2013-08-08T11:06:30-07:00 2012-09-29 990 2011-09-25 010421234 Lakewood A Continuing Care Center LAKE 2079737064 220 Kennedy Memorial Drive Waterville ME 04901 Dean Bither 2013-08-08 false 2011 2016-02-24 21:20:13Z Dean Bither 200 Kennedy Memorial Drive Waterville ME 04901 12083077 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. 12 9 237 40 0 67977 52533 11880561 11759863 81213 108359 0 12029751 11920755 0 0 4977685 4704180 0 0 6605846 6826725 11583531 11530905 446220 389850 10039653 10201311 7537207 7183624 2502446 3017687 Lakewood, A Continuing Care Center is a 105 bed long-term care facility that provides skilled and long-term nursing care. false false 10581593 11759863 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 2012 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 D. Dalton, President and CEO, John M. Fortier, Chair Location: Waterville Employees : 720Description: 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 in Waterville, Fairfield, Oakland, North Anson, Unity, and Madison/Skowhegan.Inland Hospital Highlights- Named a Top Rural Hospital in America by the Leapfrog Group, a national coalition of public and private purchasers of employee health coverage. - Heart First Cardiology Associates is the first physician practice in Maine to receive the Bridges to Excellence Cardiology Practice Recognition.- Began offering electronic patient portals for primary care patients to give patients secure, convenient access to their medical records. - Began $5.4 million dollar modernization project of the Inland inpatient unit to help make the healing environment more efficient and friendly.- Established the Let's Go! Family Fun Day and series to promote active, healthy families and help combat the childhood obesity epidemic.- Implemented a Barcode Medication Verification System, a state-of-the-art safety method using barcoded wrist bands to ensure medications and dose correspond with patients' orders.Total Community Benefit: $8,947,858Community Health Improvement Services: $62,298Financial and In-Kind Contributions: $4,115Community Building Activities: $81,375Community Benefit Operations: $218,791Unrecoverable interest cost on funds used to subsidize state MaineCare/Medicaid underpayments of $11.8M; $1,253,777Traditional Charity Care: $1,657,883Unpaid Cost of Public Programs: Medicaid: $2,097,841 Medicare: $3,571,778Philanthropy: $166,974 10581593 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 27 0 true 237 true false false false false false false false false false false false 0 false false false false false false false false false false false X 12 9 false false false false true true true true true false false false true true true true true true true false false false ME X X X Jeffrey A Sanford 2079737894 43 Whiting Hill Road Brewer ME 04412 X John Nale Esq 0.50 X 0 0 0 William Lord 0.50 X 0 0 0 David Preston 0.50 X 0 0 0 Daniel Pierce DO 0.50 X 0 0 0 Roland H Knausenberger MD 0.50 X 0 232223 26439 Gary Smith 0.50 X X 0 0 0 Perley G Beane 0.50 X X 0 0 0 Brent D Williams 0.50 X 0 0 0 Crystal Olsen 0.50 X 0 0 0 Christopher L Gaunce 0.50 X X 0 0 0 Michael F Phillips Jr Esquire 0.50 X X 0 0 0 John D Dalton 0.50 X X 0 301691 73156 EE comp is for admin svcs 0.00 X 0 0 0 Shannon Coro 40.00 X 117766 0 6986 Dean Bither 10.00 X 0 213759 27683 117766 747673 134264 1 false true false Rehabcare Group East Inc PO Box 503534 St Louis MO 63150 Rehab Therapy 246788 Peoplefirst Rehabilitation PO Box 277365 Atlanta GA 303847365 Rehab Therapy 425163 MAS Medical Staffing PO Box 41047 Baton Rouge LA 70835 Temporary Staffing 174150 Diversified Staffing Group PO Box 41047 Baton Rouge LA 70835 Temporary Staffing 134606 Caretree Healthcare Staffing 3 Castle Street South Portland ME 04106 Temporary Staffing 198771 5 26675 25858 4182 52533 Patient Care Revenue 623000 11747397 11747397 Cafeteria Revenue 722210 12466 12466 11759863 76236 76236 0 0 0 194445 162269 53 32176 -53 32123 32123 0 0 0 0 11920755 11747397 120825 0 0 0 0 124752 124752 0 3728853 3417394 311459 31476 29173 2303 500281 440196 60085 318818 284456 34362 0 0 16896 16896 0 0 6699 6104 595 1729751 1523424 206327 6182 3655 2527 179565 146349 33216 34591 2212 32379 0 266810 253470 13340 5232 3325 1907 0 1840 1502 338 331649 310724 20925 0 567278 538614 28664 11734 11147 587 Maintenance & Repair 49980 7194 42786 Taxes and Licensing 575953 573043 2910 Medical Supplies Expense 726971 726915 56 Contractual Allowances 2263164 2263164 52430 39532 12898 11530905 10581593 949312 0 600 600 387199 416402 0 766413 1057478 0 0 0 5041 5792 102704 106671 11488964 5240860 6753674 6248104 0 0 0 478802 474000 1545220 1892264 10039653 10201311 947640 870759 6569429 6275119 20138 37746 7537207 7183624 X 2464600 2978892 31346 28795 6500 10000 2502446 3017687 10039653 10201311 X 389850 125391 X false true true X false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 2402 2402 false false Part II-B, Line 1i Part II-B, Line 1i - Other Activities Description Non-deductible portion of dues 13325 6000 2170 647 20848 13503 173 351 13325 12371 1132 13503 0.43000 0.57000 false true true 5609640 2496185 3113455 4969675 2263683 2705992 909649 480992 428657 6248104 Temporarily Donor Restricted Funds 28795 Permanently Donor Restricted Funds 10000 Estimated Prof. Liab. Claims Receivable 25104 Board Designated Funds-Other 598788 Board Designated Funded Depreciation 1030485 Assets Held Under Trust Indenture 199092 1892264 Reserve for Prof. Liab. Self Ins. 25104 Liability Under Cap Lease Obligation 12642 37746 11920755 11530905 389850 125061 330 125391 515241 9752755 125061 -2262116 -2137055 11889810 30945 30945 11920755 9249318 9249318 2281587 2281587 11530905 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 XIII, Line 4b Part XIII, Line 4b: Other revenue amounts included on 990 but not included in F/S Restricted expenses from fund bal $19471 Contractual Allowance reclass to expense $2263164 Reimbursed expenses reclass to expense $-1048 Part XII, Line 4b Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S Restricted investment income from fund b $89 Restricted Contributions from fund bal $30856 Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances Transfer from exempt subsidiaries-EMHS Foundation $291 Change in net assets held @ EMHS Foundation $39 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 213929 1054 17240 874 25565 258662 John D Dalton 252952 27508 21231 60147 13009 374847 Dean Bither 171922 29559 12278 4249 23434 241442 Maine Health and Higher Education Facilities Authority 010314384 560425TL4 2004-06-03 1845565 To refund the 1993D Bond Issue false false true Maine Health and Higher Education Facilities Authority 010314384 560425V80 2007-11-01 7181986 Lakewood Expansion Project false false true 2156022 140000 205000 24132 2167 1687323 2004 false true true true 7181986 451750 106394 1837 6622005 2007 false false true true false false false false true false false false false true true false false NA true FSA Cap Mgmt 19.0000 true false false false false false NA true FSA Cap Mgmt-Reserve Fund Transamerica-Const Fund 30.0000 true false false X 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 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 11 Form 990, Part VI, Line 11: 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 and was reviewed at the July 24, 2013 meeting of the board of trustees 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. Sebasticook Valley Work Health LLC 447 North Main Street Pittsfield ME 04967 453359446 Provide patient care ME 501(c)(3) 3 SVH true Beacon Health LLC 43 Whiting Hill Road Brewer ME 04412 452967056 Accountable care organization ME 501(c)(3) 11 Type II EMHS true Capitol Convenient Care LLC 43 Whiting Hill Road Ste 500 Brewer ME 04412 273671960 Provide patient care ME 501(c)(3) 11, Type II EMHS true Sebasticook Valley Health Convenient Car 447 North Maine Street Pittsfield ME 04967 273129791 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 Inland Family Practice Associates LLC 200 Kennedy Memorial Drive Waterville ME 04901 272942245 Provide patient care ME 501(c)(3) 3 Inland Hospital 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 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 II N/A true Dirigo Pines Development Company LLC 9 Alumni Drive Orono ME 04473 010537924 RetCottag ME AHS C Dirigo Funding LLC 9 Alumni Drive Orono ME 04473 010599968 Prov finance ME AHS C Dirigo Pines Inn LLC 9 Alumni Drive Orono ME 04473 020547749 Contin care ME Rosscare C Dirigo Pines Retirement Community LLC 9 Alumni Drive Orono ME 04473 010537924 Holding Co ME AHS C Maine Network for Health PO Box 2813 Bangor ME 044022813 010496352 Support service ME EMHS C Meridian Mobile Health LLC 931 Union Street PO Box 940 Bangor ME 044020940 010512673 Ambulance ME AHS C DE Collections DBA Affil Collections Inc PO Box 2759 Bangor ME 044022759 010366209 Collections ME AHS C Affiliated Pharmacy Services 917 Union St Suite 7 Bangor ME 04401 010587230 Pharmacy ME AHS C Affiliated Materiel Services PO Box 1300 Bangor ME 044021300 010381189 Purchasing ME AHS C Affiliated Laboratory Inc PO Box 638 Bangor ME 044020638 010381283 Clinical lab ME AHS C Affiliated Healthcare Management PO Box 811 Bangor ME 044020811 010349339 Hlthcr mgmt ME AHS C Affiliated Healthcare System AHS PO Box 940 Bangor ME 044020940 010385322 Holding co. ME EMHS C false false false false false false false false false true false true false false true false false true Affiliated Healthcare System AHS o 120396 FMV Inland Hospital l 129213 FMV Eastern Maine Healthcare Systems EMHS l 176499 FMV