2015-08-12T06:21:10-07:00 2014-09-27 990 2013-09-29 010421234 Eastern Maine Healthcare Systems LW Lakewood A Continuing Care Center LW EAST 2079739081 220 Kennedy Memorial Drive Waterville ME 04901 Dean Bither CFO 2015-08-12 2013 2016-02-25 16:41:14Z Dean Bither 200 Kennedy Memorial Drive Waterville ME 04901 12432014 false false 5247 X www.inlandhospital.org X 1983 ME Lakewood, A Continuing Care Center is a 105 bed long-term care facility that provides skilled and long-term nursing care. 7 5 225 35 0 36754 55719 11491110 11613083 123998 139303 147 490 11652009 11808595 0 0 4907531 4881943 0 0 6736330 6794337 11643861 11676280 8148 132315 9974846 9925133 6890959 6692524 3083887 3232609 Lakewood, A Continuing Care Center is a 105 bed long-term care facility that provides skilled and long-term nursing care. false false 10676932 11613083 Provide Skilled and Long-Term Nursing Care Lakewood, A Continuing Care Center (Lakewood) is a 105 bed long-term care facility in Waterville, Maine. Lakewood is a not-for-profit skilled nursing facility that has cared for the residents of Central Maine for more than thirty years. During fiscal year 2014 Lakewood had a 93% occupancy rate. Lakewood is a member of Eastern Maine Healthcare Systems. Please see the following excerpt from the EMHS Annual Report to the Community for details of community benefit projects at Lakewood, A Continuing Care Center and Inland Hospital.Leadership: President and CEO: John Dalton; Board Chair: John FortierDescription: A dynamic healthcare organization with a 48-bed community hospital in Waterville, a 105-bed continuing care center on the hospital campus, and 21 primary and specialty care physician practices in Waterville and five surrounding communities.Employees: 707Locations: Waterville, Fairfield, Oakland, North Anson, Augusta, Unity, MadisonHighlights: Awarded an A grade for safety and quality (second time in two years), and named as a Top Rural Hospital (fourth time in five years) by The Leapfrog Group, a national coalition of independent purchasers of healthcare Lakewood Continuing Care Center, located on the Inland campusReceived the 2014 American Health Association Bronze Award for Commitment to Quality Received Avatar Award for Exceeding Patient Expectations (eighth year in a row) and Most Wired Hospital Award (second year in a row) More than 300 families in central Maine participated in the Lets Go! Family Fun Series event, which is part of Inlands commitment to fight childhood obesity Welcomed new providers to the Inland staff: Denise Bouchard, family nurse practitioner; Alicia Brown, DO, family physician; Linda Kelly, nurse practitioner, Neurology; Mark Klemperer, MD, OB/GYN; Syed Rahmatullah, MD, cardiologist; Richard Samson, DPM, podiatrist; Barbara Segal, MD, rheumatologist; and Gloria Simms, MD, neurologist Inland Hospital and Sebasticook Valley Hospital (Pittsfield) collaborated to enhance diabetes, OB/GYN, and surgical services for our communitiesTotal Community Benefit: $10,412,434Philanthropy: $319,622Community Benefit Operations: $209,986Community Building Activities: $29,086Community Health Improvement Services: $11,214Financial and In-Kind Contributions: $11,781Unrecoverable Interest Cost on funds used to subsidize state MaineCare/Medicaid underpayment of $4.3M: $273,443Traditional Charity Care: $1,630,855Unpaid Cost of Public Programs:Medicare: $4,564,670Medicaid: $3,681,399 10676932 true true false true false false false false false true true false false true true true false true false false false false false false false false false false false true true false false false false false false false false false false false false false false false true true true false false true 20 0 true 225 true false false false false false false false false 0 false false false false false false false false false false X 7 5 false false false false true true true true true false false true true true true true true true false 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 X 0 0 0 John D Dalton President & CEO 0.50 50.00 X X 0 283962 76180 Michael F Phillips Jr Esquire Chairman 0.50 0.00 X X 0 0 0 Crystal Olsen Vice Chairman 0.50 0.00 X X 0 0 0 Perley G Beane Secretary 0.50 0.00 X X 0 0 0 Gary Smith Board Member 0.50 0.00 X 0 0 0 Roland H Knausenberger MD Board Member 0.50 50.00 X 0 211069 26499 Daniel Pierce DO Board Member 0.50 0.00 X 0 0 0 David Preston Board Member 0.50 0.00 X 0 0 0 William Lord Board Member 0.50 0.00 X 0 0 0 Dean Bither CFO/Treasurer 10.00 40.00 X 0 211198 30267 Shannon Lockwood Administrator 50.00 0.00 X 119583 0 9614 Diane Lessard Certified Nurse As 50.00 0.00 X 103112 0 4903 222695 706229 147463 3 false true false Platinum Choice Staffinc Inc PO Box 404322 Atlanta GA 303844322 Temporary Staffing 194010 Rehabcare Group East Inc PO Box 277365 Atlanta GA 303847365 Rehab Therapy 645581 2 19032 36687 5502 55719 Cafeteria Revenue 722210 13525 13525 Patient Care Revenue 623000 11599558 11599558 11613083 77258 77258 0 0 0 685381 623336 62045 62045 62045 0 0 567 83 484 484 PR FEE FOR LEVY PROCESSIN 900099 6 6 6 11808595 11599558 153318 X 0 0 0 0 129197 129197 0 3920809 3578663 342146 27523 24428 3095 489177 420208 68969 315237 280390 34847 0 4181 4181 15223 15223 0 0 6412 5898 514 1693842 1467194 226648 12093 9677 2416 192863 151877 40986 37597 11688 25909 0 279285 265846 13439 8958 5154 3804 0 5248 2970 2278 272013 262093 9920 0 575968 543942 32026 13181 12522 659 Contractual Allowances 2242934 2242934 Medical Supplies Expense 756138 756138 Taxes and Licensing 565082 562202 2880 Bad Debt Expense 55303 54921 382 58016 18187 39829 11676280 10676932 999348 0 650 650 559007 728019 0 974987 1046751 0 0 0 5697 5229 98458 86067 11722033 6340842 5779086 5381191 0 0 0 474000 474000 2082961 2203226 9974846 9925133 886680 872147 5965807 5785584 38472 34793 6890959 6692524 X 3052571 3206314 21316 16295 10000 10000 3083887 3232609 9974846 9925133 X 132315 22274 -5867 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 3020 3020 false false Part II-B, Line 1i - Other Activities Description Non-deductible portion of dues 22405 1430 955 22880 20848 2222 665 22405 13325 6000 2170 647 20848 13503 173 351 13325 12371 1132 13503 0.42000 0.58000 false true true 5704075 2891907 2812168 5105192 2824766 2280426 912766 624169 288597 5381191 Assets Held Under Trust Indenture 112095 Board Designated Funded Depreciation 1256736 Board Designated Funds-Other 775442 Estimated Prof. Liab. Claims Receivable 32658 Permanently Donor Restricted Funds 10000 Temporarily Donor Restricted Funds 16295 2203226 Liability Under Cap Lease Obligation 2135 Reserve for Prof. Liab. Self Ins. 32658 34793 X 9508877 22274 -2297487 -2275213 11784090 24505 24505 11808595 9348160 84 84 9348076 2328204 2328204 11676280 Part V, Line 4: Intended uses of the endowment fund. Endowment Funds are designated for purposes that align within the organization's exempt purpose. Part X : FIN48 Footnote EMHS, its hospitals, and certain other affiliates have been determined by the Internal Revenue Service to be tax-exempt charitable organizations as described in Section 501(c)(3) or 501(c)(2) of the Internal Revenue Code (the Code) and, accordingly, are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Accordingly, no provision for federal income taxes has been recorded in the accompanying consolidated financial statements for these organizations.Tax-exempt charitable organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the Financial Accounting Standards Board (FASB), assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. The System has evaluated its tax position taken or expected to be taken on income tax returns and concluded the impact to be not material.Certain of the System's affiliates are taxable entities. Deferred taxes related to these entities are based on the difference between the financial statement and tax basis of assets and liabilities using enacted tax rates in effect in the years the differences are expected to reverse. The deferred tax assets and liabilities for these entities are not material. Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S Restricted Contributions from fund b $24589 Cost of Goods Sold reclass $-84 Restricted investment income from fund b $0 Part XII, Line 2d: Other expenses and losses per audited F/S Cost of Goods Sold reclass to revenue $84 Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S Restricted expenses from fund bal $30717 Contractual Allowance reclass to expense $2242934 Reimbursed expenses reclass to expense $-368 Bad Debt reclass to expense $54921 false true false false false false false false false false Dean Bither CFO/Treasurer 197736 50 13412 4161 26106 241465 John D Dalton President & CEO 261227 22735 60353 15827 360142 Roland H Knausenberger MD Board Member 194388 16681 752 25747 237568 A Maine Health and Higher Education Facilities Authority 010314384 560425V80 2007-11-01 7181986 Lakewood Expansion Project false false true B Maine Health and Higher Education Facilities Authority 010314384 560425TL4 2004-06-03 1845565 To refund the 1993D Bond Issue false false true A 905000 7181986 451750 106394 1837 6622005 2007 false false true true B 1800000 2156022 24132 2167 1892323 2004 false true true true A false false false false false true B false false false false false true A false true false NA true FSA Cap Mgmt-Reserve Fund Transamerica-Const Fund 30.0000 true false false B true false NA true FSA Cap Mgmt 19.0000 true false false A true B true Part VI 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 $310,457.Part IV, line 2C, column A the date the rebate computation was perfomed 11/01/2012.Part IV, line 7 - The issuer (MHHEFA) has established written procedures to monitor the requirements of Section 148. The organization has entered into a tax regulatory agreement with the issuer that requires the organization to comply with the requirements of Section 148. The organization is working to establish its own written procedures to monitor such requirements. Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Lakewood, A Continuing Care Center (the "Corporation") is a Maine nonprofit corporation. Inland Hospital Corp (the "Member"), also a Maine nonprofit corporation, is the sole corporate member of the Corporation. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body The Member has authority to elect directors of the Corporation. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders The Member has authority to approve amendments to the Corporation's articles of incorporation and to its bylaws. Form 990, Part VI, Line 11b: Form 990 Review Process Form 990 is reviewed by the CFO of Lakewood, A Continuing Care Center. It is also provided to each board member either electronically or in hard copy with an opportunity to ask questions prior to filing with the IRS. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts The organization requests updates of potential conflicts and relationships from the officers and Board members on an annual basis. The request requires disclosure of all business relationships, board memberships, and family relationships. A database is maintained that is compared to payroll records and the accounts payable vendor list to identify any potential conflicts of interest. Transactions are reviewed for reasonableness as an arm's length transaction. The first agenda item for board meetings and board committee meetings is for members to declare any conflict of interest with upcoming agenda items or deliberations. At any point when consideration is being given to purchase/contract with a party in interest, the member with the conflict is either excused from the discussion and consideration process or abstains from voting on the matter. All transactions identified with parties in interest are disclosed within the Form 990. All are deemed to be arm's length transactions. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management Lakewood, A Continuing Care Center's (Lakewood) CEO is employed by Inland Hospital, the parent company of Lakewood and a subsidiary of Eastern Maine Healthcare Systems (EMHS). Lakewood's CEO reports directly to the system parent, EMHS President/CEO (President). The EMHS Executive Performance Management Committee (the Committee) is responsible to monitor and evaluate the performance of the EMHS President, to set compensation of the EMHS President, and to review recommendations of the EMHS President with respect to compensation of the Chief Executive Officer of the direct subsidiaries, and other direct reports to the President. The Committee is comprised entirely of independent Directors per EMHS bylaws. Process:The Committee meets regularly throughout the fiscal year at the discretion of the Committee chair as well as on call of the Chair of the EMHS board. In carrying out its duties pursuant to the Bylaws, the Committee:-Assures that the executive compensation program is administered in a manner consistent with the EMHS executive compensation philosophy.-Reviews and updates the EMHS executive compensation philosophy which serves as the foundation on which all current and future executive compensation decisions are made.-Assures that value of compensation provided by EMHS does not exceed the value of services provided by the executive.-Reviews annual incentive compensation criteria for eligible executives, as defined by the EMHS President.-Reviews periodic compensation survey information and provides expert input to proposed changes to the executive compensation program.-Assures that a formal and timely performance management system is in place for executives.-Reviews incentive compensation criteria scoring and associated pay schedules for officers and key employees.-Provides any public statements regarding executive compensation practices at EMHS deemed appropriate.-Maintains minutes of the meetings and communicates actions to the EMHS Board of Directors.To accomplish this, the committee uses an external consultant with access to comparative data from independent sources and include national as well as regional data points. The EMHS President reviews all direct report compensation actions with the committee. In addition, the EMHS President ensures that any subsidiary policies and practices governing executive compensation are consistent with the committee's philosophy and practices statement.Form 990, Part VI, Line 15b - Compensation Review & Approval Process for Officers & Key EmployeesCompensation of other officers and key employees of the organization is established by the Human Resources department who utilize external market research to establish compensation ranges for specific positions. On an annual basis, the compensation ranges are compared to the updated survey information. The Human Resources department will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Lakewood, A Continuing Care Center makes its governing documents, conflict of interest policy and financial statements available to the public upon request. Other Changes In Net Assets Or Fund Balances - Other Increases Change in net assets held @EMHS Foundation = $974 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfer to exempt parent-Eastern Maine Healthcare Systems = -$6841 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 N/A true Rosscare Nursing Homes Inc 43 Whiting Hill Road Brewer ME 04412 010430751 Operation of nursing homes ME 501(c)(3) 9 Rosscare true Acadia Hospital Corp AHC 43 Whiting Hill Road Brewer ME 04412 010459837 Provide healthcare service ME 501(c)(3) 3 EMHS true Eastern Maine Medical Center Auxiliary 43 Whiting Hill Road Brewer ME 04412 010377901 Fund raising for exempt Eastern Maine Medical Center ME 501(c)(3) 9 EMMC true Acadia Healthcare Inc AHI 43 Whiting Hill Road Brewer ME 04412 223183888 Provide healthcare services ME 501(c)(3) 9 AHC true EMHS Foundation 43 Whiting Hill Road Brewer ME 04412 222514163 Raise and manage funds for exempt organizations ME 501(c)(3) 11, Type II EMHS true Norumbega Medical Specialists LTD 43 Whiting Hill Road Brewer ME 04412 010465231 Provide patient care and education ME 501(c)(3) 9 EMMC true CA Dean Memorial Hospital Pritham Avenue PO Box 1129 Greenville ME 044411129 043341666 Provide healthcare services ME 501(c)(3) 3 EMHS true Sebasticook Valley Health SVH 447 North Main Street Pittsfield ME 04967 010263628 Critical care hospital ME 501(c)(3) 3 EMHS true The Aroostook Medical Center TAMC PO Box 151 140 Academy Street Presque Isle ME 047690151 010372148 Provide healthcare services ME 501(c)(3) 3 EMHS true TAMC Title Corp PO Box 151 140 Academy Street Presque Isle ME 047690151 010389226 Real estate holding company ME 501(c)(2) TAMC true TAMC Endowments PO Box 151 140 Academy Street Presque Isle ME 047690151 010389222 Raise funds for exempt organizations ME 501(c)(3) 11, Type I TAMC true Horizons Health Services PO Box 151 140 Academy Street Presque Isle ME 047690151 010504393 Provide patient care ME 501(c)(3) 3 TAMC true Eastern Maine HomeCare PO Box 688 Caribou ME 04736 010328442 Provide home health and hospice services ME 501(c)(3) 9 EMHS true Maine Institute Human Genetics & 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 Street Blue Hill ME 046145231 010227195 Provide healthcare services ME 501(c)(3) 3 EMHS true Eastern Maine Medical Center EMMC Po Box 404 489 State Street Bangor ME 044020404 010211501 Provide healthcare services ME 501(c)(3) 3 EMHS true Eastern Maine Healthcare Real Estate 43 Whiting Hill Road Brewer ME 04412 010391036 Leases real estate ME 501(c)(2) EMHS true Rosscare 43 Whiting Hill Rd Ste 400 Brewer ME 04412 010391038 Provide services to elderly ME 501(c)(3) PF EMHS true Inland Hospital 200 Kennedy Memorial Drive Waterville ME 04901 010217211 Provide healthcare services ME 501(c)(3) 3 EMHS true Meadow Wood LLC 43 Whiting Hill Road Brewer ME 04412 272935243 Provide patient care ME 501(c)(3) 9 AHI true Sebasticook Valley Vamily 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 In EMHS true VNA Home Health & Hospice 50 Foden Road South Portland ME 04106 010246804 Provide home health and hospice services ME 501(c)(3) 9 EMHS true Beacon Health LLC 43 Whiting Hill Road Brewer ME 04412 452967056 Accountable care organization ME N/A false false Affiliated Healthcare System AHS PO Box 940 Bangor ME 044020940 010385322 Holding co. ME EMHS C true Affiliated Healthcare Management PO Box 811 Bangor ME 044020811 010349339 Hlthcr mgmt ME AHS C true Affiliated Laboratory Inc PO Box 638 Bangor ME 044020638 010381283 Clinical lab ME AHS C true Affiliated Materiel Services PO Box 1300 Bangor ME 044021300 010381189 Purchasing ME AHS C true 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 service ME EMHS C true Dirigo Pines Retirement Community LLC 9 Alumni Drive Orono ME 04473 010537924 Holding Co ME AHS C true Dirigo Pines Inn LLC 9 Alumni Drive Orono ME 04473 020547749 Contin care ME Rosscare C true Dirigo Funding LLC 9 Alumni Drive Orono ME 04473 010599968 Prov finance ME AHS C true Dirigo Pines Development Company LLC 9 Alumni Drive Orono ME 04473 010537924 RetCottag ME AHS C true M Drug LLC PO Box 1779 Bangor ME 04402 272175482 Pharmacy ME AHS C true Alliance Health Documentation LLC 9 Central Street Ste 205 Bangor ME 04401 462751855 Transcription ME AHS C true false false false false false false false false false true false false true false false true false true true Eastern Maine Healthcare Systems EMHS m 195469 FMV Inland Hospital m 97145 FMV Affiliated Healthcare System AHS p 140411 FMV