2015-08-12T05:19:46-07:00 2014-09-27 990 2013-09-29 010459837 Eastern Maine Healthcare Systems AHC Acadia Hospital Corp AHC EAST 2079739081 43 Whiting Hill Road Brewer ME 04412 Derrick Hollings Treasurer 2015-08-12 false 2013 2016-02-25 16:41:14Z Derrick Hollings 43 Whiting Hill Road Brewer ME 04412 87960658 false false 5247 X www.acadiahospital.org X 1987 ME The primary mission and significant activities of Acadia Hospital are the provision of inpatient and outpatient psychiatric and mental health services to children, adolescents, and adults. 15 10 729 0 215198 136258 79100575 84451813 482035 527530 440 191727 79798248 85307328 0 0 34272018 36655220 0 0 40278887 46996313 74550905 83651533 5247343 1655795 44241670 48952840 28114230 33100045 16127440 15852795 X The primary mission and significant activities of Acadia Hospital are the provision of inpatient and outpatient psychiatric and mental health services to children, adolescents, and adults. false false 73379480 84451813 Acadia's 36-bed adult inpatient service provided 10,804 patient days of care to 854 patients. Patients are referred primarily from a large, nine county area of northern, eastern, and central Maine. Acadia's 32-bed child and adolescent inpatient service provided 9,401 patient days of care to 644 patients. Patients are referred from across the State of Maine. The adult outpatient clinic provided the following number of patient encounters: 13,071 - intensive outpatient program; 34,771 - ambulatory clinic (medication management and therapy); and 2,605 - primary care practice integrated services. 73379480 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 true false false true false false false false false false true true true false false true 55 0 true 729 true false false false false false false false false 0 false false false false false false false false false false X 15 10 true false true false true true true true true false false true true true true true true true true false X X X John J Doyle 2079739081 43 Whiting Hill Road Brewer ME 04412 EE comp is for admin svcs not brd respons 0.00 0.00 0 0 0 James Breece Vice Chair 0.50 0.00 X X 0 0 0 Craig D Hadley CPA Board Member 0.50 0.00 X 0 0 0 Judith Horan Board Member 0.50 0.00 X 0 0 0 Mary M Hood EMHS PresCEO Ex-Officio 2.00 50.00 X 0 897311 250922 Charles T McHugh MD Board Member 0.50 0.00 X 0 0 0 Paul X Paradis Board Member 0.50 0.00 X 0 0 0 Sandra L Rothera Esq Board Member 0.50 0.00 X 0 0 0 Anthony Ng MD VP Med Affairs 50.00 0.00 X X 351982 0 39185 Michael Shea Chair 0.50 0.00 X X 0 0 0 Teresa Willett Steele RN PhD Board Member 0.50 0.00 X 0 0 0 Betsy MacGregor-Webb PhD Board Member 0.50 0.00 X 0 0 0 Richard Rosen Board Member 0.50 0.00 X 0 0 0 Daniel B Coffey PresCEO President & CEO 50.00 0.00 X X 477525 0 48033 Allan D Currie MD Board Member 0.50 50.00 X 0 203221 39019 Anne E Pooler EdD Board Member 0.50 0.00 X 0 0 0 Theodore Helberg III VP Human Resour 50.00 0.00 X 155001 0 21318 Derrick Hollings Treasurer 0.50 50.00 X 0 501117 176102 Wayne Stellar PMHNP VP, CNO 50.00 0.00 X 179926 0 33942 Marie K Suitter VP & CFO 50.00 0.00 X 185350 0 23901 Eric Kuntz Psychiatrist 40.00 0.00 X 244457 0 48109 John Burkins Psychiatrist 40.00 0.00 X 250705 0 46895 Nathan Valentine Psychiatrist 40.00 0.00 X 247307 0 23241 Clifford Singer Psychiatrist 40.00 0.00 X 301107 0 46227 Sibel Algon Psychiatrist 40.00 0.00 X 245516 0 25169 April Giard Former VP/CNO 0.00 50.00 X 0 157888 38891 Deborah M Sanford Former VP Patient Admin 0.00 50.00 X 0 177887 41897 Brent Scobie Former VP Chief Clinic 40.00 0.00 X 110694 0 36761 Scott A Oxley Former Treasurer 0.00 50.00 X 0 242273 73037 Karen Clements Former VP Chief Nursing 40.00 0.00 X 125381 0 20195 2874951 2179697 1032844 33 true true false Locumtenanscom 2655 Northwind Parkway Alpharetta GA 30009 Physician services 802786 Staff Care Inc PO Box 281923 Atlanta GA 303841923 Physician Services 622652 Kforce Inc PO Box 277997 Atlanta GA 303847997 Consulting Services 261946 Securitas Security Services PO Box 403412 Atlanta GA 303843412 Security Services 164325 Nurse Anesthesia of Maine 141 N Main St STE 205 Brewer ME 04412 Clinical services 114291 6 24 43049 93185 1126 136258 Cafeteria/Dietary 722210 141892 141892 Patient Care Services 621990 84309921 84309921 84451813 516242 516242 0 0 0 2664618 2653330 11288 11288 11288 0 0 0 Meaningful Use 621990 191250 191250 Miscellaneous 812900 477 477 191727 85307328 84309921 861149 0 0 0 0 1516163 605035 911128 0 27297024 24232050 3064974 1219839 1073458 146381 4807375 4041694 765681 1814819 1544427 270392 0 35675 5250 30425 10631 10631 0 0 13629 13629 5721893 1737929 3983964 42037 57 41980 1247125 1001982 245143 326546 130332 196214 0 908601 786558 122043 80476 54199 26277 0 109960 90986 18974 351771 351771 0 986903 753204 233699 72712 67778 4934 Contractual Allowances 23453004 23453004 Charity Care 9121000 9121000 Provision for uncollectible ac 2506371 2506371 Taxes and Licensing 1108501 1092702 15799 899478 716064 183414 83651533 73379480 10272053 0 1188 1665 2228507 3911754 0 3227025 5955728 9996 9996 0 289481 177466 138513 154746 602795 249031 33442072 22884853 9891635 10557219 0 0 0 0 27852530 27935235 44241670 48952840 10708979 17017426 20000 143 8873159 7735323 8512092 8347153 28114230 33100045 X 15690601 15421027 345507 318766 91332 113002 16127440 15852795 44241670 48952840 X 1655795 -176264 -1754176 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 9867 9867 false false Part II-B, Line 1i - Other Activities Description Non deductible portion of dues. 202431 21670 13854 7235 230720 178020 10750 21184 7523 202431 150475 9024 26167 7646 178020 152391 2620 1556 6092 150475 140467 7130 15703 10909 152391 0.07100 0.92900 false true true 447123 447123 15215756 9044340 6171416 14346365 11556140 2790225 3432828 2284373 1148455 10557219 Board Designated Funds-Other 23278 Estimated Prof. Liab. Claims Receivable 557507 Funded Depreciation 12135363 Funds Held by Bond Trustee 377377 Interest in net assets held at EMHSF 431768 Self Insurance Funds held by Trustee 25156 Short-term Investments 14384786 27935235 Deferred Liab-Post Retirement Benefits 7760279 Reserve for Prof. Liab. Self Ins. 557507 Reserve for Self-Insurance Program 29367 8347153 X Part V, Line 4: Intended uses of the endowment fund. Endowment funds are designated for purposes that align within this organization's exempt purpose. Part X : FIN48 Footnote EMHS, its hospitals, and certain other affiliates have been determined by the Internal Revenue Service to be tax-exempt charitable organizations as described in Section 501(c)(3) or 501(c)(2) of the Internal Revenue Code (the Code) and, accordingly, are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Accordingly, no provision for federal income taxes has been recorded in the accompanying consolidated financial statements for these organizations.Tax-exempt charitable organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the Financial Accounting Standards Board (FASB), assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. The System has evaluated its tax position taken or expected to be taken on income tax returns and concluded the impact to be not material.Certain of the System's affiliates are taxable entities. Deferred taxes related to these entities are based on the difference between the financial statement and tax basis of assets and liabilities using enacted tax rates in effect in the years the differences are expected to reverse. The deferred tax assets and liabilities for these entities are not material. true true true X false true true false false true true 643 4807519 12900 4794619 0.09870 92239 92239 0.00190 643 4899758 12900 4886858 0.10060 3 349 126833 126833 0.00260 3 196 174665 174665 0.00360 1 19858 19858 0.00040 1 750 750 8 545 322106 322106 0.00660 8 1188 5221864 12900 5208964 0.10720 4 103475 12487 12487 0.00030 4 103475 12487 12487 0.00030 true 1359541 7758684 12695600 -4936916 X true true 1 1 Acadia Hospital Corporation 268 Stillwater Ave Bangor ME 04401 www.acadiahospital.org 38093 X true X X X X X X X 14 true true true X www.acadiahospital.org/About-Us.aspx X www.emhs.org/Community-Benefit/CHNA.aspx X X X X X false false false true true 150.0000 false false X true true X X true false true X false false Part V, Line 1j - Description of Other Needs Assessment 1g The data gathered from the 2014 Community Health Needs Assessment (CHNA) allowed Acadia Hospital to identify areas of significant need including priority concerns, gaps in healthcare services, and barriers to care. A hospital task force considered the data and identified areas of significant needs to be addressed, as well as areas of need unable to be addressed by the hospital. An implementation strategy was presented and adopted by the hospital's board of directors. The Implementation Strategy consists of actions the hospital intends to take to address the health need. Programs/resources the hospital plans to commit to address the health need were identified along with planned collaborations with other area organizations.1h To assure broad representation of the community's interests, key public health and healthcare partners were engaged and consulted throughout the design and implementation phase of the 2014 CHNA. Qualitative Stakeholder Surveys were distributed to the public and community health representatives who directly serve the communities interests. Sampling was monitored throughout the survey dissemination to assure a minimum threshold of respondents providing local insight to priority community health needs and opportunities. Survey outreach was conducted by the local hospital, partner healthcare facilities in the same region, the local public health liason, and a local comprehensive community health coalition.1j The 2014 CHNA report presents findings of three sets of data, by county. The data sets include absolute indicators of health status as gathered in 2010 using BRFSS and other primary source data gathered using empirical methods; A qualitative stakeholder survey conducted in 2014 and 2014 County Health Rankings indicator set. The qualitative stakeholder survey was disseminated broadly to public health and community stakeholders who serve the local populations. As such, the Community Health Needs Assessment does not provide random assignment of survey respondents, nor does it attempt to function as a surveillance instrument. Limitations aside, taken together, the data provide a unique perspective on the health of Maine communities, with a focus on the social, environmental, and clinical factors which influence the ability of populations to lead healthy lives. Part V, Line 3 - Account Input from Person Who Represent the Community Key collaborators were convened as an advisory committee to review the Needs Assessment and assist in the dissemination of a survey instrument to a broad base of key informants representing healthcare, public health, and community stakeholders to identify issues and opportunities for collaborative community health improvement. These collaborators include: Local Public Health District Officials: Stacy Boucher, Aroostook District Coordinating Council; Paul Thomson, Central District Coordinating Council; Becca Matusovich, Cumberland District Public Health Council; Alfred May, Downeast Public Health Council; Jessica Fogg, Penquis District Coordinating Council; Clarisa Weber, Wabanaki Public Health. Healthy Maine Partnerships (contracted entities functioning as part of the local public health system): Jamie Comstock, Bangor Region Public Health & Wellness; Elsie Flemings, Healthy Acadia; Carol Bell, Healthy Aroostook; Anne Lang, Healthy Casco Bay; Joanne Joy, Healthy Communities of the Capital Area; Zoe Miller, Healthy Lakes; Fran Mullin, Healthy Northern Kennebec; Kristen Dow, Healthly Portland; Lucie Rioux, Healthy Rivers; Karen Hawkes, Healthy Sebasticook Valley; Malissa Boynton, Healthy Wabanaki; Vyvyenne Ritchie, Healthy Waldo County; Jane McGillicuddy, Partnership for a Healthy Northern Penobscot; Robin Mayo, Piscataquis Public Health Council; Ellen Willinghan, Power of Prevention; Bill Primmerman, Somerset Public Health; Eleody Libby, Washington County: One Community. Other Entities: Federally Qualified Health Centers, Bangor Public Health and Community Services, Portland Public Health. Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment The CHNA was developed and implemented as a collaborative between the EMHS Healthcare System and other independent hospitals serving Maine communities. EMHS Member Organizations: Acadia Hospital, Blue Hill Memorial Hospital, Charles A. Dean Memorial Hospital, Eastern Maine Medical Center, Inland Hospital, Mercy Hospital, Sebasticook Valley Health, and TAMC. Partnering Hospitals: Cary Medical Center, Down East Community Hospital, Houlton Regional Hospital, Maine Coast Memorial Hospital, Mayo Regional Hospital, Millinocket Regional Hospital, Mount Desert Island Hospital, Northern Maine Medical Center, and Redington-Fairview General Hospital. Part V, Line 5c - Description of Making Needs Assessment Widely Available Instructions on the website assist viewers to download and/or print sections of the report. Individuals without a computer or printer access were provided a phone number where they can request a printed assessment. Part V, Line 7 - Explanation of Needs Not Addressed and Reasons Why Non-selected priorities:Issues Preventing Access to CareBrief explanation why they were not included:Currently do not have the capacity to address this priority at this time. Part V, Line 11 - Criteria Used For Discounted Care If Not FPG The FPL were used for eligibility for free care. Part V, Line 14g - 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 and eligibility criteria. Part V, Line 20d - 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. Part I, Line 6a - Related Organization Community Benefit Report The Acadia Hospital Corporation 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 $2,506,371 of bad debt expense, $9,121,000 of charity care, $23,453,004 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 reported on line 2 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 Acadia Hospital. An account may be reconsidered for charity care at any time when new information is available about a patients inability to pay. Part VI - Patient Education of Eligibility for Assistance It is the policy of Acadia Hospital to treat all patients requiring care without regard for ability to pay and to assist patients in arranging for settlement of their financial obligation. All account guarantors who express an inability to pay will be screened for eligibility for charity care using an application and guidelines established by Acadia Hospital. An account may be reconsidered for charity care at any time when new information is available about a patients inability to pay. For those qualifying under Acadia's Charity Care program, medically necessary services will be provided to Maine residents at no cost, using an application and guidelines. Posters are displayed in key public areas, information and forms are available online on the hospital website, and education is provided during the admission process and continues throughout treatment as the patient is assisted with the availability of programs. 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 page provides a link to the free care application form, instructions and eligibility criteria. Part VI - Community Information As one of only two private freestanding psychiatric hospitals in the State of Maine, Acadia Hospital serves people from across Maine, with a majority of the patients originating in the Greater Bangor area. Geographically, Maine is a primarily rural state, and the demographics reveal an aging population with lower than national average earning power. Acadia Hospital utilizies telepsychiatry technology to bridge the distance gap experienced by patients living in a rural state. Part VI - Community Building Activities The major foci of Acadia Hospital's community building activities include collaboration with other agencies and sharing expertise with other organizations and individuals in an effort to strengthen communities through proactive activities. Acadia Hospital also provides education on mental health and substance abuse issues and leverages social networking via the website, Facebook profile and a Twitter profile, as well as the YouTube channel, which features Acadia's short dramatic film, The Road Back (it has nearly 200,000 views).Acadia supports the efforts of other non-profits like the state's chapter of the National Alliance on Mental Illness, and engages in programs like Mental Illness Awareness Week and Challenge Day, participates in National Depression Screening Day and holds Open Mind community education presentations. Acadia features a mental health screening tool on an ongoing basis on its website, and is consistently ranked in the top ten online screening sites in the country by the organization, Screening for Mental Health. Part VI - Explanation Of How Organization Furthers Its Exempt Purpose Acadia Hospital is a 100 licensed bed psychiatric hospital that serves the entire state of Maine. The facility opened in 1992 in response to an urgent need for more hospital and community based mental health and chemical dependency treatment programs. Acadia offers services that otherwise would not be available in the region, including access to inpatient and outpatient services for patients unable to pay. Acadia Hospital provides space for support groups, and provides crisis response services if requested from local communities. Acadia provides many educational presentations in the community that focus on wellness and access to appropriate care, anti-stigma education, and an online mental health screening tool.See Schedule O, Part III, Line 4d for further details from the publication of community benefit projects of Eastern Maine Healthcare Systems entities. Part VI - Affilated Health Care System Roles and Promotion The 2014 Community Health Needs Assessment was conducted by Eastern Maine Healthcare Systems (EMHS) in collaboration with several member/affiliated hospitals and the many public health and community organizations across eight Maine counties. The Community Health Needs Assessment informs initiatives to promote community health across the system as well as within each member hospital local service area. Each member hospital adopts a local implementation strategy and community health improvement plan, tailored to meet local needs.As a member of EMHS, Acadia Hospital shares in the organization's goals. As a specialty hospital within the EMHS system, Acadia provides assistance to affiliates in an integrated fashion, using technology like telemedicine to bridge the distances faced by Maine citizens. EMHS offers its own initiatives, such as addressing childhood obesity, and the affiliates often support these efforts in their own communities. As autonomous hospitals, each provides unique programs to meet the needs of local communities. Part VI - States Where Community Benefit Report Filed ME Part V - Explanation of Number of Facility Type N/A X true true false true false false false false false false false false Allan D Currie MD Board Member 189173 9956 4092 21396 17623 242240 Anthony Ng MD VP Med Affairs 322963 27000 2019 13269 25916 391167 April Giard Former VP/CNO 146620 9059 2209 12957 25934 196779 Brent Scobie Former VP Chief Clinic 105756 2313 2625 8360 28401 147455 Clifford Singer Psychiatrist 289011 7500 4596 19960 26267 347334 Daniel B Coffey PresCEO President & CEO 380562 72300 24663 30200 17833 525558 Deborah M Sanford Former VP Patient Admin 158879 15949 3059 23590 18307 219784 Derrick Hollings Treasurer 407711 81393 12013 152134 23968 677219 Eric Kuntz Psychiatrist 234015 4500 5942 27320 20789 292566 John Burkins Psychiatrist 238377 7500 4828 19062 27833 297600 Karen Clements Former VP Chief Nursing 81195 14400 29786 12051 8144 145576 Marie K Suitter VP & CFO 168949 14492 1909 14060 9841 209251 Mary M Hood EMHS PresCEO Ex-Officio 712895 171996 12420 232431 18491 1148233 Nathan Valentine Psychiatrist 234863 7500 4944 23241 270548 Scott A Oxley Former Treasurer 212890 23817 5566 49485 23552 315310 Sibel Algon Psychiatrist 235873 4500 5143 1879 23290 270685 Theodore Helberg III VP Human Resour 138803 12600 3598 10150 11168 176319 Wayne Stellar PMHNP VP, CNO 174454 334 5138 15653 18289 213868 Part I, Line 1a: Relevant information in regards to selections on 1a. Wayne Steller, officer received a gift certificate for $125 with a $75.48 gross-up payment. Karen Clements, former officer received a gift certificate for $75 with a $6.21 gross-up payment. A Maine Health and Higher Educational Facilities Authority 010314384 560427GW0 2010-04-22 13522505 to refund 1998 issue false false true A 3980000 15948483 1513225 9105000 121118 5209140 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 3, column A, does not equal Part I, line A, column E as a result of other sources of funds from DSF-Interest, DSF-Principal, and DSRF balance totaling $2,425,978.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. Brent Scobie Educational Loans X 9996 9996 false false true 9996 Jeanne Paradis fam mem of brd mem 99671 compensation false Schedule L, Part V Supplemental Information Jeanne Paradis is a family member of a board member and is an employee of Acadia Hospital. Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et James Breece, trustee/officer is an employee of University of Maine and Mary M. Hood, trustee/officer is a board member of University of Maine System. Craig Hadley, trustee is an employee of Husson University; Daniel Coffey, trustee/officer is a board member of Husson University; Betsy MacGregor-Webb, trustee is a board member of Husson University Board of Visitors; Teresa Willett Steele, trustee is Professor Emeritus of Husson University.Betsy MacGregor-Webb, trustee is superintendent of the Bangor Public School System, which provides school services to child and adolescent patients at Acadia Hospital.Daniel Coffey, trustee/officer is a board member of Maine Hospital Association and chairman of Maine Hospital Association Mental Health Council; Mary M. Hood, trustee/officer is board member of Maine Hospital Association. Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents ADOPTION OF UNIFORM BYLAWS BY EMHS MEMBER ORGANIZATIONS (FY 2014)As part of the Governance Integration Project, a Bylaws Task Force was established and charged with drafting a uniform set of bylaws for EMHS Member Organizations for the purpose of achieving clarity and transparency, shared understanding, efficiency in board operations and administration, and compliance with legal requirements and best practice standards.As a result of the work performed by the Bylaws Task Force, the following EMHS Member Organizations adopted Restated Bylaws in FY 2014:1.Acadia Hospital, Corp.2.Charles A. Dean Memorial Hospital3.Eastern Maine HomeCare4.Eastern Maine Medical Center5.EMHS Foundation6.Inland Hospital7.Mercy Hospital8.Rosscare9.The Blue Hill Memorial Hospital10.The Aroostook Medical Center11.VNA Home Health & HospiceThere were no changes to the Bylaws of Sebasticook Valley Health in FY 2014 because Sebasticook was not an Integrated Member Organization for the period covered by this tax return. Impact on Board Structure and Key Operations This Summary focuses on the elements in the uniform bylaws adopted by the Member Organizations that required a change in board structure and/or key operations. Structure includes board composition and the role of officers. Key operations include how the boards oversight responsibilities are deployed across committees and the board as a whole. These changes had the most impact on board leadership, as their implementation shifted current committee roles, affected individual trustee or directors committee assignments, and affected the appointment of the secretary and the treasurer. Key Changes in Board Structure and Role of Officers: 1) Proposed size ranges. The number of board members for member hospitals is 11 -19; and the number of board members for non-hospital members is 9-15. The term limit for board members is up to four (4) consecutive three-year terms. 2) EMHS CEO became a voting member of all boards. This was previously the case for all Member Organizations with the exception of Inland and BHMH. 3) Hospital boards have ex officio seats for the two senior physician leaders. Exceptions: a. EMMC retained current complement of four ex officio physician seats; Acadia established one ex officio physician seat and Charles A. Dean Memorial Hospital retained one ex officio physician seat. b. Inland previously had a third seat designated for a physician, but now the current occupant may continue service on the board as a regular trustee assigned to an elected term. 4) Officers. The President of the Member appoints the secretary and, in consultation with the Board, the president of the Member Organizations. The president may be removed by the President of the Member, in consultation with the Board. EMHS general counsel now serves as secretary of each Member Organization. The respective chief financial officers now serve as treasurer of the Member Organizations. Previously, volunteer board members served in the offices of secretary and treasurer at BHMH, Inland and TAMC. a. After the changes noted, the remaining board volunteer officer positions were limited to chair and vice chair unless otherwise deemed necessary by the board. Thechair and vice chair positions are limited to three consecutive one-year terms. 5) The position of honorary board member was eliminated. Previously, four hospitals (Acadia, Charles A. Dean Memorial Hospital, EMMC and Inland) permitted the election of honorary board members. Among them, only Inland had (two) honorary trustees, who are grandfathered under the uniform bylaws.Key Changes in Board OperationsThe committee structure was designed to: align across Member Organizations to the extent practicable; assure that boards have the benefit of committee work in areas requiring specialty expertise; facilitate coordinated board education and development; and encourage the exchange of best practices. Under the uniform bylaws, as has always been the case, unless explicitly delegated by the board [see 2c and 2d below], committee authority is limited to making recommendations to the full board. 1) The changes in committee structure made under the uniform bylaws reflect consideration that, rather than being delegated to a standing committee, the following oversight and strategic responsibilities are better retained within the province of the entire board: a) Mission, vision, values b) Community health needs assessment within a population health context c) Community benefit: planning, measuring, reporting d) Strategic planning in coordination with the EMHS process e) Compliance with IRS Form 990, conflict of interest policy, and independence requirements f) Philanthropy g) Advocacy 2) Committees a. Under the uniform bylaws, Hospital standing committees comprise: Finance (and where relevant, an Investment Subcommittee); Governance (and an independent Nominating Subcommittee); Quality and Professional Affairs; and Joint Conference. b. Under the uniform bylaws, Non-hospital standing committees comprise: Finance (and where relevant, an Investment Subcommittee); Governance (and an independent Nominating Subcommittee); and where patient care is provided, Quality and Professional Affairs. c. Under the uniform bylaws, Special and ad hoc committees may be appointed by the chair for any specific purpose or function, to be terminated at any time by the chair. Committee chairs may serve no more than five (5) consecutive full one-year terms. 3) Dissolution of the Executive Committee (EC) Under the uniform bylaws, the Executive Committee has been dissolved and certain responsibilities transferred to the Governance Committee and the Quality and Affairs Committee. The rationale behind this change was as follows: a. Over time, ECs can grow in size and function to a degree that risks generating a sense among non-members of being rubber stamps. Prior to adoption of the uniform bylaws, five of the six ECs had rosters that represented half or more of the elected board members. b. Prior to adoption of the uniform bylaws, three of the ECs had committee- level responsibility for finance. Under the uniform bylaws, each Member Organization has a dedicated Finance Committee. c. Historically, the EC has been delegated authority to act on behalf of the board, within defined parameters, when a time-sensitive matter requires action between regularly scheduled board meetings. The uniform bylaws vest this authority in the Governance Committee, which has been the practice on the EMHS board. d. Prior to adoption of the uniform bylaws, four hospital ECs (Acadia, EMMC, Inland, TAMC) had authority to approve medical staff privileges and credentials between board meetings. The uniform bylaws vest this authority in the Quality and Professional Affairs Committee. Transferring this between-meetings exigency role to the Quality and Professional Affairs Committee retains the integrity of the process and aligns with the role and aptitude of the Quality and Professional Affairs Committee. e. Over time, some ECs have inherited responsibilities when another committee has been dissolved. Current examples include community relations and fundraising functions increasingly viewed as board-wide concerns. f. Some ECs conduct executive performance reviews. A uniform policy to be developed in support of the uniform bylaws will assign this responsibility to an ad hoc group comprising the EMHS CEO and independent Member Organization board members serving as chair, vice chair, and committee chairs. 4) Meeting Frequency Under the uniform bylaws, Boards will meet at least four times annually. Provisions remain the same for holding special meetings. 5) Fiduciary Duty The uniform bylaws contain a straightforward affirmation of fiduciary duty consistent with Maine statutory law. 6) Indemnification The uniform bylaws set forth identical indemnification provisions for all Member Organizations Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Acadia Hospital (the "Corporation") is a Maine nonprofit corporation. Eastern Maine Healthcare Systems ("EMHS"), 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 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 EMHS 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 Acadia Hospital/Acadia Healthcare, Inc. 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 Acadia Hospital and the system President/CEO (President) who serves on the board ex-officio are employed by the system parent, Eastern Maine Healthcare Systems (EMHS). The EMHS Executive Performance Management Committee (the Committee) is responsible to monitor and evaluate the performance of the EMHS President, to set compensation of the EMHS President, and to review recommendations of the EMHS President with respect to compensation of the Chief Executive Officer of the direct subsidiaries, and other direct reports to the President. The Committee is comprised entirely of independent Directors per EMHS bylaws.Process:The Committee meets regularly throughout the fiscal year at the discretion of the Committee chair as well as on call of the Chair of the EMHS board. In carrying out its duties pursuant to the Bylaws, the Committee:-Assures that the executive compensation program is administered in a manner consistent with the EMHS executive compensation philosophy.-Reviews and updates the EMHS executive compensation philosophy which serves as the foundation on which all current and future executive compensation decisions are made.-Assures that value of compensation provided by EMHS does not exceed the value of services provided by the executive.-Reviews annual incentive compensation criteria for eligible executives, as defined by the EMHS President.-Reviews periodic compensation survey information and provides expert input to proposed changes to the executive compensation program.-Assures that a formal and timely performance management system is in place for executives.-Reviews incentive compensation criteria scoring and associated pay schedules for officers and key employees.-Provides any public statements regarding executive compensation practices at EMHS deemed appropriate.-Maintains minutes of the meetings and communicates actions to the EMHS Board of Directors.To accomplish this, the committee uses an external consultant with access to comparative data from independent sources and include national as well as regional data points. The EMHS President reviews all direct report compensation actions with the committee. In addition, the EMHS President ensures that any subsidiary policies and practices governing executive compensation are consistent with the committee's philosophy and practices statement. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees Compensation of other officers and key employees of the organization is established by the Human Resources department who utilize external market research to establish compensation ranges for specific positions. The compensation of officers and key employees are reviewed by the Acadia President/CEO and Acadia Executive Committee.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 Acadia 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 Net change in Funds Held at EMHS Foundation = $1518 Other Changes In Net Assets Or Fund Balances - Other Decreases Post Retirement Health Benefit FAS158 = -$40224 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfer to exempt parent-Eastern Maine Healthcare Systems = -$699127 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfer to exempt subsidiary -AHI = -$910556 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfer to exempt subsidiary-EMHSF = -$5525 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfer to exempt subsidiary-Restorative Health = -$100262 Eastern Maine Healthcare Systems EMHS 43 Whiting Hill Rd Brewer ME 04412 010527066 Supporting organization for healthcare affiliates ME 501(c)(3) 11,Type III-Func Int N/A true Eastern Maine Medical Center EMMC PO Box 404 489 State St Bangor ME 044020404 010211501 Provide healthcare services ME 501(c)(3) 3 EMHS true Eastern Maine Healthcare Real Estate 43 Whiting Hill Rd Suite 400 Brewer ME 04412 010391036 Leases real estate ME 501(c)(2) EMHS true Rosscare 43 Whiting Hill Rd Suite 400 Brewer ME 04412 010391038 Provide services to elderly ME 501(c)(3) PF EMHS true Rosscare Nursing Homes Inc 43 Whiting Hill Rd Suite 400 Brewer ME 04412 010430751 Operation of nursing homes ME 501(c)(3) 9 Rosscare true Eastern Maine Medical Center Auxiliary 43 Whiting Hill Rd Suite 400 Brewer ME 04412 010377901 Fundraising for exempt Eastern Maine Medical Center ME 501(c)(3) 9 EMMC true Acadia Healthcare Inc AHI 43 Whiting Hill Rd Suite 400 Brewer ME 04412 223183888 Provide healthcare services ME 501(c)(3) 9 Acadia Hospital Corp true Norumbega Medical Specialists Ltd 43 Whiting Hill Rd Suite 400 Brewer ME 04412 010465231 Provide patient care and education ME 501(c)(3) 9 EMMC true EMHS Foundation 43 Whiting Hill Rd Suite 400 Brewer ME 04412 222514163 Raise and manage funds for exempt organizations ME 501(c)(3) 11, Type II EMHS true Inland Hospital 200 Kennedy Memorial Drive Waterville ME 04901 010217211 Provide healthcare services ME 501(c)(3) 3 EMHS true CA Dean Memorial Hospital Pritham Ave 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 St Presque Isle ME 047690151 010372148 Provide healthcare services ME 501(c)(3) 3 EMHS true TAMC Title Corporation PO Box 151 140 Academy St Presque Isle ME 047690151 010389226 Real estate holding company ME 501(c)(2) TAMC true TAMC Endowments PO Box 151 140 Academy St 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 St 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 Maine Inst for Human Genetics and Health 43 Whiting Hill Road Brewer ME 04412 550894346 Biomedical research and development ME 501(c)(3) 9 EMHS true Blue Hill Memorial Hospital 57 Water St Blue Hill ME 046145231 010227195 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 care ME 501(c)(3) 3 Inland Hospital 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 Sebasticook Valley Work Health LLC 447 North Main Street Pittsfield ME 04967 453359446 Provide patient care ME 501(c)(3) 3 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 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 Beacon Health LLC 43 Whiting Hill Road Brewer ME 04412 452967056 Accountable care organization ME EMHS false false Affiliated Healthcare Systems 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 Affiliated Pharmacy Services 917 Union St Suite 7 Bangor ME 04401 010587230 Pharmacy 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 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 financ ME AHS C true Dirigo Pines Development Company LLC 9 Alumni Drive Orono ME 04473 010537924 RetirCottag ME AHS C true M Drug LLC PO Box 1779 Bangor ME 044021779 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 false true true false false true false true true Eastern Maine Healthcare Systems EMHS m 4034315 FMV Eastern Maine Healthcare Systems EMHS p 4852847 FMV Eastern Maine Healthcare Systems EMHS r 699127 FMV Eastern Maine Medical Center EMMC l 1878852 FMV Eastern Maine Medical Center EMMC m 643820 FMV Acadia Healthcare Inc AHI l 278260 FMV Acadia Healthcare Inc AHI r 910556 FMV EMHS Foundation m 110000 FMV Restoration Health LLC l 76441 FMV Restoration Health LLC m 93480 FMV Restoration Health LLC r 100262 FMV Affiliated Healthcare Management m 51424 FMV Affiliated Materiel Services l 246774 FMV Alliance Health Documentation LLC m 383112 FMV