2016-08-10T10:12:33-07:00 2015-09-26 990 2014-09-28 010421234 Eastern Maine Healthcare Systems LW Lakewood A Continuing Care Center LW EAST 2079739081 220 Kennedy Memorial Drive Waterville ME 04901 Dean Bither CFO 2016-08-10 false 2014 2016-12-15 16:53:06Z Dean Bither 200 Kennedy Memorial Drive Waterville ME 04901 12478962 false false 5247 X www.inlandhospital.org X 1983 ME Lakewood, A Continuing Care Center is a 105 bed long-term care facility that provides skilled and long-term nursing care. 9 7 218 31 0 55719 97214 11613083 12032733 139303 138888 490 0 11808595 12268835 0 0 4881943 4863146 0 0 6794337 7353219 11676280 12216365 132315 52470 9925133 9672665 6692524 6544498 3232609 3128167 Lakewood, A Continuing Care Center is a 105 bed long-term care facility that provides skilled and long-term nursing care. false false 11422705 12032733 Provide Skilled and Long-Term Nursing Care Lakewood, A Continuing Care Center (Lakewood) is a 105 bed long-term care facility in Waterville, Maine. Lakewood is a not-for-profit skilled nursing facility that has cared for the residents of Central Maine for more than thirty years. During fiscal year 2015 Lakewood had a 93% occupancy rate. Lakewood is a member of Eastern Maine Healthcare Systems. Please see the following excerpt from the EMHS Annual Report to the Community for details of community benefit projects at Lakewood, A Continuing Care Center and Inland Hospital.INLAND HOSPITAL EMPLOYEES: 733 LEADERSHIP: President and CEO: John Dalton Board Chair: Mike Phillips, Esq DESCRIPTION: A dynamic healthcare organization with a 48-bed community hospital in Waterville, a 105-bed continuing care center (Lakewood) on the hospital campus, and 19 primary and specialty care physician practices in Waterville and five surrounding communities. LOCATIONS: Waterville, Oakland, Augusta, Unity, North Anson, Madison Awarded straight A ratings in Leapfrogs biannual Hospital Safety Score since the program started in 2012among an elite 133 hospitals nationwide (of 2,520 surveyed) to receive straight A ratings Received Avatar Award for Exceeding Patient Expectations (ninth year in a row), Most Wired Hospital Award (third year in a row), and Womens Choice Award as an Americas Best Hospitals for Obstetrics (third year in a row) Inland family and specialty care practicesReceived the highest level quality recognition from the National Committee for Quality Assurance, a nonprofit dedicated to improving healthcare qualitya recognition that honors practices that focus on highly coordinated care and engaged relationships with patients and medical colleagues Welcomed new providers to the Inland staff Family Practice: Catherine Kimball, DO; Michaela Clark-Kelly, DO; Amy Kuhl, DO; Marie Mason, PA-C; John Ribadeneyra, MD; Kimberly Newby, FNP; Susan Lufkin-Curtis, NP Rheumatology: Lance Feller, MD and Saskia Cooper, MD Womens Health: Mary Vaughan, MD Endocrinology/Diabetes: Celeste Quianzon, MD Hospitalist: Helen Gharwan, MD Four hundred seventy-nine families in central Maine participated in the Lets Go! Family Fun Series, part of Inlands commitment to fight childhood obesityINLAND HOSPITAL Philanthropy: $311,229.52Total Community Benefit: $8,731,399Community Health Improvement Services: $14,854 Cash and In-Kind Contributions: $45,300 Community Building Activities: $4,368 Community Benefit Operations: $46,509 Traditional Charity Care*: $1,339,467 Unrecoverable Interest Cost on funds used to subsidize state MaineCare/Medicaid underpayment on $5.8M: $372,175Unpaid Cost of Public Programs: Medicaid $2,398,742; Medicare $4,509,984 11422705 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 false false false true true false false false false false false false false false false true false false false false true true true false false true 26 0 true 218 true false false false false false false false false 0 false false false false false false false false false false X 9 7 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 04412 John D Dalton President & CEO 0.50 50.00 X X 0 353527 85632 Michael F Phillips Jr Esquire Chairman 0.50 0.00 X X 0 0 0 Nicole Desjardins Board Member 0.50 0.00 X 0 0 0 Crystal Olsen Vice Chairman 0.50 0.00 X X 0 0 0 Bryan Ward Esquire Board Member 0.50 0.00 X 0 0 0 Perley G Beane Secretary 0.50 0.00 X X 0 0 0 Roland H Knausenberger MD Board Member 0.50 50.00 X 0 227365 25600 Daniel Pierce DO Board Member 0.50 0.00 X 0 0 0 David Preston Board Member 0.50 0.00 X 0 0 0 Dean Bither CFO/Treasurer 10.00 40.00 X 0 225713 33662 Theodore Helberg III Vice Pres-HR 0.50 50.00 X 0 202983 24571 Shannon Lockwood Administrator 50.00 0.00 X 120696 0 9340 Diane Lessard Certified Nurse As 50.00 0.00 X 100317 0 15791 221013 1009588 194596 2 false true false Cormedical Group 2 Keewaydin Drive Salem NH 03079 Temporary Staffing 129857 Rehabcare Group East Inc PO Box 277365 Atlanta GA 303847365 OccupTherapy 713018 2 14921 82293 30824 97214 Cafeteria Revenue 722210 12597 12597 Patient Care Revenue 623000 12020136 12020136 12032733 98656 98656 0 0 0 250359 210127 40232 40232 40232 0 0 0 0 12268835 12020136 151485 X 0 0 0 0 130036 130036 0 3918226 3547776 370450 36103 31561 4542 458740 410448 48292 320041 281841 38200 0 6755 6755 14094 14094 0 0 5439 5167 272 2416584 2397266 19318 18532 16027 2505 256475 208347 48128 4648 4648 0 253090 240720 12370 6508 2613 3895 0 8058 6626 1432 285958 271660 14298 0 557838 529946 27892 16043 15241 802 Contractual Allowances 2034505 2034505 Medical Supplies Expense 748651 748609 42 Taxes and Licensing 608123 604819 3304 Bad Debt Expense 51833 51719 114 60085 17814 42271 12216365 11422705 793660 0 650 600 728019 1406051 0 1046751 627435 0 0 0 5229 4978 86067 65865 11776533 6858690 5381191 4917843 0 0 0 474000 474000 2203226 2175893 9925133 9672665 872147 861167 5785584 5624851 34793 58480 6692524 6544498 X 3206314 3108606 16295 9561 10000 10000 3232609 3128167 9925133 9672665 X 52470 -132110 -24802 X false true X true false X Part I: Additional Information Although Lakewood, A Continuing Care Center (Lakewood) is classified as a public charity hospital under Internal Revenue Code Section 170(b)(1)(A)(iii), Lakewood is not licensed by the State of Maine as a hospital facility and therefore is not required to file Schedule H. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 3012 3012 false false Part II-B, Line 1i - Other Activities Description Non-deductible portion of dues 22880 -159 1002 21719 22405 1430 955 22880 20848 2222 665 22405 13325 6000 2170 647 20848 13503 173 351 13325 0.42000 0.58000 false true true 5705596 3092965 2612631 5146796 3070354 2076442 924141 695371 228770 4917843 Assets Held Under Trust Indenture 111787 Board Designated Funded Depreciation 1232748 Board Designated Funds-Other 774512 Estimated Prof. Liab. Claims Receivable 31273 Other Assets 6012 Permanently Donor Restricted Funds 10000 Temporarily Donor Restricted Funds 9561 2175893 Liability Under Cap Lease Obligation 27207 Reserve for Prof. Liab. Self Ins. 31273 58480 X 10064630 -132110 -2026326 -2158436 12223066 45769 45769 12268835 10142376 10142376 2073989 2073989 12216365 Part V, Line 4: Intended uses of the endowment fund. Endowment Funds are designated for purposes that align within the 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. Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S Restricted Contributions from fund b $45769 Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S Restricted expenses from fund bal $47663 Contractual Allowance reclass to expense $2034505 Reimbursed expenses reclass to expense $-59898 Bad Debt reclass to expense $51719 false true false false false false false false false false Dean Bither CFO/Treasurer 212167 13546 6683 26979 259375 John D Dalton President & CEO 279555 14393 59579 60446 25186 439159 Roland H Knausenberger MD Board Member 209208 4009 14148 1043 24557 252965 Theodore Helberg III Vice Pres-HR 182228 15101 5654 12527 12044 227554 A Maine Health and Higher Education Facilities Authority 010314384 560425V80 2007-11-01 7181986 Lakewood Expansion Project false false true A 1060000 7181986 451750 106394 1837 6622005 2007 false false true true A false false false false false true A false true false NA true FSA Cap Mgmt-Reserve Fund Transamerica-Const Fund 30.0000 true false false A true Part VI Part IV, line 2C, column A the date the rebate computation was perfomed 12/01/2012.Part IV, line 7 - 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. X 1299 FMV X 1 150 FMV X Wheelchair & Equipment 1 10000 FMV X Wheelcairs & Equipments 1 15000 FMV X Wheelchair tilt 1 500 FMV X Gift Certificat 8 3075 FMV X Jewelry 1 650 FMV X Laptop 1 150 FMV false true false Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Lakewood, A Continuing Care Center (the "Corporation") is a Maine nonprofit corporation. Inland Hospital Corp (the "Member"), also a Maine nonprofit corporation, is the sole corporate member of the Corporation. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body The Member has authority to elect directors of the Corporation. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders The Member has authority to approve amendments to the Corporation's articles of incorporation and to its bylaws. Form 990, Part VI, Line 11b: Form 990 Review Process Form 990 is reviewed by the CFO of Lakewood, A Continuing Care Center. 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 Lakewood, A Continuing Care Center's (Lakewood) CEO is employed by the system parent, Eastern Maine Healthcare Systems (EMHS) and reports directly to the EMHS President/CEO (President). 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 Human Resources department 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 Lakewood, A Continuing Care Center 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 Decreases Change in net assets held @ EMHS Foundation = -$1670 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfer to exempt parent-Eastern Maine Healthcare Systems = -$23132 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 Rosscare Nursing Homes Inc 43 Whiting Hill Road 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 service ME 501(c)(3) 3 EMHS 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 EMMC true Acadia Healthcare Inc AHI 43 Whiting Hill Road Brewer ME 04412 223183888 Provide healthcare services ME 501(c)(3) 9 AHC true EMHS Foundation 43 Whiting Hill Road Brewer ME 04412 222514163 Raise and manage funds for exempt organizations ME 501(c)(3) 11, Type II EMHS true Norumbega Medical Specialists LTD 43 Whiting Hill Road Brewer ME 04412 010465231 Provide patient care and education ME 501(c)(3) 9 EMMC true CA Dean Memorial Hospital Pritham Avenue PO Box 1129 Greenville ME 044411129 043341666 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 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 TAMC Endowments PO Box 151 140 Academy Street Presque Isle ME 047690151 010389222 Raise funds for exempt organizations ME 501(c)(3) 11, Type I 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 Eastern Maine HomeCare PO Box 688 Caribou ME 04736 010328442 Provide home health and hospice services ME 501(c)(3) 9 EMHS true Blue Hill Memorial Hospital 57 Water Street Blue Hill ME 046145231 010227195 Provide healthcare services ME 501(c)(3) 3 EMHS true Eastern Maine Medical Center EMMC Po Box 404 489 State Street Bangor ME 044020404 010211501 Provide healthcare services ME 501(c)(3) 3 EMHS true Eastern Maine Healthcare Real Estate 43 Whiting Hill Road Brewer ME 04412 010391036 Leases real estate ME 501(c)(2) EMHS true Rosscare 43 Whiting Hill Rd Ste 400 Brewer ME 04412 010391038 Provide services to elderly ME 501(c)(3) PF EMHS true Inland Hospital 200 Kennedy Memorial Drive Waterville ME 04901 010217211 Provide healthcare services ME 501(c)(3) 3 EMHS 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 srvs ME 501(c)(3) 9 AHI true Mercy Hospital 144 State Street Portland ME 04101 010211534 Provide healthcare services ME 501(c)(3) 3 EMHS 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 In 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 Beacon Health LLC 43 Whiting Hill Road Brewer ME 04412 452967056 Accountable care organization ME N/A false false Affiliated Healthcare System AHS PO Box 940 Bangor ME 044020940 010385322 Holding co. ME EMHS C true Affiliated Healthcare Management PO Box 811 Bangor ME 044020811 010349339 Hlthcr mgmt ME AHS C true Affiliated Laboratory Inc PO Box 638 Bangor ME 044020638 010381283 Clinical lab ME AHS C true Affiliated Materiel Services PO Box 1300 Bangor ME 044021300 010381189 Purchasing ME AHS C true Meridian Mobile Health LLC 931 Union Street PO Box 940 Bangor ME 044020940 010512673 Ambulance ME AHS C true Maine Network for Health PO Box 2813 Bangor ME 044022813 010496352 Support service 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 RetCottag ME AHS C true M Drug LLC PO Box 1779 Bangor ME 04402 272175482 Pharmacy ME AHS C true Alliance Health Documentation LLC 9 Central Street Ste 205 Bangor ME 04401 462751855 Transcription ME AHS C true false false false false false false false false false false true false true false false true false true true Eastern Maine Healthcare Systems EMHS m 293019 FMV Inland Hospital m 62347 FMV Affiliated Healthcare System AHS p 136821 FMV