2017-08-09T09:06:27-07:00 2016-09-30 990 2015-10-01 010211534 Mercy Hospital MERC 2079739081 144 State Street Portland ME 04101 John J Doyle System Controller 2017-08-09 false 2015 2021-01-29 14:40:06Z John Doyle 539761641 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. 20 15 2169 290 0 1810680 1837992 531402652 536235467 49881 43080 818047 1545696 534081260 539662235 0 0 130635950 125969255 0 0 425636129 430879982 556272079 556849237 -22190819 -17187002 186674401 164192184 141277947 135130516 45396454 29061668 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 486807487 537561247 Provide healthcare services regardless of ability to pay as well as education, research and promotion of health. Provided other uncompensated care (at cost) of $5,073,947 31231706 Medicare shortfalls (at cost) 41,339 persons served 8351378 Medicaid shortfalls (at cost) 16,795 persons served 4535570 530926141 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 190 0 true 2169 true false false false false false false false false 0 false false false false false false false false false false X 20 15 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 Int. Pres & CEO 0.00 50.00 X X 0 64636 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 985581 270402 Sr Michele Aronica RSM Trustee 1.00 0.00 X 0 0 0 Lauren Epstein Trustee/Ex Off 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 313503 0 25921 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 Jeff Wasserman PT YR Trustee 1.00 0.00 X 0 0 0 William Schirmer MD Trustee 1.00 0.00 X 0 0 0 Eileen Skinner Pres/CEO PT YR 50.00 0.00 X X 597045 0 105071 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 40.00 10.00 X 276828 19680 31030 Debra D Taylor Trustee 1.00 0.00 X 0 0 0 Glenn Martin Secretary 1.00 50.00 X 0 387958 95700 Geoff Tolzmann VP Phys Prac 50.00 0.00 X 202325 0 17381 Stephen McDonnell Asst Treasurer 50.00 1.00 X 366575 0 9280 Bette Neville VP Nursing/CNO 50.00 0.00 X 204939 0 31288 Robert Nutter VP & COO 50.00 0.00 X 327983 0 37675 Bruce Sandstrom Int. VP & CFO 0.00 50.00 X 0 287297 23435 Scott Rusk MD VP MD Admin/CMO 50.00 0.00 X 392826 0 34177 Melissa Skahan VP Mission Int 50.00 0.00 X 117970 0 27662 Colleen Hilton CEO VNA 1.00 50.00 X 0 242387 24830 Theodore Helberg III VP HR So 1.00 50.00 X 0 213202 27498 Christopher Kleeman Medical Director 50.00 0.00 X 545117 0 31354 John Wahlig Physician 50.00 0.00 X 1043137 0 34539 Lee Thibodeau Physician 50.00 0.00 X 952501 0 35715 Gregory Pomeroy Medical Director 50.00 0.00 X 807869 0 26052 Adam Owen Medical Director 50.00 0.00 X 516614 0 26590 Derrick Hollings Former Treasurer 0.00 50.00 X 0 741342 36896 6665232 2942083 952496 185 true true false DIRIGO MANAGEMENT COMPANY ONE CITY CENTER 4TH FLOOR Portland ME 04101 Property Management 5704960 ACCRETIVEHEALTH INC 39918 TREASURY CENTER Chicago IL 60694 Revenue Cycle Mgmt 3590212 ALLSCRIPTS HEALTHCARE LLC PO BOX 1473 ESCONDIDO CA 92033 Software Support 2019777 GE HEALTHCARE PO BOX 96483 CHICAGO IL 60693 Maintenance Contract 1246845 SEABREEZE PROPERTY SERVICES 415 PRESUMPSCOT STREET Portland ME 04103 Maintenance Contract 1157862 37 821956 1016036 52896 1837992 Cafeteria 722210 876718 876718 Education 611710 18784 18784 Patient Service 621990 535339965 535339965 536235467 43055 43055 0 0 195576 12353 183223 183223 183223 2300 2275 25 25 25 0 0 121471 84778 36693 36693 Meaningful Use 621990 1325780 1325780 1325780 539662235 536684529 1139714 0 0 0 0 3119479 1895876 1223603 0 98790514 94936387 3854127 3053681 2950815 102866 14471882 13591295 880587 6533699 6195698 338001 0 0 111294 111294 0 0 9282 6854 2428 24305124 14200893 10104231 572373 440761 131612 5844026 4274630 1569396 6077259 5862036 215223 0 5885246 4342346 1542900 127495 124783 2712 0 383165 323246 59919 2355183 1637113 718070 0 13264858 11145510 2119348 3226493 3117805 108688 Contractual Allowances 296490650 296490650 Medical Supplies Expense 40776995 40776995 Provision for uncollectible ac 11804106 11804106 Charity Care 10682028 10682028 8964405 6126314 2838091 556849237 530926141 25923096 0 5410 5410 10456457 4322925 0 37259957 33082614 0 0 133209 97316 4496776 4059505 1495339 797455 140670635 36470337 115409017 104200298 0 0 0 3194667 3171667 14223569 14454994 186674401 164192184 53245961 53527649 134528 82292 58625000 56182074 7501936 6687489 21770522 18651012 141277947 135130516 X 41889730 20358614 1649546 6776487 1857178 1926567 45396454 29061668 186674401 164192184 X -17187002 62457 789759 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 17420 17420 false false Part II-B, Line 1i - Other Activities Description Non-deductible dues 1857178 150 69240 1926568 1889542 -32364 1857178 1835722 53820 1889542 1778042 59976 -2297 1835722 1041946 656155 79941 1778042 1.00000 false true true 10880240 10880240 77512443 10000900 67511543 2091257 667652 1423605 47039590 25426147 21613443 3147105 375638 2771467 104200298 A/R Workers Compensation Insurance 1389699 Assets whose use is limited 155328 Beneficial Interest in Perpetual Trusts 780742 Board designated funds-Other 16867 Investment in Net Assets held @ Healthca 7770608 Investment in Synernet 81972 Self insurance funds held by trustee 4108073 Temporarily Donor Restricted Funds 151705 14454994 2016a Bonds Held by EMHS 5991953 Affiliation Reserve for Indem Liab 657177 Deferred Compensation 3141210 Deferred Landmark Amort on MOB 395609 Deferred Oper Lease Costs 1542179 Liability Under Cap Lease Obligation 343797 LT Charitable Gift Annuity 10315 Reserve for Asset Disposal Costs 456324 Reserve for Self-Insurance Program 2198324 Transition Cost Reserve - Mission Manage 197284 Unfavorable Val of Oper Lease 3716840 18651012 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 1697 4535570 4535570 0.01910 16795 24017973 15666595 8351378 0.03510 61377 61377 0.00030 18492 28614920 15666595 12948325 0.05450 20 135 823353 823353 0.00350 2 2784 2784 2 729 729 3 129453 129453 0.00050 27 135 956319 956319 0.00400 27 18627 29571239 15666595 13904644 0.05850 2 426890 426890 0.00200 2 426890 426890 0.00200 true 5073947 72883198 104114904 -31231706 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 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/2016-EMHS-Communi false false true X 150.0000 250.0000 X X X true true X X X X true X http://mercyhospital.org/For-Patients-Vi X http://mercyhospital.org/For-Patient X http://mercyhospital.org 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 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 16i - Other Means Hospital Facility Publicized the Policy Posted signs and individual notices containing information on the availability of free care are located in key public areas in the hospital. Signs and notices inform the patient of the availability of free care 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 Free Care with income at or below 150% FPL. The hospital also offers discounts for patients who fall within the 151% to 250% FPL. 26 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 40101 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 Floord Portland ME 04101 Medical Office Building - Physician Svc New England Food & 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 David 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 $11,804,106 of bad debt expense, $10,682,028 of charity care, $296,490,650 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 - Needs Assessment See Part V - Community Health Needs Assessment section 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 14 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. Mercys financial counselors routinely meet patients at the local shelters or other social service agencies. Part VI - Community Building Activities 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 - 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 true true false false false false false true false false Adam Owen Medical Director 412133 102519 1962 26590 543204 Benjamin Russell MD Trustee/Ex Off 289419 20272 3812 6113 19808 339424 Bette Neville VP Nursing/CNO 162521 38372 4046 5209 26079 236227 Bruce Sandstrom Int. VP & CFO 219862 64018 3417 12386 11049 310732 Christopher Kleeman Medical Director 357859 184368 2890 711 30643 576471 Colleen Hilton CEO VNA 201968 37155 3264 4297 20533 267217 Derrick Hollings Former Treasurer 295051 80849 365442 20900 15996 778238 Eileen Skinner Pres/CEO PT YR 404690 163594 28761 79735 25336 702116 Geoff Tolzmann VP Phys Prac 128523 73802 17381 219706 Glenn Martin Secretary 346868 37013 4077 69877 25823 483658 Gregory Pomeroy Medical Director 481930 291444 34495 5711 20341 833921 John Southall MD Trustee/Ex Off 262492 19680 13802 534 6489 24541 307858 19680 John Wahlig Physician 785243 256706 1188 6625 27914 1077676 Lee Thibodeau Physician 814839 134033 3629 6625 29090 988216 M Michelle Hood Trustee/Ex Off 803333 167248 15000 250557 19845 1255983 Robert Nutter VP & COO 265730 58938 3315 9746 27929 365658 Scott Rusk MD VP MD Admin/CMO 333923 56798 2105 6625 27552 427003 Stephen McDonnell Asst Treasurer 288389 78186 9280 375855 Theodore Helberg III VP HR So 186571 19297 7334 15384 12114 240700 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 4445000 61055000 56129888 478932 4446180 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 113777 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 10 3122 FMV X 12483 FMV X 1 1176 FMV X 2 300 FMV X 19 4269 FMV X Gift Cert-golf 1 5000 FMV X Gift Cert. 90 20982 FMV X Jewelry 5 564 FMV X Toys 1 5000 FMV false true false Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: Charity care provided (at cost): 1,697 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 Fairfiel Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Joseph Gray, trustee, and Eileen Skinner, trustee/officer are members of Maine Historical Society board. Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company Explanation: Mercy Hospital (Mercy) entered into an administrative and management service contract with BE Smith under which an employee was provided for the position of Interim President/Chief Executive Officer. Jay Eckersley, Interim President/CEO, is employed by BE Smith. His CY2015 compensation and benefits received for services provided is $64,636.His position has leadership responsibility for Mercy's day-to-day operations. He is 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 Amend Section 2 (Number and Tenure; Qualifications) in subparagraph 2b (Qualifications) to eliminate the reference ii. the Chair of the Board of Directors of VNA Home Health. 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 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 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 CFO 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 CEO 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 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 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 = $6609263 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfer to exempt parent - Eastern Maine Healthcare Systems = -$4368502 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfer to exempt subsidiary - EMHSF = -$1451002 Eastern Maine Healthcare Systems EMHS 43 Whiting Hill Road Brewer ME 04412 010527066 Supporting org for healthcare affiliates ME 501(c)(3) 11 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) 9 AHC true Meadow Wood LLC 43 Whiting Hill Road Brewer ME 04412 272935243 Provide patient care ME 501(c)(3) 9 AHI true Restoration Health LLC 43 Whiting Hill Road Brewer ME 04412 352449986 Provide mental & behavioral hlth srvs ME 501(c)(3) 9 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) 9 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) 9 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) 11 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) 9 Rosscare true Inland Hospital 200 Kennedy Memorial Drive Waterville ME 04901 010217211 Provide healthcare services ME 501(c)(3) 3 EMHS true Lakewood A Continuing Care Center 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) 9 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) 11 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) 9 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) 11 Type II EMHS true Maine Coast Healthcare Corporation 50 Union Street Ellsworth ME 04605 223176167 Provide dental services ME 501(c)(3) 11 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) 11 Type I MCMH true Maine Coast Healthcare Foundation 50 Union Street Ellsworth ME 04605 562344952 Raise and manage funds for exempt org ME 501(c)(3) 11 Type I MCMH 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 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 Meridian Mobile Health LLC 43 Whiting Hill Road Brewer ME 04412 010512673 Ambulance ME AHS C true Maine Network for Health PO Box 2813 Bangor ME 044022813 010496352 Support srv ME EMHS C true Dirigo Pines Retirement Community LLC 9 Alumni Drive Orono ME 04473 010537924 Holding co. ME AHS C true Dirigo Pines Inn LLC 9 Alumni Drive Orono ME 04473 020547749 Contin care ME ROSSCARE C true Dirigo Funding LLC 9 Alumni Drive Orono ME 04473 010599968 Prov finance ME AHS C true Dirigo Pines Development Company LLC 9 Alumni Drive Orono ME 04473 010537924 Ret cottage ME AHS C true M Drug LLC 43 Whiting Hill Road Brewer ME 04412 272175482 Pharmacy ME AHS C true Alliance Health Documentation LLC 43 Whiting Hill Road Brewer ME 04412 462751855 Transcription 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 50 Union Street Ellsworth ME 04605 010479952 Patient Care ME MCMH C true false false false false true false false false false false false true true false false true false true true Eastern Maine Healthcare Systems EMHS e 3072123 FMV Eastern Maine Healthcare Systems EMHS m 16560388 FMV Eastern Maine Healthcare Systems EMHS p 18653847 FMV Eastern Maine Healthcare Systems EMHS r 4368502 FMV Eastern Maine Medical Center p 156557 FMV EMHS Foundation m 400000 FMV EMHS Foundation s 821957 FMV VNA Home Health & Hospice l 187504 FMV Workhealth LLC m 98111 FMV Affiliated Laboratory Inc m 306527 FMV Alliance Health Documentation LLC m 462744 FMV