EASTERN MAINE HEALTHCARE SYSTEMS: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
EASTERN MAINE HEALTHCARE SYSTEMS (EIN 01-0217211)
Tax period
2012-09-30 to 2013-09-28
Filed
2014-08-12
IRS object ID
201422249349300607
Schema version
2012v2.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-08-12T05:40:47-07:00Timestamp
Tax Period End Date2013-09-28TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-09-30TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN010217211EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1EASTERN MAINE HEALTHCARE SYSTEMS IHBusinessNameLine1
Business Name Line2INLAND HOSPITAL IHBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlEASTNameControl
Phone2079737064Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 KENNEDY MEMORIAL DRIVEAddressLine1
CityWATERVILLECity
StateMEState
ZIP Code04901ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDEAN BITHERName
TitleCFOTitle
Date Signed2014-08-12DateSigned
Authorize Third PartyfalseAuthorizeThirdParty
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDEAN BITHERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1200 KENNEDY MEMORIAL DRIVEAddressLine1
CityWATERVILLECity
StateMEState
ZIP Code049014526ZIPCode
FieldValueIRS element (for citing)
Gross Receipts121192238GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Group Exemption Number5247GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.inlandhospital.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1945YearFormation
State Legal DomicileMEStateLegalDomicile
Activity Or Mission DescriptionInland Hospital operates a 48-bed non-profit hospital and outlying clinics in the Waterville area, that provides medical, surgical, and acute care to all, regardless of ability to pay.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees673TotalNbrEmployees
Total Nbr Volunteers147TotalNbrVolunteers
Total Gross UBI226768TotalGrossUBI
Net Unrelated Business Txbl Income-11624NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year234668ContributionsGrantsPriorYear
Contributions Grants Current Year713556ContributionsGrantsCurrentYear
Program Service Revenue Prior Year118933272ProgramServiceRevenuePriorYear
Program Service Revenue CY117405997ProgramServiceRevenueCY
Investment Income Prior Year212142InvestmentIncomePriorYear
Investment Income Current Year486214InvestmentIncomeCurrentYear
Other Revenue Prior Year2369176OtherRevenuePriorYear
Other Revenue Current Year1442785OtherRevenueCurrentYear
Total Revenue Prior Year121749258TotalRevenuePriorYear
Total Revenue Current Year120048552TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year43683370SalariesEtcPriorYear
Salaries Etc Current Year41671381SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year77316977OtherExpensePriorYear
Other Expenses Current Year76519552OtherExpensesCurrentYear
Total Expenses Prior Year121000347TotalExpensesPriorYear
Total Expenses Current Year118190933TotalExpensesCurrentYear
Revenues Less Expenses Prior Year748911RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1857619RevenuesLessExpensesCY
Total Assets BOY53738280TotalAssetsBOY
Total Assets EOY57103324TotalAssetsEOY
Total Liabilities BOY27980309TotalLiabilitiesBOY
Total Liabilities EOY30475800TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY25757971NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY26627524NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO CARE FOR AND SERVE OUR COMMUNITY BY PROVIDING HEALTHCARE SERVICESMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense99951369Expense
Revenue117719371Revenue
DescriptionProvided healthcare services regardless of ability to pay as well as education and promotion of health. Provided $2,233,720 other uncompensated care (at cost).Inland Hospital is a 48-bed facility that provides medical-surgical, and acute care. Inland is a non-profit hospital, serving all who need care, regardless of ability to pay. Inland Hospital also has outlying clinics in the region, allowing easier access for patients.Additional Statistics:Total Admissions 1,601Percent Occupancy of Available Beds 25%Emergency Room Visits 14,319Surgery Cases 1,900Services provided to those who could not pay $6,822,113Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense3899086Expense
DescriptionMedicare shortfalls (at cost). 26,093 persons served.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense2771754Expense
DescriptionMedicaid shortfalls (at cost). 15,048 persons served.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp1515322TotalOfOtherProgramServiceExp
Total Program Service Expense108137531TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPtrueLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096126NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees673NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledMEStatesWhereCopyOfReturnIsFiled
Own WebsiteXOwnWebsite
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJEFFREY A SANFORDNamePerson
Telephone Number2079737894TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line143 WHITING HILL ROADAddressLine1
CityBREWERCity
StateMEState
ZIP Code04412ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
ALLAN L RANCOURT
Board Member0.500.00X000
CHRISTOPHER L GUANCE
Board Member0.500.00X000
C PATRICK MICHAUD
Treasurer0.500.00X000X
JOHN DALTON
President & CEO40.000.00X270497075363X
ROSEMARY WINSLOW
Board Member0.500.00X000
SUZANNE UHL-MELANSON
Board Member0.500.00X000
MICHAEL F PHILLIPS JR ESQ
Vice Chair0.500.00X000X
DONALD PLOURDE
Secretary0.500.00X000X
CATHERINE KIMBALL DO
Board Member0.500.00X000
DAVID GLENN-LEWIN PhD
Board Member0.500.00X000
BRIAN GILLIS DO
Board Member0.500.00X000
CHARLES R GAUNCE
Board Member0.500.00X000
JOHN M FORTIER
Chair0.500.00X000X
THOMAS DAVIS
Board Member0.500.00X000
LINDA FAY MD
Board Member40.000.00X263510022111
KATHY COREY
Board Member0.500.00X000
CLARENCE BICKFORD JR
Board Member0.500.00X000
EE COMP IS FOR ADMIN SVCS
NOT BRD RESPONS0.000.00X000
KATHERINE DEMPSKI
VP of Quality40.000.001130980639X
MICHAEL PALUMBO DO
VP-Med Affairs40.000.00268092027759X
DANIEL J BOOTH
VPOO/CHRO40.000.00192750011570X
DEAN BITHER
VP of Fin/CFO40.000.00203168030638X
WALTER R BARRY
VP Pat Care/CNO40.000.00187920019395X
MARY M HOOD
EMHS CEO0.0050.000844254248039X
WILLIAM K BRADFIELD MD
Physician40.000.00381115031838X
KEVIN M WHITE
Physician40.000.00376509020621X
CRAIG R THOMPSON MD
Physician40.000.00434365026845X
JOYCE STEIN DO
PHYSICIAN40.000.00340886013271X
TODD E STAPLEY
Physician40.000.00377923012332X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3409833TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs844254TotalReportableCompFrmRltdOrgs
Total Other Compensation540421TotalOtherCompensation
Number Individuals GT100 K54NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SHELLEY FALIK
PO BOX 40MARIONIL62959Physician Services465145
VISTA STAFFING SOLUTIONS
PO BOX 26544SALT LAKE CITYUT841260544Physician Services543708
NURSE ANESTHESIA OF MAINE
141 N MAIN ST STE 205BREWERME04412Professional CRNAs613050
NEHE MRI LLC
PO Box 6600Newport BeachCA92658Service Contract540450
MEDICAL DOCTOR ASSOCIATES INC
PO BOX 277185ATLANTAGA303847185Physician Services462093
FieldValueIRS element (for citing)
Number Of Contractors GT100 K20NumberOfContractorsGT100K
Related Organizations649091RelatedOrganizations
Government Grants7644GovernmentGrants
All Other Contributions56821AllOtherContributions
Noncash Contributions9715NoncashContributions
Total Contributions713556TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICE REVENUE621990117264876117038112226764
LIFELINE REVENUE62161030903090
EDUCATION REVENUE6117101605316053
CAFETERIA722210121978121978
FieldValueIRS element (for citing)
Total Program Service Revenue117405997TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column176459TotalRevenueColumn
Unrelated Business Revenue4UnrelatedBusinessRevenue
Exclusion$176,455ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real3615Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real3615Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column3615TotalRevenueColumn
Related Or Exempt Function Income3615RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1429554Securities
Other1000Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1112875Securities
Other7924Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities316679Securities
Other-6924Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column309755TotalRevenueColumn
Related Or Exempt Function Income309755RelatedOrExemptFunctionIncome

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Sales Of Inventory38799GrossSalesOfInventory
Cost Of Goods Sold22887CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column15912TotalRevenueColumn
Exclusion$15,912ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
MISCELLANEOUS900099160$160
MEANINGFUL USE PAYMENTS6219901423098$1,423,098
FieldValueIRS element (for citing)
Total Other Revenue1423258TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column120048552TotalRevenueColumn
Related Or Exempt Function Income117492603RelatedOrExemptFunctionIncome
Unrelated Business Revenue226768UnrelatedBusinessRevenue
Exclusion$1,615,625ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1686510Total
Program Services902524ProgramServices
Management And General783986ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total33273101Total
Program Services29833722ProgramServices
Management And General3439379ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total694397Total
Program Services327804ProgramServices
Management And General366593ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4000200Total
Program Services3615250ProgramServices
Management And General384950ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2017173Total
Program Services1775112ProgramServices
Management And General242061ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total73227Total
Management And General73227ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total37064Total
Management And General37064ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total32064Total
Program Services25651ProgramServices
Management And General6413ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total6777619Total
Program Services5006929ProgramServices
Management And General1770690ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total275781Total
Program Services1250ProgramServices
Management And General274531ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1654009Total
Program Services1275109ProgramServices
Management And General378900ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total697968Total
Program Services406951ProgramServices
Management And General291017ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2073718Total
Program Services1658974ProgramServices
Management And General414744ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total117903Total
Program Services72013ProgramServices
Management And General45890ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total144966Total
Program Services108234ProgramServices
Management And General36732ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total479412Total
Program Services383530ProgramServices
Management And General95882ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2391012Total
Program Services1912810ProgramServices
Management And General478202ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total529618Total
Program Services467097ProgramServices
Management And General62521ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
Charity Care27585892758589
Provision for uncollectible ac40635244063524
Medical Supplies61291846129184
Contractual Allowances4500552045005520

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3278374Total
Program Services2407754ProgramServices
Management And General870620ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total118190933Total
Program Services108137531ProgramServices
Management And General10053402ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY16179BOY
EOY15862EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1437674BOY
EOY5093114EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY20275921BOY
EOY14187919EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY95810BOY
EOY34387EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY301579BOY
EOY139017EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY601581BOY
EOY554602EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY818448BOY
EOY1575688EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis42992877LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec22172587LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY17142963BOY
EOY20820290EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY1304BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY13046821BOY
EOY14682445EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY53738280BOY
EOY57103324EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY12982896BOY
EOY13076971EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1886BOY
EOY243EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY4353489BOY
EOY3834794EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY6400813BOY
EOY7476852EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4241225BOY
EOY6086940EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY27980309BOY
EOY30475800EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY23706280BOY
EOY24688221EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1384495BOY
EOY1225808EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY667196BOY
EOY713495EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY25757971BOY
EOY26627524EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY53738280BOY
EOY57103324EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1857619ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-304746ReconciliationUnrealizedInvest
Reconcilation Other Changes-683320ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$9,252OtherActivitiesAmount
Total Lobbying Expenditures IIB9252TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1iIdentifier
Return ReferencePart II-B, Line 1i - Other Activities DescriptionReturnReference
ExplanationNon-deductible portion of duesExplanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance273459BeginningOfYearBalance
Contributions5000Contributions
Investment Earnings Or Losses31241InvestmentEarningsOrLosses
Other Expenditures6538OtherExpenditures
End Of Year Balance303162EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance226072BeginningOfYearBalance
Contributions15810Contributions
Investment Earnings Or Losses38174InvestmentEarningsOrLosses
Other Expenditures6597OtherExpenditures
End Of Year Balance273459EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance147236BeginningOfYearBalance
Contributions89440Contributions
Investment Earnings Or Losses-7087InvestmentEarningsOrLosses
Other Expenditures3517OtherExpenditures
End Of Year Balance226072EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Contributions133788Contributions
Investment Earnings Or Losses13448InvestmentEarningsOrLosses
End Of Year Balance147236EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.23000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.77000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis83162OtherCostOrOtherBasis
Book Value83162BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis18342062OtherCostOrOtherBasis
Depreciation9930334Depreciation
Book Value8411728BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1427896OtherCostOrOtherBasis
Depreciation246629Depreciation
Book Value1181267BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis20042892OtherCostOrOtherBasis
Depreciation11499526Depreciation
Book Value8543366BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3096865OtherCostOrOtherBasis
Depreciation496098Depreciation
Book Value2600767BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings20820290TotalOfBookValueLandBuildings

Other Assets OtherAssets (9 entries)

DescriptionDescriptionBook ValueBookValue
Temporarily Donor Restricted Funds213022
Self Insurance and Other Funds2046983
Permanently Donor Restricted Funds5000
Interest in net assets held at EMHSF1199895
Estimated Prof. Liab. Claims Receivable3467654
Board Designated Other1540181
Board Designated Funded Depreciation5598636
Beneficial Interest in Perpetual Trusts521386
Assets Held Under Trust Indenture89688
FieldValueIRS element (for citing)
Total Book Value Other Assets14682445TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
Reserve for Prof. Liab. Self Ins.$3,467,654
Reserve for Asset Disposal Costs$115,000
Liability Under Cap Lease Obligation$229,033
Deferred Compensation$2,275,253
FieldValueIRS element (for citing)
Total Of Amounts6086940TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XPart X : FIN48 FootnoteEMHS, 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 ("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 V, Line 4Part V, Line 4: Intended uses of the endowment fund.Endowment funds are designated for purposes that align within the organization's exempt purpose.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CarefalseFPGReferenceDiscountedCare
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served654PersonsServed
Total Community Benefit Expense1516322TotalCommunityBenefitExpense
Direct Offsetting Revenue1000DirectOffsettingRevenue
Net Community Benefit Expense1515322NetCommunityBenefitExpense
Percent Of Total Expense0.02280PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served15048PersonsServed
Total Community Benefit Expense12382300TotalCommunityBenefitExpense
Direct Offsetting Revenue9610546DirectOffsettingRevenue
Net Community Benefit Expense2771754NetCommunityBenefitExpense
Percent Of Total Expense0.04180PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense1143250TotalCommunityBenefitExpense
Net Community Benefit Expense1143250NetCommunityBenefitExpense
Percent Of Total Expense0.01720PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served15702PersonsServed
Total Community Benefit Expense15041872TotalCommunityBenefitExpense
Direct Offsetting Revenue9611546DirectOffsettingRevenue
Net Community Benefit Expense5430326NetCommunityBenefitExpense
Percent Of Total Expense0.08180PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs9NumberOfActivitiesOrPrograms
Persons Served3979PersonsServed
Total Community Benefit Expense278524TotalCommunityBenefitExpense
Net Community Benefit Expense278524NetCommunityBenefitExpense
Percent Of Total Expense0.00420PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served55PersonsServed
Total Community Benefit Expense281TotalCommunityBenefitExpense
Net Community Benefit Expense281NetCommunityBenefitExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served1000PersonsServed
Total Community Benefit Expense35564TotalCommunityBenefitExpense
Net Community Benefit Expense35564NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs12NumberOfActivitiesOrPrograms
Persons Served5034PersonsServed
Total Community Benefit Expense314369TotalCommunityBenefitExpense
Net Community Benefit Expense314369NetCommunityBenefitExpense
Percent Of Total Expense0.00470PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs12NumberOfActivitiesOrPrograms
Persons Served20736PersonsServed
Total Community Benefit Expense15356241TotalCommunityBenefitExpense
Direct Offsetting Revenue9611546DirectOffsettingRevenue
Net Community Benefit Expense5744695NetCommunityBenefitExpense
Percent Of Total Expense0.08650PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served5000PersonsServed
Total Community Building Expense1555TotalCommunityBuildingExpense
Net Community Building Expense1555NetCommunityBuildingExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense36230TotalCommunityBuildingExpense
Net Community Building Expense36230NetCommunityBuildingExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served534PersonsServed
Total Community Building Expense434TotalCommunityBuildingExpense
Net Community Building Expense434NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served5534PersonsServed
Total Community Building Expense38219TotalCommunityBuildingExpense
Net Community Building Expense38219NetCommunityBuildingExpense
Percent Of Total Expense0.00050PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$2,233,609BadDebtExpenseAmount
Amount Reimbursed By Medicare16907928AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare20807014CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-3899086MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Inland HospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1200 Kennedy Memorial DriveAddressLine1
CityWatervilleCity
StateMEState
ZIP Code04901ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

FieldValueIRS element (for citing)
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
OtherXOther
Needs Assessment Conducted11NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiestrueOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Other MethodXOtherMethod
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Participate Community PlanXParticipateCommunityPlan
Include Operational PlansXIncludeOperationalPlans
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
Other Needs AddressedXOtherNeedsAddressed
All Needs AddressedfalseAllNeedsAddressed
Organization Incur Excise TaxfalseOrganizationIncurExciseTax
File Form4720 Report Excise TaxfalseFileForm4720ReportExciseTax
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.0000FPGFreePercent
Uses FPG DiscountedfalseUsesFPGDiscounted
Explains BasisfalseExplainsBasis
Income LevelXIncomeLevel
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities19NumberOfOtherFacilities

Other Facilities OtherFacilities (19 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
Inland Orthopedics
325D Kennedy Memorial DriveWatervilleME04901Medical Office Building - Physician Service
Inland Medical Associates
180 Kennedy Memorial DriveWatervilleME04901Medical Office Building - Physician Service
New Horizons Family Medicine Associates
10 Washington StreetWatervilleME04901Medical Office Building - Physician Service
Inland Rheumatology
246 Kennedy Memorial DriveWatervilleME04901Medical Office Building - Physician Service
Inland Medical Associates
180 Kennedy Memorial DriveWatervilleME04901Medical Office Building - Physician Service
Waterville Surgical Associates
180 Kennedy Memorial DriveWatervilleME04901Medical Office Building - Physician Service
Inland Osteopathic Manipulative Medicine
246 Kennedy Memorial DriveWatervilleME04901Medical Office Building - Physician Service
Inland Medical Associates
174 Kennedy Memorial DriveWatervilleME04901Medical Office Building - Physician Service
Inland Medical Associates
180 Kennedy Memorial DriveWatervilleME04901Medical Office Building - Physician Service
Inland Family Care - Fairfield
121 Main StreetFairfieldME04937Medical Office Building - Physician Service
Inland Womens Healthcare
395E Kennedy Memorial DriveWatervilleME04901Medical Office Building - Physician Service
Inland Family Care
416 Concourse WestWatervilleME04901Medical Office Building - Physician Service
Heart First Cardiology Assoc
244 Kennedy Memorial DriveWatervilleME04901Medical Office Building - Physician Service
Inland Womens Healthcare
180 Kennedy Memorial DriveWatervilleME04901Medical Office Building - Physician Service
Inland Neurology
246 Kennedy Memorial DriveWatervilleME04901Medical Office Building - Physician Service
New Horizons North Anson RHC
167 Main StreetNorth AnsonME04958Medical Office Building - Physician Service
Inland Family Care
74 Water StreetOaklandME04963Medical Office Building - Physician Service
Inland Family Care - Unity
80 Main StreetUnityME04988Medical Office Building - Physician Service
New Horizons Madison RHC
344 Lakewood RoadSkowheganME04976Medical Office Building - Physician Service

Form990 Schedule H Part VI Form990ScheduleHPartVI (24 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part VI - Additional InformationPart II, line 4 - Community Building ActivitiesInland Hospital gets involved and gives back to improve quality of life in Greater Waterville its how we help fulfill our community service mission to care for and serve our community. Whether its sponsoring scholarships to the local colleges, supporting physical activity and nutrition initiatives in our local schools, funding local public transportation, or supporting a cultural or economic development effort, Inland is proud to support and collaborate with groups that foster health and well-being. Our Community Benefit program contributes $50,000+ locally each year towards community-building organziations and initaitives. In addition, we offer regular free health screenings to the public through our numerous health events and community collaborations, professional and community education, and other events with the Chamber of Commerce and Downtown Main Street programs.
Part V - Explanation of Number of Facility TypeN/A
Part VI - States Where Community Benefit Report FiledME
Part VI - Affilated Health Care System Roles and PromotionInland has been a proud member of EMHS (Eastern Maine Healthcare Systems) since 1998. EMHS is a system of hospitals, physician's practices, extended care facilities, clinics, home health experts and other healthcare services made up of 10,000 dedicated professionals across Maine. This integrated relationship benefits our community by bringing specialty services to Inland and connecting patients to advanced care when needed at Eastern Maine Medical Center, our system's tertiary hospital in Bangor. In addition, membership in EMHS offers Inland improved efficiencies through access to resources, best practices, quality initiatives, and purchasing power.
Part VI - Explanation Of How Organization Furthers Its Exempt PurposeAt Inland we strive to live up to our non-profit mission every day by caring for community members who otherwise would have limited access to quality healthcare. Besides providing charity care and financial assistance, we believe we can also affect the health of the communities we serve beyond care inside our hospital. We agree with the World Health Organization which states, Health is a state of complete physical, mental, and social well-being, and not merely the absence of disease or infirmity. We have a vision to be a responsible corporate citizen whose actions can impact our communitys overall well-being through commitments to:improving access to primary care, especially for the medically underserved/needysupporting, providing and advocating for health education and promotion, and disease prevention especially for identified chronic conditions (such as diabetes and heart disease); malnutrition and obesity; and pneumonia care.collaborating with and supporting other organizations that share missions parallel to ours and are pursuing quality of life (community-building, economic, educational, civic, cultural) or healthy community initiatives. Inland created a Community Benefit program in 2007 with these main goals in mind:Serve documented community needs and deliver measurable results that will improve health and wellness;Demonstrate our commitment to charitable endeavors and community support through responsible stewardship of hospital resources;Provide a systematic approach to philanthropy and community health improvement; to link our charitable giving and partnerships with community needs and our mission of service;Document our benefit to the community and to be accountable to the public we serve.We dedicate at least $50,000 annually for Community Benefit projects in our community. From support of school programs to combat obesity, to funding local public transportation and events that promote physical activity, or contributing to the local Opera House and colleges - our Community Benefit Program contributes to improving the health and wellness of our community in many ways. We accept applications to fund community-building initiatives that can be health & wellness related, educational, cultural, economic and beyond.Our Community Benefit Program Advisory Group oversees the community applications process. The group is a multi-disciplinary team of clinical and administrative professionals from the hospital, and community members, including hospital trustees and volunteers. The advisory group provides guidance, reviews requests for donations/support, makes recommendations to Inlands Administrative Staff and Board of Trustees, and evaluates the effectiveness of our Community Benefit Program. Inland's Community Outreach efforts include the "World of Womens Wellness", the hospitals annual health fair for women. 550 women attended the 16th Annual event in 2013 and received 1800 free health screenings including, blood pressure, cholesterol, blood glucose, bone density, and breast exams. In an effort to combat the childhood obesity epidemic, in 2013 we continued our year-long program to reach families with children to encourage active lifestyles and healthier eating. Our "Let's Go! Family Fun Series" offers activities each month to engage families with children to be physically active and eat healthier through free and low cost resources and activites such as hiking, swimming, and ice skating. We also utillize the Let's Go! program in our family practices and provide support for Let's Go! in our local schools. We continue to maintain the Inland Woods Trail on the hospital campus (created in 2010). The trails were developed to create a lasting way to impact health, and give residents an easy, free resource for regular activity. The trails are used regularly by residents, hospital staff, and local schools for walking, biking, and snowshoeing. The Inland Hospital Foundation helps by raising funds for everything from capital expansion projects to residential activities to help offset normal operating expenses.Inland Hospital invites men, women, and young adults to volunteer their time to further the hospital's mission. In 2013, volunteers from our community donated 18,000 hours of their time to Inland and Lakewood, our continuing care center. Some volunteers work in areas with direct contact with patients and families; others are involved in "behind the scenes" activities which enhance the care provided by the hospital.
Part VI - Community Building ActivitiesInland Hospital gets involved and gives back to improve quality of life in Greater Waterville its how we help fulfill our community service mission to care for and serve our community. Whether its sponsoring scholarships to the local colleges, supporting physical activity and nutrition initiatives in our local schools, funding local public transportation, or supporting a cultural or economic development effort, Inland is proud to support and collaborate with groups that foster health and well-being. Our Community Benefit program contributes $50,000+ locally each year towards community-building organziations and initaitives. In addition, we offer free health screenings to the public through our numerous health events and community collaborations, professional and community education, and other events with the Chamber of Commerce and Downtown Main Street programs.
Part VI - Community InformationInland Hospital is a not-for-profit, community hospital located in Waterville, Maine with a mission to care for and serve our community. We serve 74,000 residents of Kennebec County and Somerset County. We are a 48-bed medical-surgical facility, with Lakewood, our 105-bed continuing care facility on the hospital campus, along with 18 primary and specialty care physician practices in Waterville and surrounding communities (N.Anson, Fairfield, Unity, Oakland, Madison). We also offer our primary care patients a Weekend Care Clinic to help them avoid unnecessary, costly emergency room visits. The population for the Waterville Hospital Service Area in 2010 was 74,869, with 15.2% over the age of 65, compared to the national percentage of 12.9%. Source: Maine State Planning OfficeThe February 2014 unemployment rate for the Waterville Labor Area was 7.1% (compared to the state rate of 7.0%.) Source: Maine Center for Workforce Research and Information The 2012 median household income in Somerset County is $38,141 and $47,424 in Kennebec County (compared to state average of $48,219.) Source: Maine Office of Policy and Management 18.2% of people in Somerset County live below the poverty level, 12.5% in Kennebec County (compared to the state average of 13.3%.) Source: US Department of Commerce 50.57% of school children in Kennebec County and 61.08% of school children in Somerset County were eligible to receive free or reduced lunches as of October 2013 (compared to the 46.76% statewide average). Source: Maine Department of Education Of those surveyed for our most recent Community Health Needs Assessment (hereafter referred to as CHNA) conducted in 2010 (published in 2011), 15% in Kennebec County and 17% in Somerset County classified their health status as "fair to poor." A higher percentage of our local population suffers from three or more chronic conditions (15%) compared to the rest of the state (13%). Prevalence of adult obesity is higher in Kennebec County (31%) than in Somerset and the state overall (both 28%) with childhood obesity (grades 9-12) at 12% for Kennebec County and 14% in Somerset County. Related chronic diseases such as diabetes are higher than state averages in both counties. Additionally, the diabetes mortality rate in this area (Maine CDCs Central District) is significantly higher (31-33 per 100,000 population) than in the state overall (26 per 100,000).
Part VI - Patient Education of Eligibility for AssistanceAt Inland Hospital, Patient Account Representatives are available to assist and answer any questions our patients may have regarding free care. Additional interactive strategies are in places that include billing statements that have free care information added for the patient's convenience, providing all uninsured patients with free care packets at point of registration. When a patient states that they are under-insured free care information is provided. For any other patient requests we receive (via emails and phone calls) packets are mailed. All patient accessible areas, such as hospital waiting areas, contain information to direct patients on how to receive financial assistance. Additionally, Inland Hospital provides online resources and tools to assist our patients with the necessary information regarding charity/free care via www.inlandhospital.org. It is the policy of Inland 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. Under this program, medically necessary services will be provided to Maine residents at no cost. If a patient does not qualify for free hospital care, he or she is entitled to ask for a fair hearing.
Part VI - Needs AssessmentIn 2010, One Maine Health, a collaborative of EMHS (Inland's parent company), MaineHealth, and MaineGeneral, commissioned the University of New Englands Center for Health Planning and Policy Research and the Muskie School at the University of Southern Maine to conduct a state-wide Community Health Needs Assessment. The study was conducted to identify the most important health issues in the state and by county, using a scientific method to validate health indicators and to compare results. The assessment identifies priority health issues, which will be best addressed by health providers working collaboratively.Dozens of health and social services professionals, business and government leaders, and concerned citizens gathered in Waterville on August 30, 2011 for a community forum to learn about the priority health issues in Kennebec and Somerset Counties and steps needed to effectively address them. The Community Relations Department conducts a comprehensive review of current programs and projects, as well as prospective projects for consideration as community benefit initiatives. Inland is committed to utilizing evidence-based health and wellness strategies, many of which are outlined in the Center for Disease Controls Report on Community Health Education and Prevention.Dozens of health and social services professionals, business and government leaders, and concerned citizens gathered in Waterville on August 30, 2011 for a community forum to learn about the priority health issues in Kennebec and Somerset Counties and steps needed to effectively address them. The Community Relations Department conducts a comprehensive review of current programs and projects, as well as prospective projects for consideration as community benefit initiatives. Inland is committed to utilizing evidence-based health and wellness strategies, many of which are outlined in the Center for Disease Controls Report on Community Health Education and Prevention.
Part V, Line 20d - Other Billing Determination of Individuals Without InsuranceHospital charges are discounted at 100% for patients who qualify for free care with income at or below 200% FPL.Number of Hospital Faciltiy - 1
Part V, Line 14g - Other Means Hospital Facility Publicized the PolicySigns and individual notices are posted in key public waiting areas in the hospital and on the website regarding information pertaining to Free Care. These notices inform the patient of the availability of Free Care including the eligibility criteria and instructions on how to apply, obtain additional information or assistance.Number of Hospital Faciltiy - 1
Part V, Line 11 - Criteria Used For Discounted Care If Not FPGThe FPL were used for eligibility for free care.Number of Hospital Faciltiy - 1
Part V, Line 7 - Explanation of Needs Not Addressed and Reasons WhyBecause Inland Hospital has a limited budget and resources, we realize we cannot effectively focus on every health issue raised in the CHNA, and there is no need to duplicate certain services in a community our size. The key areas we have identified that we will not focus on include:Substance abuse Because the other hospital and service agencies in our community provide services, our focus will be limited to continued work to enforce our controlled substance prescribing policy, participate in community events that promote proper prescription drug disposal, and work within our health system to establish a multi-disciplinary pain clinic.Cancer care Because the other hospital in our community - MaineGeneral and our EMHS partner, EMMC/Cancer Care of Maine, provide adequate services.Number of Hospital Faciltiy - 1
Part V, Line 6i - Describe Other Needs Identified6a) ADOPTON OF IMPLEMENTATION STRATEGY:As part of its response to the 2010 CHNA (released in August 2011), Inland formed a Community Health Improvement Task Force to further analyze the CHNA and local needs, research local data, health plans and recommended strategies, inventory current initiatives and service gaps and then create Inlands Community Health Improvement Plan. The Task Force finalized the plan in March, 2013. 6b) EXECUTION OF IMPLEMENTATION STRATEGY: Inlands Community Health Improvement Plan describes Priority Issues, with Goals, Strategies and Tactics around each issue. Priority Issues include: Access to Care; Obesity Prevention; Chronic Disease Management; Womens Health, and Cardiovascular Health. Several of our major initiatives/efforts in 2013 included: Expanding hours for non-emergent care in our primary care practices. Using Lets Go! 5210, a childhood obesity prevention model in all our primary care practices that see pediatric patients with five practices receiving Healthcare Sites of Distinction Awards, investing in an AmeriCorps Vista volunteer to serve as the Lets Go! Kennebec coordinator, and supporting the program in local schools with mini-grants from our Community Benefit Program.Continuing the Lets Go! Family Fun Series which is designed to help families with children adopt more active lifestyles and eat healthier.Conducting our annual womens health fair. In 2013, 550 women attended the free event where 1800 free health screenings where provided.Collaborating with local partners to provide heart health activities including a Heart to Heart talk with two of our cardiologists and a Wear Red Day event in the downtown area for local small employers and the general public.Utilizing the Care Management model of care in our family practices - focused on patients with chronic disease. We have Care Managers embedded in our practices which allows us to offer better care coordination across all continuums of care and a strengthened partnership with the patient. We also work with our EMHS partner, Eastern Maine HomeCare to provide Community Care Teams that help patients get the community services they may need, such as home visits, social workers, transportation to medical appointments and other community resources. We also offer a Weekend Care clinic option for our patients. All of this is helping to improve the health of our patients in many ways (ie helping them avoid Emergency Department visits and other costly healthcare options, as well as connecting them to valuable community resources for support.) Providing an online Patient Portal for all patients. The Portal allows patients to contact their provider online for non-urgent healthcare questions, appointment scheduling, and request prescription refills and tests results.6c & 6d) PARTICIPATION IN DEVELOPMENT and EXECUTION OF COMMUNITY-WIDE COMMUNITY BENEFIT PLAN: In 2007, Inland established a Community Benefit Program which contributes funds and provides volunteers for local health, economic, education, transportation and other community-building initiatives. Inlands Community Benefit Advisory Group is a multi-disciplinary team of clinical and administrative professionals from the hospital and community members, including hospital trustees and volunteers. The Advisory Group provides guidance, reviews requests for donations/support, makes recommendations to Inlands Administrative Staff and Board of Trustees, and evaluates the effectiveness of our Community Benefit Program. In 2013, Inland contributed more than $50,000 through our Community Benefit program to local organizations to improve the overall health of the Greater Waterville area. In addition, in 2013, 180 Inland staff members volunteered time to serve on more than 25 local boards, work groups and committees that are working to improve health and overall quality of life in our community.Inland continues to collaborate with these key community organizations:Alfond Youth CenterFamily Violence ProjectFriends of Quarry Road Recreation AreaYouth MatterHealthy Northern Kennebec (our local Healthy Maine Partnership)Kennebec Behavioral HealthKennebec Messalonskee TrailsKennebec Valley Community Action Program (KVCAP)Kennebec Valley Dental CoalitionKiwanis ClubLocal schools and colleges in Waterville and the other surrounding communities we serveMaine CDCMaine Childrens HomeMaineGeneral Health Mid-Maine Homeless ShelterMove MoreRotary Club of WatervilleSpectrum GenerationsUnited Way of Mid-MaineWaterville Area Hospice VolunteersWaterville Parks & Recreation6e) INCLUSION OF A COMMUNITY BENEFIT SECTION IN OPERATIONAL PLANS:Inlands operations are built and managed around six Pillars of Excellence, one being Community, so Community Health is an integral part of our day-to-day work. We include funding each year in our Community Relations department budget to provide free health screenings, health fairs, wellness talks and educational activities such as healthy cooking classes and exercise programs. In addition, we fund a full-time Community Wellness Coordinator on staff.Besides our community wellness/outreach efforts, in 2007 we established a Community Benefit Program that contributes funds and provides Inland volunteers for local health, educational, economic, transportation and other community-building efforts. In addition, Inland is committed to offer free care and financial assistance programs to those in need. We promote these programs at patient registration, in the emergency department, in waiting areas, in patient bills, and on our website.6f) ADOPTION OF A BUDGET FOR PROVISION OF SERVICES:Community Health efforts are funded through the Community Relations annual budget. 6g) PRIORITIZATION OF HEALTH NEEDS: Priority Health Issues Identified in the 2010 CHNA include:Access to Healthcare (Emergency Department utilization)Primary Care Quality and Effectiveness (Ambulatory Care sensitive admissions)Behavioral Risk Factors Cardiovascular Health (smoking, obesity, sedentary life style)Medical Risk Factors Cardiovascular Health (high blood pressure, cholesterol)Respiratory Health (smoking, asthma, COPD)Diabetes (prevalence and care management)Cancer Health (incidence, mortality, especially lung)Mental Health (risk, incidence, co-morbidity)Substance Abuse (alcohol, illicit and non-prescription drugs)Youth Health / Risk Behaviors (depression, obesity, alcohol)Oral Health (low ratio of providers to population)Inlands Community Health Improvement Plan focuses on five specific Priority Issues, with Goals, Strategies and Tactics attached to each issue. Priority Issues include: Access to CareObesity Prevention Chronic Disease Management Womens HealthCardiovascular Health 6h) PRIORITIZATON OF SERVICES INLAND WILL TAKE TO MEET HEALTH NEEDS:Improve access to primary care through expanded hours and weekend careEnhance Diabetes care using national standardsIncrease use of Care Management model to help more patients with chronic diseaseBroaden community outreach efforts focused on obesity preventionNumber of Hospital Faciltiy - 1
Part V, Line 5c - Description of Making Needs Assessment Widely AvailableIn conjunction with EMHS, Inland Hospital and OneMaine Health Collaborative partners hosted a Community Forum in Waterville in August 2011 to present an overview of local CHNA results and recommendations. Invitees included:Other area hospitals, Physician leaders, Federally Qualified Health Centers, Healthy Maine Partnerships, District Liaisons linked to Maine CDC, Home Health and Long Term Care leaders, Social Service Agencies,Leaders of the tribal communities, Business leaders, Legislative leaders, Representatives of the State administrationAttendees were provided an executive summary of the CHNA as well as a summary table of data reflective of the service area. A presentation was made by EMHS staff (who were members of the assessment development steering committee.) They provided selected data results, trends over time and the priorities and recommendations as suggested by the research consultants.After the Forum, the entire statewide CHNA (both narrative and data sets) were posted to the EMHS website (www.emh.org). The CHNA and county specific data were also posted on the Inland Hospital website (www.inlandhospital.org). After the Community Forums, PowerPoint presentations used at the Forums as well as input collected in the breakout sessions were also posted on the EMHS website. Forum participants were encouraged to go online to review the CHNA in detail, and access the data for local planning. Instructions on the EMHS website assist viewers to download and /or print sections of the report. Individuals without computer or printer access were provided a phone number to request a printed assessment. Media releases were also sent to local news outlets in combination with the forums encouraging new articles on the forum and inviting all members of the public to view the report online.Inland also shared the CHNA results with our key community collaborators who were not in attendance at the Community Forum (see Section 6c).Number of Hospital Faciltiy - 1
Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs AssessmentOur community health needs assessment (CHNA) was developed by a statewide collaborative called the OneMaine Health Collaborative which includes the states three largest health systems: EMHS (Inlands parent organization) in central, eastern and northern Maine, MaineGeneral Health in central Maine and Maine Health in southern Maine.Number of Hospital Faciltiy - 1
Part V, Line 3 - Account Input from Person Who Represent the CommunityOn a statewide basis, the research consultants developing the CHNA created an advisory committee that met two times during the CHNA research and drafting of the tool. These individuals represented a broad spectrum of backgrounds:Carol Bell, Healthy Maine Partnership DirectorKelly Bentley, Healthy Maine Partnership DirectorGail Dana-Sacco, Wabanaki Center (serving tribal populations)Patricia Hart, Maine Development FoundationBarbara Leonard, MPH, Maine Health Access Foundation (philanthropic foundation focused on access to care in Maine)Becca Matusovich, Maine Center for Disease ControlLisa Miller, Bingham Foundation (philanthropic foundation)Dora Ann Mills, MD, Maine Center for Disease ControlElizabeth Mitchell, Maine Health Management Coalition (representing the states major employers, insurers and providers)Trish Riley, Governors Office of Health Policy and Finance (GOHPF)Brian Rines, Advisory Committee for Health System Development (overseen by GOHPF)Rachel Talbot-Ross, Maine Chapter, NAACPTed Trainer, Public Health Coordinating Council Shawn Yardley, City of Bangor, Department of Health and WelfareOthers who contributed to the development of the CHNA tool included:Maine Health Access Foundation Wendy Wolf, MD, President and Barbara Leonard, MPH, Vice PresidentPublic Health Infrastructure: Shawn Yardley, City of Bangor, Department of Health and WelfareRural populations: State CDC and rural Healthy Maine Partnership representatives Dora Mills, MD, and Carol BellNative American: Wabanaki Center Gail Dana-SaccoLocally, multiple parties were engaged in dissemination of the assessment findings and establishment of priorities (see Section 5).Number of Hospital Faciltiy - 1
Part V, Line 1j - Description of Other Needs Assessment1a) DEFINITION OF COMMUNITY SERVED:Inland Hospital in Waterville, Maine primarily serves approximately 74,000 residents in parts of Kennebec and Somerset counties. 1b) COMMUNITY DEMOGRAPHICS:The population for the Waterville Hospital Service Area in 2010 was 74,869, with 15.2% over the age of 65, compared to the national percentage of 12.9%. Source: Maine State Planning OfficeThe February 2014 unemployment rate for the Waterville Labor Area was 7.1% (compared to the state rate of 7.0%.) Source: Maine Center for Workforce Research and Information The 2012 median household income in Somerset County is $38,141 and $47,424 in Kennebec County (compared to state average of $48,219.) Source: Maine Office of Policy and Management 18.2% of people in Somerset County live below the poverty level, 12.5% in Kennebec County (compared to the state average of 13.3%.) Source: US Department of Commerce 50.57% of school children in Kennebec County and 61.08% of school children in Somerset County were eligible to receive free or reduced lunches as of October 2013 (compared to the 46.76% statewide average). Source: Maine Department of Education Of those surveyed for our most recent Community Health Needs Assessment (hereafter referred to as CHNA) in 2010, 15% in Kennebec County and 17% in Somerset County classified their health status as fair to poor. A higher percentage of our local population suffers from three or more chronic conditions (15%) compared to the rest of the state (13%). Prevalence of adult obesity is higher in Kennebec County (31%) than in Somerset and the state overall (both 28%) with childhood obesity (grades 9-12) at 12% for Kennebec County and 14% in Somerset County. Related chronic diseases such as diabetes are higher than state averages in both counties. Additionally, the diabetes mortality rate in this area (Maine CDCs Central District) is significantly higher (31-33 per 100,000 population) than in the state overall (26 per 100,000). Emergency department visits per 100,000 population in Somerset County were very high (78,252) compared to Kennebec (54,082) and the state rate of 47,665.1c) HEALTH FACILITIES AND RESOURCES AVAILABLE TO MEET HEALTH NEEDS:Eastern Maine Medical Center, Family Violence Project, Youth Matter (formerly Greater Waterville Communities for Children & Youth), Healthy Northern Kennebec (our local Healthy Maine Partnership), Inland Hospital/EMHS, Kennebec Behavioral Health, Kennebec Valley Community Action Program (KVCAP), Kennebec Valley Dental Coalition, Maine CDC, MaineGeneral Health, Mid-Maine Homeless Shelter, Spectrum Generations, United Way of Mid-Maine, Alfond Youth Center.1d) HOW DATA WAS OBTAINED:EMHS, the parent organization of Inland Hospital, routinely conducts a CHNA across the service area of all of its member hospitals. The most recent CHNA conducted in 2010 was commissioned by the OneMaine Health Collaborative (which includes EMHS, MaineGeneral Health and Maine Health) and published in 2011. The CHNA was conducted under a contract with the University of New England Center for Health Planning, Policy and Research (CHPPR) and the University of Southern Maines Muskie School for Public Health. Using a methodology developed by CHPPR over decades of work, the CHNA integrates primary data from a telephone survey to heads of households with secondary data retrieved from state databases (Emergency department usage, Mortality, Cancer Registry, etc.). That data is reviewed in the context of multiple health related domains to develop a composite view of health status, behavioral risks, and barriers to access and care. Results are compared to national and state benchmarks to produce priorities and recommendations as prepared by the consultants.1e & 1f) HEALTH NEEDS OF THE COMMUNITY FROM THE 2011 CHNA:CHNA Key Findings for Kennebec and Somerset Counties Included: Emergency Department use rates are higher than the state and hospitalization rates for many conditions are declining. Incidence of both obesity and tobacco related diseases are increasing - Diabetes, Heart Disease, Lung Diseases and Cancers. Prescription drug addiction is an epidemic impacting infants, young families and the community at large. Admissions rates for mental health and substance abuse disorders continue to be high. Both Kennebec and Somerset have high rates of mental health disorders.Priority Health Issues Included: Access to Healthcare (Emergency Department utilization) Primary Care Quality and Effectiveness (Ambulatory Care sensitive admissions) Behavioral Risk Factors Cardiovascular Health (smoking, obesity, sedentary life style) Medical Risk Factors Cardiovascular Health (high blood pressure, cholesterol) Respiratory Health (smoking, asthma, COPD) Diabetes (prevalence and care management) Cancer Health (incidence, mortality, especially lung) Mental Health (risk, incidence, co-morbidity) Substance Abuse (alcohol, illicit and non-prescription drugs) Youth Health/Risk Behaviors (depression, obesity, alcohol) Oral Health (low ratio of providers to population)1g) PROCESS FOR IDENTIFYING & PRIORITIZING HEALTH NEEDS AND SERVICES:In conjunction with EMHS, Inland Hospital and OneMaine Health Collaborative partners hosted a Community Forum in Waterville in August 2011 to present an overview of local CHNA results and recommendations. Invitees included: Other area hospitals, Federally Qualified Health Centers, Physician leaders, Healthy Maine Partnerships, District Liaisons linked to Maine CDC, Home Health and Long Term Care leaders, Social Service Agencies, Leaders of the tribal communities, Business leaders, Legislative leaders, Representatives of the State administration.Attendees were provided an executive summary of the CHNA as well as a summary table of data reflective of the service area. A presentation was made by EMHS staff (who were members of the assessment development steering committee.) They provided selected data results, trends over time and the priorities and recommendations as suggested by the research consultants.As part of its response to the 2010 CHNA (released in our area in August 2011), Inland formed a Community Health Plan Task Force to further analyze the CHNA and local needs, research local data, health plans and recommended strategies, inventory current initiatives and service gaps and then create Inlands Implementation Strategy for a Community Health Plan. In addition in 2012, EMHS and its members, including Inland, together established a system-wide Community Health Task Force to inventory local community health priorities across the EMHS territory. The Task Force is currently in the process of developing initiatives focused on identified priorities.1h) PROCESS FOR CONSULTING WITH PERSONS REPRESENTING THE COMMUNITYS NEEDS:After the formal presentation of the CHNA results at the August 2011 Community Forum in Waterville, attendees were invited to participate in one of four key issues-breakout sessions: Access, Quality and Effectiveness, Chronic Disease, Mental Health and Substance Abuse, Prevention, Obesity. Besides sharing results at the Community Forum, Inland also provided the CHNA results with our key community collaborators who we will continue to work with on current initiatives and future opportunities: Alfond Youth Center, Family Violence Project, Friends of Quarry Road, Greater Waterville Communities for Children & Youth, Healthy Northern Kennebec (our local Healthy Maine Partnership), Kennebec Behavioral Health, Kennebec Messalonskee Trails, Kennebec Valley Community Action Program (KVCAP), Kennebec Valley Dental Coalition, Kennebec Valley Dental Coalition, Kiwanis Club, Local schools and colleges, Maine CDC, Mid-Maine Homeless Shelter, Move More, Rotary of Waterville, Spectrum Generations, United Way of Mid-Maine, Waterville Parks & Recreation.1i) INFORMATION GAPS:Inland did not identify any information gaps. We accessed multiple resources (ie local Healthy Maine Partnership and Maine CDC Health Plans and Healthy People 2020 Plan, etc) and compared them to the CHNA data and recommendations.EMHS is planning to update the CHNA with an interim health survey in 2014. In 2015, we will join with others in Maine, including the CDC and other hospitals, to conduct one community health needs assessment together. 1j) OTHER:About Inland Hospital:Inland Hospital is a not-for-profit organization located in Waterville, Maine with a Mission to care for and serve our community. As a member of EMHS (Eastern Maine Healthcare Systems) Inland is proud to be part of an innovative healthcare system with a Vision to be nationally recognized as a model of excellence in healthcare delivery. At the heart of Inland is our 48-bed community hospital, with Lakewood, our 105-bed continuing care facility on the hospital campus, along with 18 primary and specialty care physician practices in Waterville and surrounding communities (North Anson, Fairfield, Unity, Oakland, Madison). We also provide a Weekend Care Clinic for our primary caNumber of Hospital Faciltiy - 1
Part III, Line 9b - Provisions On Collection Practices For Qualified PatientsAll 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 Inland Hospital. An account may be reconsidered for charity care at any time when new information is available about a patients inability to pay.
Part III, Line 8 - Explanation Of Shortfall As Community BenefitMedicare 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 4 - Bad Debt ExpensePatient 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. The costing methodology used to determine the amount reported on line 2 is cost to charge ratio.
Part I, Line 7, Column F - Explanation of Bad Debt Expense$4,063,525 of bad debt expense, $2,758,589 of charity care, $45,005,520 of contractual allowances is included on Form 990, Part IX, line 25, column (A).
Part I, Line 7 - Explanation of Costing MethodologyRatio of Patient Care Cost-to-Charges is used in calculations.
Part I, Line 6a - Related Organization Community Benefit ReportThe Inland Hospital community benefit report is contained in an annual community benefit report prepared by Eastern Maine Healthcare Systems which is the parent organization of all related organizations.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgs
WILLIAM K BRADFIELD MD
Physician3046053500441506500026838412953
WALTER R BARRY
VP Pat Care/CNO1784099511339316002207315
TODD E STAPLEY
Physician339937200001798639258407390255
MICHAEL PALUMBO DO
VP-Med Affairs24965418438449723262295851
MARY M HOOD
EMHS CEO69104814078612420225828222111092293
LINDA FAY MD
Board Member24279320717255019561285621
KEVIN M WHITE
Physician34024236267500015621397130
JOYCE STEIN DO
PHYSICIAN245059598863594133559916354157
JOHN DALTON
President & CEO248457220406024615117345860
DEAN BITHER
VP of Fin/CFO19021312955403526603233806
DANIEL J BOOTH
VPOO/CHRO1702061002244493610634204320
CRAIG R THOMPSON MD
Physician39920135164500021845461210

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSch J, Part I, Line 1aIdentifier
Return ReferencePart I, Line 1a: Relevant information in regards to selections on 1a.ReturnReference
ExplanationWalter R. Barry, officer received a gift certificate for $50 with a $22.94 gross-up payment. Linda Fay, board member/employee received gross-up payment for $239.53 on employer 457b contribution.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Maine Health and Higher Educational Facilities Authority
C010314384560425V802007-11-013263464ED Expansion & Purchase Pracfalsefalsetrue
Maine Health and Higher Educational Facilities Authority
B010314384560425YF12006-02-021467531Medical Lab & OB Renovationsfalsefalsetrue
Maine Health and Higher Educational Facilities Authority
A010314384560425TL42004-05-014539667To refund the 1993D Bondfalsefalsetrue

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCapitalized InterestCapitalizedInterestOther Spent ProceedsOtherSpentProceeds
C340000326346420634962525445729900332008falsefalsetruetrue
B27000014675311024804632512936132006falsefalsetruetrue25113
A40650005300310182500585573441993falsetruetruetrue4652390

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrsPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest
Cfalsefalsefalsefalsefalsetrue
Bfalsefalsefalsefalsefalsetrue0.007300.00730true
Afalsefalsefalsefalsefalsetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledNo Rebate DueNoRebateDueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Term Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfiedGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
NA
CfalsefalsefalsetrueFSA CAP MGMT- RESERVE FUND TRANSAMERICA- CONST FUND30.0000truefalsefalse
NA
BtruefalsetrueFSA CAP MGMT- RESERVE FUND TRANSAMERICA-CONST FUND29.0000truefalsefalse
NA
AtruefalsetrueFSA CAP MGMT21.0000truefalsefalse

Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
Ctrue
Btrue
Atrue

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierSupplemental InformationIdentifier
Return ReferencePart VIReturnReference
ExplanationPart 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 $760,643.Part IV Line 2C, Column C - 12/4/13 - Date of Rebate Computation.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.Explanation

Schedule L IRS990ScheduleL

Loan Table LoanTable (2 entries)

Purpose Of LoanPurposeOfLoanLoan From OrganizationLoanFromOrganizationOriginal PrincipalOriginalPrincipalAmountBalance DueBalanceDueDefaultDefaultApproved By BoardApprovedByBoardWritten AgreementWrittenAgreement
Craig Thompson MD
physician loanX$56,07820118falsefalsetrue
Joyce Stein DO
physician loanX$40,00014269falsefalsetrue
FieldValueIRS element (for citing)
Total Balance Due34387TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonSusan PalumboNamePerson
FieldValueIRS element (for citing)
Relationshipspouse of directorRelationship
Amount Of Transaction46874AmountOfTransaction
Description Of TransactioncompensationDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
ExplanationSusan Palumbo is a family member of an officer of Inland Hospital.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990,SCHEDULE H, PART V 1J CONT'DInlands Community Benefit Advisory Group is a multi-disciplinary team of clinical and administrative professionals from the hospital, and community members, including hospital trustees and volunteers. In 2013, Inland contributed more than $50,000 to local organizations and schools to improve the overall health of our area. In addition, 180 Inland staff members volunteered time to serve on more than 25 local boards, work groups and committees that are working to improve health and overall quality of life in our community.
Other Changes In Net Assets Or Fund Balances - Other DecreasesContribution To Strat Pool Per Affiliation Agreement = -$524314Form 990, Part XI, Line 9
Other Changes In Net Assets Or Fund Balances - Other DecreasesChange in interest in nets assets held @ EMHSF = -$159006Form 990, Part XI, Line 9
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableInland Hospital makes its governing documents, conflict of interest policy and financial statements available to the public upon request.Form 990, Part VI, Line 19
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and 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. The compensation of officers and key employees are reviewed by the system President/CEO and Inland board of trustees.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 15b
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementThe CEO of Inland Hospital(Inland), who is employed by Inland, reports directly to the system parent, Eastern Maine Healthcare Systems (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 15a
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe 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 12c
Form 990, Part VI, Line 11b: Form 990 Review ProcessForm 990 is reviewed by the CFO of Inland Hospital. It is provided to each board member either electronically or in hard copy with an opportunity to ask questions prior to filing with the IRS.Form 990, Part VI, Line 11b
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersEMHS 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 7b
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyEach 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 7a
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderInland 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 6
Form 990, Part VI, Line 4: Description of Significant Changes to Organizational DocumentsIn December 2012 Eastern Maine Healthcare Systems (EMHS), the parent of this corporation, and this corporation together with other direct subsidiaries of EMHS, modernized their governance structure by replacing a traditional reserved powers model for EMHS control over its subsidiaries with a joint initiatory powers model of control. Under the traditional reserved powers model, in addition to the EMHS CEO having exclusive authority to appoint and remove the CEO of the subsidiaries, EMHS exercised control exclusively through approval rights over important subsidiary action. The new joint initiatory powers model gives EMHS authority not only to approve or disapprove important subsidiary action, but also to actually initiate action on behalf of the subsidiaries 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 CorporationForm 990, Part VI, Line 4
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, EtJohn D. Dalton, trustee/officer and Mary M. Hood, officer are directors of Maine Hospital Association board.Form 990, Part VI, Line 2
Form 990, Part III, Line 4d: Other Program Services DescriptionOTHER PROGRAM SERVICES 4: Provided healthcare services regardless of ability to pay as well as education and promotion of health. Provided $2,233,720 other uncompensated care (at cost).Inland Hospital is a 48-bed facility that provides medical-surgical, and acute care. Inland is a non-profit hospital, serving all who need care, regardless of ability to pay. Inland Hospital also has outlying clinics in the region, allowing easier access for patients.Additional Statistics:Total Admissions 1,601Percent Occupancy of Available Beds 25%Emergency Room Visits 14,319Surgery Cases 1,900Services provided to those who could not pay $6,822,113 OTHER PROGRAM SERVICES 5: Please see the following excerpt from the EMHS Annual Report to the Community for details of community benefit projects at Inland Hospital and Lakewood, A Continuing Care Center.Leadership: John Dalton, President and CEO; John Fortier, Board ChairDescription: A dynamic healthcare organization with a 48-bed community hospital in Waterville; a 105-bed continuing care center on the hospital campus; and 18 primary and specialty care physician offices.Employees: 714Location: Waterville, Fairfield, Oakland, Unity, North Anson, MadisonInland Hospital Highlights-Completed a $5.7 million renovation of Inlands medical-surgical unit, creating a state-of-the-art healing environment with beautiful private rooms and more efficient space for enhanced care giving community support exceeded $1.5 million in the projects capital campaign.-Named a Top Rural Hospital by the Leapfrog Group, and also earned an A grade in Leapfrogs national Hospital Safety Score.-Achieved Stage 6 on the Electronic Medical Record Adoption Model by the Healthcare Information and Management Systems Society and named a Most Wired Hospital by the American Hospital Association.-Chosen as a Best Hospital for Patient Experience in Obstetrics based on womens preferences, recommendation rating and clinical excellence by WomenCertified, Inc., the voice of female consumers.-Received Exceeding Patient Expectations award for dedication to service excellence for the seventh year in a row from Avatar, an international patient survey company.-Received $9.4 million in repayment for overdue MaineCare bills dating back to 2004.TOTAL COMMUNITY BENEFIT: $9,682,000Community Health Improvement Services: $47,830Health Professions Education: $281Financial and In-Kind Contributions: $35,564Community Building Activities: $38,219Community Benefit Operations: $230,694Unrecoverable Interest Cost on funds used to subsidize state MaineCare/Medicaid underpayments of $12.6M $1,143,250Traditional Charity Care: $1,515,322Unpaid Cost of Public Programs:Medicaid: $2,771,754Medicare: $3,899,086Philanthropy: $660,747Form 990, Part III, Line 4d

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (24 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
Restoration Health LLC
43 Whiting Hill RoadBrewerME04412352449986Provide mental & behavioral hlth srvsME501(c)(3)9AHItrue
Sebasticook Valley Work Health LLC
447 North Main StreetPittsfieldME04967453359446Provide Patient CareME501(c)(3)3SVHtrue
Sebasticook Valley Family Practice Assoc
447 North Main StreetPittsfieldME04967010357854Provide patient careME501(c)(3)9SVHtrue
Meadow Wood LLC
43 Whiting Hill RoadBrewerME04412272935243Provide patient careME501(c)(3)9AHItrue
Blue Hill Memorial Hospital
57 Water StreetBlue HillME046145231010227195Provide healthcare servicesME501(c)(3)3EMHStrue
Maine Institute for Human Genetics and H
43 Whiting Hill RoadBrewerME04412550894346Biomedical research and developmentME501(c)(3)9EMHStrue
Eastern Maine HomeCare
PO Box 688CaribouME04736010328442Provide home health and hospice servicesME501(c)(3)9EMHStrue
Horizons Health Services
PO Box 151 140 Academy StreetPresque IsleME047690151010504393Provide patient careME501(c)(3)3TAMCtrue
TAMC Endowments
PO Box 151 140 Academy StreetPresque IsleME047690151010389222Raise funds for exempt organizationsME501(c)(3)11, type ITAMCtrue
TAMC Title Corp
PO Box 151 140 Academy StreetPresque IsleME047690151010389226Real estate holding companyME501(c)(2)TAMCtrue
The Aroostook Medical Center TAMC
PO Box 151 140 Academy StreetPresque IsleME047690151010372148Provide healthcare servicesME501(c)(3)3EMHStrue
Sebasticook Valley Health SVH
447 North Main StreetPittsfieldME04967010263628Critical care hospitalME501(c)(3)3EMHStrue
CA Dean Memorial Hospital
Pritham Avenue PO Box 1129GreenvilleME044411129043341666Provide healthcare servicesME501(c)(3)3EMHStrue
Lakewood A Continuing Care Center
220 Kennedy Memorial DriveWatervilleME04901010421234Provide skilled and long-term nursing careME501(c)(3)3Inland Hospitaltrue
Norumbega Medical Specialists LTD
43 Whiting Hill RoadBrewerME04412010465231Provide patient care and educationME501(c)(3)9EMMCtrue
EMHS Foundation
43 Whiting Hill RoadBrewerME04412222514163Raise and manage funds for exempt organizationsME501(c)(3)11, type IIEMHStrue
Acadia Healthcare Inc AHI
43 Whiting Hill RoadBrewerME04412223183888Provide heatlhcare servicesME501(c)(3)9AHCtrue
Eastern Maine Medical Center Auxiliary
43 Whiting Hill RoadBrewerME04412010377901Fund raising for exempt Eastern Maine Medical CenterME501(c)(3)9EMMCtrue
Acadia Hospital Corp AHC
43 Whiting Hill RoadBrewerME04412010459837Provide healthcare servicesME501(c)(3)3EMHStrue
Rosscare Nursing Homes Inc
43 Whiting Hill Road Ste 400BrewerME04412010430751Operation of nursing homesME501(c)(3)9Rosscaretrue
Rosscare
43 Whiting Hill Road Ste 400BrewerME04412010391038Provide services to elderlyME501(c)(3)PFEMHStrue
Eastern Maine Healthcare Real Estate
43 Whiting Hill RoadBrewerME04412010391036Leases real estateME501(c)(2)EMHStrue
Eastern Maine Medical Center EMMC
PO Box 404 489 State StreetBangorME044020404010211501Provide healthcare servicesME501(c)(3)3EMHStrue
Eastern Maine Healthcare Systems EMHS
43 Whiting Hill RoadBrewerME04412010527066Supporting organization for healthcare affiliatesME501(c)(3)11 Type III Func InttrueN/A

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Beacon Health LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line143 Whiting Hill RoadAddressLine1
CityBrewerCity
StateMEState
ZIP Code04412ZIPCode
FieldValueIRS element (for citing)
EIN452967056EIN
Primary ActivityAccountable care organizationPrimaryActivity
Legal Domicile StateMELegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1EMHSBusinessNameLine1
FieldValueIRS element (for citing)
Disproportionate AllocationsfalseDisproportionateAllocations
General Or Managing PartnerfalseGeneralOrManagingPartner

Form990 Schedule R Part IV Form990ScheduleRPartIV (14 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrg
Alliance Health Documentation LLC
9 Central Street STE 205BangorME04401462751855TranscriptionMEAHSCtrue
M Drug LLC
PO Box 1779BangorME044021779272175482PharmacyMEAHSCtrue
Dirigo Pines Development Company LLC
9 Alumni DriveOronoME04473010537924Retir CottagMEAHSCtrue
Dirigo Funding LLC
9 Alumni DriveOronoME04473010599968Prov financeMEAHSCtrue
Dirigo Pines Inn LLC
9 Alumni DriveOronoME04473020547749Contin CareMERosscareCtrue
Dirigo Pines Retirement Community LLC
9 Alumni DriveOronoME04473010537924Holding Co.MEAHSCtrue
Maine Network for Health
PO Box 2813BangorME044022813010496352Support srvMEEMHSCtrue
Meridian Mobile Health LLC
931 Union Street PO Box 940BangorME044020940010512673AmbulanceMEAHSCtrue
DE Collections DBA Affiliated Collecti
PO Box 2759BangorME044022759010366209CollectionsMEAHSCtrue
Affiliated Pharmacy Services
917 Union St Suite 7BangorME04401010587230PharmacyMEAHSCtrue
Affiliated Materiel Services
PO Box 1300BangorME044021300010381189PurchasingMEAHSCtrue
Affiliated Laboratory Inc
PO Box 638BangorME044020638010381283Clinicl labMEAHSCtrue
Affiliated Healthcare Management
PO Box 811BangorME044020811010349339Hlthcr mgmtMEAHSCtrue
Affiliated Healthcare Systems AHS
PO Box 940BangorME044020940010385322Holding co.MEEMHSCtrue
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (14 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Affiliated Materiel Services
p1152763
Affiliated Materiel Services
m71140
Affiliated Laboratory Inc
m588497
Affiliated Healthcare Management
m56799
Sebasticook Valley Health SVH
l127783
Lakewood A Continuing Care Center
l129448
Lakewood A Continuing Care Center
a9000
EMHS Foundation
s649091
EMHS Foundation
m199000
Eastern Maine Medical Center EMMC
p61646
Eastern Maine Medical Center EMMC
m2063535
Eastern Maine Healthcare Systems EMHS
r524314
Eastern Maine Healthcare Systems EMHS
p5025769
Eastern Maine Healthcare Systems EMHS
m1511580

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