2017-08-09T08:38:21-07:00 2016-09-24 990 2015-09-27 043341666 Eastern Maine Healthcare SystemsCADean Charles A Dean Memorial HospitalCADean EAST 2076955200 Pritham Avenue PO Box 1129 Greenville ME 04441 John J Doyle VP Finance 2017-08-09 false 2015 2021-01-29 14:40:06Z John J Doyle 19568017 false false 5247 X www.cadean.org X 1996 ME The mission of Charles A. Dean Memorial Hospital is to provide a continuum of high quality holistic healthcare services. 14 9 197 74 0 61595 143323 19874312 19234672 39018 12788 93257 23320 20068182 19414103 500 4550 0 10529354 10907913 0 61981 9722124 10104964 20251978 21017427 -183796 -1603324 9292168 11408155 6094216 10201885 3197952 1206270 X The mission of Charles A. Dean Memorial Hospital is to provide a continuum of high quality holistic healthcare services. false false 16709549 4550 19234728 Provided emergency, ambulance, inpatient acute care, outpatient surgery, specialty physician clinics and nursing home services to patients regardless of ability to pay. The Charles A. Dean Memorial Hospital is a 25 bed Critical Access Hospital in rural northwestern Maine providing emergency, ambulance, inpatient acute care, outpatient surgery, specialty physician clinics and nursing home services to patients regardless of ability to pay.Additional Statistics:Northwoods Healthcare Clinic visits 12,142Hospital diagnostic and rehabilitation visits 17,186Emergency room visits 2,400 Hospital admissions 332Surgery cases 239Ambulance runs 456 1665142 Experienced Medicare shortfall (at cost). 12,796 persons served. 283557 Provided charity care (at cost). 173 persons served. 196772 18855020 true true false true false false false false false true true false false true true true false true false false false false false false true false true true false false true false false false false false false false false false true true false false false false false true true true false false true 48 0 true 197 true false false false false false false false false 0 false false false false false false false false false false X 14 9 false false false 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 044121006 Marion Huntley Director 0.50 0.00 X 0 0 0 Steven Bilodeau Director 0.50 0.00 X 0 0 0 Darin M Peck MD CMO 40.00 0.00 X 285696 0 42838 Dwight Foote Director 0.50 0.00 X 0 0 0 Stuart Watt Director 0.50 0.00 X 0 0 0 Linda D Gilbert Chairman 2.00 0.00 X X 0 0 0 Diane K Bartley Director 0.50 0.00 X 0 0 0 Faye E Booker Director 0.50 0.00 X 0 0 0 Sharon Hastings Director 0.50 0.00 X 0 0 0 David S Richards Vice Chairman 2.00 0.00 X X 0 0 0 Mary M Hood President CEO Ex-Officio 1.00 50.00 X X 0 985581 270402 Eugene F Murray Jr President & CEO 40.00 0.00 X X 210794 0 69388 Ronald Pelletier Director 0.50 0.00 X 0 0 0 Laureen J Muzzy Director 0.50 0.00 X 0 0 0 Gregg Christensen PA-C Director 40.00 0.00 X 157502 0 24319 Lorraine Rodgerson RN VP/CNO 40.00 0.00 X 125090 0 15562 Yoosuf Siddiqui VP/HR Northeast 0.50 40.00 X 0 130272 28404 Jennifer Goodrich VP/CFO/Treasure 40.00 0.00 X 143196 0 24818 Glenn Martin VPGeneral Couns Secretary 1.00 50.00 X 0 387958 95700 Paul Potvin Physician 40.00 0.00 X 277516 0 45627 Joseph Babbitt Physician 40.00 0.00 X 350340 0 43664 Elisa Thompson Physician 40.00 0.00 X 239407 0 21141 Galen G Durose Physician 40.00 0.00 X 167769 0 25353 Mario Turi Physician 40.00 0.00 X 240528 0 35890 Tracy Bonney-Corson Former VP/CNO 40.00 0.00 X 12192 98997 33036 2210030 1602808 776142 18 true true false American Healthcare Services Association PO Box 945 Traverse City MI 49685 Temp Staff Services 307440 Nurse Anesthesia of Maine 141 Main Street Suite 205 Brewer ME 04412 Anesthesia Services 125313 2 8216 339 134768 1931 143323 Cafeteria 722210 8081 8081 Patient Care Services 621990 19226591 19226591 19234672 19229 19229 0 0 7140 4034 3106 3106 3106 135759 142200 -6441 -6441 -6441 7680 8216 7680 0 0 0 Misc Revenue 621990 20214 56 20158 20214 19414103 19226647 44133 0 4550 4550 0 0 1099203 651007 448196 0 7534090 7122389 411701 461237 437621 23616 1280549 1207075 73474 532834 505552 27282 0 20000 20000 12000 12000 0 0 0 2071110 1372943 690447 7720 43934 548 43386 404494 314656 89588 250 270413 256867 13546 0 217721 159437 58284 68862 49838 19024 0 33071 17542 15529 19974 19974 0 598550 443808 154742 207172 195699 11473 Contractual Allowances 3102722 3102722 Medical Supplies Expenses 1052469 1052469 Bad Debt Expense 857976 857976 Charity Care 341100 341100 783396 741795 30976 10625 21017427 18855020 2100426 61981 834 10834 364843 226242 0 2849617 2553727 0 0 0 262167 242724 45257 53261 11571151 7944216 3345171 3626935 0 0 0 0 2424279 4694432 9292168 11408155 3379077 4528017 242611 208295 2472528 5465573 6094216 10201885 X 2457421 451071 380048 394716 360483 360483 3197952 1206270 9292168 11408155 X -1603324 87267 -475625 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 4762 4762 false false Part II-B, Line 1i - Other Activities Description Non-deductible portion of dues. 907461 103830 1887 4091 1005313 919597 280 -6564 1960 3892 907461 891632 350 32946 1630 3701 919597 866148 9001 20820 855 3482 891632 823036 10000 37367 832 3423 866148 0.64000 0.36000 false true true 298754 298754 4163233 3061427 1101806 6138719 4882789 1255930 970445 970445 3626935 Assets Held Under Trust Indenture 2605947 Board Designated Investments 750455 Construction Fund-2016A Bonds 538731 Due from Restricted Funds 20858 Org costs & other long term investments 12552 Permanently Donor Restricted Funds 360483 Self-Insurance Funds Held by Trustee 10690 Temporarily Donor Restricted Funds 394716 4694432 2016 Bonds Held by EMHS, Related Organi 3621360 Accrual for Post Retirement Benefit 1798241 Capital Lease Obligation 45972 5465573 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. false Golf Tournament 10900 9362 1538 600 938 10900 9362 1538 600 938 1538 true true true X true X true true false false true true 173 283557 283557 0.01700 3608 1506115 1309343 196772 0.01180 324 324 3781 1789996 1309343 480653 0.02880 4 1595 63653 63653 0.00380 2 52 1786 1786 0.00010 6 1647 65439 65439 0.00390 6 5428 1855435 1309343 546092 0.03270 1 41 19776 19776 0.00120 1 41 19776 19776 0.00120 true 712891 8127156 9792298 -1665142 X true true 1 1 CA Dean Memorial Hospital 364 Pritham Avenue Greenville ME 04441 www.cadean.org 37959 X X X X CA Dean Memorial Hospital 1 false false true X X X X X X X X X 16 true true true true X http://cadean.org X http://www.emhs.org/Community-Benefit/CH 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 http://cadean.org/Patients-Visitors/Bill X http://cadean.org/Patients-Visitors/Bill X http://cadean.org 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 November 12, 2015 Piscataquis County Shared CHNA Community Engagement Input Forum and provided valuable feedback on the Shared CHNA.Details about organizations: Government - representation from DHHS (low income, medically underserved); Non-profit hospitals Mayo Regional Hospital, Eastern Maine Medical Center, EMHS, Charles A. Dean Memorial Hospital providing services to MaineCare populations (MaineCare-low income; free/low cost care through medical centers-medically under served); Piscataquis Public Health Coalition provide education and health promotion through educational programs, local health resources, and health and environmental policy change. 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 Maine's 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 Non-Selected priorities:TransportationLack of insurance/unable to pay for the careHunger/Food InsecuritiesWe did not choose the priorities listed because we know that theyre important, but we have current processes in place to help with these concerns. For transportation, CA Dean has purchased a courtesy van which is not advertised, but is used to pick up/drop off patients free of charge. The lack of insurance/unable to pay for care issue has been addressed by our newly certified patient financial counselor who is also a Certified Application Specialist for the Healthcare Marketplace. She also works to help those who do not have the means to pay fill out paperwork for MaineCare and Free Care if needed. We have worked with the local school to develop the backpack program which is a program that sends backpacks full of healthy food home with children who need it each night and over the weekends. 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 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 22d. Hospital charges are discounted at 100% for patients who qualify for Free Care with income at or below 150% FPL. The hospital also offers discount for patients who fall within the 151% to 250% FPL. 4 Northwoods Healthcare 364 Pritham Avenue Greenville ME 04441 Outpatient clinic Northwoods Healthcare 7 Greenville Road Monson ME 04464 Outpatient clinic Northwoods Healthcare 22 Haley Court Road Sangerville ME 04479 Outpatient clinic Northwoods Healthcare 364 Pritham Avenue Greenville ME 04441 Specialty Clinics Part I, Line 6a - Related Organization Community Benefit Report The Charles A Dean Memorial Hospital community benefit report is contained in an annual community benefit report prepared by Eastern Maine Healthcare Systems which is the parent organization of all related organizations. Part I, Line 7 - Explanation of Costing Methodology Ratio of Patient Care Cost-to-Charges is used in calculations. Part I, Line 7, Column F - Explanation of Bad Debt Expense $857,976 of bad debt expense, $341,100 of charity care and $3,102,722 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 CA Dean. 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 CA Dean offers free care and sliding scale assistance programs. We have posters and pamphlets at all patient intake areas. Patient bills and our web site also list information on the availability of these programs and the application process. C A Dean has put forth a designated position financial councilor within the organization to assist with these programs. Part VI - Community Information CA Dean immediately serves Greenville and the surrounding Moosehead Lake area. This area is completely rural. We have patients all throughout Piscataquis county. The population in the county is 17,124. Of that population, 18.5% are living in poverty with 28.9% of children living in poverty. The median household income is $36,646. The overall mortality rate per 100,000 population is 847.4. 14.4% are uninsured. Part VI - Community Building Activities CA Dean actively participates by fulfilling the needs of our civic, community and faith based organizations. We offer flu clinics and blood pressure clinics just to name a few. CA Dean works in collaboration with the school on a number of projects including; nutritious food 'back pack program', activities that promote health and wellness, and general health education. CA Dean sponsors a number of healthy lifestyle activities such as a an annual triathalon and Bike and Boat. We also offer a Community Paramedicine Program in conjunction with ER, Inpatient, and the provider offices as a follow-up on patients in our communities. Part VI - Explanation Of How Organization Furthers Its Exempt Purpose Charles A. Memorial Hospital uses social media as another outlet to promote health of the community. Providers and staff provide informational posts to be shared. We also attend healthcare fairs, school career fairs, host the 4-H students. We host community support groups for Alzheimers. 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.Charles A. Dean Memorial Hospital focused on obesity, depression, drug and alcohol abuse and employment. We offered BMI calculations, nutritional education to those who needed it. We offered screening at community events and healthcare fairs for employers in our region. A depression screening tool was implemented in the outpatient family practice clinics and the number of patients who would require a referral to mental health services was reviewed. Education sessions and surveys were conducted at Union 60 School on the use of drug and alcohol abuse. We worked with Union 60 to develop a CNA course in conjunction with Adult Education. We were not able to offer this course in 2016 but it is happening now. Part VI - States Where Community Benefit Report Filed N/A false true false false false false false false false false Darin M Peck MD CMO 221403 62751 1542 17918 24920 328534 Elisa Thompson Physician 184836 53540 1031 4532 16609 260548 Eugene F Murray Jr President & CEO 176959 29598 4237 44522 24866 280182 Galen G Durose Physician 167362 407 25353 193122 Glenn Martin VPGeneral Couns Secretary 346868 37013 4077 69877 25823 483658 Gregg Christensen PA-C Director 111723 42399 3380 14415 9904 181821 Jennifer Goodrich VP/CFO/Treasure 128788 11710 2698 8782 16036 168014 Joseph Babbitt Physician 346063 4277 18300 25364 394004 Mario Turi Physician 237955 2573 20469 15421 276418 Mary M Hood President CEO Ex-Officio 803333 167248 15000 250557 19845 1255983 Paul Potvin Physician 273943 3573 20900 24727 323143 Tracy Bonney-Corson Former VP/CNO 11740 88265 8000 452 2732 6460 2626 2764 21186 21416 122809 Yoosuf Siddiqui VP/HR Northeast 121719 6543 2010 5568 22836 158676 Linda D Gilbert VP at Bank VP=Chair Brd 208295 unsec note w/bank false Thomas Murray fam mem of offic 99746 compensation false Christine Christensen fam mem of brd mem 93149 compensation false Schedule L, Part V Supplemental Information Linda D. Gilbert, Charles A. Dean Board Chairman is a Camden National Bank VP. Camden National Bank is Charles A. Dean's primary bank, holding deposits of $1,119,934 and a note for $208,295.Thomas Murray is a family member of an officer/board member and is an employee of Charles A. Dean.Christine Christensen is a family member of a board member and is an employee of Charles A. Dean. Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: Provided emergency, ambulance, inpatient acute care, outpatient surgery, specialty physician clinics and nursing home services to patients regardless of ability to pay. The Charles A. Dean Memorial Hospital is a 25 bed Critical Access Hospital in rural northwestern Maine providing emergency, ambulance, inpatient acute care, outpatient surgery, specialty physician clinics and nursing home services to patients regardless of ability to pay.Additional Statistics:Northwoods Healthcare Clinic visits 12,142Hospital diagnostic and rehabilitation visits 17,186Emergency room visits 2,400 Hospital admissions 332Surgery cases 239Ambulance runs 456 OTHER PROGRAM SERVICES 5: OTHER PROGRAM SERVICES 6: 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 life.Raising 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 Da Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder The Charles A. Dean Memorial Hospital (the "Corporation") is a Maine nonprofit corporation. Eastern Maine Healthcare Systems ("EMHS"), also a Maine nonprofit corporation, is the sole voting corporate member of the Corporation. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body Each year at their annual meeting, the directors elect replacements for those directors whose terms are expiring Election of directors is subject to ratification by the EMHS Board of Directors. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders The EMHS President has authority to appoint and remove the 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 CEO and CFO of CA Dean Memorial Hospital. It is 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 The Charles A. Dean Memorial Hospital (C.A. Dean), who is employed by C.A. Dean, reports directly to the system parent, Eastern Maine Healthcare Systems (EMHS) President/CEO (President) who serves on the board ex-officio. 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 for Officers & Key EmployeesCompensation of other officers and key employees of the organization is established by the Human Resources department who utilize external market research to establish compensation ranges for specific positions. 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 Charles A. Dean Memorial Hospital makes its governing documents, conflict of interest policy and financial statements available to the public upon request. Other Changes In Net Assets Or Fund Balances - Other Increases Change in net assets held @ EMHS Foundation = $13494 Other Changes In Net Assets Or Fund Balances - Other Decreases Contribution To Strat Pool Per Affiliation Agreement = -$111620 Other Changes In Net Assets Or Fund Balances - Other Decreases Post Retirement Health Benefit FAS158 = -$82195 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfer to exempt parent-Eastern Maine Healthcare Systems = -$286076 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfer to exempt subsidiary - EMHSF = -$9228 Eastern Maine Healthcare Systems EMHS 43 Whiting Hill Road Brewer ME 04412 010527066 Supporting organization for healthcare affiliates ME 501(c)(3) 11 Type II N/A true Eastern Maine Medical Center EMMC PO Box 404 489 State Street Bangor ME 044020404 010211501 Provide healthcare services ME 501(c)(3) 3 Eastern Maine Healthcare Systems true Eastern Maine Healthcare Real Estate 43 Whiting Hill Road Brewer ME 04412 010391036 Leases real estate ME 501(c)(2) Eastern Maine Healthcare Systems true Rosscare 43 Whiting Hill Road Ste 400 Brewer ME 04412 010391038 Provide services to elderly ME 501(c)(3) PF Eastern Maine Healthcare Systems 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 Acadia Hospital Corp AHC 43 Whiting Hill Road Brewer ME 04412 010459837 Provide healthcare services ME 501(c)(3) 3 Eastern Maine Healthcare Systems true Eastern Maine Medical Center Auxiliary 43 Whiting Hill Road Brewer ME 04412 010377901 Fund raising for exempt Eastern Maine Medical Center ME 501(c)(3) 9 Eastern Maine Medical Center true Acadia Healthcare Inc AHI 43 Whiting Hill Road Brewer ME 04412 223183888 Provide healthcare services ME 501(c)(3) 9 Acadia Hospital Corp true EMHS Foundation 43 Whiting Hill Road Ste 400 Brewer ME 04412 222514163 Raise and manage funds for exempt organizations ME 501(c)(3) 11, Type II Eastern Maine Healthcare Systems 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 Eastern Maine Medical Center true Inland Hospital 200 Kennedy Memorial Drive Waterville ME 04901 010217211 Provide healthcare services ME 501(c)(3) 3 Eastern Maine Healthcare Systems true Lakewood A Continuing Care Center 220 Kennedy Memorial Drive Waterville ME 04901 010421234 Provide skilled and long-term nursing care ME 501(c)(3) 3 Inland Hospital true Sebasticook Valley Health SVH 447 North Main Street Pittsfield ME 04967 010263628 Critical care hospital ME 501(c)(3) 3 Eastern Maine Healthcare Systems 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 Eastern Maine Healthcare Systems true TAMC Title Corp PO Box 151 140 Academy Street Presque Isle ME 047690151 010389226 Real estate holding company ME 501(c)(2) The Aroostook Medical Center true Horizons Health Services PO Box 151 140 Academy Street Presque Isle ME 047690151 010504393 Provide patient care ME 501(c)(3) 3 The Aroostook Medical Center true Blue Hill Memorial Hospital 57 Water Street Blue Hill ME 046145231 010227195 Provide healthcare services ME 501(c)(3) 3 Eastern Maine Healthcare Systems true Meadow Wood LLC 43 Whiting Hill Road Brewer ME 04412 272935243 Provide patient care ME 501(c)(3) 9 AHI true Sebasticook Valley Family Practice Assoc 447 North Main Street Pittsfield ME 04967 010357854 Provide patient care ME 501(c)(3) 9 SVH true Restoration Health LLC 43 Whiting Hill Road Brewer ME 04412 352449986 Provide mental & behavioral hlth srvcs ME 501(c)(3) 9 Acadia Healthcare Inc true Mercy Hospital 144 State Street Portland ME 04101 010211534 Provide healthcare services ME 501(c)(3) 3 Eastern Maine Healthcare Systems 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 Eastern Maine Healthcare Systems true VNA Home Health & Hospice 50 Foden Road South Portland ME 04106 010246804 Provide home health and hospice services ME 501(c)(3) 9 Eastern Maine Healthcare Systems 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 1 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 Healthcare Management 43 Whiting Hill Road Brewer ME 04412 010349339 Hlthcr mgmnt ME AHS C true Affiliated Laboratory Inc 43 Whiting Hill Road Brewer ME 04412 010381283 Clinicl 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 RetirCottag 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 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 3212029 FMV Eastern Maine Healthcare Systems EMHS m 1336576 FMV Eastern Maine Healthcare Systems EMHS p 1625538 FMV Eastern Maine Healthcare Systems EMHS r 397696 FMV Eastern Maine Medical Center EMMC l 54462 FMV Eastern Maine Medical Center EMMC m 169593 FMV EMHS Foundation m 64000 FMV Sebasticook Valley Health SVH m 103066 FMV Affiliated Laboratory Inc m 110124 FMV Affiliated Materiel Services p 122176 FMV