2014-08-12T05:48:11-07:00 2013-09-28 990 2012-09-30 010421234 Eastern Maine Healthcare Systems LW Lakewood A Continuing Care Center LW EAST 2079737064 220 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 04901 11974576 false false 5247 X www.inlandhospital.org X 1983 ME Lakewood, A Continuing Care Center is a 105 bed long-term care facility that provides skilled and long-term nursing care. 11 9 240 33 0 52533 36754 11759863 11491110 108359 123998 147 11920755 11652009 0 0 4704180 4907531 0 0 6826725 6736330 11530905 11643861 389850 8148 10201311 9974846 7183624 6890959 3017687 3083887 Lakewood, A Continuing Care Center is a 105 bed long-term care facility that provides skilled and long-term nursing care. false false 10635352 11491110 Provide Skilled and Long-Term Nursing Care Lakewood, A Continuing Care Center (Lakewood) is a 105 bed long-term care facility in Waterville, Maine. Lakewood is a not-for-profit skilled nursing facility that has cared for the residents of Central Maine for more than twenty-five years. During fiscal year 2013 Lakewood had a 93% occupancy rate. Lakewood is a member of Eastern Maine Healthcare Systems. Please see the following excerpt from the EMHS Annual Report to the Community for details of community benefit projects at Lakewood, A Continuing Care Center and Inland Hospital.Leadership: 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 10635352 true true false true false false false false false true true false false true true true false true false false false false false false false false false false false true true false false false false false false false false false false false false false false false true true true false false true 21 0 true 240 true false false false false false false false false 0 false false false false false false false false false false X 11 9 false false false false true true true true true false false true true true true true true true false false ME X X X Jeffrey A Sanford 2079737894 43 Whiting Hill Road Brewer ME 04412 John Nale Esq 0.50 0.00 X 0 0 0 William Lord 0.50 0.00 X 0 0 0 David Preston 0.50 0.00 X 0 0 0 Daniel Pierce DO 0.50 0.00 X 0 0 0 Roland H Knausenberger MD 0.50 50.00 X 0 241768 25568 Gary Smith 0.50 0.00 X X 0 0 0 Perley G Beane 0.50 0.00 X X 0 0 0 Crystal Olsen 0.50 0.00 X X 0 0 0 Christopher L Gaunce 0.50 0.00 X X 0 0 0 Michael F Phillips Jr Esquire 0.50 0.00 X X 0 0 0 John D Dalton 0.50 50.00 X X 0 270497 75363 EE comp is for admin svcs 0.00 0.00 X 0 0 0 Shannon Coro 50.00 0.00 X 110218 0 5887 Dean Bither 10.00 40.00 X 0 203168 30638 110218 715433 137456 1 false true false Rehabcare Group East Inc PO Box 503534 St Louis MO 63150 Rehab Therapy 409544 Peoplefirst Rehabilitation PO Box 277365 Atlanta GA 303847365 Rehab Therapy 166906 MAS Medical Staffing PO Box 41047 Baton Rouge LA 70835 Temporary Staffing 155211 Diversified Staffing Group PO Box 41047 Baton Rouge LA 70835 Temporary Staffing 121212 Caretree Healthcare Staffing 3 Castle Street South Portland ME 04106 Temporary Staffing 135006 5 11657 25097 3612 36754 Patient Care Revenue 623000 11479690 11479690 Cafeteria Revenue 722210 11420 11420 11491110 84343 84343 0 0 0 362134 322479 39655 39655 39655 0 0 230 88 142 142 PR FEE FOR LEVY PROCESSIN 900099 5 5 5 11652009 11479690 135565 X 0 0 0 0 116105 116105 0 3976346 3620989 355357 24311 21598 2713 463846 380348 83498 326923 290048 36875 0 1285 1285 13741 13741 0 0 6776 6174 602 1593303 1376130 217173 6029 3492 2537 153118 116726 36392 35822 9138 26684 0 268604 255660 12944 7677 4305 3372 0 2669 1762 907 310049 292191 17858 0 557862 529669 28193 11203 10643 560 Bad Debt Expense 91908 91908 Taxes and Licensing 547867 545137 2730 Medical Supplies Expense 702319 702319 Contractual Allowances 2363408 2363408 62690 13707 48983 11643861 10635352 1008509 0 600 650 416402 559007 0 1057478 974987 0 0 0 5792 5697 106671 98458 11569120 5790034 6248104 5779086 0 0 0 474000 474000 1892264 2082961 10201311 9974846 870759 886680 6275119 5965807 37746 38472 7183624 6890959 X 2978892 3052571 28795 21316 10000 10000 3017687 3083887 10201311 9974846 X 8148 58001 51 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 2539 2539 false false Part II-B, Line 1i Part II-B, Line 1i - Other Activities Description Non-deductible portion of dues 20848 2222 665 22405 13325 6000 2170 647 20848 13503 173 351 13325 12371 1132 13503 0.42000 0.58000 false true true 5609640 2022087 3587553 5049566 3215274 1834292 909914 552673 357241 5779086 Temporarily Donor Restricted Funds 21316 Permanently Donor Restricted Funds 10000 Estimated Prof. Liab. Claims Receivable 31829 Board Designated Funds-Other 685069 Board Designated Funded Depreciation 1217391 Assets Held Under Trust Indenture 117356 2082961 Reserve for Prof. Liab. Self Ins. 31829 Liability Under Cap Lease Obligation 6643 38472 X 9239726 58001 -2455044 -2397043 11636769 15240 15240 11652009 9167838 89 89 9167749 2476112 2476112 11643861 Part XII, Line 4b Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S Restricted expenses from fund bal $21068 Contractual Allowance reclass to expense $2363408 Reimbursed expenses reclass to expense $-272 Bad Debt reclass to expense $91908 Part XII, Line 2d Part XII, Line 2d: Other expenses and losses per audited F/S Cost of Goods Sold reclass to revenue $89 Part XI, Line 4b Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S Restricted Contributions from fund b $15270 Cost of Goods Sold reclass $-89 Restricted investment income from fund b $59 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. X X X X X false true false false false false false false false false Roland H Knausenberger MD 216928 5817 19023 807 24761 267336 John D Dalton 248457 22040 60246 15117 345860 Dean Bither 190213 12955 4035 26603 233806 B Maine Health and Higher Education Facilities Authority 010314384 560425TL4 2004-06-03 1845565 To refund the 1993D Bond Issue false false true A Maine Health and Higher Education Facilities Authority 010314384 560425V80 2007-11-01 7181986 Lakewood Expansion Project false false true B 1660000 2156022 70000 24132 2167 1892323 2004 false true true true A 755000 7181986 451750 106394 1837 6622005 2007 false false true true B false false false false false true A false false false false false true B true false NA true FSA Cap Mgmt 19.0000 true false false A false false false NA true FSA Cap Mgmt-Reserve Fund Transamerica-Const Fund 30.0000 true false false B true A true Supplemental Information Part VI Part II, line 3, column B does not equal Part I, line B, column E as a result of other sources of funds from DSF-Interest, DSF-Principal, and DSRF Balance totaling $310,457.Part IV, line 2C, column A the date the rebate computation was perfomed 12/4/13Part IV, line 7 - The issuer (MHHEFA) has established written procedures to monitor the requirements of Section 148. The organization has entered into a tax regulatory agreement with the issuer that requires the organization to comply with the requirements of Section 148. The organization is working to establish its own written procedures to monitor such requirements. Form 990, Part XI, Line 9 Other Changes In Net Assets Or Fund Balances - Other Increases Change in net assets held @EMHS Foundation = $51 Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Lakewood, A Continuing Care Center makes its governing documents, conflict of interest policy and financial statements available to the public upon request. Form 990, Part VI, Line 15a Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management Lakewood, A Continuing Care Center's (Lakewood) CEO is employed by Inland Hospital, the parent company of Lakewood and a subsidiary of Eastern Maine Healthcare Systems (EMHS). Lakewood's CEO reports directly to the system parent, EMHS President/CEO (President). The EMHS Executive Performance Management Committee (the Committee) is responsible to monitor and evaluate the performance of the EMHS President, to set compensation of the EMHS President, and to review recommendations of the EMHS President with respect to compensation of the Chief Executive Officer of the direct subsidiaries, and other direct reports to the President. The Committee is comprised entirely of independent Directors per EMHS bylaws. Process:The Committee meets regularly throughout the fiscal year at the discretion of the Committee chair as well as on call of the Chair of the EMHS board. In carrying out its duties pursuant to the Bylaws, the Committee:-Assures that the executive compensation program is administered in a manner consistent with the EMHS executive compensation philosophy.-Reviews and updates the EMHS executive compensation philosophy which serves as the foundation on which all current and future executive compensation decisions are made.-Assures that value of compensation provided by EMHS does not exceed the value of services provided by the executive.-Reviews annual incentive compensation criteria for eligible executives, as defined by the EMHS President.-Reviews periodic compensation survey information and provides expert input to proposed changes to the executive compensation program.-Assures that a formal and timely performance management system is in place for executives.-Reviews incentive compensation criteria scoring and associated pay schedules for officers and key employees.-Provides any public statements regarding executive compensation practices at EMHS deemed appropriate.-Maintains minutes of the meetings and communicates actions to the EMHS Board of Directors.To accomplish this, the committee uses an external consultant with access to comparative data from independent sources and include national as well as regional data points. The EMHS President reviews all direct report compensation actions with the committee. In addition, the EMHS President ensures that any subsidiary policies and practices governing executive compensation are consistent with the committee's philosophy and practices statement.Form 990, Part VI, Line 15b - Compensation Review & Approval Process for Officers & Key EmployeesCompensation of other officers and key employees of the organization is established by the Human Resources department who utilize external market research to establish compensation ranges for specific positions. On an annual basis, the compensation ranges are compared to the updated survey information. The Human Resources department will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials. Form 990, Part VI, Line 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 Lakewood, A Continuing Care Center. It is also provided to each board member either electronically or in hard copy with an opportunity to ask questions prior to filing with the IRS. Form 990, Part VI, Line 7b Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders The Member has authority to approve amendments to the Corporation's articles of incorporation and to its bylaws. Form 990, Part VI, Line 7a Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body The Member has authority to elect directors of the Corporation. Form 990, Part VI, Line 6 Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Lakewood, A Continuing Care Center (the "Corporation") is a Maine nonprofit corporation. Inland Hospital Corp (the "Member"), also a Maine nonprofit corporation, is the sole corporate member of the Corporation. 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 Vamily 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 Inland Hospital 200 Kennedy Memorial Drive Waterville ME 04901 010217211 Provide healthcare services ME 501(c)(3) 3 EMHS true Rosscare 43 Whiting Hill Rd 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 Blue Hill Memorial Hospital 57 Water Street Blue Hill ME 046145231 010227195 Provide healthcare services ME 501(c)(3) 3 EMHS true Maine Institute Human Genetics & Health 43 Whiting Hill Road Brewer ME 04412 550894346 Biomedical research and development ME 501(c)(3) 9 EMHS true 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 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 healthcare 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 service ME 501(c)(3) 3 EMHS true Rosscare Nursing Homes Inc 43 Whiting Hill Road Brewer ME 04412 010430751 Operation of nursing homes ME 501(c)(3) 9 Rosscare 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 N/A false false Alliance Health Documentation LLC 9 Central Street Ste 205 Bangor ME 01101 462751855 Transcription ME AHS C true M Drug LLC PO Box 1779 Bangor ME 04402 272175482 Pharmacy ME AHS C true Dirigo Pines Development Company LLC 9 Alumni Drive Orono ME 04473 010537924 RetCottag 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 service 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 Affil Collections Inc 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 Clinical lab ME AHS C true Affiliated Healthcare Management PO Box 811 Bangor ME 044020811 010349339 Hlthcr mgmt ME AHS C true Affiliated Healthcare System AHS PO Box 940 Bangor ME 044020940 010385322 Holding co. ME EMHS C true false false false false false false false false false true false false true false false true false false true Affiliated Healthcare System AHS p 127837 FMV Inland Hospital m 129448 FMV Eastern Maine Healthcare Systems EMHS m 185732 FMV