2015-08-11T08:27:30-07:00 2014-09-27 990 2013-09-29 010372148 EASTERN MAINE HEALTHCARE SYSTEMS TAMC THE AROOSTOOK MEDICAL CENTER TAMC EAST 2077684250 PO BOX 151 PRESQUE ISLE ME 04769 C BRUCE SANDSTROM VICE PRESIDENT, CFO 2015-08-10 2013 2016-02-25 16:41:14Z SYLVIA GETMAN PO BOX 151 PRESQUE ISLE ME 04769 246567822 false false 5247 X WWW.TAMC.ORG X 1981 ME THE MISSION OF THE AROOSTOOK MEDICAL CENTER IS TO RESTORE, MAINTAIN, AND IMPROVE THE HEALTH OF OUR FRIENDS AND NEIGHBORS IN A COMPASSIONATE AND PROFESSIONAL ENVIRONMENT. 16 10 1173 85 0 197202 185317 218382158 232343506 1962 274541 3965477 4522407 222546799 237325771 0 0 68564383 69210142 0 160659 152632866 171139160 221197249 240349302 1349550 -3023531 73927946 75178389 37245342 42356056 36682604 32822333 X THE MISSION OF THE AROOSTOOK MEDICAL CENTER IS TO RESTORE, MAINTAIN, AND IMPROVE THE HEALTH OF OUR FRIENDS AND NEIGHBORS IN A COMPASSIONATE AND PROFESSIONAL ENVIRONMENT. false false 211786389 236810620 PROVISION OF ACUTE & SUBACUTE HOSPITAL CARE RELATED TO OUTPATIENT CLINICS AND HEALTH CARE SERVICES. SERVED 30,088 PATIENT DAYS OF ROUTINE SERVICES AND 80,599 OUTPATIENTS. PROVIDED SERVICES REGARDLESS OF ABILITY TO PAY AS WELL AS EDUCATION AND PROMOTION OF HEALTH. PROVIDED OTHER UNCOMPENSATED CARE (AT COST) OF $2,362,040.Please see the following excerpt from the EMHS Annual Report to the Community for details of community benefit projects by TAMC.Leadership: Sylvia Getman, President and CEO; and Gene Lynch II, Board ChairLocation: Presque Isle, Caribou, Fort Fairfield, and Mars HillEmployees: 1,000Description: The Aroostook Medical Center (TAMC) is northern Maine's leading provider of healthcare services, an advocate for the people we serve, and the area's largest employer. TAMC is a nonprofit organization with passionate employees dedicated to serving the healthcare needs of the people of Aroostook County with outstanding skill and compassion, working closely with our partners to bring the best technology, physicians, and standards of care to the people of northern Maine.TAMC highlights-Began work on new centers for cancer, orthopedic, cardiac, and eye care; improvements were also made in the medical/surgical and women's and children's inpatient units through ongoing work at TAMC's main campus, representing the most significant changes in two decades - the Fort Fairfield Health Center (primary care) and Mars Hill's Aroostook Health Center (rehabilitation and long-term care) facilities are also undergoing renovations-Expanded specialty care offerings in northern Maine by bringing in new providers and introducing advanced technology in urology, orthopedics, rheumatology, dermatology, ophthalmology, and pediatric care-Engaged with several community organizations to introduce a significant number of health promotion and wellness activities throughout the region, including a Summer Fit and Fun series, Discovery Days activities for youth, run/walk and triathlon activities, community health fairs and screenings, programs for seniors, and winter activities-Honored with several awards and commendations, including second consecutive ranking by the American Hospital Association as one of the nation's Top 25 Most Wired Rural Hospital, Avatar's Exceeding Patient Expectations award, and ranking among top hospitals in Maine for maternity care-TAMC president and CEO, Sylvia Getman - Made the Mainebiz Next List of Maine's Ten Key Players Shaping the Future of the State's Economy for her work in "guiding a rural healthcare system during a time of rapid change"-Provided northern Maine patients the latest in imaging technology that is close to home and that increases patient comfort with new MRI (magnetic resonance imaging) technology; more than 2,200 MRI scans are performed annually at the regions largest medical centerTotal Community Benefit: $16,935,586Community Health Improvement Services: $207,421Community Building Activities: $7,377Community Benefit Operations: $115,374Health Professions Education: $1,180Subsidized Health Services: $254,054Financial and In-Kind Contributions: $52,822Unrecoverable interest cost on funds used to subsidize state MaineCare/Medicaid underpayments of $2.8M; $180,120Traditional Charity Care: $2,632,470Unpaid Cost of Public Programs: Medicaid: $1,804,763 Medicare: $11,680,005Philanthropy: $56,104 11680005 MEDICARE SHORTFALLS (AT COST). 9,087 PERSONS SERVED 2687763 55293 CHARITY CARE PROVIDED (AT COST). 948 PERSONS SERVED EXPENSES $2,687,763. INCLUDING GRANTS OF $0. REVENUE $55,293. 1804763 227958920 true true false true false false false false false true true false false true true true false true false false false false false false false false true true false false true true false false false false false false false false true false false false false false false true true true true false true 152 0 true 1173 true false false false false false false false false 0 false false false false false false false false false false X 16 10 false false true false true true true true true false false true true true true true true true false true true X X X C BRUCE SANDSTROM VP CFO 2077684250 140 ACADEMY STREET PRESQUE ISLE ME 04769 JOHN BEAULIEU DO VICE PRES MED S 40.00 0.00 X 275927 0 17405 CAROL BELL Director 2.00 0.00 X 0 0 0 CARL FLORA Director 2.00 0.00 X 0 0 0 M MICHELLE HOOD PRESIDENT EMHS 2.00 50.00 X 0 897311 250922 MICHAEL FALOON MD PRES MED STAFF 40.00 0.00 X 205940 0 26926 JENNIFER SONNTAG Director 2.00 0.00 X 0 0 0 HOLLY JOHNSON DIRECTOR 2.00 0.00 X 0 0 0 JOE LALLANDE Director 2.00 0.00 X 0 0 0 ALAN LANDEEN DIRECTOR 2.00 0.00 X 0 0 0 LYNN LOMBARD Director 2.00 0.00 X 0 0 0 GENE LYNCH II Chairman 2.00 0.00 X X 0 0 0 SYLVIA GETMAN PRESIDENT/CEO 40.00 0.00 X X 357415 0 85394 PETER ST JOHN Director 2.00 0.00 X 0 0 0 BRETT VARNUM DIRECTOR 2.00 0.00 X 0 0 0 BARRY MCCRUM DIRECTOR 2.00 0.00 X 0 0 0 STEVE ST PIERRE Vice Chair 2.00 0.00 X X 0 0 0 JIM MCKENNEY Vice President 40.00 0.00 X 158868 0 33221 JAY REYNOLDS MD VP/CMO 40.00 0.00 X 222657 0 40799 THOMAS UMPHREY VP/HUMAN RESOUR 40.00 0.00 X 183895 0 12280 C BRUCE SANDSTROM VP/CFO 40.00 0.00 X 252727 0 24388 ROGER PELLI DO CMIO 40.00 0.00 X 242410 0 27447 ROLAND JOY Vice President 40.00 0.00 X 171889 0 10954 GLENDA DWYER Vice President 40.00 0.00 X 151166 0 24790 STEPHEN MARTIN OPHTHALMOLOGIST 40.00 0.00 X 510566 0 16250 RUSSELL DONNELLY SURGEON 40.00 0.00 X 513612 0 1337 ROBERT W RICE MD SURGEON 40.00 0.00 X 495407 0 35423 RICHARD DEBOWSKY ANESTHESIOLOGIST 40.00 0.00 X 458369 0 29395 VENKATRAM NETHALA SURGEON 40.00 0.00 X 445557 0 30849 DAVID PETERSON CEO 0.00 0.00 X 114961 0 0 4761366 897311 667780 96 true true false R&L REAL ESTATE LLC PO BOX 4135 PRESQUE ISLE ME 04769 PROPERTY LEASE 542900 FRESH AIR LLC 137 BENNETT DRIVE PRESQUE ISLE ME 04769 AIR AMBULANCE 745384 AROOSTOOK MRI LLC PO BOX 6600 NEW PORT BEACH CA 92658 CONTRACTED SERVICES 476538 JONATHAN HERLAND MD 36 PENN PLAZA BANGOR ME 04401 CONSULTING 129100 PIERCE ATWOOD 254 COMMERCIAL ST SUITE 10 PORTLAND ME 04101 CONSULTING 110327 6 56104 112837 16376 12959 185317 PATIENT SERVICE REVENUE 621990 232162794 232162794 SALES & CONTRACT REVENUE 621990 180712 180712 232343506 2935 2935 0 0 32290 85368 -53078 -53078 -53078 9372799 55490 9118712 37971 254087 17519 271606 271606 0 0 0 FOOD SERVICES 722210 441073 441073 MEANINGFUL USE 621990 1328972 1328972 OTHER REVENUE 900099 1471646 1471646 1333794 1333794 4575485 237325771 236865913 274541 0 0 0 0 2521330 559333 1961997 0 54739004 49583846 5115148 40010 1676121 1518269 156627 1225 6632655 6008011 619796 4848 3641032 3202367 436106 2559 0 181652 181652 51245 51245 0 0 3602 3602 12032439 10315738 1606670 110031 275534 242032 33004 498 2439689 2146499 292704 486 0 0 3376291 2606424 769867 1020940 898427 122513 0 29545 29545 253397 222989 30408 0 3636975 3200538 436437 414480 364742 49738 CONTRACTUAL ALLOWANCES 119981502 119981502 MEDICAL SUPPLIES EXPENSE 11872737 11872737 CHARITY CARE 5991761 5991761 PROVISION FOR BAD DEBTS 5316317 5316317 4261054 3927388 332664 1002 240349302 227958920 12229723 160659 5154 4562 15279554 8578142 0 11478563 14422174 0 0 0 1908127 1930222 1944129 1468931 85925267 55190649 27857080 30734618 5243538 6139716 263602 255783 0 0 9948199 11644241 73927946 75178389 11354041 13847229 9294278 7915678 16597023 20593149 37245342 42356056 X 34572693 28470477 1423583 2661528 686328 1690328 36682604 32822333 73927946 75178389 X -3023531 -69220 -767520 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 21676 21676 false false Part II-B, Line 1i - Other Activities Description 17% OF MHA DUES ($8,063) WERE ALLOCATED TO LOBBYING.23.65% OF AHA DUES ($3,863) WERE ALLOCATED TO LOBBYING.100% of MDH COALITION DUES ($9,750) WERE ALLOCATED TO LOBBYING. 1909135 1169884 20294 3058725 1709599 -28551 244429 16342 1909135 1465995 258319 14715 1709599 1512461 -32008 14458 1465995 1412036 114254 13829 1512461 0.39000 0.61000 false true true 227598 227598 44118740 27577252 16541488 3236139 1267272 1968867 33735200 26346125 7389075 4607590 4607590 30734618 DEFERRED FINANCING COSTS, NET 91268 DUE FROM AFFILIATES 94265 ESTIMATED PROF LIAB CLAIMS REC 3517254 ESTIMATED THIRD-PARTY SETTLEMENTS 5369261 INTERENTITY RECEIVABLES 515 OTHER ASSETS, NET 465459 OTHER RECEIVABLES 2106219 11644241 DEFERRED COMPENSATION 5423012 DUE TO AFFILIATES 2315472 ESTIMATED THIRD-PARTY SETTLEMENTS 4752436 LINE OF CREDIT 4400000 OTHER LIABILITIES 184975 RESERVE FOR PROF LIAB SELF INS 3517254 20593149 X Part V, Line 4: Intended uses of the endowment fund. PART V, LINE 4: ENDOWMENT ASSETS ARE USED FOR THE CORPORATION'S CAPITAL EQUIPMENT NEEDS Part X : FIN48 Footnote The Aroostook Medical Center is a tax-exempt organization pursuant to Section 501(c)(3) of the Internal Revenue Code. Accordingly, no provision for income taxes has been recorded in the consolidated financial statements. true true true X false true true true false true true 948 2687763 55293 2632470 0.02410 6238 17075288 15270525 1804763 0.01660 180120 180120 0.00165 7186 19943171 15325818 4617353 0.04235 19 7493 345200 22510 322690 0.00296 1 75 1180 1180 0.00001 2 254054 254054 0.00233 14 10538 52822 52822 0.00050 36 18106 653256 22510 630746 0.00580 36 25292 20596427 15348328 5248099 0.04815 1 6313 6313 0.00010 1 125 1064 1064 2 125 7377 7377 0.00010 true 2362040 39001188 50681193 -11680005 X true true COUNTY PHYSICAL THERAPY OUTPATIENT PHYSICAL THERAPY 0.50000 1 1 THE AROOSTOOK MEDICAL CENTER 140 ACADEMY STREET PRESQUE ISLE ME 04769 www.tamc.org 37937 X X X true X X X X X X X X X 14 true true true X http://TAMC.org/About_Us.aspx X www.EMHS.org/Community-Benefit/CHNA.aspx X X X X X X X X X X false false false true true 200.0000 false true X X X true true X X X 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 TAMC 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 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 liaison, and a local comprehensive community health coalition.1i) 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 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 In June 2014, EMHS conducted an online survey with stakeholders and partners living or working in the eight-county region to understand key issues, including facilitators and barriers that impact healthcare and population health in these communities. The web-based survey was distributed via email to 17 partnering hospitals, 6 local Public Health Districts, and 17 Healthy Maine Partnerships. Representatives from these organizations distributed the survey link to their employees, volunteers, board members, donors, and other stakeholders. Recipients were encouraged to forward the survey to additional community stakeholders. Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment EMHS Member Hospitals: Acadia Hospital, Blue Hill Memorial Hospital, Charles A. Dean Memorial Hospital, Eastern Maine Medical Center, Inland Hospital, Mercy Hospital, Sebasticook Valley Hospital, and The Aroostook Medical CenterPartnering 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 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 Priorities of Focus - Based on the Aroostook County needs identified during the Community Health Needs Assessment, TAMC has selected the following areas for which we can make a positive impact within our region. Going forward, these priorities will be a focus of our community outreach and operational resources.1. Decrease youth obesity.2. Decrease number of adults age 20-60 with cardiovascular disease risk factors. 3. Improve health status of adults over 65 with 3 or more chronic conditions.4. Decrease inappropriate emergency department utilization by the Medicaid population.5. Improve access to behavioral health services.6. Increase early identification of domestic violence and link victims with appropriate resources.Secondary Focus - For the following community needs, TAMC will play a collaborative role by partnering with and supporting the organizations in the community that are already focused on these areas.1. Oral Health2. Transportation3. Affordable Housing4. Economic Development5. Educational Attainment Part V, Line 11 - Criteria Used For Discounted Care If Not FPG TAMC does not provide sliding-scale discounted care to low income individuals. TAMC provides financial assistance/free care based on the FPL if gross income is at or below 200% of the FPL, if the patient is a resident of the State of Maine seeking emergency care, if the service or supplies are a medical necessity and if all third party payor sources have been exhausted. However, patients with self-pay balances will be offered a discount off charges. Part V, Line 14g - Other Means Hospital Facility Publicized the Policy Visit patient rooms for self-pay admissions and offer the applications. 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 200% FPL. 22 AROOSTOOK HEALTH CENTER 15 HIGHLAND AVENUE MARS HILL ME 04758 NURSING HOME, OUTPATIENT CLINIC TAMC EYE CARE SERVICES 140 ACADEMY STREET PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC GENERAL & VASCULAR SURGERY CTR 146 ACADEMY STREET STE 1A PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC FAMILY PRACTICE & INTERNAL MEDICINE 23 NORTH STREET STE 4 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTH STREET LABORATORY 23 NORTH STREET STE 3 PRESQUE ISLE ME 04769 OUTPATIENT LABORATORY SERVICES ORTHOPEDICS & SPORTS MEDICINE 140 ACADEMY STREET STE 9 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC OBGYN MIDWIFERY SERVICES 140 ACADEMY STREET STE 4 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC AROOSTOOK PEDIATRICS 23 NORTH STREET STE 1 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC AROOSTOOK CANCER CARE 140 ACADEMY STREET PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC OUTPATIENT SPECIALTY CLINICS 146 ACADEMY STREET STE 1C PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINICS SLEEP MEDICINE SERVICES 140 ACADEMY STREET STE 2 3 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC AROOSTOOK HEART & LUNG CENTER 146 ACADEMY STREET STE B PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC FORT FAIRFIELD HEALTH CENTER 23 HIGH STREET FORT FAIRFIELD ME 04742 OUTPATIENT PHYSICIAN CLINIC WALK IN CARE 23 NORTH STREET STE 2 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC RADIATION ONCOLOGY 140 ACADEMY STREET PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC CARIBOU HEALTH CENTER 118 BENNETT DRIVE STE 130 CARIBOU ME 04736 OUTPATIENT PHYSICIAN CLINIC MARS HILL HEALTH CENTER 106 MAIN STREET MARS HILL ME 04758 OUTPATIENT PHYSICIAN CLINIC WOMENS HEALTH CENTER 140 ACADEMY STREET STE 6 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC OCCUPATIONAL HEALTH & WELLNESS 146 ACADEMY STREET PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC ASHLAND HEALTH CENTER 33 WALKER STREET ASHLAND ME 04759 OUTPATIENT PHYSICIAN CLINIC NEPHROLOGY SERVICES 19 NORTH STREET PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC TAMC NEURO REHAB 146 ACADEMY STREET STE 5 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC Part I, Line 6a - Related Organization Community Benefit Report Part I, line 6a - The TAMC community benefit report is contained in an annual community benefit report prepared by Eastern Maine Healthcare Systems which is the parent organization of all related organizations. Part I, Line 7 - Explanation of Costing Methodology Part I, line 7 - Worksheet 2, Ratio of Patient Care Cost-to-Charges is used in calculations. Part I, Line 7, Column F - Explanation of Bad Debt Expense Part I, line 7, Column F - $5,316,317 of bad debt expense, $5,991,761 of charity care, $119,981,503 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 Cost of bad debt expense is calculated by taking the cost to charge ratio times the total bad debt expense. Part III, Line 4 - Bad Debt Expense In evaluating the collectibility of accounts receivable, TAMC analyzes past results and identifies trends for each major payor source of revenue to estimate the appropriate allowance for doubtful accounts and provisions for bad debts. Management regularly reviews data about these major payor sources in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), TAMC records a provision for bad debts in the period of service based on past experience, which indicates that many patients are unable or unwilling to pay amounts for which they are financially responsible. The difference between the standard rates and the amounts actually collected after all reasonable collection efforts have been exhausted is charged against the allowance for doubtful accounts. Part III, Line 8 - Explanation Of Shortfall As Community Benefit Medicare losses are included as a community benefit because the losses are incurred in performing an important public service and Maine hospitals experience one of the lowest Medicare reimbursement rates in the country. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients All account guarantors who express an inability to pay inpatient and outpatient services will be screened for eligibility for charity care using an application and guidelines established by The Aroostook Medical Center. An account may be reconsidered for charity care at any time when new information is available about a patient's inability to pay. Part VI - Needs Assessment In addition to CHNA, there are several methods TAMC uses to understand community needs. TAMC conducts ongoing patient satisfaction surveys and intermittent community perception surveys and focus groups. TAMC reaches out to area physicians, employers and regional health partners via a Community Liaison to gain information about health needs. TAMC is currently piloting a Community Stewardship program to create opportunities for TAMC leadership to interact with key community leaders and stakeholders. TAMC primary care practices are initiating patient advisory councils to ensure patient needs are understood. Part VI - Patient Education of Eligibility for Assistance Financial assistance or free care is available only for medically necessary services. Posters are displayed in patient care areas, information and forms are available online on the hospital website, and patient billing representatives are also available to take calls and to answer questions. Part VI - Community Information Aroostook County is home to 70,055 people, living in a region encompassing 6,671 square miles, with a population density of 10.8 people per square mile. Aroostook has 20.6% of the population over 65 years of age, which is higher than the Maine rate of 17.7%. Aroostook is predominately white (95.5%), with a small American Indian (1.8%) and Hispanic (1.1%) population. Aroostook trails Maine in education status with only 85.1% of adults having a high school diploma and less than 17% having a bachelor's degree. The median household income in Aroostook is $37,855 and over 65% of people live below the poverty line. Major industries include agriculture and forestry.Of Maine's 16 counties, Aroostook County ranks thirteenth in health outcomes and twelfth for quality of life. Top social concerns include unemployment/economic opportunity, substance abuse, domestic violence, isolation (physical and social) and affordable housing. Aroostook County has the highest rates of adult asthma, unmet mental health needs, and overweight youth. It has the second highest rate of heart disease in Maine. Part VI - Community Building Activities Collaboration is key in Aroostook County as TAMC works with numerous local and regional organizations to improve community health and engage people of all ages in healthy behaviors. Over the past year, TAMC has partnered with each of the County's hospitals, the higher education institutions, ACAP's Healthy Aroostook program, the Aroostook Autism Support Group, United Way of Aroostook, and several other organizations to bring a variety of programs to the community. From promoting physical activity to collecting food for local pantries and a whole host of activities in between, TAMC has helped positively affect the lives of thousands of residents in northern Maine across the age spectrum. In the fall of 2014, TAMC provided free influenza vaccinations to more than 1,800 County residents - the largest number to ever receive flu shots through our free clinics.In addition, TAMC is active in the development of future health professionals. TAMC collaborates with public schools and higher education institutions to allow job shadowing, student internships, and a week-long summer camp for students entering 9th grade.TAMC also plays a role in regional economic development. Members of TAMC leadership serve on the Aroostook Partnership for Progress and Leaders Encouraging Aroostook Development. TAMC supports community building economic development activities through sponsorships, such as the 2014 Junior World Biathlon event. Part VI - Affilated Health Care System Roles and Promotion TAMC is a member of EMHS. EMHS (Eastern Maine Healthcare System) includes eight hospitals, numerous physician practices, long-term care facilities, home health and hospice, and ground and air emergency transport. As a top-performing national Pioneer Accountable Care Organization (ACO), EMHS has a proven record of quality outcomes, cost reduction, and highly engaged patients. The EMHS statewide network of care is tailored to the needs of communities and individuals, working to ensure that the people of Maine have the care they need close to home.Promotion of health is a major priority for EMHS. EMHS leadership participates on the Maine CDC Public Health Statewide Coordinate Council and the Maine Public Health Association. EMHS coordinates several state-wide wellness initiatives, including Move & Improve and Raising Readers. Move and Improve is a community-based physical activity program designed to encourage and empower individuals to engage in a healthier lifestyle through physical activity; as the program utilizes the web to invite individuals and sites (work, school, community, etc.) to participate, it has been successful in reaching participants in over 400 Maine towns, 19 different states and a handful of different countries. Raising Readers gives all Maine children through age five at least a dozen beautiful books to call their very own; distribution occurs through collaboration with hospitals and physician offices.In addition, the EMHS community health work will advance as it embarks on a three-year initiative to improve the health of Maine's population in the seven most northern counties. This opportunity is made possible through a $4.05 million cooperative agreement with the Centers for Disease Control and Prevention where EMHS will lead a collaborative of eleven Healthy Maine Partnerships and other strategic community partners to reduce barriers that affect health, such as improving access to healthy foods, increasing opportunities for physical activity, preventing and managing chronic diseases, and educating and empowering people to lead healthy lives. TAMC (The Aroostook Medical Center) serves as EMHS's most northern member serving all of Aroostook County, Maine. As such, TAMC acts as a leader in the region to improve overall community wellness. TAMC leadership serves on the boards of the Maine CDC Aroostook District Public Health Council and Healthy Aroostook. Over the past year, TAMC has engaged with several community organizations to introduce a significant number of health promotion and wellness activities, including a World Cancer Day, Discovery Days activities for youth, run/walk and triathlon activities, community health fairs and screenings, tobacco cessation and prevention programs, programs for seniors, and winter activities. Part VI - States Where Community Benefit Report Filed ME Part V - Explanation of Number of Facility Type N/A X X X false true false false false false false true false false C BRUCE SANDSTROM VP/CFO 170106 82621 13974 10414 277115 DAVID PETERSON CEO 114961 114961 114961 GLENDA DWYER Vice President 132017 19149 13487 11303 175956 JAY REYNOLDS MD VP/CMO 185456 37201 17621 23178 263456 JIM MCKENNEY Vice President 119221 39647 9163 24058 192089 28345 JOHN BEAULIEU DO VICE PRES MED S 275398 529 6375 11030 293332 M MICHELLE HOOD PRESIDENT EMHS 712895 171996 12420 232431 18491 1148233 MICHAEL FALOON MD PRES MED STAFF 153114 12565 40261 9549 17377 232866 RICHARD DEBOWSKY ANESTHESIOLOGIST 432130 26239 11475 17920 487764 ROBERT W RICE MD SURGEON 451343 44064 11475 23948 530830 ROGER PELLI DO CMIO 202449 1574 38387 13427 14020 269857 ROLAND JOY Vice President 141271 12000 18618 10954 182843 RUSSELL DONNELLY SURGEON 458441 40400 14771 1337 514949 STEPHEN MARTIN OPHTHALMOLOGIST 441762 24890 43914 14025 2225 526816 SYLVIA GETMAN PRESIDENT/CEO 250837 63668 42910 59750 25644 442809 THOMAS UMPHREY VP/HUMAN RESOUR 115347 68548 10134 2146 196175 VENKATRAM NETHALA SURGEON 402028 600 42929 7650 23199 476406 Part I, Line 7: Non-Fixed payments not listed above The amounts entered in Part II, B(ii) represent productivity incentive bonuses for the MD's. A MAINE HEALTH & HIGHER EDUCATION FACILITIES AUTHORITY 010314384 560427JF4 2010-06-24 7683726 REFUNDING OF 2001A BOND ISSUE false false true B MAINE HEALTH & HIGHER EDU 010314384 560427EU4 2012-06-28 6190715 REFUNDING OF 2002A BOND ISSUE false false true A 2920000 10166849 976550 4770000 87568 1379 4331352 2001 false true true true B 1025000 7531015 713650 5080000 77586 464 1659315 2004 false true true true A false false false false false true B false false false false false true A false true false false false false B false true false false false false A true B 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 $2,483,123. Part II, line 3, column B, does not equal Part I, line B, column E as a result of other sources of funds from DSF-Interest, DSF-Principal, and DSRF balance totaling $1,340,300.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. BEVERLY MCCRUM SPOUSE OF DIRECTOR 29756 EMPLOYED BY ORGANIZATION false SARAH BEAULIEU SPOUSE 35704 EMPLOYED BY ORGANIZA false Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: MEDICARE SHORTFALLS (AT COST). 9,087 PERSONS SERVED Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents Adoption of Uniform Bylaws by EMHS Member OrganizationsAs 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 FY2014:1. 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 FY2014 because Sebasticook is not an Integrated Member Organization.Impact on Board Structure and Key OperationsThis 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 board's 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 director's 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. The chair and vice chair positions are limited to three consecutive one-year terms.5. The position of honorary board member was eliminated. Previsouly, 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) Advocacy2. 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 committee comprise: Finance (and where relevant, and 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 teh 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 The Aroostook Medical Center (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 Corporation's operating budget and capital expenditures;V. the Corporation's acquisition of assets or assumption of liabilities of an unaffiliated third party;VI. transfer of 5% or more of the assets of the Corporation;VII. financing transactions concerning the Corporation; VIII. merger, consolidation, sale, lease, mortgage, pledge or other disposition of all or substantially all assets of the Corporation;IX. add or revise a health care service of the Corporation;X. discontinue or close a health care service of the Corporation;XI. action concerning the Corporation's role in the EMHS Strategic Plan;XII. action concerning the Corporation's participation in key strategic affiliations with third parties not affiliated with EMHS; andXIII. dissolution of the Corporation Form 990, Part VI, Line 11b: Form 990 Review Process THE FORM 990 IS PROVIDED IN ADVANCE TO THE ORGANIZATION'S BOARD OF DIRECTORS' AND IS THEN REVIEWED BY THE CFO AT A MONTHLY BOARD OF DIRECTORS' MEETING. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts A LIST OF ALL OFFICERS, DIRECTORS OR TRUSTEES AND KEY EMPLOYEES IS COMPILED EACH FISCAL YEAR. CONFLICT OF INTEREST REQUEST FORMS ARE DELIVERED TO EACH PERSON ON THE LIST. RESPONSES ARE COMPILED AND REVIEWED BY STAFF AND PRESENTED TO MANAGEMENT. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management ANNUALLY, A COMMITTEE COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS EVALUATES THE SALARY OF THE ORGANIZATION'S CEO. THE COMMITTEE USES EXTERNAL COMPARABILITY DATA TO DETERMINE A FAIR LEVEL OF COMPENSATION. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available NO DOCUMENTS TO THE PUBLIC. Other Changes In Net Assets Or Fund Balances - Other Increases Contributions to PRNA = $1004000 Other Changes In Net Assets Or Fund Balances - Other Increases Contributions to TRNA = $1088994 Other Changes In Net Assets Or Fund Balances - Other Decreases Net Assets Release = -$83236 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfer to exempt parent - Eastern Maine Healthcare Systems = -$2777278 Form 990, Part VII, Section A Board member Jennifer Sonntag resigned in the first part of 2014. Schedule K, Part 1, Column E The issue price listed is The Aroostook Medical Center's share of the total pool issue amount of $96,755,000. EASTERN MAINE HEALTHCARE SYSTEMS EMHS 43 WHITING HILL ROAD BREWER ME 04412 010527066 SUPPORTING ORGANIZATION FOR HEALTHCARE AFFILIATES ME 501(C)(3) 11 TYPE III Func Int - true EASTERN MAINE HEALTHCARE REAL ESTATE 43 WHITING HILL ROAD BREWER ME 04412 010391036 LEASES REAL ESTATE ME 501(C)(2) EMHS true ACADIA HOSPITAL CORPORATION AHC 43 WHITING HILL ROAD BREWER ME 04412 010459837 PROVIDE HEALTHCARE SERVICES ME 501(C)(3) 3 EMHS true ACADIA HEALTHCARE INC AHI 43 WHITING HILL ROAD BREWER ME 04412 223183888 PROVIDE HEALTHCARE SERVICES ME 501(C)(3) 9 AHC true MEADOW WOOD LLC 43 WHITING HILL ROAD BREWER ME 04412 272935243 PROVIDE PATIENT CARE ME 501(C)(3) 9 AHI true 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 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 NORUMBEGA MEDICAL SPECIALISTS LTD 43 WHITING HILL ROAD STE 400 BREWER ME 04412 010465231 PROVIDE PATIENT CARE AND EDUCATION ME 501(C)(3) 9 EMMC true EMHS FOUNDATION 43 WHITING HILL ROAD STE 400 BREWER ME 04412 222514163 RAISE AND MANAGE FUNDS FOR EXEMPT ORGANIZATIONS ME 501(C)(3) 11 TYPE II EMHS true ME INSTITUTE FOR HUMAN GENETICS & HEALTH 43 WHITING HILL ROAD BREWER ME 04412 550894346 BIOMEDICAL RESEARCH AND DEVELOPMENT ME 501(c)(3) 9 EMHS true ROSSCARE 43 WHITING HILL ROAD STE 400 BREWER ME 04412 010391038 PROVIDE SERVICES TO ELDERLY ME 501(C)(3) PF EMHS true ROSSCARE NURSING HOMES INC 43 WHITING HILL ROAD STE 400 BREWER ME 04412 010430751 OPERATION OF NURSING HOMES ME 501(C)(3) 9 ROSSCARE true INLAND HOSPITAL 200 KENNEDY MEMORIAL DRIVE WATERVILLE ME 04901 010217211 PROVIDE HEALTHCARE SERVICES ME 501(C)(3) 3 EMHS true LAKEWOOD A CONTINUING CARE CENTER 220 KENNEDY MEMORIAL DRIVE WATERVILLE ME 04901 010421234 PROVIDE SKILLED AND LONG-TERM NURSING CARE ME 501(C)(3) 3 INLAND HOSPITAL true CA DEAN MEMORIAL HOSP PRITHAM AVENUE PO BOX 1129 GREENVILLE ME 044411129 043341666 PROVIDE HEALTHCARE SERVICES ME 501(C)(3) 3 EMHS true BLUE HILL MEMORIAL HOSPITAL 57 WATER STREET BLUE HILL ME 046145231 010227195 PROVIDE HEALTHCARE SERVICES ME 501(C)(3) 3 EMHS true EASTERN MAINE HOMECARE PO BOX 688 CARIBOU ME 04736 010328442 PROVIDE HOME HEALTH AND HOSPICE SERVICES ME 501(C)(3) 9 EMHS true SEBASTICOOK VALLEY HEALTH SVH 447 NORTH MAIN STREET PITTSFIELD ME 04967 010263628 CRITICAL CARE HOSPITAL ME 501(C)(3) 3 EMHS true SEBASTICOOK VALLEY FAMILY PRACTICE ASSOC 447 NORTH MAIN STREET PITTSFIELD ME 04967 011357854 PROVIDE PATIENT CARE ME 501(C)(3) 9 SVH 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 04769 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 04769 010504393 PROVIDE PATIENT CARE ME 501(C)(3) 3 TAMC 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 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 EMHS false false AFFILIATED HEALTHCARE SYSTEMS AHS PO Box 940 BANGOR ME 044020940 010385322 HOLDING CO. 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