2014-08-12T08:42:29-07:00 2013-09-28 990 2012-09-30 010372148 EASTERN MAINE HEALTHCARE SYSTEMS TAMC THE AROOSTOOK MEDICAL CENTER TAMC EAST 2077684250 PO BOX 151 PRESQUE ISLE ME 04769 C BRUCE SANDSTROM 2014-08-12 2012 2015-11-30 17:44:51Z SYLVIA GETMAN 140 ACADEMY STREET PRESQUE ISLE ME 04769 223228315 false false 5247 X WWW.TAMC.ORG X 1981 ME THE MISSION OF THE AROOSTOOK MEDICAL CENTER IS TO RESTORE, MAINTAIN, AND IMPROVE THE HEALTH OF OUR FRIENDS AND NEIGHBORS IN A COMPASSIONATE AND PROFESSIONAL ENVIRONMENT. 17 11 1156 66 0 110021 197202 212790621 218382158 409853 1962 4572418 3965477 217882913 222546799 0 0 66011877 68564383 0 124853 153460503 152632866 219472380 221197249 -1589467 1349550 76177731 73927946 40281935 37245342 35895796 36682604 X THE MISSION OF THE AROOSTOOK MEDICAL CENTER IS TO RESTORE, MAINTAIN, AND IMPROVE THE HEALTH OF OUR FRIENDS AND NEIGHBORS IN A COMPASSIONATE AND PROFESSIONAL ENVIRONMENT. false false 193844633 222346135 PROVISION OF ACUTE & SUBACUTE HOSPITAL CARE RELATED TO OUTPATIENT CLINICS AND HEALTH CARE SERVICES. SERVED 29,248 PATIENT DAYS OF ROUTINE SERVICES AND 82,145 OUTPATIENTS. PROVIDED SERVICES REGARDLESS OF ABILITY TO PAY AS WELL AS EDUCATION AND PROMOTION OF HEALTH. PROVIDED OTHER UNCOMPENSATED CARE (AT COST) OF $1,681,726.Please see the following excerpt from the EMHS Annual Report to the Community for details of community benefit projects by TAMC.Leadership: Sylvia Getman, President and CEO; and Lynn M. Lombard, Board ChairLocation: Presque Isle, Caribou, Fort Fairfield, Mars Hill, and AshlandEmployees: 1,000Description: The Aroostook Medical Center (TAMC) is Aroostook County's leading provider of healthcare services, an advocate for the people we serve, and the area's largest employer. We are a nonprofit organization with passionate employees dedicated to serving the healthcare needs of the people of Aroostook County with outstanding skill and compassion. We work closely with our partners to bring the best technology, physicians, and standards of care to the people of northern Maine.TAMC highlights-Invited by the Joint Commission to participate in a Patient-Centered Medical Home pilot survey, placing TAMC in the lead role in the outpatient medical home model in northern Maine.-Awarded a nearly $195,000 grant by Maine Health Access Foundation to connect patients with primary care and help drive down the number of frequent emergency department visits.-Became the first hospital in Maine and second in the nation to convert to heating and cooling using compressed natural gas (CNG); projected savings of $400,000 to $500,000 annually.-Earned both the Exceeding Patient Expectations Award and the prestigious Blue Sail award for innovation from Avatar Solutions.-Named one of the nation's top 25 "Most Wired" small and rural hospitals by the American Hospital Association.-Opened the County Cancer Hall of Courage to honor and recognize cancer survivors and to inspire others who are currently being treated for cancer.Total Community Benefit: $16,820,239Community Health Improvement Services: $64,532Community Building Activities: $1,567Community Benefit Operations: $55,000Unrecoverable interest cost on funds used to subsidize state MaineCare/Medicaid underpayments of $12.3M; $1,117,710Traditional Charity Care: $1,849,705Unpaid Cost of Public Programs: Medicaid: $5,186,266 Medicare: $8,545,459Philanthropy: $80,265 8545459 MEDICARE SHORTFALLS (AT COST). 8,394 PERSONS SERVED 5186266 MEDICAID SHORTFALLS (AT COST). 6,435 PERSONS SERVED 1851205 1500 209427563 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 false false false true false false false false false false true true true true false true 146 0 true 1156 true false false false false false false false false 0 false false false false false false false false false false X 17 11 false false false false true true true true true false false true true true true true true true false true true ME X X X C BRUCE SANDSTROM VP CFO 2077684250 140 ACADEMY STREET PRESQUE ISLE ME 04769 STEVE ST PIERRE 2.00 0.00 X 0 0 0 BARRY MCCRUM 2.00 0.00 X 0 0 0 BRETT VARNUM 2.00 0.00 X 0 0 0 PETER ST JOHN 2.00 0.00 X 0 0 0 SYLVIA GETMAN 40.00 0.00 X X 329787 0 129900 GENE LYNCH II 2.00 0.00 X X 0 0 0 LYNN LOMBARD 2.00 0.00 X X 0 0 0 ALAN LANDEEN 2.00 0.00 X 0 0 0 JOE LALLANDE 2.00 0.00 X X 0 0 0 HOLLY JOHNSON 2.00 0.00 X 0 0 0 BETTY KENT-CONANT 2.00 0.00 X 0 0 0 JENNIFER SONNTAG 2.00 0.00 X 0 0 0 MICHAEL FALOON MD 40.00 0.00 X 201845 0 26083 M MICHELLE HOOD 2.00 50.00 X 0 844254 248039 CARL FLORA 2.00 0.00 X X 0 0 0 CAROL BELL 2.00 0.00 X 0 0 0 RICHARD DEBOWSKY MD 40.00 0.00 X 462233 0 28473 GLENDA DWYER 40.00 0.00 X 148160 0 20354 ROLAND JOY 40.00 0.00 X 158710 0 12356 ROGER PELLI DO 40.00 0.00 X 243780 0 23533 C BRUCE SANDSTROM 40.00 0.00 X 483563 0 22813 THOMAS UMPHREY 40.00 0.00 X 182182 0 17007 JAY REYNOLDS MD 40.00 0.00 X 219834 0 39680 STEPHEN MARTIN 40.00 0.00 X 571531 0 15575 MAHENDRA SHETH 40.00 0.00 X 498754 0 11250 ROBERT W RICE MD 40.00 0.00 X 495719 0 34204 DEENESH SAHAJPAL 40.00 0.00 X 474027 0 20301 VENKATRAM NETHALA 40.00 0.00 X 443946 0 28967 DAVID PETERSON 0.00 0.00 X 106977 0 0 5021048 844254 678535 86 true true false R&L REAL ESTATE LLC PO BOX 4135 PRESQUE ISLE ME 04769 PROPERTY LEASE 573766 JONATHAN HERLAND MD 36 PENN PLAZA BANGOR ME 04401 CONSULTING 115000 FRESH AIR LLC 137 BENNETT DRIVE PRESQUE ISLE ME 04769 AIR AMBULANCE 473137 DAUDI MANAGEMENT INC 181 ACADEMY STREET SUITE 3 PRESQUE ISLE ME 04769 CONTRACTED SERVICES 170416 AROOSTOOK MRI LLC PO BOX 6600 NEW PORT BEACH CA 92658 CONTRACTED SERVICES 280922 7 85606 102851 8745 8745 197202 SALES & CONTRACT REVENUE 621990 145972 145972 PATIENT SERVICE REVENUE 621990 218236186 218236186 218382158 155212 155212 0 0 31645 82194 -50549 -50549 -50549 354329 91743 370671 228651 -16342 -136908 -153250 -153250 0 0 0 OTHER REVENUE 900099 675266 675266 MEANINGFUL USE 621990 1711424 1711424 ADMINISTRATIVE SERVICES 561000 415638 415638 1213698 1213698 4016026 222546799 222347635 1962 0 0 0 0 2755495 774181 1981314 0 54060793 48818212 5188060 54521 1708803 1543091 163989 1723 6444907 5819908 618499 6500 3594385 3150987 439927 3471 0 239574 239574 49000 49000 0 0 3679 3679 8635945 7486545 1094400 55000 357331 317521 39244 566 2660291 2367659 292632 0 0 2934833 2265628 669205 701359 624108 77137 114 0 22262 22262 282267 251218 31049 0 3461811 3081011 380800 624050 555404 68646 PROVISION FOR BAD DEBTS 3703812 3703812 CHARITY CARE 4034653 4034653 MEDICAL SUPPLIES EXPENSE 11148097 11148097 CONTRACTUAL ALLOWANCES 109204615 109204615 4569287 4280913 285416 2958 221197249 209427563 11644833 124853 5133 5154 12947225 15279554 0 9747478 11478563 0 0 0 1788058 1908127 1287625 1944129 81362465 53505385 28147582 27857080 4297772 5243538 124320 263602 0 0 17832538 9948199 76177731 73927946 11108930 11354041 10632879 9294278 18540126 16597023 40281935 37245342 X 33996280 34572693 1218188 1423583 681328 686328 35895796 36682604 76177731 73927946 X 1349550 192532 -755274 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 22532 22532 false false Part II-B, Line 1i Part II-B, Line 1i - Other Activities Description 18.8% OF MHA DUES ($8,916) WERE ALLOCATED TO LOBBYING.23.98% OF AHA DUES ($3,866) WERE ALLOCATED TO LOBBYING.100% of MDH COALITION DUES ($9,750) WERE ALLOCATED TO LOBBYING. 1709599 -28551 244429 16342 1909135 1465995 258319 14715 1709599 1512461 -32008 14458 1465995 1412036 114254 13829 1512461 1540366 -117414 10916 1412036 0.33000 0.67000 false true true 193493 193493 44060758 27734975 16325783 3242328 1070284 2172044 31822113 24700126 7121987 2043773 2043773 27857080 OTHER RECEIVABLES 2052639 OTHER ASSETS, NET 563453 Interentity Receivable 156 ESTIMATED THIRD-PARTY SETTLEMENTS 3338199 ESTIMATED PROF LIAB CLAIMS REC 3654660 DUE FROM AFFILIATES 229720 DEFERRED FINANCING COSTS, NET 109372 9948199 RESERVE FOR PROF LIAB SELF INS 3654660 OTHER LIABILITIES 265631 ESTIMATED THIRD-PARTY SETTLEMENTS 6928596 DUE TO AFFILIATES 826036 DEFERRED COMPENSATION 4922100 16597023 X Part X Part X : FIN48 Footnote The Aroostook Medical Center is a tax-exempt organization pursuant to Section 501(c)(3) of the Internal Revenue Code. Tax-exempt 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, 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 Corporation has evaluated the position taken on its filed tax return. The Corporation has concluded no uncertain income tax positions exist at September 28, 2013. The Corporation's tax years from 2010 through 2013 are open and subject to examination. Part V, Line 4 Part V, Line 4: Intended uses of the endowment fund. PART V, LINE 4: ENDOWMENT ASSETS ARE USED FOR THE CORPORATION'S CAPITAL EQUIPMENT NEEDS true true true X false true true true false true true 1483 1849705 1849705 0.01780 6435 18398421 13212155 5186266 0.04970 1117710 1117710 0.01070 7918 21365836 13212155 8153681 0.07820 14 3004 75634 75634 0.00070 1 55 15623 12890 2733 9 942 64534 64534 0.00060 24 4001 155791 12890 142901 0.00130 24 11919 21521627 13225045 8296582 0.07950 2 250 1170 1170 0.00001 1 150 2635 2635 0.00002 55000 55000 0.00050 3 400 58805 58805 0.00053 true 1681726 38940714 47486173 -8545459 X true true COUNTY PHYSICAL THERAPY OUTPATIENT PHYSICAL THERAPY 0.50000 1 1 THE AROOSTOOK MEDICAL CENTER

140 ACADEMY STREET PRESQUE ISLE ME 04769

X X X 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 false false false true true 200.0000 false true X X X true true X X X X X true false true X false false 22 NEPHROLOGY SERVICES

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OUTPATIENT PHYSICIAN CLINIC OCCUPATIONAL HEALTH & WELLNESS

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OUTPATIENT PHYSICIAN CLINIC TAMC NEURO REHAB

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OUTPATIENT PHYSICIAN CLINIC WOMENS HEALTH CENTER

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OUTPATIENT PHYSICIAN CLINIC MARS HILL HEALTH CENTER

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OUTPATIENT PHYSICIAN CLINIC CARIBOU HEALTH CENTER

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OUTPATIENT PHYSICIAN CLINIC ASHLAND HEALTH CENTER

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OUTPATIENT PHYSICIAN CLINIC RADIATION ONCOLOGY

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OUTPATIENT PHYSICIAN CLINIC FORT FAIRFIELD HEALTH CENTER

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OUTPATIENT PHYSICIAN CLINIC WALK IN CARE

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OUTPATIENT PHYSICIAN CLINIC OUTPATIENT SPECIALTY CLINICS

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OUTPATIENT PHYSICIAN CLINICS AROOSTOOK HEART & LUNG CENTER

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OUTPATIENT PHYSICIAN CLINIC AROOSTOOK CANCER CARE

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OUTPATIENT PHYSICIAN CLINIC AROOSTOOK PEDIATRICS

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OUTPATIENT PHYSICIAN CLINIC SLEEP MEDICINE SERVICES

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OUTPATIENT PHYSICIAN CLINIC ORTHOPEDICS & SPORTS MEDICINE

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OUTPATIENT PHYSICIAN CLINIC OBGYN MIDWIFERY SERVICES

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OUTPATIENT PHYSICIAN CLINIC GENERAL & VASCULAR SURGERY CTR

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OUTPATIENT PHYSICIAN CLINIC FAMILY PRACTICE & INTERNAL MEDICINE

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OUTPATIENT PHYSICIAN CLINIC NORTH STREET LABORATORY

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OUTPATIENT LABORATORY SERVICES TAMC EYE CARE SERVICES

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OUTPATIENT PHYSICIAN CLINIC AROOSTOOK HEALTH CENTER

15 HIGHLAND AVENUE MARS HILL ME 04758

NURSING HOME, OUTPATIENT CLINIC 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 TAMC USES NEEDS ASSESSMENT DATA TO COLLABORATE WITH LOCAL HOSPITALS AND OTHER EMHS MEMBER HOSPITALS TO IDENTIFY AND IMPLEMENT SOLUTIONS TO HEALTH ISSUES INCLUDING CARDIOVASCULAR DISEASE, DIABETES, YOUTH OBESITY, SUBSTANCE ABUSE, AND MORE. TAMC COORDINATES EMHS' COMMUNITY HEALTH IMPROVEMENT INITIATIVES IN AROOSTOOK COUNTY. Part VI - Explanation Of How Organization Furthers Its Exempt Purpose TAMC has strong ties to the Maine Winter Sports Center, an organization committed to making skiing a way of life in Northern Maine. Through direct financial and logistical support, TAMC has made it possible for youth and adults to use local facilities at a discounted rate. Many of the programs supported by TAMC are offered at no cost.TAMC provided over 1700 free flu shots to adults in Aroostook County in 2013, including many who live with chronic diseases, at clinics in Presque Isle, Caribou, Fort Fairfield, Mars Hill, and Ashland. Press releases and other promotional materials for these vaccination clinics encouraged people with chronic diseases to get vaccinated. TAMC also held a special drive-thru flu shot clinic to allow adults with mobility challenges to get vaccinated for free. Through free flu vaccination, TAMC is helping chronic disease sufferers and others stay healthy.Using the data in the EMHS Community Health Needs Assessment, TAMC collaborates with other hospitals in the EMHS system and with other community organizations on solutions to significant community healthcare problems, including cardiovascular disease, chronic disease self-management, diabetes, youth obesity, sedentary lifestyle and access to primary care providers. TAMC takes the lead role for EMHS in Aroostook County on these issues and EMHS provides support and additional resources as necessary. Part VI - Community Building Activities TAMC takes a leadership role in advancing the well-being of the people of our communities. Through public health screenings, educational activities for health professionals and the community, and other activities, we seek to provide the information and tools that the people of Aroostook County need to take charge of their health. TAMC collaborates with several organizations interested in building healthy communities, including Let's Go Aroostook, an initiative that promotes healthy lifestyle choices for children, youth, and adults; the American Cancer Society; local universities and community colleges; and the Maine Winter Sports Center.A component of the Senior Connection program, TAMC holds a monthly educational luncheon for older adults. In order to make the program affordable for all, TAMC heavily subsidizes the cost of the lunch for all participants. Topics include exercise, nutrition, safety, and wellness.TAMC leaders support community and economic development activities through participation on the boards of Aroostook Partnership for Progress, Leaders Encouraging Aroostook Development, United Way of Aroostook, Rotary, the Nordic Heritage Sport Club, and other organizations. Part VI - Community Information THE AROOSTOOK MEDICAL CENTER'S (TAMC) PRIMARY SERVICE AREA SERVES 27,000 PEOPLE AND INCLUDES 21 TOWNS AND 1 CITY IN CENTRAL AROOSTOOK COUNTY. THE NORTHERNMOST COUNTY IN MAINE AND THE LARGEST, AROOSTOOK COUNTY (POP. 71,870) SPANS 6,671 SQUARE MILES AND INCLUDES 2 CITIES, 54 TOWNS, 11 PLANTATIONS AND 108 UNORGANIZED TOWNSHIPS. U.S. CENSUS BUREAU DATA FROM 2010 REVEALS THE FOLLOWING AROOSTOOK COUNTY DATA:- THE MEDIAN AGE OF AROOSTOOK COUNTY IS 45.3 YEARS. WITH 19% OF THE POPULATION 65 YEARS OF AGE OR OLDER, AROOSTOOK COUNTY HAS A HIGHER PERCENTAGE OF OLDER ADULTS THAN THE STATE OF MAINE (15.9%)AND THE UNITED STATES (13.3%). MAINE IS THE OLDEST STATE IN THE U.S.- OVER 95% OF AROOSTOOK COUNTY IS WHITE, WHICH IS COMPARABLE WITH MAINE OVERALL. THE NEXT LARGEST RACIAL/ETHNIC GROUP IN AROOSTOOK COUNTY IS NATIVE AMERICAN (2.6%), WHICH IS MORE PROMINENT THAN IN MAINE OVERALL (1.4%).- NEARLY 84% OF INDIVIDUALS 25 YEARS OF AGE AND OVER IN AROOSTOOK COUNTY HAVE AT LEAST A HIGH SCHOOL DIPLOMA OR EQUIVALENT AND 16.4% HAVE A BACHELOR'S DEGREE OR HIGHER. THIS IS LOWER THAN STATE (HIGH SCHOOL 90.2%, BACHELOR'S DEGREE 27.1%) AND NATIONAL AVERAGES (HIGH SCHOOL 85.4%, BACHELOR'S DEGREE 28.2%). - THE MEDIAN HOUSEHOLD INCOME IN AROOSTOOK COUNTY ($37,138) IS CONSIDERABLY LESS THAN STATE ($47,898) AND NATIONAL ($52,762) FIGURES. Part VI - Patient Education of Eligibility for Assistance FINANCIAL ASSISTANCE OR FREE CARE IS AVAILABLE ONLY FOR MEDICALLY NECESSARY SERVICES. POSTERS ARE DISPLAYED IN PATIENT CARE AREAS, INFORMATION AND FORMS ARE AVAILABLE ONLINE ON THE HOSPITAL WEBSITE, AND PATIENT BILLING REPRESENTATIVES ARE ALSO AVAILABLE TO TAKE CALLS AND TO ANSWER QUESTIONS. Part VI - Needs Assessment EMHS, THE PARENT COMPANY OF THE AROOSTOOK MEDICAL CENTER, 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 MAINE'S 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. 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 Visit patient rooms for self-pay admissions and offer the applications. Number of Hospital Faciltiy - 1 Part V, Line 11 - Criteria Used For Discounted Care If Not FPG TAMC does not provide sliding-scale discounted care to low income individuals. TAMC provides financial assistance/free care based on the FPL if gross income is at or below 200% of the FPL, if the patient is a resident of the State of Maine seeking emergency care, if the service or supplies are a medical necessity and if all third party payor sources have been exhausted. However, patients with self-pay balances will be offered a discount off charges. Number of Hospital Faciltiy - 1 Part V, Line 7 - Explanation of Needs Not Addressed and Reasons Why Because the Needs Assessment examines both broad and specific health needs for the entire region and a substantial number of opportunities were identified, a regional approach is needed to achieve the best results. As such, The Aroostook Medical Center continues to work with community partners to address the needs identified in the Needs Assessment, and the priorities in the Needs Assessment are considered when the organization develops operational plans for the year. Number of Hospital Faciltiy - 1 Part V, Line 6i - Describe Other Needs Identified 6a The Aroostook Medical Center regularly utilizes the information in the Needs Assessment to identify and prioritize community health improvement and other activities.6b Initiatives driven in part or in full by the Needs Assessment included continued engagement with Healthy Aroostook to provide education, participation in a youth obesity collaborative, continuation of a senior health program, coordination of workforce development initiatives intended to ensure the long-term strength of the local healthcare workforce, community lectures, and a collaborative with local schools to evaluate the benefits of stability ball seating in the classroom. TAMC is also participating in the Pioneer Accountable Care pilot program designed to reduce costs and improve health outcomes, particularly among those living with chronic diseases.6g Breakout #1 - Access, Quality and Effectiveness-Opportunities identified by a group of community stakeholders include improving access to dental health, improving transportation option, strengthening alternatives to the emergency department, increasing availability of primary care providers, improving patient education, and ensuring the use of best practices.Breakout #2 - Chronic Disease-Opportunities identified by a group of community stakeholders include improving patient self-management, building community care teams, continued implementation of electronic health records, enhancing the use of telehealth services, expanding the role of behavior health providers, and using evidence-based guidelines in chronic disease management.Breakout #3 - Mental Health and Substance Abuse-Opportunities identified by a group of community stakeholders include improving the integration of care, providing continuity of services, educating the community about existing services, and addressing barriers to integration of care, including high turnovers of providers. Recommendations for substance abuse include building community-level prevention programs and refining tools to help primary care and emergency departments diagnose and treat substance abuse issues.Breakout #4 - Prevention, Obesity-Opportunities identified by a group of community stakeholders include addressing economic and literacy barriers to accessing resources, creating incentives/disincentives programs in the workplace, and making available an online resource information guide. Number of Hospital Faciltiy - 1 Part V, Line 5c - Description of Making Needs Assessment Widely Available In conjunction with EMHS, The Aroostook Medical Center 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 administration.Attendees 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 collection 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 state's 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 state's major employers, insurers and providers); Trish Riley, Governor's 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. Number of Hospital Faciltiy - 1 Part V, Line 1j - Description of Other Needs Assessment 1a See Part VI - Community Information1b The Aroostook Medical Center 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 state's 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 The Aroostook Medical Center 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 hospital's service area, key collaborators going forward will include Healthy Aroostook, Aroostook Area Agency on Aging, school systems, home care agencies, local hospitals, and others. 1d-1e-1f EMHS, the parent company of The Aroostook Medical Center, routinely conducts a community health needs assessment (hereafter needs assessment) across the service area of all 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 Maine's Muskie School of 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 #3.1h 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 of 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 state's major employers, insurers and providers); Trish Riley, Governor's 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). 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 The Aroostook Medical Center. An account may be reconsidered for charity care at any time when new information is available about a patient's inability to pay. Part III, Line 8 - Explanation Of Shortfall As Community Benefit Medicare losses are included 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 Please see footnote "Patient and Trade Accounts Receivable" on page 8 of the Audited Financial Statements. Part I, Line 7, Column F - Explanation of Bad Debt Expense Part I, line 7, Column F - $3,703,812 of bad debt expense, $4,034,653 of charity care, $109,204,615 of contractual allowances is included on Form 990, Part IX, line 25, column (A). Part I, Line 7 - Explanation of Costing Methodology Part I, line 7 - Worksheet 2, Ratio of Patient Care Cost-to-Charges is used in calculations. Part I, Line 6a - Related Organization Community Benefit Report Part I, line 6a - The TAMC 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. Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used) TAMC DOES NOT PROVIDE SLIDING-SCALE DISCOUNTED CARE TO LOW INCOME INDIVIDUALS. TAMC PROVIDES FINANCIAL ASSISTANCE/FREE CARE BASED ON THE FPL IF GROSS INCOME IS AT OR BELOW 200% OF THE FPL, IF THE PATIENT IS A RESIDENT OF THE STATE OF MAINE OR A NON MAINE RESIDENT SEEKING EMERGENCY CARE, IF THE SERVICE OR SUPPLIES ARE A MEDICAL NECESSITY AND IF ALL THIRD PARTY PAYOR SOURCES HAVE BEEN EXHAUSTED. HOWEVER, PATIENTS WITH SELF-PAY BALANCES WILL BE OFFERED A DISCOUNT OFF CHARGES. X X X false true false false false false false true false false VENKATRAM NETHALA 403339 40607 6761 22206 472913 THOMAS UMPHREY 115752 66430 10148 6859 199189 SYLVIA GETMAN 243047 46289 40451 105256 24644 459687 STEPHEN MARTIN 430871 97812 42848 13750 1825 587106 ROLAND JOY 139514 6000 13196 12356 171066 ROGER PELLI DO 204882 2533 36365 13542 9991 267313 ROBERT W RICE MD 452655 43064 11250 22954 529923 RICHARD DEBOWSKY MD 429394 7100 25739 11250 17223 490706 MICHAEL FALOON MD 160845 1050 39950 9372 16711 227928 MAHENDRA SHETH 249254 210000 39500 11250 510004 M MICHELLE HOOD 691048 140786 12420 225828 22211 1092293 JAY REYNOLDS MD 184837 34997 17499 22181 259514 GLENDA DWYER 129260 18900 8410 11944 168514 DEENESH SAHAJPAL 391172 48500 34355 20301 494328 DAVID PETERSON 106977 106977 106977 C BRUCE SANDSTROM 170008 313555 13750 9063 506376 232690 Sch J, Part I, Line 7 Part I, Line 7: Non-Fixed payments not listed above The amounts entered in Part II, B(ii) represent productivity incentive bonuses for the MD's. B MAINE HEALTH & HIGHER EDU 010314384 560427EU4 2012-06-28 6190715 REFUNDING OF 2002A BOND ISSUE false false true A MAINE HEALTH & HIGHER EDUCATION FACILITIES AUTHORITY 010314384 560427JF4 2010-06-24 7683726 REFUNDING OF 2001A BOND ISSUE false false true B 505000 7531015 713650 5595000 77586 464 1144315 2004 false true true true A 2155000 10166849 976550 5590000 87568 1379 3511352 2001 false true true true B false false false false false true A false false false false false true B false true false false false false A false true false false false false 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 $2,483,123. 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 $1,340,300.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. BEVERLY MCCRUM SPOUSE OF DIRECTOR 23819 EMPLOYED BY ORGANIZATION false Schedule K, Part 1, Column E The issue price listed is The Aroostook Medical Center's share of the total pool issue amount of $96,755,000. Form 990, Part XI, Line 9 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfer to exempt parent - Eastern Maine Healthcare Systems = -$755274 Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available NO DOCUMENTS TO THE PUBLIC. Form 990, Part VI, Line 15a Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management ANNUALLY, A COMMITTEE COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS EVALUATES THE SALARY OF THE ORGANIZATION'S CEO. THE COMMITTEE USES EXTERNAL COMPARABILITY DATA TO DETERMINE A FAIR LEVEL OF COMPENSATION. Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts A LIST OF ALL OFFICERS, DIRECTORS OR TRUSTEES AND KEY EMPLOYEES IS COMPILED EACH FISCAL YEAR. CONFLICT OF INTEREST REQUEST FORMS ARE DELIVERED TO EACH PERSON ON THE LIST. RESPONSES ARE COMPILED AND REVIEWED BY STAFF AND PRESENTED TO MANAGEMENT. Form 990, Part VI, Line 11b Form 990, Part VI, Line 11b: Form 990 Review Process THE FORM 990 IS PROVIDED IN ADVANCE TO THE ORGANIZATION'S BOARD OF DIRECTORS' AND IS THEN REVIEWED BY THE CFO AT A MONTHLY BOARD OF DIRECTORS' MEETING. 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 approve or disapprove amendments to the Corporation's articles of incorporation, amendments to its bylaws, its budget and its strategic plan, and to appoint and remove the president 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 The Aroostook Medical Center (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 III, Line 4d Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: MEDICARE SHORTFALLS (AT COST). 8,394 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 04769 010504393 PROVIDE PATIENT CARE ME 501(C)(3) 3 TAMC true TAMC ENDOWMENTS PO BOX 151 140 ACADEMY STREET PRESQUE ISLE ME 04769 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 SEBASTICOOK VALLEY FAMILY PRACTICE ASSOC 447 NORTH MAIN STREET PITTSFIELD ME 04967 011357854 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 AND HOSPICE SERVICES ME 501(C)(3) 9 EMHS true BLUE HILL MEMORIAL HOSPITAL 57 WATER STREET BLUE HILL ME 046145231 010227195 PROVIDE HEALTHCARE SERVICES ME 501(C)(3) 3 EMHS true CA DEAN MEMORIAL HOSP 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 INLAND HOSPITAL 200 KENNEDY MEMORIAL DRIVE WATERVILLE ME 04901 010217211 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 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 AND 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 CORPORATION AHC 43 WHITING HILL ROAD BREWER ME 04412 010459837 PROVIDE HEALTHCARE SERVICES ME 501(C)(3) 3 EMHS true EASTERN MAINE HEALTHCARE REAL ESTATE 43 WHITING HILL ROAD BREWER ME 04412 010391036 LEASES REAL ESTATE ME 501(C)(2) EMHS true 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 - true BEACON HEALTH LLC 43 Whiting Hill Road Brewer ME 04412 452967056 Accountable care organization ME EMHS Related false false ALLIANCE HEALTH DOCUMENTATION LLC 9 Central Street Ste 205 Bangor ME 04401 462751855 Transcription ME AHS C Corp true M DRUG LLC PO Box 1779 Bangor ME 044021779 272175482 Pharmacy ME AHS C Corp true DIRIGO PINES DEVELOPMENT COMPANY LLC 9 Alumni Drive ORONO ME 04473 010537924 RETCOTTAG ME AHS C CORP true DIRIGO FUNDING LLC 9 Alumni Drive ORONO ME 04473 010599968 PROV FINANCE ME AHS C CORP true DIRIGO PINES INN LLC 9 Alumni Drive ORONO ME 04473 020547749 CONTIN CARE ME ROSSCARE C CORP true DIRIGO PINES RETIREMENT COMM LLC 9 Alumni Drive ORONO ME 04473 010537924 HOLDING CO. ME AHS C CORP true MAINE NETWORK FOR HEALTH PO Box 2813 BANGOR ME 044022813 010496352 SUPPORT SRV ME EMHS C CORP true MERIDIAN MOBILE HEALTH LLC 931 Union Street PO Box 940 BANGOR ME 044020940 010512673 AMBULANCE ME AHS C CORP true DE COLLECTIONS DBA AFFILIATED COLL INC PO Box 2759 BANGOR ME 044022759 010366209 COLLECTIONS ME AHS C CORP true AFFILIATED PHARMACY SERVICES 917 Union St Suite 7 BANGOR ME 04401 010587230 PHARMACY ME AHS C CORP true AFFILIATED MATERIEL SERVICES PO Box 1300 BANGOR ME 044021300 010381189 PURCHASING ME AHS C CORP true AFFILIATED LABORATORY INC PO Box 638 BANGOR ME 044020638 010381283 CLINICAL LAB ME AHS C CORP true AFFILIATED HEALTHCARE MANAGEMENT PO Box 811 BANGOR ME 044020811 010349339 HLTHCR MGMT ME AHS C CORP true AFFILIATED HEALTHCARE SYSTEMS AHS PO Box 940 BANGOR ME 044020940 010385322 HOLDING CO. ME EMHS C CORP true true false true false false false false false false false true true true false false true false true false AFFILIATED MATERIEL SERVICES p 218395 FMV AFFILIATED LABORATORY INC m 489681 FMV BEACON HEALTH LLC l 265467 FMV TAMC ENDOWMENTS c 5342 FMV TAMC TITLE CORP k 59455 FMV EASTERN MAINE HOMECARE l 83087 FMV EASTERN MAINE HOMECARE a 2040 FMV ROSSCARE l 92625 FMV EMHS FOUNDATION m 55000 FMV EASTERN MAINE MEDICAL CENTER EMMC p 192823 FMV EASTERN MAINE MEDICAL CENTER EMMC m 311131 FMV EASTERN MAINE HEALTHCARE SYSTEMS EMHS r 755274 FMV EASTERN MAINE HEALTHCARE SYSTEMS EMHS p 7625974 FMV EASTERN MAINE HEALTHCARE SYSTEMS EMHS m 1665219 FMV