2014-08-11T14:18:18-07:00 2013-09-28 990 2012-09-30 010227195 BLUE HILL MEMORIAL HOSPITAL BLUE 2073742836 57 WATER STREET BLUE HILL ME 04614 Wendy J Jones 2014-08-11 false 2012 2015-11-30 17:44:51Z John Ronan 57 Water Street Blue Hill ME 04614 58196655 false false X www.bhmh.org X 1924 ME Blue Hill Memorial Hospital is dedicated to improving the health and wellness of our communities by providing primary and specialty health care of outstanding quality and caring for our patients with respect and compassion. 15 11 372 117 0 370967 484212 53090798 54749733 199254 305586 723997 481043 54385016 56020574 0 0 22325053 23331516 0 0 31109079 30737586 53434132 54069102 950884 1951472 35004678 38107193 13217169 13626199 21787509 24480994 X Blue Hill Memorial Hospital is dedicated to improving the health and wellness of our communities by providing primary and specialty health care of outstanding quality and caring for our patients with respect and compassion. false false 48009147 55234686 See Schedule O 1170416 Charity care provided (at cost) 527 persons served. 323607 Medicare shortfalls (at cost) 31,602 persons served. 49503170 true true false true false false false false false true true false false true true true true true false false false false false false false false true true 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 62 0 true 372 true false false false false false false false false 0 false false false false false false false false false false X 15 11 true false true false true true true true true false false true true true true true true true false false ME X X X Wendy J Jones 2073743409 57 Water Street Blue Hill ME 04614 Gordon Stewart 2.00 0.00 X 0 0 0 Jim Schatz 2.00 0.00 X 0 0 0 Stacey Henner Walden DO 30.00 0.00 X 180623 0 23755 Zoe Robbins Tenney 25.00 0.00 X 55051 0 22085 David Snow 2.00 0.00 X 0 0 0 Arthur Newkirk MD 40.00 0.00 X 148819 0 18531 Danielle V Mutty MD 2.00 0.00 X 0 0 0 Andrew K Laslie CPA 2.00 0.00 X X 0 0 0 Sally N Mills 2.00 0.00 X X 0 0 0 Margaret Hannah 2.00 0.00 X 0 0 0 Gregory Roraff 40.00 0.00 X X 274248 0 29435 Christopher Young 2.00 0.00 X 0 0 0 Richard K Howe 2.00 0.00 X X 0 0 0 Charles Hatfield 2.00 0.00 X 0 0 0 Frank Wanning 2.00 0.00 X X 0 0 0 John Ronan 40.00 0.00 X 153620 0 10742 Kathleen J Ober 40.00 0.00 X 449456 0 31255 Elizabeth Schidzick-Brunelle 40.00 0.00 X 169198 0 9682 Edward Olivier 40.00 0.00 X 158083 0 20372 Constance Barrett 40.00 0.00 X 139512 0 11864 James White 40.00 0.00 X 451999 0 27251 Mark Kaplan 40.00 0.00 X 360402 0 19426 Joseph Babbitt 40.00 0.00 X 400665 0 27788 Thomas Bugbee 40.00 0.00 X 298982 0 31722 Amy Tan 40.00 0.00 X 275372 0 32637 Scott Oxley 0.00 50.00 X 0 278914 41242 Erik N Steele 0.00 50.00 X 0 362861 51056 3516030 641775 408843 30 true true false United Medical System 1500 West Park Drive Westborough MA 01581 Surgical Services 126660 Surapaneni P Ramanadha Rao PO Box 8117 Bangor ME 04401 Urology Phys Svcs 781200 Nurse Anesthesia of Maine 141 N Main Street Ste 205 Brewer ME 04412 Anesthesia Svcs 651012 NEHE MRI LLC 260 Main Street Presque Isle ME 04769 Imaging Services 285261 Dahl Chase Diagnostic Services 417 State Street Ste 541 Bangor ME 04401 Pathology Sevices 130258 5 53095 16179 414938 19575 484212 Patient Care Service 621990 54648335 54648335 Exempt Affiliate Rental 532000 6000 6000 Cafeteria 722210 95398 95398 54749733 311776 311776 0 0 10720 5308 5412 5412 5412 2002696 161887 1993374 177399 9322 -15512 -6190 9322 -15512 0 0 0 Meaningful Use Incentives 621990 475631 475631 475631 56020574 55139288 397074 0 0 0 0 1906331 1279980 626351 0 17265327 15571054 1694273 624326 561893 62433 2454592 2205552 249040 1080940 972846 108094 0 11298 11298 40985 40985 0 0 16041 642 15399 3205272 2203536 1001736 108166 19365 88801 1410253 1321243 89010 397563 304356 93207 0 771897 663953 107944 63898 46770 17128 0 101895 92983 8912 91781 91781 0 1308769 1089960 218809 107986 84337 23649 Provision for uncollectible ac 1614588 1614588 Charity Care 2076290 2076290 Medical Supplies 3458125 3458125 Contractual Allowances 14511828 14511828 1440951 1332088 108863 54069102 49503170 4565932 0 62124 63415 4555017 4867079 7736 0 4928715 4291283 0 0 0 149181 150696 490822 540607 27846683 19276484 8691710 8570199 0 0 0 0 16119373 19623914 35004678 38107193 9878076 10239779 4237 1576 2122458 2016456 1212398 1368388 13217169 13626199 X 20015484 22505639 375964 426683 1396061 1548672 21787509 24480994 35004678 38107193 X 1951472 988370 -246357 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false 7294 7294 54061808 54069102 1000000 250000 false 1000000 1000000 1000000 1000000 4000000 6000000 4301 6848 4649 7294 23092 250000 250000 250000 250000 1000000 1500000 558201 109376 25314 692891 501206 23900 33095 558201 430983 65500 4723 501206 252141 159113 19729 430983 252141 252141 0.00420 0.99580 false true true 447386 447386 11523362 7811493 3711869 2810 2288 522 14317660 11199969 3117691 1555465 262734 1292731 8570199 Temporarily Donor Restricted Funds 426683 Self Insurance Funds Held by Trustee 60379 Permanently Donor Restricted Funds 607530 Estimated Prof. Liab. Claims Receivable 791199 Board Designated Funds-Other 8996529 Board Designated Funds-Funded Deprec. 7752036 Beneficial Interest in Perpetual Trusts 941142 Assets Whose Use is Limited 48416 19623914 Self-insurance Benefits 13959 Reserve for Prof. Liab. Self Ins. 791199 Deferred Compensation 563230 1368388 X 38764093 988370 -18189826 -17201456 55965549 55025 55025 56020574 35849981 35849981 18219121 18219121 54069102 Part XII, Line 4b Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S Charity Care $2076290 Contractual Allowance $14511828 Restricted Expenses from Fund Balance $29295 Reimbursed Expenses Reclassed to Expense $-12880 Bad Debt Expense $1614588 Part XI, Line 4b Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S Restricted Contributions from fund bal $54252 Restricted Investment Inc from fund bal $773 Part X Part X : FIN48 Footnote Income TaxesThe Hospital has been determined by the Internal Revenue Service to be a tax-exempt charitable organization as described in Section 501(c)(3) of the Code and, accordingly, is exempt from federal income taxed on related income pursuant to Section 501(a) of the Code. Accordingly, no provision for federal income taxes has been recorded in the accompanying financial statements. Part V, Line 4 Part V, Line 4: Intended uses of the endowment fund. Endowment funds are designated for purposes that align within this organization's exempt purpose. true true true X true X true true true false true true 527 1184108 13692 1170416 0.03260 131138 131138 0.00370 527 1315246 13692 1301554 0.03630 7 362 260632 260632 0.00730 7 362 260632 260632 0.00730 7 889 1575878 13692 1562186 0.04360 1 766 766 1 32956 32956 0.00090 2 33722 33722 0.00090 true 1015095 15429198 15752805 -323607 X true true 1 1 Blue Hill Memorial Hospital

57 Water Street Blue Hill ME 04614

X X X X Blue Hill Memorial Hospital 1 true 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 true false false true true 200.0000 true 300.0000 false X true true X X true false true X false false 8 Blue Hill Cardiovascular Medicine

65 Water Street Blue Hill ME 04614

Physician Offices Island Family Medicine

354 Airport Road Stonington ME 04681

Physician Offices Castine Community Health Services

102 Court Street Castine ME 04421

Physician Offices Bucksport Family Medicine

58 Main Street Bucksport ME 04416

Physician Offices Blue Hill Womens Healthcare

65 Water Street Blue Hill ME 04614

Physician Offices Blue Hill Specialty Services

65 Water Street Blue Hill ME 04614

Physician Offices Blue Hill Orthopedics

65 Water Street Blue Hill ME 04614

Physician Offices Blue Hill Family Medicine

65 Water Street Blue Hill ME 04614

Physician Offices 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 We are part of Eastern Maine Healthcare Systems and receive support from our parent organization for activities such as community forums. In addition, we rely upon other system members to help us provide specialized care for community members. For example, we rely upon Eastern Maine Medical Center and Acadia Hospital (both in Bangor) to provide specialized care that could never be provided in the context of a small community hospital. We use strong referral networks and technology to make a full range of services as convenient, safe, and effective as possible for patients in our area. Part VI - Explanation Of How Organization Furthers Its Exempt Purpose We partner with many other non-profits, including Healthy Peninsula and the Jackson Laboratory to promote the health of our community. These partnerships are for the benefit of our community. Part VI - Community Building Activities Our outreach to the community includes blood drives, blood pressure clinics, an educational presence at local fairs and festivals, ongoing work with local schools in areas such as H1N1 preparation, and special events such as our annual Fun Run. Our providers also assist with outreach by giving educational sessions on topics such as osteoporosis, women's health, healthy aging, and diabetes. We provide tours and "hands on" experiences to local school children in our emergency, radiology and rehabilitation departments. Part VI - Community Information We serve a rural community that includes many senior citizens, i.e. 20% of our population is age 65 or older. With the exception of our wealthy seasonal residents, many of our patients are economically challenged. Our hospital and its primary care practices are impacted by the effects of chronic disease within the communities we serve. Depression, obesity, diabetes, and cardio-vascular disease are common problems. The rural, geographically isolated nature of our communities also means that many turn to our hospital and practices for assistance that might otherwise be provided by other agencies. Assistance for those with problems such as addiction, domestic violence, etc. is very limited particularly for those with transportation needs. We also have patients who live on offshore islands whose only transportation is the mailboat to the mainland. Our physician practices take this into consideration when a patient needs to be scheduled for an appointment. Part VI - Patient Education of Eligibility for Assistance We have information available through our Web site, have financial counselors at the hospital, and equip our primary care practices with this information. In addition we have discharge planning personnel, including a licensed clinical social worker, who provide more extensive assistance to patients with complex financial issues. Further, our financial counselor screens our patients (using Hospital services) and personally meets with anyone listed as self-pay to help identify if financial assistance is needed. Part VI - Needs Assessment Blue Hill Memorial Hospital is an affiliate of Eastern Maine Healthcare Systems. As a small rural hospital, we rely upon our system to help us assess the healthcare needs of the communities we serve. In 2001 and again in 2007, EMHS contracted with an academic partner to conduct a regional Community Health Needs Assessment (CHNA). In 2011, EMHS again invested in a significant study, this time in collaboration with OneMaine Health. The OneMaine Health Collaborative is a partnership of three of Maines largest health systems: EMHS (Eastern Maine Healthcare Systems), MaineHealth, and MaineGeneral. 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 in the areas we serve. In addition to the CHNA report, we assess the needs of our community on an ongoing basis by reviewing feedback from various advisory groups, community health partners, area businesses, local schools, and other organizations. 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. The hospital also offers a partial discount for patients who fall within the 201% and 300% FPL. Number of Hospital Faciltiy - 1 Part V, Line 14g - Other Means Hospital Facility Publicized the Policy Posted signs and individual notices containing information on the availability of free care are located in key public areas in the hospital. Signs and notices inform the patient of the availability of free care and include eligibility criteria, instructions on how to apply and how to obtain additional information or assistance.The "Billing Help" section of the hospital web pages provides a link to the free care application form, instructions and eligibility criteria. Number of Hospital Faciltiy - 1 Part V, Line 6i - Describe Other Needs Identified 6a Blue Hill Memorial Hospital has adopted an implementation strategy that takes into account the CHNA report as well as other input from the community. Community benefit strategies are woven into our strategic plan as well as our master facility planning process.6b Our community relations office works closely with clinical personnel and community partners to execute our implementation strategy. The senior director of advancement is a member of the hospitals leadership team and also serves as staff to an Advancement Committee of the board (of Trustees) that provides feedback on community healthcare needs.6c Blue Hill Memorial Hospital staff interact with other community organizations (schools, nursing homes, retirement communities, businesses, home healthcare agencies etc.) to ensure that our community benefit plan takes into account the needs of various constituencies throughout our community. In addition, we recruited a Community Advisory Council that provides feedback on local healthcare needs and helps us assess the hospitals progress in helping meet these needs through targeted outreach programs.6d We are executing on our community-wide community benefit plan in conjunction with other partners, such as Healthy Peninsula, to co-sponsor programs that address community needs such as developmental delays in young children and substance abuse. 6e Our community benefit strategy and activities are in our operational plans through (i) duties described in job descriptions (ii) our budget (iii) our master facility and strategic planning processes iv) our communication plan, which includes media releases and Web content, for example.6f Our budget accommodates the financial assistance we provide to patients who receive charity care as part of our community benefit strategy. The annual operating budget provides for increased access to behavioral health providers and primary care providers, as well as programs targeted at obesity and community health screenings. Also included in the budget is a staff member whose time is committed to supporting community benefit activities such as screenings, talks, etc.6g The Community Health Needs Assessment (survey), our Community Advisory Council, and community healthcare partners have helped us identify the following healthcare needs as local priorities: (i) access to primary care (being addressed in an operational plan); (ii) chronic illnesses such as obesity, depression, cardiovascular disease, and diabetes; (iii) substance abuse. 6h We have prioritized the following services in response to 6g: (i) greater emphasis on early intervention and prevention for priority healthcare needs through screenings, education, etc.; (ii) delivery of programs outside of traditional settings (in retirement homes, local businesses, etc.); (iii) improved access to primary care through initiatives such as patient-centered medical come models ; (iv) improved public communication regarding various financial assistance programs for needy patients. Number of Hospital Faciltiy - 1 Part V, Line 5c - Description of Making Needs Assessment Widely Available In conjunction with EMHS, Blue Hill Memorial Hospital hosted a community forum to present an overview of local assessment 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 assessment 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 providing selected data results, trends over time and the priorities and recommendations as suggested by the research consultants.In addition to the community forums, the entire statewide assessment (both narrative and data sets) were posted to the EMHS website. After the forums, Power Point presentations used at the Forum as well as input collected in the breakout sessions were also posted on the website. Forum participants were encouraged to go to the website to review the assessment in detail, and access the data for local planning. 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 on the website.Instructions on the website assist viewers to download and /or print sections of the report. Individuals without computer or printer access were provided a phone number where they can request a printed assessment. Number of Hospital Faciltiy - 1 Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment The needs assessment was developed as a statewide collaborative between the states three largest health systems: EMHS (in central, eastern and northern Maine), MaineGeneral (in central Maine) and MaineHealth (in southern Maine). Multiple collaborators were involved in the dissemination of the assessment findings and establishment of priorities (see Section 5). Number of Hospital Faciltiy - 1 Part V, Line 3 - Account Input from Person Who Represent the Community On a statewide basis, the research consultants developed an advisory committee that met two times during the assessment research and drafting of the publication. These individuals represented a broad spectrum of backgrounds, and they are named: Carol Bell, Healthy Maine Partnership Director; Kelly Bentley, Healthy Maine Partnership Director; Gail Dana-Sacco, Wabanaki Center (serving tribal populations); Patricia Hart, Maine Development Foundation; Barbara Leonard, MPH, Maine Health Access Foundation (philanthropic foundation focused on access to care in Maine); Becca Matusovich, Maine Center for Disease Control; Lisa Miller, Bingham Foundation (philanthropic foundation); Dora Ann Mills, MD, Maine Center for Disease Control; Elizabeth 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, NAACP; Ted Trainer, Public Health Coordinating Council Shawn Yardley, City of Bangor, Department of Health and Welfare. Number of Hospital Faciltiy - 1 Part V, Line 1j - Description of Other Needs Assessment 1a Blue Hill Memorial Hospital and its practices serve a rural area that includes island communities that can be reached only by mail boat, private vessel, or the Lifeflight helicopter. The primary communities that we serve include: Blue Hill, Bucksport, Brooklin, Brooksville, Cape Rosier, Castine, Harborside, Deer Isle, Penobscot, Sargentville, Sedgwick, Stonington. We serve also serve patients from other communities, such as Ellsworth as well as tourists and seasonal residents. Our area is considered a destination for some wealthy families. This wealth contrasts significantly with substantial poverty in our region.1b Blue Hill Memorial Hospital and its related physician practices utilize extensive electronic medical records, including disease registries, which provide a vast amount of data relative to patients in care. The needs assessment provides a much broader picture of the community as a whole, including the health status of individuals not in care, as well as functional health status and social-demographics (such as employment, income and education levels). The local units of the states public health infrastructure (known as Healthy Maine Partnerships) are also integrated into the process so that their data relative to health, environmental and social measures are part of the community dissemination process.1c Blue Hill Memorial Hospital engaged multiple health resource leaders in the community forum invitation list (as described in Section 1g). Additional resources and leaders needed were identified in the breakout sessions (see question for breakout participants, Section 1g). In the Blue Hill Memorial Hospital service area, key collaborators going forward will include: Bucksport Bay Healthy Communities, Healthy Island, and Healthy Peninsula. 1d-1e-1f EMHS, the parent company of Blue Hill Memorial Hospital, routinely conducts a community health needs assessment (Hereafter needs assessment) across the service area of all of its member hospitals. The most recent assessment, published in 2011, 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 assessment integrates primary data from a telephone survey to heads of households with secondary data retrieved from state databases (ED 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.1g See question #31h On a statewide basis, the research consultants developed an advisory committee that met two times during the assessment research and drafting of the publication. These individuals represented a broad spectrum of backgrounds, and they are named: Carol Bell, Healthy Maine Partnership Director; Kelly Bentley, Healthy Maine Partnership Director; Gail Dana-Sacco, Wabanaki Center (serving tribal populations); Patricia Hart, Maine Development Foundation; Barbara Leonard, MPH, Maine Health Access Foundation (philanthropic foundation focused on access to care in Maine); Becca Matusovich, Maine Center for Disease Control; Lisa Miller, Bingham Foundation (philanthropic foundation); Dora Ann Mills, MD, Maine Center for Disease Control; Elizabeth 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, NAACP; Ted Trainer, Public Health Coordinating Council Shawn Yardley, City of Bangor, Department of Health and Welfare. In the local area served by the assessment, multiple parties were engaged in dissemination of the assessment findings and establishment of priorities (see Section 5). We also consult with persons regarding community health needs on an ongoing basis through mechanisms such as our Community Advisory Committee and healthcare partners in the area such as Healthy Peninsula, Healthy Acadia, Island Medical Center, and Bucksport Bay Healthy Communities. 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 BHMH. 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 accounts receivable are stated at the amount management expects to collect from outstanding balances. Management provides probable uncollectible amounts through a charge to earnings and a credit to 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 throught a charge to the valuation allowance and a credit to patient accounts receivable. The costing methodology used to determine the amount reported on line two is cost to charge ratio. Part I, Line 7, Column F - Explanation of Bad Debt Expense $1,614,588 of bad debt expense, $2,076,290 of charity care, $14,511,828 of contractuals 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 BHMH 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 X X X X true false false false false false false false false false Thomas Bugbee 276089 22893 5538 26184 330704 Stacey Henner Walden DO 178351 2272 66 23689 204378 Scott Oxley 210233 32872 35809 18532 22710 320156 Mark Kaplan 352816 500 7086 1133 18293 379828 Kathleen J Ober 423012 26444 5425 25830 480711 Joseph Babbitt 330390 500 69775 4815 22973 428453 John Ronan 150331 500 2789 2831 7911 164362 James White 450781 1218 4278 22973 479250 Gregory Roraff 221495 42480 10273 5000 24435 303683 Erik N Steele 302402 52382 8077 22150 28906 413917 Elizabeth Schidzick-Brunelle 167089 125 1984 9682 178880 Edward Olivier 143378 13311 1394 10644 9728 178455 Constance Barrett 137375 250 1887 2797 9067 151376 Arthur Newkirk MD 111144 37675 2411 16120 167350 Amy Tan 274842 530 5663 26974 308009 Sch J, Part III, Additional Information Part III, Additional Information Gregory E. RoraffThis officer is employed by the system parent organization, Eastern Maine Healthcare Systems. 100% of his time is dedicated to Blue Hill Memorial Hospital. As a result his compensation is reported in Form 990, Part VII, column D and Schedule J, Part II, Line A(i).Edward J. OlivierThis officer is employed by the system parent organization, Eastern Maine Healthcare Systems. 100% of his time is dedicated to Blue Hill Memorial Hospital (BHMH). As a result his compensation is reported in Form 990, Part VII, column D and Schedule J, Part II, Line A(i).Erik N. SteeleThis former officer is employed by the system parent organization, Eastern Maine Healthcare Systems and is responsible for system-wide operations of seven hospitals and other related health care activities, including Blue Hill Memorial Hospital.Scott OxleyThis former officer is employed by Affiliated Healthcare Management, a related organization of Blue Hill Memorial Hospital.Compensation for employees of Blue Hill Memorial Hospital listed in Form 990, Part VII and Schedule J, Part II are for administrative services. Board members are not compensated for the time devoted on the board. A Maine Health & Higher Ed Facilities Authority 010314384 560427JA5 2010-06-24 2533045 Refund 1998A Series Bonds false false true A 295000 2917294 202081 2130000 39023 546190 1998 false true true true A false false false false false true A false false false NA false NA false false 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 $384,249.Part IV, Line 7, The issuer(MHHEFA) has established written procedures to monitor the requirements of Section 148. The organization has entered into a tax regulatory agreement with the issuer that requires the organization to comply with the requirements of Section 148. The organization is working to establish its own written procedures to monitor such requirements. Form 990, Part XI, Line 9 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfer to exempt parent - Eastern Maine Healthcare Systems = -$270675 Form 990, Part XI, Line 9 Other Changes In Net Assets Or Fund Balances - Other Decreases Post Retirement Health Benefit FAS 158 = -$161067 Form 990, Part XI, Line 9 Other Changes In Net Assets Or Fund Balances - Other Increases Increase in beneficial trust = $43235 Form 990, Part XI, Line 9 Other Changes In Net Assets Or Fund Balances - Other Increases Change in net assets held @ EMHS Foundation = $142150 Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Blue Hill Memorial Hospital 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 The CEO of Blue Hill Memorial Hospital is employed by the system parent, Eastern Maine Healthcare Systems (EMHS), and reports directly to the 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 utilizes external market research to establish compensation ranges for specific positions. The compensation of officers and key employees are reviewed by the BHMH President/CEO and the VP of Human Resources.On an annual basis, the compensation ranges are compared to the updated survey information. The hiring manager 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 Blue Hill Memorial 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 EMHS Board of Directors. Form 990, Part VI, Line 6 Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Blue Hill Memorial 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 Frank Wanning, trustee/chairman and Margaret Hannah, trustee are trustees of George Stevens Academy board. Form 990, Part III, Line 4d Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: Charity care provided (at cost) 527 persons served. 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 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 Family Practice Assoc 447 North Main Street Pittsfield ME 04967 010357854 Provide patient care ME 501(c)(3) 9 SVH true Sebasticook Valley Health SVH 447 North Main Street Pittsfield ME 04967 010263628 Critical care hospital ME 501(c)(3) 3 EMHS true Eastern Maine HomeCare PO Box 688 Caribou ME 04736 010328442 Provide home health & hospice svcs ME 501(c)(3) 9 EMHS true CA Dean Memorial Hospital Pritham Ave 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 Inland Hospital 200 Kennedy Memorial Drive Waterville ME 04901 010217211 Provide healthcare services ME 501(c)(3) 3 EMHS true Rosscare Nursing Home 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 ME Institute for Human Genetics & Health 43 Whiting Hill Road Brewer ME 04412 550894346 Biomedical research and development ME 501(c)(3) 9 EMHS true EMHS Foundation 43 Whiting Hill Road Ste 400 Brewer ME 04412 222514163 Raise and manage funds for exempt organizations ME 501(c)(3) 11 Type II EMHS true Norumbega Medical Specialists LTD 43 Whiting Hill Road Ste 400 Brewer ME 04412 010465231 Provide patient care & education ME 501(c)(3) 9 EMMC 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 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 Meadow Wood LLC 43 Whiting Hill Road Brewer ME 04412 272935243 Provide patient care ME 501(c)(3) 9 AHI true Acadia Healthcare Inc AHI 43 Whiting Hill Road Brewer ME 04412 223183888 Provide healthcare services ME 501(c)(3) 9 AHC true Acadia Hospital Corp AHC 43 Whiting Hill Road Brewer ME 04412 010459837 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 NA true Eastern Maine Healthcare Real Estate 43 Whiting Hill Road Brewer ME 04412 010391036 Leases real estate ME 501(c)(2) EMHS 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 460420522 Transcription ME AHS C true Miller 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 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 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 ACI 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 Systems AHS PO Box 940 Bangor ME 044020940 010385322 Holding co. ME EMHS C true false false false false false false false false false false false true true false false true false true true Affiliated Materiel Services p 408673 FMV Affiliated Laboratory Inc m 295592 FMW Affiliated Healthcare Management m 134861 FMV Beacon Health LLC l 109179 FMV EMHS Foundation s 53095 FMV EMHS Foundation m 220000 FMV Eastern Maine Medical Center EMMC p 385249 FMV Eastern Maine Medical Center EMMC m 477312 FMV Eastern Maine Healthcare Systems EMHS r 270675 FMV Eastern Maine Healthcare Systems EMHS m 4751915 FMV