2014-08-12T05:40:47-07:00 2013-09-28 990 2012-09-30 010217211 EASTERN MAINE HEALTHCARE SYSTEMS IH INLAND HOSPITAL IH EAST 2079737064 200 KENNEDY MEMORIAL DRIVE WATERVILLE ME 04901 DEAN BITHER 2014-08-12 false 2012 2015-11-30 17:44:51Z DEAN BITHER 200 KENNEDY MEMORIAL DRIVE WATERVILLE ME 049014526 121192238 false false 5247 X www.inlandhospital.org X 1945 ME Inland 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. 15 13 673 147 226768 -11624 234668 713556 118933272 117405997 212142 486214 2369176 1442785 121749258 120048552 0 0 43683370 41671381 0 0 77316977 76519552 121000347 118190933 748911 1857619 53738280 57103324 27980309 30475800 25757971 26627524 X TO CARE FOR AND SERVE OUR COMMUNITY BY PROVIDING HEALTHCARE SERVICES false false 99951369 117719371 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 3899086 Medicare shortfalls (at cost). 26,093 persons served. 2771754 Medicaid shortfalls (at cost). 15,048 persons served. 1515322 108137531 true true false true false false false false false true true false false true true true false true false false false false false false false false true true false false true true false false false false false true false false true false false false false false false true true true false false true 126 0 true 673 true true false false false false false false 0 false false false false false false false false false false X 15 13 true false true false true true true true true false false true true true true true true true true false ME X X X JEFFREY A SANFORD 2079737894 43 WHITING HILL ROAD BREWER ME 04412 ALLAN L RANCOURT 0.50 0.00 X 0 0 0 CHRISTOPHER L GUANCE 0.50 0.00 X 0 0 0 C PATRICK MICHAUD 0.50 0.00 X X 0 0 0 JOHN DALTON 40.00 0.00 X X 270497 0 75363 ROSEMARY WINSLOW 0.50 0.00 X 0 0 0 SUZANNE UHL-MELANSON 0.50 0.00 X 0 0 0 MICHAEL F PHILLIPS JR ESQ 0.50 0.00 X X 0 0 0 DONALD PLOURDE 0.50 0.00 X X 0 0 0 CATHERINE KIMBALL DO 0.50 0.00 X 0 0 0 DAVID GLENN-LEWIN PhD 0.50 0.00 X 0 0 0 BRIAN GILLIS DO 0.50 0.00 X 0 0 0 CHARLES R GAUNCE 0.50 0.00 X 0 0 0 JOHN M FORTIER 0.50 0.00 X X 0 0 0 THOMAS DAVIS 0.50 0.00 X 0 0 0 LINDA FAY MD 40.00 0.00 X 263510 0 22111 KATHY COREY 0.50 0.00 X 0 0 0 CLARENCE BICKFORD JR 0.50 0.00 X 0 0 0 EE COMP IS FOR ADMIN SVCS 0.00 0.00 X 0 0 0 KATHERINE DEMPSKI 40.00 0.00 X 113098 0 639 MICHAEL PALUMBO DO 40.00 0.00 X 268092 0 27759 DANIEL J BOOTH 40.00 0.00 X 192750 0 11570 DEAN BITHER 40.00 0.00 X 203168 0 30638 WALTER R BARRY 40.00 0.00 X 187920 0 19395 MARY M HOOD 0.00 50.00 X 0 844254 248039 WILLIAM K BRADFIELD MD 40.00 0.00 X 381115 0 31838 KEVIN M WHITE 40.00 0.00 X 376509 0 20621 CRAIG R THOMPSON MD 40.00 0.00 X 434365 0 26845 JOYCE STEIN DO 40.00 0.00 X 340886 0 13271 TODD E STAPLEY 40.00 0.00 X 377923 0 12332 3409833 844254 540421 54 false true false SHELLEY FALIK PO BOX 40 MARION IL 62959 Physician Services 465145 VISTA STAFFING SOLUTIONS PO BOX 26544 SALT LAKE CITY UT 841260544 Physician Services 543708 NURSE ANESTHESIA OF MAINE 141 N MAIN ST STE 205 BREWER ME 04412 Professional CRNAs 613050 NEHE MRI LLC PO Box 6600 Newport Beach CA 92658 Service Contract 540450 MEDICAL DOCTOR ASSOCIATES INC PO BOX 277185 ATLANTA GA 303847185 Physician Services 462093 20 649091 7644 56821 9715 713556 PATIENT SERVICE REVENUE 621990 117264876 117038112 226764 LIFELINE REVENUE 621610 3090 3090 EDUCATION REVENUE 611710 16053 16053 CAFETERIA 722210 121978 121978 117405997 176459 4 176455 0 0 3615 3615 3615 3615 1429554 1000 1112875 7924 316679 -6924 309755 309755 0 0 38799 22887 15912 15912 MISCELLANEOUS 900099 160 160 MEANINGFUL USE PAYMENTS 621990 1423098 1423098 1423258 120048552 117492603 226768 1615625 0 0 0 0 1686510 902524 783986 0 33273101 29833722 3439379 694397 327804 366593 4000200 3615250 384950 2017173 1775112 242061 0 73227 73227 37064 37064 0 0 32064 25651 6413 6777619 5006929 1770690 275781 1250 274531 1654009 1275109 378900 697968 406951 291017 0 2073718 1658974 414744 117903 72013 45890 0 144966 108234 36732 479412 383530 95882 0 2391012 1912810 478202 529618 467097 62521 Charity Care 2758589 2758589 Provision for uncollectible ac 4063524 4063524 Medical Supplies 6129184 6129184 Contractual Allowances 45005520 45005520 3278374 2407754 870620 118190933 108137531 10053402 0 16179 15862 1437674 5093114 0 20275921 14187919 95810 34387 0 301579 139017 601581 554602 818448 1575688 42992877 22172587 17142963 20820290 0 0 0 1304 0 13046821 14682445 53738280 57103324 12982896 13076971 1886 243 4353489 3834794 6400813 7476852 4241225 6086940 27980309 30475800 X 23706280 24688221 1384495 1225808 667196 713495 25757971 26627524 53738280 57103324 X 1857619 -304746 -683320 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 9252 9252 false false Part II-B, Line 1i Part II-B, Line 1i - Other Activities Description Non-deductible portion of dues 273459 5000 31241 6538 303162 226072 15810 38174 6597 273459 147236 89440 -7087 3517 226072 133788 13448 147236 0.23000 0.77000 false true true 83162 83162 18342062 9930334 8411728 1427896 246629 1181267 20042892 11499526 8543366 3096865 496098 2600767 20820290 Temporarily Donor Restricted Funds 213022 Self Insurance and Other Funds 2046983 Permanently Donor Restricted Funds 5000 Interest in net assets held at EMHSF 1199895 Estimated Prof. Liab. Claims Receivable 3467654 Board Designated Other 1540181 Board Designated Funded Depreciation 5598636 Beneficial Interest in Perpetual Trusts 521386 Assets Held Under Trust Indenture 89688 14682445 Reserve for Prof. Liab. Self Ins. 3467654 Reserve for Asset Disposal Costs 115000 Liability Under Cap Lease Obligation 229033 Deferred Compensation 2275253 6086940 X Part X Part X : FIN48 Footnote EMHS, its hospitals, and certain other affiliates have been determined by the Internal Revenue Service to be tax-exempt charitable organizations as described in Section 501(c)(3) or 501(c)(2) of the Internal Revenue Code ("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 4 Part V, Line 4: Intended uses of the endowment fund. Endowment funds are designated for purposes that align within the organization's exempt purpose. true true true X false true true false false true true 654 1516322 1000 1515322 0.02280 15048 12382300 9610546 2771754 0.04180 1143250 1143250 0.01720 15702 15041872 9611546 5430326 0.08180 9 3979 278524 278524 0.00420 1 55 281 281 2 1000 35564 35564 0.00050 12 5034 314369 314369 0.00470 12 20736 15356241 9611546 5744695 0.08650 1 5000 1555 1555 1 36230 36230 0.00050 1 534 434 434 3 5534 38219 38219 0.00050 true 2233609 16907928 20807014 -3899086 X true true 1 1 Inland Hospital

200 Kennedy Memorial Drive Waterville ME 04901

X X X true X X X X X X X X X X 11 true true true X X X X X X X X X X X X false false false true true 200.0000 false false X true true X X true false true X false false 19 Inland Orthopedics

325D Kennedy Memorial Drive Waterville ME 04901

Medical Office Building - Physician Service Inland Medical Associates

180 Kennedy Memorial Drive Waterville ME 04901

Medical Office Building - Physician Service New Horizons Family Medicine Associates

10 Washington Street Waterville ME 04901

Medical Office Building - Physician Service Inland Rheumatology

246 Kennedy Memorial Drive Waterville ME 04901

Medical Office Building - Physician Service Inland Medical Associates

180 Kennedy Memorial Drive Waterville ME 04901

Medical Office Building - Physician Service Waterville Surgical Associates

180 Kennedy Memorial Drive Waterville ME 04901

Medical Office Building - Physician Service Inland Osteopathic Manipulative Medicine

246 Kennedy Memorial Drive Waterville ME 04901

Medical Office Building - Physician Service Inland Medical Associates

174 Kennedy Memorial Drive Waterville ME 04901

Medical Office Building - Physician Service Inland Medical Associates

180 Kennedy Memorial Drive Waterville ME 04901

Medical Office Building - Physician Service Inland Family Care - Fairfield

121 Main Street Fairfield ME 04937

Medical Office Building - Physician Service Inland Womens Healthcare

395E Kennedy Memorial Drive Waterville ME 04901

Medical Office Building - Physician Service Inland Family Care

416 Concourse West Waterville ME 04901

Medical Office Building - Physician Service Heart First Cardiology Assoc

244 Kennedy Memorial Drive Waterville ME 04901

Medical Office Building - Physician Service Inland Womens Healthcare

180 Kennedy Memorial Drive Waterville ME 04901

Medical Office Building - Physician Service Inland Neurology

246 Kennedy Memorial Drive Waterville ME 04901

Medical Office Building - Physician Service New Horizons North Anson RHC

167 Main Street North Anson ME 04958

Medical Office Building - Physician Service Inland Family Care

74 Water Street Oakland ME 04963

Medical Office Building - Physician Service Inland Family Care - Unity

80 Main Street Unity ME 04988

Medical Office Building - Physician Service New Horizons Madison RHC

344 Lakewood Road Skowhegan ME 04976

Medical Office Building - Physician Service Part VI - Additional Information Part 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 Type N/A Part VI - States Where Community Benefit Report Filed ME Part VI - Affilated Health Care System Roles and Promotion Inland 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 Purpose At 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 Activities Inland 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 Information Inland 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 Assistance At 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 Assessment In 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. Number of Hospital Faciltiy - 1 Part V, Line 20d - Other Billing Determination of Individuals Without Insurance Hospital charges are discounted at 100% for patients who qualify for free care with income at or below 200% FPL. Number of Hospital Faciltiy - 1 Part V, Line 14g - Other Means Hospital Facility Publicized the Policy Signs 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 FPG The FPL were used for eligibility for free care. Number of Hospital Faciltiy - 1 Part V, Line 7 - Explanation of Needs Not Addressed and Reasons Why Because 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 Identified 6a) 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 prevention Number of Hospital Faciltiy - 1 Part V, Line 5c - Description of Making Needs Assessment Widely Available 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, 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 Assessment Our 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 Community On 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 Assessment 1a) 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 ca Part III, Line 9b - Provisions On Collection Practices For Qualified Patients All account guarantors who express an inability to pay inpatient and outpatient services will be screened for eligibility for charity care using an application and guidelines established by 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 Benefit Medicare losses should be treated as a community benefit because the losses are incurred in performing an important public service, and Maine hospitals experience one of the lowest Medicare reimbursement rates in the country. Part III, Line 4 - Bad Debt Expense Patient and trade accounts receivable are stated at the amount management expects to collect from outstanding balances. Management provides for probable uncollectible amounts through a charge to earnings and a valuation allowance based on its assessment of the current status of individual accounts. Balances that are still outstanding after management has used reasonable collection efforts are written off through a charge to the valuation allowance and the applicable patient accounts receivable. Credit is extended without collateral. 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 Methodology Ratio of Patient Care Cost-to-Charges is used in calculations. Part I, Line 6a - Related Organization Community Benefit Report The 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. X true true X X X X X false true false false false false false false false false WILLIAM K BRADFIELD MD 304605 35004 41506 5000 26838 412953 WALTER R BARRY 178409 9511 3393 16002 207315 TODD E STAPLEY 339937 20000 17986 3925 8407 390255 MICHAEL PALUMBO DO 249654 18438 4497 23262 295851 MARY M HOOD 691048 140786 12420 225828 22211 1092293 LINDA FAY MD 242793 20717 2550 19561 285621 KEVIN M WHITE 340242 36267 5000 15621 397130 JOYCE STEIN DO 245059 59886 35941 3355 9916 354157 JOHN DALTON 248457 22040 60246 15117 345860 DEAN BITHER 190213 12955 4035 26603 233806 DANIEL J BOOTH 170206 100 22444 936 10634 204320 CRAIG R THOMPSON MD 399201 35164 5000 21845 461210 Sch J, Part I, Line 1a Part I, Line 1a: Relevant information in regards to selections on 1a. Walter 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. C Maine Health and Higher Educational Facilities Authority 010314384 560425V80 2007-11-01 3263464 ED Expansion & Purchase Prac false false true B Maine Health and Higher Educational Facilities Authority 010314384 560425YF1 2006-02-02 1467531 Medical Lab & OB Renovations false false true A Maine Health and Higher Educational Facilities Authority 010314384 560425TL4 2004-05-01 4539667 To refund the 1993D Bond false false true C 340000 3263464 206349 62525 4457 2990033 2008 false false true true B 270000 1467531 102480 25113 46325 1293613 2006 false false true true A 4065000 5300310 182500 58557 344 4652390 1993 false true true true C false false false false false true B false false false false 0.00730 0.00730 true false true A false false false false false true C false false false NA true FSA CAP MGMT- RESERVE FUND TRANSAMERICA- CONST FUND 30.0000 true false false B true false NA true FSA CAP MGMT- RESERVE FUND TRANSAMERICA-CONST FUND 29.0000 true false false A true false NA true FSA CAP MGMT 21.0000 true false false C true B true A true Supplemental Information Part VI Part II, line 3, column A, does not equal Part I, line A, column E as a result of other sources of funds from DSF-Interest, DSF-Principal, and DSRF balance totaling $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. Craig Thompson MD physician loan X 56078 20118 false false true Joyce Stein DO physician loan X 40000 14269 false false true 34387 Susan Palumbo spouse of director 46874 compensation false Susan Palumbo is a family member of an officer of Inland Hospital. FORM 990,SCHEDULE H, PART V 1J CONT'D 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. 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. Form 990, Part XI, Line 9 Other Changes In Net Assets Or Fund Balances - Other Decreases Contribution To Strat Pool Per Affiliation Agreement = -$524314 Form 990, Part XI, Line 9 Other Changes In Net Assets Or Fund Balances - Other Decreases Change in interest in nets assets held @ EMHSF = -$159006 Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Inland Hospital makes its governing documents, conflict of interest policy and financial statements available to the public upon request. Form 990, Part VI, Line 15b Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees Compensation of other officers and key employees of the organization is established by the Human Resources department who utilize external market research to establish compensation ranges for specific positions. The compensation of officers and key employees are reviewed by the 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 15a Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management The 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 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts The organization requests updates of potential conflicts and relationships from the officers and Board members on an annual basis. The request requires disclosure of all business relationships, board memberships, and family relationships. A database is maintained that is compared to payroll records and the accounts payable vendor list to identify any potential conflicts of interest. Transactions are reviewed for reasonableness as an arm's length transaction. The first agenda item for board meetings and board committee meetings is for members to declare any conflict of interest with upcoming agenda items or deliberations. At any point when consideration is being given to purchase/contract with a party in interest, the member with the conflict is either excused from the discussion and consideration process or abstains from voting on the matter. All transactions identified with parties in interest are disclosed within the Form 990. All are deemed to be arm's length transactions. Form 990, Part VI, Line 11b Form 990, Part VI, Line 11b: Form 990 Review Process Form 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 7b Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders EMHS has authority to appoint and remove the CEO of the Corporation. EMHS also has joint and superior authority to approve, disapprove or initiate action with respect to the following matters: I. amendments to the corporations Articles of Incorporation or Bylaws;II. changes in legal form of organization of the Corporation;III. election of the Directors/Trustees of the Corporation;IV. action concerning the Corporations operating budget and capital expenditures;V. the Corporations acquisition of assets or assumption of liabilities of an unaffiliated third party;VI. transfer of 5% or more of the assets of the Corporation;VII. financing transactions concerning the Corporation; VIII. merger, consolidation, sale, lease, mortgage, pledge or other disposition of all or substantially all assets of the Corporation; IX. add or revise a health care service of the Corporation;X. discontinue or close a health care service of the Corporation;XI. action concerning the Corporations role in the EMHS Strategic Plan;XII. action concerning the Corporations participation in key strategic affiliations with third parties not affiliated with EMHS; andXIII. dissolution of the Corporation. Form 990, Part VI, Line 7a Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body Each year at their annual meeting, the directors elect replacements for those directors whose terms are expiring Election of directors is subject to ratification by the EMHS Board of Directors. Form 990, Part VI, Line 6 Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Inland 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 4 Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents In 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 Corporation Form 990, Part VI, Line 2 Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et John D. Dalton, trustee/officer and Mary M. Hood, officer are directors of Maine Hospital Association board. Form 990, Part III, Line 4d Form 990, Part III, Line 4d: Other Program Services Description OTHER 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: $660,747 Restoration Health LLC 43 Whiting Hill Road Brewer ME 04412 352449986 Provide mental & behavioral hlth srvs ME 501(c)(3) 9 AHI true Sebasticook Valley Work Health LLC 447 North Main Street Pittsfield ME 04967 453359446 Provide Patient Care ME 501(c)(3) 3 SVH true Sebasticook Valley Family Practice Assoc 447 North Main Street Pittsfield ME 04967 010357854 Provide patient care ME 501(c)(3) 9 SVH true Meadow Wood LLC 43 Whiting Hill Road Brewer ME 04412 272935243 Provide patient care ME 501(c)(3) 9 AHI true Blue Hill Memorial Hospital 57 Water Street Blue Hill ME 046145231 010227195 Provide healthcare services ME 501(c)(3) 3 EMHS true Maine Institute for Human Genetics and H 43 Whiting Hill Road Brewer ME 04412 550894346 Biomedical research and development ME 501(c)(3) 9 EMHS true Eastern Maine HomeCare PO Box 688 Caribou ME 04736 010328442 Provide home health and hospice services ME 501(c)(3) 9 EMHS true Horizons Health Services PO Box 151 140 Academy Street Presque Isle ME 047690151 010504393 Provide patient care ME 501(c)(3) 3 TAMC true TAMC Endowments PO Box 151 140 Academy Street Presque Isle ME 047690151 010389222 Raise funds for exempt organizations ME 501(c)(3) 11, type I TAMC true TAMC Title Corp PO Box 151 140 Academy Street Presque Isle ME 047690151 010389226 Real estate holding company ME 501(c)(2) TAMC true The Aroostook Medical Center TAMC PO Box 151 140 Academy Street Presque Isle ME 047690151 010372148 Provide healthcare services ME 501(c)(3) 3 EMHS true Sebasticook Valley Health SVH 447 North Main Street Pittsfield ME 04967 010263628 Critical care hospital ME 501(c)(3) 3 EMHS true CA Dean Memorial Hospital Pritham Avenue PO Box 1129 Greenville ME 044411129 043341666 Provide healthcare services ME 501(c)(3) 3 EMHS true Lakewood A Continuing Care Center 220 Kennedy Memorial Drive Waterville ME 04901 010421234 Provide skilled and long-term nursing care ME 501(c)(3) 3 Inland Hospital true Norumbega Medical Specialists LTD 43 Whiting Hill Road Brewer ME 04412 010465231 Provide patient care and education ME 501(c)(3) 9 EMMC true EMHS Foundation 43 Whiting Hill Road Brewer ME 04412 222514163 Raise and manage funds for exempt organizations ME 501(c)(3) 11, type II EMHS true Acadia Healthcare Inc AHI 43 Whiting Hill Road Brewer ME 04412 223183888 Provide heatlhcare services ME 501(c)(3) 9 AHC true Eastern Maine Medical Center Auxiliary 43 Whiting Hill Road Brewer ME 04412 010377901 Fund raising for exempt Eastern Maine Medical Center ME 501(c)(3) 9 EMMC true Acadia Hospital Corp AHC 43 Whiting Hill Road Brewer ME 04412 010459837 Provide healthcare services ME 501(c)(3) 3 EMHS true Rosscare Nursing Homes Inc 43 Whiting Hill Road Ste 400 Brewer ME 04412 010430751 Operation of nursing homes ME 501(c)(3) 9 Rosscare true Rosscare 43 Whiting Hill Road Ste 400 Brewer ME 04412 010391038 Provide services to elderly ME 501(c)(3) PF EMHS true Eastern Maine Healthcare Real Estate 43 Whiting Hill Road Brewer ME 04412 010391036 Leases real estate ME 501(c)(2) EMHS true Eastern Maine Medical Center EMMC PO Box 404 489 State Street Bangor ME 044020404 010211501 Provide healthcare services ME 501(c)(3) 3 EMHS true Eastern Maine Healthcare Systems EMHS 43 Whiting Hill Road Brewer ME 04412 010527066 Supporting organization for healthcare affiliates ME 501(c)(3) 11 Type III Func Int N/A true Beacon Health LLC 43 Whiting Hill Road Brewer ME 04412 452967056 Accountable care organization ME EMHS false false Alliance Health Documentation LLC 9 Central Street STE 205 Bangor ME 04401 462751855 Transcription ME AHS C true M Drug LLC PO Box 1779 Bangor ME 044021779 272175482 Pharmacy ME AHS C true Dirigo Pines Development Company LLC 9 Alumni Drive Orono ME 04473 010537924 Retir Cottag ME AHS C true Dirigo Funding LLC 9 Alumni Drive Orono ME 04473 010599968 Prov finance ME AHS C true Dirigo Pines Inn LLC 9 Alumni Drive Orono ME 04473 020547749 Contin Care ME Rosscare C true Dirigo Pines Retirement Community LLC 9 Alumni Drive Orono ME 04473 010537924 Holding Co. ME AHS C true Maine Network for Health PO Box 2813 Bangor ME 044022813 010496352 Support srv ME EMHS C true Meridian Mobile Health LLC 931 Union Street PO Box 940 Bangor ME 044020940 010512673 Ambulance ME AHS C true DE Collections DBA Affiliated Collecti PO Box 2759 Bangor ME 044022759 010366209 Collections ME AHS C true Affiliated Pharmacy Services 917 Union St Suite 7 Bangor ME 04401 010587230 Pharmacy ME AHS C true Affiliated Materiel Services PO Box 1300 Bangor ME 044021300 010381189 Purchasing ME AHS C true Affiliated Laboratory Inc PO Box 638 Bangor ME 044020638 010381283 Clinicl lab ME AHS C true Affiliated Healthcare Management PO Box 811 Bangor ME 044020811 010349339 Hlthcr mgmt ME AHS C true Affiliated Healthcare Systems AHS PO Box 940 Bangor ME 044020940 010385322 Holding co. ME EMHS C true true false false false false false false false false false false true true false false true false true true Affiliated Materiel Services p 1152763 Affiliated Materiel Services m 71140 Affiliated Laboratory Inc m 588497 Affiliated Healthcare Management m 56799 Sebasticook Valley Health SVH l 127783 Lakewood A Continuing Care Center l 129448 Lakewood A Continuing Care Center a 9000 EMHS Foundation s 649091 EMHS Foundation m 199000 Eastern Maine Medical Center EMMC p 61646 Eastern Maine Medical Center EMMC m 2063535 Eastern Maine Healthcare Systems EMHS r 524314 Eastern Maine Healthcare Systems EMHS p 5025769 Eastern Maine Healthcare Systems EMHS m 1511580