAMC) partnered with the University of Maine at Presque Isle and Healthy Aroostook to organize The REDY Youth Triathlon in September, 2016 as part of TAMC's ongoing Fit and Fun Series.Children, ages 7 through 14, swam, biked, and ran different distances based on their age category. Event organizers named the triathlon after REDY, a well-known mascot of Let's Go 5-2-1-0 (5 or more fruits or vegetables a day, 2 or less hours of recreational screen time, 1 hour of physical activity, and 0 sugary drinks),a nationally recognized youth obesity prevention program that has partners throughout Maine.Jayden Harvell age 8, who according to her mother, Heather, is very athletic, participated in the event, which was her second triathlon. Before Jayden participated, she commented, "Yeah, I'm growing up and I'm getting healthier and smarter, and this helps me get fit. I think it will be fun!"The concept of 5-2-1-0 is also reflected in Inland Hospital's Family Fun Series, now in its fifth year. Inland Hospital, located in Waterville, works with other local organizations to provide a monthly family-oriented event that promotes an active lifestyle. The hospital's community wellness team leader, Ellen Wells, plays an integral role in making the series run smoothly. "We are trying to engage the whole family to make physical activity a way of life. Down the road, that will mean lower adult obesity rates and the related chronic disease that goes along with that."In addition to the Family Fun Series, every Tuesday evening during the summer of 2016, Inland sponsored the Quarry Road Fun Run series. The Fun Run series was very popular, with an average of 15 participants for the nine-week program.Another innovative program that focuses on healthy weight and food choices is the Eastern Maine Medical Center (EMMC) Way to Optimal Weight program (WOW); it focuses on helping children and adolescents who are at higher risk for weight-related health problems. The program recently expanded to Maine Coast Memorial Hospital (MCMH) in Ellsworth, as well as TAMC via televideo technology in Presque Isle.MCMH, in partnership with the Down East Family YMCA, is also using physical activity as a conduit for developing the full spectrum of health-mind, body, and spirit-for young girls through the Girls on the Run (GOTR) curriculum. This is vital, as girls and young women face an overwhelming amount of exposure to images and messages that leave them questioning their personal value."One of the things I love about Girls on the Run is that it's big picture. It's not just about running. Its about teaching the girls life skills that will benefit them for the rest of their lives," explained Kimberly Formby, GOTR coach and Occupational Therapy supervisor at MCMH. "It is my hope that every third through fifth grade girl in our area has the opportunity to participate in this program." Meeting twice a week in small teams, Girls on the Run teaches life skills through dynamic, interactive lessons and running games. The curriculum is taught by certified Girls on the Run coaches and includes three parts: understanding ourselves, valuing relationships and teamwork, and understanding how we connect with and shape the world at large. Running is used to inspire and motivate girls, encourage lifelong health and fitness, and build confidence through accomplishment. Important social, psychological, and physical skills and abilities are developed and reinforced throughout the program.The program is in its second season and has already had 16 girls participate, with plans for another session in the spring of 2017.A program that focuses on a young person's psycho-social-emotional development, in the context of the broader community is Challenge Day, a nonprofit out of California. For 15 years, Acadia Hospital, the only EMHS psychiatric hospital, has coordinated and supported Challenge Day in dozens of Maine high schools, affecting thousands of students and hundreds of volunteer adult facilitators.This past fall, more than 400 high school students experienced Challenge Day at participating schools: Hermon High School, Freeport High School, Maine Central Institute in Pittsfield, and George W.Stearns High School in Millinocket.One Stearns High School student echoed the sentiments of those who wrote reflection papers after their experience, "Challenge Day was an extraordinary experience, unlike any other. The day is a great way to express your true feelings to one another, learn about other people, see what they have gone through, learn empathy and change who you are for the better."In an era where youth report feeling increasingly judged and isolated, Challenge Day provides a proven experiential program that helps transform individuals and entire school cultures. At Hermon High School, which is the only school to host Challenge Day continuously over the past 15 years, the positive effect has been remarkable.Retired Hermon High School health teacher Shelley Gavett, who was instrumental in Hermon's involvement, continues to coordinate the event in a volunteer capacity. "Kids that go to Challenge Day never forget their experience. The program has changed the culture of Hermon High School for the better and we know this because the students have expressed it to us over the years. What is extremely gratifying for me personally is that past graduates return to volunteer every year. We even had one former Hermon student travel from Tennessee just to volunteer this year because she was so affected by the day herself and wanted to help others experience it. OTHER PROGRAM SERVICES 6: The perfect candidate:Valve procedure helps Fairfield farmer get his life back. For months, Floyd Eller, a farmer from Fairfield, Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder The Aroostook Medical Center (the "Corporation") is a Maine nonprofit corporation. Eastern Maine Healthcare Systems ("EMHS"), also a Maine nonprofit corporation, is the sole voting corporate member of the Corporation. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body Each year at their annual meeting, the directors elect replacements for those directors whose terms are expiring. Election of directors is subject to ratification by the EMHS Board of Directors. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders The EMHS President has authority to appoint and remove the CEO 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 Corporation's operating budget and capital expenditures;V. the Corporation's 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 Corporation's role in the EMHS Strategic Plan;XII. action concerning the Corporation's 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 CFO. 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 CEO of TAMC and the system President/CEO (President) who serves on the board ex-officio are employed by the system parent, Eastern Maine Healthcare Systems (EMHS). The EMHS Executive Performance Management Committee (the Committee) is responsible to monitor and evaluate the performance of the EMHS President, to set compensation of the EMHS President, and to review recommendations of the EMHS President with respect to compensation of the Chief Executive Officer of the direct subsidiaries, and other direct reports to the President. The Committee is comprised entirely of independent Directors per EMHS bylaws. Process:The Committee meets regularly throughout the fiscal year at the discretion of the Committee chair as well as on call of the Chair of the EMHS board. In carrying out its duties pursuant to the Bylaws, the Committee:- Assures that the executive compensation program is administered in a manner consistent with the EMHS executive compensation philosophy.- Reviews and updates the EMHS executive compensation philosophy which serves as the foundation on which all current and future executive compensation decisions are made.- Assures that value of compensation provided by EMHS does not exceed the value of services provided by the executive.- Reviews annual incentive compensation criteria for eligible executives, as defined by the EMHS President.- Reviews periodic compensation survey information and provides expert input to proposed changes to the executive compensation program.- Assures that a formal and timely performance management system is in place for executives.- Reviews incentive compensation criteria scoring and associated pay schedules for officers and key employees.- Provides any public statements regarding executive compensation practices at EMHS deemed appropriate.- Maintains minutes of the meetings and communicates actions to the EMHS Board of Directors.To accomplish this, the committee uses an external consultant with access to comparative data from independent sources and include national as well as regional data points. The EMHS President reviews all direct report compensation actions with the committee. In addition, the EMHS President ensures that any subsidiary policies and practices governing executive compensation are consistent with the committee's philosophy and practices statement.Form 990, Part VI, Line 15b Compensation Review & Approval Process Other officers or key employeesCompensation of other officers and key employees of the organization is established by the Human Resources department who utilize external market research to establish compensation ranges for specific positions. The compensation of officers and key employees are reviewed by the system President/CEO and EMMC Executive & Finance committee. On an annual basis, the compensation ranges are compared to the updated survey information. The hiring manager will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available The Aroostook Medical Center makes its governing documents, conflict of interest policy and financial statements available to the public upon request. 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